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DEPARTMENT OF INSURANCE
Affiliations
Name
Willis Programs Of Connecticut, Inc
DOIID
557086
NAIC NPN
1649437
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Administrator
Not Applicable
1/27/2005
10/8/2009
Active
Non Resident
Agent
Property
2/5/2023
3/31/2026
Active
Non Resident
Agent
Casualty
2/5/2023
3/31/2026
Inactive
Non Resident
Agent
Health
5/29/2009
10/20/2009
Inactive
Non Resident
Agent
Life
5/29/2009
10/20/2009
Inactive
Non Resident
Surplus Lines Broker
Not Applicable
9/26/2013
12/29/2016
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
ACE American Insurance Company
300625
Agent - Casualty
12/14/2005
6/12/2019
Inactive
ACE American Insurance Company
300625
Agent - Property
12/14/2005
6/12/2019
Inactive
ACE Fire Underwriters Insurance Company
301679
Agent - Casualty
12/14/2005
6/12/2019
Inactive
ACE Fire Underwriters Insurance Company
301679
Agent - Property
12/14/2005
6/12/2019
Inactive
ACE Property and Casualty Insurance Company
300520
Agent - Casualty
12/6/2004
6/12/2019
Inactive
ACE Property and Casualty Insurance Company
300520
Agent - Property
12/6/2004
6/12/2019
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
6/25/2003
10/23/2007
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Life
6/25/2003
10/23/2007
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Health
2/10/2005
10/23/2007
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Life
2/10/2005
10/23/2007
Inactive
Bankers Standard Insurance Company
301620
Agent - Casualty
9/16/2006
6/12/2019
Inactive
Bankers Standard Insurance Company
301620
Agent - Property
9/16/2006
6/12/2019
Inactive
Boston Mutual Life Insurance Company
300143
Agent - Health
7/23/2004
10/23/2007
Inactive
Boston Mutual Life Insurance Company
300143
Agent - Life
7/23/2004
10/23/2007
Inactive
Consolidated Insurance Company
300943
Agent - Casualty
8/27/2007
3/25/2010
Inactive
Consolidated Insurance Company
300943
Agent - Property
8/27/2007
3/25/2010
Inactive
Federal Insurance Company
301144
Agent - Casualty
5/17/2004
6/12/2019
Inactive
Federal Insurance Company
301144
Agent - Property
5/17/2004
6/12/2019
Inactive
First National Insurance Company of America
301690
Agent - Casualty
10/16/2008
3/25/2010
Inactive
First National Insurance Company of America
301690
Agent - Property
10/16/2008
3/25/2010
Inactive
General Insurance Company of America
300261
Agent - Casualty
10/16/2008
3/25/2010
Inactive
General Insurance Company of America
300261
Agent - Property
10/16/2008
3/25/2010
Inactive
Granite State Insurance Company
300818
Agent - Casualty
11/11/2015
2/8/2022
Inactive
Granite State Insurance Company
300818
Agent - Property
11/11/2015
2/8/2022
Inactive
Hartford Accident and Indemnity Company
301917
Agent - Casualty
8/23/2005
11/7/2008
Inactive
Hartford Accident and Indemnity Company
301917
Agent - Property
8/23/2005
11/7/2008
Inactive
Hartford Casualty Insurance Company
301332
Agent - Casualty
8/23/2005
11/7/2008
Inactive
Hartford Casualty Insurance Company
301332
Agent - Property
8/23/2005
11/7/2008
Inactive
Hartford Fire Insurance Company
300628
Agent - Casualty
6/7/2011
8/18/2017
Inactive
Hartford Fire Insurance Company
300628
Agent - Property
6/7/2011
8/18/2017
Inactive
Hartford Insurance Company of the Midwest
301918
Agent - Casualty
8/23/2005
11/7/2008
Inactive
Hartford Insurance Company of the Midwest
301918
Agent - Property
8/23/2005
11/7/2008
Inactive
Hartford Underwriters Insurance Company
301064
Agent - Casualty
8/23/2005
11/7/2008
Inactive
Hartford Underwriters Insurance Company
301064
Agent - Property
8/23/2005
11/7/2008
Inactive
Illinois National Insurance Company
301367
Agent - Casualty
11/11/2015
2/8/2022
Inactive
Illinois National Insurance Company
301367
Agent - Property
11/11/2015
2/8/2022
Inactive
Indemnity Insurance Company of North America
301760
Agent - Casualty
12/14/2005
6/12/2019
Inactive
Indemnity Insurance Company of North America
301760
Agent - Property
12/14/2005
6/12/2019
Inactive
Indiana Insurance Company
301909
Agent - Casualty
8/27/2007
3/25/2010
Inactive
Indiana Insurance Company
301909
Agent - Property
8/27/2007
3/25/2010
Inactive
National Union Fire Insurance Company of Pittsburgh, Pennsylvania
300959
Agent - Casualty
11/11/2015
2/8/2022
Inactive
National Union Fire Insurance Company of Pittsburgh, Pennsylvania
300959
Agent - Property
11/11/2015
2/8/2022
Inactive
Netherlands Insurance Company (The)
