DEPARTMENT OF INSURANCE

Affiliations

Name	Willis Of Massachusetts Inc	DOIID	560929	NAIC NPN	687376

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	11/19/2004	1/14/2020
Inactive	Non Resident	Agent	Health	11/19/2004	1/14/2020
Inactive	Non Resident	Agent	Casualty	12/3/2002	1/14/2020
Inactive	Non Resident	Agent	Property	12/3/2002	1/14/2020
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	12/6/2012	1/14/2020
* 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	6/2/2006	1/14/2020
Inactive	ACE American Insurance Company	300625	Agent - Property	6/2/2006	1/14/2020
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	6/2/2006	1/14/2020
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	6/2/2006	1/14/2020
Inactive	AXIS Insurance Company	301290	Agent - Casualty	12/29/2005	1/14/2020
Inactive	AXIS Insurance Company	301290	Agent - Property	12/29/2005	1/14/2020
Inactive	AXIS Reinsurance Company	300426	Agent - Casualty	6/27/2005	3/27/2006
Inactive	AXIS Reinsurance Company	300426	Agent - Property	6/27/2005	3/27/2006
Inactive	Allianz Global Risks US Insurance Company	301250	Agent - Casualty	7/30/2019	1/14/2020
Inactive	Allianz Global Risks US Insurance Company	301250	Agent - Property	7/30/2019	1/14/2020
Inactive	American Alternative Insurance Corporation	301697	Agent - Casualty	7/2/2018	1/14/2020
Inactive	American Alternative Insurance Corporation	301697	Agent - Property	7/2/2018	1/14/2020
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	6/11/2019	1/14/2020
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	6/11/2019	1/14/2020
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/13/2019	1/14/2020
Inactive	American Economy Insurance Company	300315	Agent - Property	11/13/2019	1/14/2020
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	2/10/2005	3/8/2007
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/10/2005	3/8/2007
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	6/21/2016	1/14/2020
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	6/21/2016	1/14/2020
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	6/21/2016	1/14/2020
Inactive	American Zurich Insurance Company	300592	Agent - Property	6/21/2016	1/14/2020
Inactive	Arch Insurance Company	300688	Agent - Casualty	3/30/2009	1/14/2020
Inactive	Arch Insurance Company	300688	Agent - Property	3/30/2009	1/14/2020
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	11/7/2017	1/14/2020
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	11/7/2017	1/14/2020
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	6/2/2006	1/14/2020
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	6/2/2006	1/14/2020
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	12/9/2009	3/31/2019
Inactive	Berkley Insurance Company	301355	Agent - Casualty	4/10/2017	1/14/2020
Inactive	Berkley National Insurance Company	515028	Agent - Casualty	4/10/2017	10/24/2017
Inactive	Berkley National Insurance Company	515028	Agent - Property	4/10/2017	10/24/2017
Inactive	Berkley Regional Insurance Company	300920	Agent - Casualty	4/10/2017	10/24/2017
Inactive	Berkley Regional Insurance Company	300920	Agent - Property	4/10/2017	10/24/2017
Inactive	Berkshire Hathaway Specialty Insurance Company	300908	Agent - Casualty	3/21/2019	1/14/2020
Inactive	Berkshire Hathaway Specialty Insurance Company	300908	Agent - Property	3/21/2019	1/14/2020
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Casualty	6/21/2016	1/14/2020
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Property	6/21/2016	1/14/2020
Inactive	Continental Casualty Company	301019	Agent - Casualty	12/14/2004	1/14/2020
Inactive	Continental Casualty Company	301019	Agent - Property	12/14/2004	1/14/2020
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	2/24/2006	12/11/2017
Inactive	Continental Insurance Company (The)	301242	Agent - Property	2/24/2006	12/11/2017
Inactive	Elips Life Insurance Company	301087	Agent - Health	8/22/2019	1/14/2020
Inactive	Elips Life Insurance Company	301087	Agent - Life	8/22/2019	1/14/2020
Inactive	Employers Insurance Company of Wausau	301813	Agent - Casualty	4/7/2008	1/14/2020
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	4/7/2008	1/14/2020
Inactive	Federal Insurance Company	301144	Agent - Casualty	2/13/2003	1/14/2020
Inactive	Federal Insurance Company	301144	Agent - Property	2/13/2003	1/14/2020
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	11/7/2013	1/14/2020
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	11/7/2013	1/14/2020
