DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cowhey, Jeffrey D	DOIID	590362	NAIC NPN	1922881

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/2/2004		7/31/2026
Active	Non Resident	Agent	Property	6/2/2004		7/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/5/2021		7/31/2026
* 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	05/15/2024	07/31/2024	05/08/2024	05/08/2024	Yes
Surplus Lines Broker	05/15/2024	07/31/2024	05/08/2024	05/08/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	State National Insurance Company, Inc.	300888	Agent - Casualty	2/21/2022
Active	State National Insurance Company, Inc.	300888	Agent - Property	2/21/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ambridge Partners LLC	596183	Agent - Property	8/16/2023	12/4/2023
Inactive	Ambridge Partners LLC	596183	Agent - Casualty	8/16/2023	12/4/2023
Inactive	Ambridge Partners LLC	596183	Surplus Lines Broker - Not Applicable	8/16/2023	12/4/2023
Inactive	Amynta P&C LLC	724011	Agent - Property	9/8/2022	12/21/2023
Inactive	Amynta P&C LLC	724011	Agent - Casualty	9/8/2022	12/21/2023
Inactive	Amynta P&C LLC	724011	Surplus Lines Broker - Not Applicable	9/8/2022	12/21/2023