300339
Agent - Casualty
8/27/2007
3/25/2010
Inactive
Netherlands Insurance Company (The)
300339
Agent - Property
8/27/2007
3/25/2010
Inactive
New Hampshire Insurance Company
301670
Agent - Casualty
11/11/2015
2/8/2022
Inactive
New Hampshire Insurance Company
301670
Agent - Property
11/11/2015
2/8/2022
Inactive
Ohio Casualty Insurance Company
301492
Agent - Casualty
9/9/2005
3/25/2010
Inactive
Ohio Casualty Insurance Company
301492
Agent - Property
9/9/2005
3/25/2010
Inactive
Pacific Employers Insurance Company
301753
Agent - Casualty
12/14/2005
6/12/2019
Inactive
Pacific Employers Insurance Company
301753
Agent - Property
12/14/2005
6/12/2019
Inactive
Peerless Indemnity Insurance Company
571682
Agent - Casualty
8/27/2007
3/25/2010
Inactive
Peerless Indemnity Insurance Company
571682
Agent - Property
8/27/2007
3/25/2010
Inactive
Peerless Insurance Company
301910
Agent - Casualty
8/27/2007
3/25/2010
Inactive
Peerless Insurance Company
301910
Agent - Property
8/27/2007
3/25/2010
Inactive
Praetorian Insurance Company
301021
Agent - Casualty
12/28/2011
5/11/2021
Inactive
Praetorian Insurance Company
301021
Agent - Property
12/28/2011
5/11/2021
Inactive
Property and Casualty Insurance Company of Hartford
301409
Agent - Casualty
8/23/2005
11/7/2008
Inactive
Property and Casualty Insurance Company of Hartford
301409
Agent - Property
8/23/2005
11/7/2008
Inactive
QBE Insurance Corporation
300515
Agent - Casualty
12/28/2011
5/11/2021
Inactive
QBE Insurance Corporation
300515
Agent - Property
12/28/2011
5/11/2021
Inactive
SAFECO Insurance Company of America
300159
Agent - Casualty
10/16/2008
3/25/2010
Inactive
SAFECO Insurance Company of America
300159
Agent - Property
10/16/2008
3/25/2010
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - Casualty
10/16/2008
3/25/2010
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - Property
10/16/2008
3/25/2010
Inactive
Security Mutual Life Insurance Company of NY
300708
Agent - Health
6/12/2009
10/20/2009
Inactive
Security Mutual Life Insurance Company of NY
300708
Agent - Life
6/12/2009
10/20/2009
Inactive
Sentinel Insurance Company, Limited
501696
Agent - Casualty
6/7/2011
8/18/2017
Inactive
Sentinel Insurance Company, Limited
501696
Agent - Property
6/7/2011
8/18/2017
Inactive
StarNet Insurance Company
502746
Agent - Casualty
2/25/2008
12/31/2010
Inactive
StarNet Insurance Company
502746
Agent - Property
2/25/2008
12/31/2010
Inactive
Technology Insurance Company
613278
Agent - Casualty
6/15/2006
9/1/2009
Inactive
Technology Insurance Company
613278
Agent - Property
6/15/2006
9/1/2009
Inactive
Trumbull Insurance Company
300242
Agent - Casualty
8/23/2005
11/7/2008
Inactive
Trumbull Insurance Company
300242
Agent - Property
8/23/2005
11/7/2008
Inactive
Twin City Fire Insurance Company
300721
Agent - Casualty
8/23/2005
11/7/2008
Inactive
Twin City Fire Insurance Company
300721
Agent - Property
8/23/2005
11/7/2008
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Blumberger, Jeffrey D
689969
Agent - Casualty
4/27/2011
2/24/2017
Inactive
Blumberger, Jeffrey D
689969
Agent - Property
4/27/2011
2/24/2017
Inactive
Brown, Stacy Drew
693094
Agent - Casualty
2/24/2017
2/8/2022
Inactive
Brown, Stacy Drew
693094
Agent - Property
2/24/2017
2/8/2022
Inactive
Falanga, Timothy J
570630
Administrator - Not Applicable
1/27/2005
10/23/2009
Inactive
Geyer, David Faul
378620
Agent - Casualty
4/28/2004
10/22/2007
Inactive
Geyer, David Faul
378620
Agent - Health
10/15/2002
10/22/2007
Inactive
Geyer, David Faul
378620
Agent - Life
10/15/2002
10/22/2007
Inactive
Geyer, David Faul
378620
Agent - Property
4/28/2004
10/22/2007
Active
Hull, Christopher Scott
610513
Agent - Casualty
2/5/2023
Active
Hull, Christopher Scott
610513
Agent - Property
2/5/2023
Inactive
Pisecki, Robin
719309
Agent - Casualty
6/8/2011
10/13/2016
Inactive
Pisecki, Robin
719309
Agent - Property
6/8/2011
10/13/2016
Inactive
Pisecki, Robin
719309
Surplus Lines Broker - Not Applicable
9/26/2013
3/31/2018
Inactive
Plumb, Peter C
609972
Agent - Casualty
2/14/2008
12/10/2009
Inactive
Plumb, Peter C
609972
Agent - Health
5/29/2009
10/20/2009
Inactive
Plumb, Peter C
609972
Agent - Life
5/29/2009
10/20/2009
Inactive
Plumb, Peter C
609972
Agent - Property
2/14/2008
12/10/2009
Inactive
Teese, Roger Dwight
321739
Agent - Casualty
2/2/2007
9/30/2009
Inactive
Teese, Roger Dwight
321739
Agent - Property
2/2/2007
9/30/2009
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