DEPARTMENT OF INSURANCE

Affiliations

Name	Program Brokerage Corporation	DOIID	578614	NAIC NPN	957244

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	2/12/2004	3/31/2026
Active	Non Resident	Agent	Casualty	2/12/2004	3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	10/25/2018	3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026
Surplus Lines Broker	01/15/2026	03/31/2026

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	11/3/2004	4/30/2024
Inactive	ACE American Insurance Company	300625	Agent - Property	11/3/2004	4/30/2024
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	10/28/2006	4/30/2024
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	10/28/2006	4/30/2024
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	5/27/2005	4/30/2024
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	5/27/2005	4/30/2024
Active	AIG Assurance Company	300897	Agent - Casualty	7/24/2009
Active	AIG Assurance Company	300897	Agent - Property	7/24/2009
Inactive	AmTrust Insurance Company	300179	Agent - Casualty	7/27/2018	9/20/2022
Inactive	AmTrust Insurance Company	300179	Agent - Property	7/27/2018	9/20/2022
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	3/29/2024
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/16/2008	3/29/2024
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/16/2008	3/29/2024
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	4/5/2018
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	4/5/2018
Inactive	American States Insurance Company	301230	Agent - Casualty	2/1/2005	3/29/2024
Inactive	American States Insurance Company	301230	Agent - Property	2/1/2005	3/29/2024
Active	American Zurich Insurance Company	300592	Agent - Casualty	4/5/2018
Active	American Zurich Insurance Company	300592	Agent - Property	4/5/2018
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	10/28/2006	4/30/2024
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	10/28/2006	4/30/2024
Inactive	Capitol Indemnity Corporation	301030	Agent - Casualty	4/30/2018	9/16/2019
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	2/28/2019	6/21/2024
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	2/28/2019	6/21/2024
Inactive	Chubb Indemnity Insurance Company	300438	Agent - Casualty	9/7/2018	4/30/2024
Inactive	Chubb Indemnity Insurance Company	300438	Agent - Property	9/7/2018	4/30/2024
Inactive	Chubb National Insurance Company	301392	Agent - Casualty	9/7/2018	4/30/2024
Inactive	Chubb National Insurance Company	301392	Agent - Property	9/7/2018	4/30/2024
Inactive	Colony Specialty Insurance Company	724901	Agent - Casualty	6/5/2013	8/4/2014
Inactive	Colony Specialty Insurance Company	724901	Agent - Property	6/5/2013	8/4/2014
Active	Commerce and Industry Insurance Company	300881	Agent - Casualty	7/24/2009
Active	Commerce and Industry Insurance Company	300881	Agent - Property	7/24/2009
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/16/2008	10/20/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/16/2008	10/20/2011
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	10/12/2018
Active	Employers Insurance Company of Wausau	301813	Agent - Property	10/12/2018
Inactive	Farmington Casualty Company	301137	Agent - Casualty	2/28/2019	6/21/2024
Inactive	Farmington Casualty Company	301137	Agent - Property	2/28/2019	6/21/2024
Inactive	Federal Insurance Company	301144	Agent - Casualty	2/25/2013	4/29/2024
Inactive	Federal Insurance Company	301144	Agent - Property	2/25/2013	4/29/2024
Inactive	First National Insurance Company of America	301690	Agent - Casualty	2/1/2005	10/13/2022
Inactive	First National Insurance Company of America	301690	Agent - Property	2/1/2005	10/13/2022
Inactive	General Insurance Company of America	300261	Agent - Casualty	2/1/2005	10/20/2011
Inactive	General Insurance Company of America	300261	Agent - Property	2/1/2005	10/20/2011
Inactive	Great American Insurance Company	301586	Agent - Casualty	12/5/2007	10/15/2009
Inactive	Great American Insurance Company	301586	Agent - Property	12/5/2007	10/15/2009
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	9/7/2018	4/30/2024
Inactive	Great Northern Insurance Company	301107	Agent - Property	9/7/2018	4/30/2024
Inactive	Hanover Insurance Company (The)	300508	Agent - Casualty	2/16/2010	8/22/2023
Inactive	Hanover Insurance Company (The)	300508	Agent - Property	2/16/2010	8/22/2023
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	11/12/2008	3/29/2023
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	11/12/2008	3/29/2023
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	11/12/2008	3/29/2023
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	11/12/2008	3/29/2023
Active	Illinois National Insurance Company	301367	Agent - Casualty	7/24/2009
Active	Illinois National Insurance Company	301367	Agent - Property	7/24/2009
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	11/3/2004	4/30/2024
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	11/3/2004	4/30/2024
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/16/2008	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	10/16/2008	2/3/2023
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	10/12/2018
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	10/12/2018
Active	Midvale Indemnity Company	300292	Agent - Casualty	9/9/2021
Active	Midvale Indemnity Company	300292	Agent - Property	9/9/2021
Inactive	Milford Casualty Insurance Company	301460	Agent - Casualty	7/27/2018	9/20/2022
Inactive	Milford Casualty Insurance Company	301460	Agent - Property	7/27/2018	9/20/2022
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	7/24/2009
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	7/24/2009
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/16/2008	10/20/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/16/2008	10/20/2011
Active	New York Marine and General Insurance Company	301932	Agent - Casualty	12/28/2016
Active	New York Marine and General Insurance Company	301932	Agent - Property	12/28/2016
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/16/2008	3/29/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/16/2008	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/16/2008	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/16/2008	3/29/2024
