DEPARTMENT OF INSURANCE

Affiliations

Name	L A Xcess Ins Brokers Inc	DOIID	568703	NAIC NPN	2111293

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	3/3/2005	3/19/2019
Inactive	Non Resident	Agent	Casualty	4/22/2005	3/19/2019
Inactive	Non Resident	Agent	Property	4/22/2005	3/19/2019
Inactive	Non Resident	Agent	Health	3/3/2005	3/19/2019
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	7/31/2007	3/19/2019
* 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	5/1/2009	3/19/2019
Inactive	ACE American Insurance Company	300625	Agent - Property	5/1/2009	3/19/2019
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	2/9/2011	3/19/2019
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	2/9/2011	3/19/2019
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	5/1/2009	3/19/2019
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	5/1/2009	3/19/2019
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	8/3/2015	3/19/2019
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	8/3/2015	3/19/2019
Inactive	Chubb National Insurance Company	301392	Agent - Casualty	3/8/2016	3/19/2019
Inactive	Chubb National Insurance Company	301392	Agent - Property	3/8/2016	3/19/2019
Inactive	Federal Insurance Company	301144	Agent - Casualty	8/12/2015	3/19/2019
Inactive	Federal Insurance Company	301144	Agent - Property	8/12/2015	3/19/2019
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	12/20/2016	3/14/2019
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	12/20/2016	3/14/2019
Inactive	Great Divide Insurance Company	301636	Agent - Casualty	8/21/2018	3/19/2019
Inactive	Great Divide Insurance Company	301636	Agent - Property	8/21/2018	3/19/2019
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	8/3/2015	3/19/2019
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	8/3/2015	3/19/2019
Inactive	New York Marine and General Insurance Company	301932	Agent - Casualty	3/10/2015	3/19/2019
Inactive	New York Marine and General Insurance Company	301932	Agent - Property	3/10/2015	3/19/2019
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	8/3/2015	3/19/2019
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	8/3/2015	3/19/2019
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	9/4/2018	3/14/2019
Inactive	Pie Insurance Company (The)	300514	Agent - Property	9/4/2018	3/14/2019
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	11/14/2011	11/30/2017
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	11/14/2011	11/30/2017
Inactive	Vigilant Insurance Company	301143	Agent - Casualty	8/12/2015	3/19/2019
Inactive	Vigilant Insurance Company	301143	Agent - Property	8/12/2015	3/19/2019
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	2/9/2011	3/19/2019
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	2/9/2011	3/19/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lawrence, Allen Matta	321297	Agent - Casualty	4/28/2003	1/27/2005
Inactive	Lawrence, Allen Matta	321297	Agent - Property	4/28/2003	1/27/2005
Inactive	Rutkin, Richard Allen	599665	Agent - Casualty	6/10/2015	3/19/2019
Inactive	Rutkin, Richard Allen	599665	Agent - Health	6/10/2015	3/19/2019
Inactive	Rutkin, Richard Allen	599665	Agent - Life	6/10/2015	3/19/2019
Inactive	Rutkin, Richard Allen	599665	Agent - Property	6/10/2015	3/19/2019
Inactive	Rutkin, Richard Allen	599665	Surplus Lines Broker - Not Applicable	6/10/2015	12/21/2020