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	5/18/2010	1/14/2020
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	5/18/2010	1/14/2020
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	4/22/2009	1/14/2020
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	4/22/2009	1/14/2020
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/16/2008	1/14/2020
Inactive	First National Insurance Company of America	301690	Agent - Property	10/16/2008	1/14/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/22/2013	4/4/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/22/2013	4/4/2019
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	3/22/2013	4/4/2019
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	3/22/2013	4/4/2019
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	3/22/2013	4/4/2019
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	3/22/2013	4/4/2019
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/16/2008	1/14/2020
Inactive	General Insurance Company of America	300261	Agent - Property	10/16/2008	1/14/2020
Inactive	Greenwich Insurance Company	301754	Agent - Casualty	11/1/2004	1/14/2020
Inactive	Greenwich Insurance Company	301754	Agent - Property	11/1/2004	1/14/2020
Inactive	Hanover Insurance Company (The)	300508	Agent - Casualty	3/11/2016	1/14/2020
Inactive	Hanover Insurance Company (The)	300508	Agent - Property	3/11/2016	1/14/2020
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	6/2/2006	1/14/2020
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	6/2/2006	1/14/2020
Inactive	LM Insurance Corporation	301061	Agent - Casualty	4/22/2009	1/14/2020
Inactive	LM Insurance Corporation	301061	Agent - Property	4/22/2009	1/14/2020
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	8/28/2006	1/14/2020
Inactive	Liberty Insurance Corporation	300444	Agent - Property	8/28/2006	1/14/2020
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	9/25/2015	1/14/2020
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Property	9/25/2015	1/14/2020
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	8/28/2006	1/14/2020
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	8/28/2006	1/14/2020
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	8/28/2006	1/14/2020
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	8/28/2006	1/14/2020
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	4/13/2018	1/14/2020
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	9/6/2012	1/14/2020
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	9/6/2012	1/14/2020
Inactive	Mitsui Sumitomo Insurance Company of America	301070	Agent - Casualty	10/26/2018	1/14/2020
Inactive	Mitsui Sumitomo Insurance Company of America	301070	Agent - Property	10/26/2018	1/14/2020
Inactive	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Casualty	10/26/2018	1/14/2020
Inactive	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Property	10/26/2018	1/14/2020
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/5/2019	1/14/2020
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/5/2019	1/14/2020
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	5/11/2017	1/14/2020
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	5/11/2017	1/14/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/6/2013	1/14/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/6/2013	1/14/2020
Inactive	Riverport Insurance Company	301714	Agent - Casualty	4/10/2017	10/24/2017
Inactive	Riverport Insurance Company	301714	Agent - Property	4/10/2017	10/24/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/16/2008	1/14/2020
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/16/2008	1/14/2020
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/16/2008	1/14/2020
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/16/2008	1/14/2020
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	7/10/2014	11/30/2017
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	7/10/2014	11/30/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	11/21/2016	1/14/2020
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	11/21/2016	1/14/2020
Inactive	StarNet Insurance Company	502746	Agent - Casualty	4/10/2017	10/24/2017
Inactive	StarNet Insurance Company	502746	Agent - Property	4/10/2017	10/24/2017
Inactive	Starr Indemnity and Liability Company	301685	Agent - Casualty	3/21/2012	12/30/2019
Inactive	Starr Indemnity and Liability Company	301685	Agent - Property	3/21/2012	12/30/2019
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	11/7/2017	1/14/2020
