DEPARTMENT OF INSURANCE
Affiliations
NameCharity First Ins Services IncDOIID572445NAIC NPN1330202
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty7/30/2003 3/31/2025
ActiveNon ResidentAgentHealth3/28/2013 3/31/2025
ActiveNon ResidentAgentProperty7/30/2003 3/31/2025
InactiveNon ResidentAgentLife3/28/201312/9/2019 
ActiveNon ResidentSurplus Lines BrokerNot Applicable9/30/2015 3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Surplus Lines Broker01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE American Insurance Company300625Agent - Casualty10/18/2007 
ActiveACE American Insurance Company300625Agent - Property10/18/2007 
ActiveACE Fire Underwriters Insurance Company301679Agent - Casualty10/18/2007 
ActiveACE Fire Underwriters Insurance Company301679Agent - Property10/18/2007 
ActiveACE Property and Casualty Insurance Company300520Agent - Casualty10/18/2007 
ActiveACE Property and Casualty Insurance Company300520Agent - Property10/18/2007 
InactiveAmTrust Insurance Company300179Agent - Casualty8/16/20162/12/2018
InactiveAmTrust Insurance Company300179Agent - Property8/16/20162/12/2018
InactiveAmerican Guarantee and Liability Insurance Company301216Agent - Casualty6/14/20135/27/2016
InactiveAmerican Guarantee and Liability Insurance Company301216Agent - Property6/14/20135/27/2016
InactiveAmerican Zurich Insurance Company300592Agent - Casualty6/14/20135/27/2016
InactiveAmerican Zurich Insurance Company300592Agent - Property6/14/20135/27/2016
ActiveBankers Standard Insurance Company301620Agent - Casualty10/18/2007 
ActiveBankers Standard Insurance Company301620Agent - Property10/18/2007 
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty9/3/200311/30/2017
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property9/3/200311/30/2017
ActiveGreat American Alliance Insurance Company301247Agent - Casualty9/18/2014 
ActiveGreat American Alliance Insurance Company301247Agent - Property9/18/2014 
ActiveGreat American Assurance Company300327Agent - Casualty9/18/2014 
ActiveGreat American Assurance Company300327Agent - Property9/18/2014 
ActiveGreat American Insurance Company301586Agent - Casualty9/18/2014 
ActiveGreat American Insurance Company301586Agent - Property9/18/2014 
ActiveGreat American Insurance Company of New York301897Agent - Casualty9/18/2014 
ActiveGreat American Insurance Company of New York301897Agent - Property9/18/2014 
ActiveIndemnity Insurance Company of North America301760Agent - Casualty10/18/2007 
ActiveIndemnity Insurance Company of North America301760Agent - Property10/18/2007 
InactiveMilford Casualty Insurance Company301460Agent - Casualty8/16/20162/12/2018
InactiveMilford Casualty Insurance Company301460Agent - Property8/16/20162/12/2018
ActiveMount Vernon Fire Insurance Company301397Agent - Casualty9/7/2023 
ActiveMount Vernon Fire Insurance Company301397Agent - Property9/7/2023 
ActiveNOVA Casualty Company622806Agent - Casualty10/8/2016 
ActiveNOVA Casualty Company622806Agent - Property10/8/2016 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Health4/9/2013 
ActivePacific Employers Insurance Company301753Agent - Casualty10/18/2007 
ActivePacific Employers Insurance Company301753Agent - Property10/18/2007 
InactivePark National Insurance Company692514Agent - Casualty8/16/20162/12/2018
InactivePark National Insurance Company692514Agent - Property8/16/20162/12/2018
InactiveSecurity National Insurance Company301151Agent - Casualty8/16/20162/12/2018
InactiveSecurity National Insurance Company301151Agent - Property8/16/20162/12/2018
InactiveTechnology Insurance Company613278Agent - Casualty8/16/20162/12/2018
InactiveTechnology Insurance Company613278Agent - Property8/16/20162/12/2018
InactiveThe Phoenix Insurance Company301502Agent - Casualty9/3/200312/5/2013
InactiveThe Phoenix Insurance Company301502Agent - Property9/3/200312/5/2013
ActiveTravelers Casualty and Surety Company301067Agent - Casualty9/3/2003 
ActiveTravelers Casualty and Surety Company301067Agent - Property9/3/2003 
InactiveTravelers Indemnity Company (The)301855Agent - Casualty9/3/200312/20/2018
InactiveTravelers Indemnity Company (The)301855Agent - Property9/3/200312/20/2018
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty8/30/201611/30/2017
InactiveTravelers Indemnity Company of America (The)301093Agent - Property8/30/201611/30/2017
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty9/3/200311/30/2017
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property9/3/200311/30/2017
InactiveTravelers Property Casualty Company of America301649Agent - Casualty9/3/200312/20/2018
InactiveTravelers Property Casualty Company of America301649Agent - Property9/3/200312/20/2018
InactiveWesco Insurance Company300534Agent - Casualty8/16/20162/12/2018
InactiveWesco Insurance Company300534Agent - Property8/16/20162/12/2018
InactiveZurich American Insurance Company301121Agent - Casualty6/14/20135/27/2016
InactiveZurich American Insurance Company301121Agent - Property6/14/20135/27/2016
InactiveZurich American Insurance Company of Illinois301805Agent - Casualty6/14/20135/27/2016
InactiveZurich American Insurance Company of Illinois301805Agent - Property6/14/20135/27/2016
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBinford, Benjamin Riley 394082Agent - Casualty2/25/20106/30/2023
InactiveBinford, Benjamin Riley 394082Agent - Property2/25/20106/30/2023
InactiveBinford, Benjamin Riley 394082Surplus Lines Broker - Not Applicable10/12/20156/30/2023
ActiveBuckley, James 838267Agent - Casualty7/12/2023 
InactiveBuckley, James 838267Agent - Health7/12/20233/1/2024
ActiveBuckley, James 838267Agent - Property7/12/2023 
ActiveBuckley, James 838267Surplus Lines Broker - Not Applicable7/12/2023 
ActiveDyson, Maureen 1026443Agent - Casualty3/18/2019 
ActiveDyson, Maureen 1026443Agent - Property3/18/2019 
ActiveDyson, Maureen 1026443Surplus Lines Broker - Not Applicable9/15/2020 
InactiveHawley, Cynthia Ann 570205Agent - Casualty1/21/20046/30/2021
InactiveHawley, Cynthia Ann 570205Agent - Property1/21/20046/30/2021
ActiveHolliday, Robin 1104823Agent - Casualty12/15/2020 
ActiveHolliday, Robin 1104823Agent - Health12/15/2020 
ActiveHolliday, Robin 1104823Agent - Property12/15/2020 
InactiveKrier, Cheryl Christine 790567Agent - Health3/28/201311/30/2021
DeniedKrier, Cheryl Christine 790567Agent - Life  
InactiveScales, Jeffrey 500323Agent - Casualty7/30/20039/14/2006
InactiveScales, Jeffrey 500323Agent - Property7/30/20039/14/2006
InactiveSnow, Theresa Anne 742101Surplus Lines Broker - Not Applicable9/30/20156/20/2016

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