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	10/28/2006	4/30/2024
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	10/28/2006	4/30/2024
Inactive	Pacific Indemnity Company	301610	Agent - Casualty	9/7/2018	4/30/2024
Inactive	Pacific Indemnity Company	301610	Agent - Property	9/7/2018	4/30/2024
Inactive	Park National Insurance Company	692514	Agent - Casualty	7/27/2018	9/20/2022
Inactive	Park National Insurance Company	692514	Agent - Property	7/27/2018	9/20/2022
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/16/2008	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/16/2008	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/16/2008	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Property	10/16/2008	10/20/2011
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	8/30/2022	2/7/2023
Inactive	QBE Insurance Corporation	300515	Agent - Property	8/30/2022	2/7/2023
Inactive	RLI Insurance Company	301217	Agent - Casualty	7/1/2018	6/15/2023
Inactive	RLI Insurance Company	301217	Agent - Property	7/1/2018	6/15/2023
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	2/1/2005	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	2/1/2005	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	2/1/2005	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	2/1/2005	3/29/2024
Inactive	Security National Insurance Company	301151	Agent - Casualty	7/27/2018	9/20/2022
Inactive	Security National Insurance Company	301151	Agent - Property	7/27/2018	9/20/2022
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	7/14/2011	12/7/2020
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	7/14/2011	12/7/2020
Inactive	Sequoia Insurance Company	628046	Agent - Casualty	5/5/2020	9/20/2022
Inactive	Sequoia Insurance Company	628046	Agent - Property	5/5/2020	9/20/2022
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	2/28/2019	6/21/2024
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	2/28/2019	6/21/2024
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	2/28/2019	6/21/2024
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	2/28/2019	6/21/2024
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	2/28/2019	6/21/2024
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	2/28/2019	6/21/2024
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	2/28/2019	6/21/2024
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	2/28/2019	6/21/2024
Active	StarNet Insurance Company	502746	Agent - Casualty	6/27/2007
Active	StarNet Insurance Company	502746	Agent - Property	6/27/2007
Inactive	Starr Indemnity and Liability Company	301685	Agent - Casualty	10/21/2016	11/1/2022
Inactive	Starr Indemnity and Liability Company	301685	Agent - Property	10/21/2016	11/1/2022
Inactive	Technology Insurance Company	613278	Agent - Casualty	4/18/2008	9/20/2022
Inactive	Technology Insurance Company	613278	Agent - Property	4/18/2008	9/20/2022
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	2/28/2019	6/21/2024
Inactive	The Phoenix Insurance Company	301502	Agent - Property	2/28/2019	6/21/2024
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	2/28/2019	6/21/2024
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	2/28/2019	6/21/2024
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	2/28/2019	6/21/2024
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	2/28/2019	6/21/2024
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	2/28/2019	6/21/2024
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	2/28/2019	6/21/2024
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	2/28/2019	6/21/2024
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	2/28/2019	6/21/2024
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	2/28/2019	6/21/2024
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	2/28/2019	6/21/2024
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	2/28/2019	6/21/2024
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	2/28/2019	6/21/2024
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	2/28/2019	6/21/2024
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	2/28/2019	6/21/2024
Inactive	Vigilant Insurance Company	301143	Agent - Casualty	9/7/2018	4/30/2024
Inactive	Vigilant Insurance Company	301143	Agent - Property	9/7/2018	4/30/2024
Inactive	Watford Insurance Company	556753	Agent - Casualty	2/25/2011	11/11/2014
Active	Wesco Insurance Company	300534	Agent - Casualty	9/5/2007
Active	Wesco Insurance Company	300534	Agent - Property	9/5/2007
Inactive	West American Insurance Company	301112	Agent - Casualty	10/16/2008	3/29/2024
Inactive	West American Insurance Company	301112	Agent - Property	10/16/2008	3/29/2024
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	11/3/2004	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011	4/30/2024
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	11/3/2004	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011	4/30/2024
Active	Zurich American Insurance Company	301121	Agent - Casualty	4/5/2018
Active	Zurich American Insurance Company	301121	Agent - Property	4/5/2018
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	4/5/2018
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	4/5/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cohen, Marc Irwin	578552	Agent - Casualty	2/12/2004	5/23/2018
Inactive	Cohen, Marc Irwin	578552	Agent - Property	2/12/2004	5/23/2018
Active	Mosca, Alexia Lena	1001656	Agent - Casualty	5/14/2024
Active	Mosca, Alexia Lena	1001656	Agent - Property	12/3/2024
Active	Mosca, Alexia Lena	1001656	Surplus Lines Broker - Not Applicable	4/29/2024
Inactive	O Brien, Cynthia	984018	Agent - Casualty	1/14/2022	5/9/2024
Inactive	O Brien, Cynthia	984018	Agent - Property	1/14/2022	5/9/2024
Active	Shapiro, Gary	993058	Agent - Casualty	2/8/2022
Active	Shapiro, Gary	993058	Agent - Property	2/8/2022
Active	Shapiro, Gary	993058	Surplus Lines Broker - Not Applicable	10/25/2018
Denied	Sirles, David Hunter	565300	Agent - Casualty
Denied	Sirles, David Hunter	565300	Agent - Property
Inactive	Taylor, Bradley F	988600	Agent - Casualty	7/18/2018	10/4/2018
Inactive	Taylor, Bradley F	988600	Agent - Property	7/18/2018	10/4/2018