Inactive	The Phoenix Insurance Company	301502	Agent - Property	11/7/2017	1/14/2020
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	12/14/2004	9/27/2007
Inactive	Transcontinental Insurance Company	301731	Agent - Property	12/14/2004	9/27/2007
Inactive	Transportation Insurance Company	301575	Agent - Casualty	12/14/2004	11/14/2016
Inactive	Transportation Insurance Company	301575	Agent - Property	12/14/2004	11/14/2016
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	11/21/2016	1/14/2020
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	11/21/2016	1/14/2020
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	11/7/2017	1/14/2020
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	11/7/2017	1/14/2020
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	10/9/2009	1/14/2020
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	10/9/2009	1/14/2020
Inactive	Tri-State Insurance Company of Minnesota	663528	Agent - Casualty	4/10/2017	10/24/2017
Inactive	Tri-State Insurance Company of Minnesota	663528	Agent - Property	4/10/2017	10/24/2017
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	11/6/2013	1/14/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	11/6/2013	1/14/2020
Inactive	Union Security Insurance Company	301844	Agent - Health	2/7/2005	1/14/2020
Inactive	Union Security Insurance Company	301844	Agent - Life	2/7/2005	1/14/2020
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	8/28/2017	1/14/2020
Inactive	Valley Forge Insurance Company	301052	Agent - Property	8/28/2017	1/14/2020
Inactive	Vigilant Insurance Company	301143	Agent - Casualty	8/15/2005	1/14/2020
Inactive	Vigilant Insurance Company	301143	Agent - Property	8/15/2005	1/14/2020
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	4/7/2008	3/30/2015
Inactive	Wausau Business Insurance Company	301476	Agent - Property	4/7/2008	3/30/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	4/7/2008	1/14/2020
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	4/7/2008	1/14/2020
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	6/2/2006	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011	1/14/2020
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	6/2/2006	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011	1/14/2020
Inactive	XL Insurance America, Inc.	300182	Agent - Casualty	3/17/2004	1/14/2020
Inactive	XL Insurance America, Inc.	300182	Agent - Property	3/17/2004	1/14/2020
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	11/7/2013	1/14/2020
Inactive	Zurich American Insurance Company	301121	Agent - Property	11/7/2013	1/14/2020
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	6/21/2016	1/14/2020
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	6/21/2016	1/14/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bechard, Danielle M	941169	Agent - Casualty	2/1/2017	1/14/2020
Inactive	Bechard, Danielle M	941169	Agent - Property	2/1/2017	1/14/2020
Inactive	Bendt, Melinda M	1006564	Agent - Casualty	9/13/2018	1/14/2020
Inactive	Bendt, Melinda M	1006564	Agent - Property	9/13/2018	1/14/2020
Inactive	Bendt, Melinda M	1006564	Surplus Lines Broker - Not Applicable	9/13/2018	7/23/2020
Denied	Donohue, Susan Laurie	731415	Agent - Health
Denied	Donohue, Susan Laurie	731415	Agent - Life
Inactive	Granger, Todd Michael	804590	Agent - Health	4/30/2014	1/14/2020
Inactive	Granger, Todd Michael	804590	Agent - Life	4/30/2014	1/14/2020
Inactive	Jurss, Keith W	661130	Agent - Casualty	2/15/2018	1/14/2020
Inactive	Jurss, Keith W	661130	Agent - Property	2/15/2018	1/14/2020
Inactive	Metcalf, Kirk V	731366	Agent - Casualty	8/20/2010	10/27/2016
Inactive	Metcalf, Kirk V	731366	Agent - Property	8/20/2010	10/27/2016
Inactive	Metcalf, Kirk V	731366	Surplus Lines Broker - Not Applicable	12/6/2012	1/12/2017
Inactive	Musa, Bryan A	958176	Agent - Health	5/21/2018	1/14/2020
Inactive	Musa, Bryan A	958176	Agent - Life	5/21/2018	1/14/2020
Inactive	Sarrey, Joseph William	522293	Agent - Casualty	2/7/2005	4/22/2014
Inactive	Sarrey, Joseph William	522293	Agent - Health	2/7/2005	4/22/2014
Inactive	Sarrey, Joseph William	522293	Agent - Life	2/7/2005	4/22/2014
Inactive	Sarrey, Joseph William	522293	Agent - Property	9/1/2009	4/22/2014
Inactive	Walton, Julie M	795058	Agent - Casualty	11/7/2016	1/14/2020
Inactive	Walton, Julie M	795058	Agent - Property	11/7/2016	1/14/2020
Inactive	Walton, Julie M	795058	Surplus Lines Broker - Not Applicable	12/6/2012	7/7/2020
Inactive	Zeller, Hilary C	630984	Agent - Casualty	6/27/2019	1/14/2020
Inactive	Zeller, Hilary C	630984	Agent - Property	6/27/2019	1/14/2020