DEPARTMENT OF INSURANCE

Affiliations

Name	Assuredpartners Specialty Insurance Brokers LLC	DOIID	592339	NAIC NPN	7400527

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	1/12/2023	10/6/2023
Inactive	Non Resident	Agent	Health	7/14/2004	12/12/2008
Inactive	Non Resident	Agent	Property	1/12/2023	10/6/2023
Inactive	Non Resident	Agent	Life	7/14/2004	12/12/2008
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	2/17/2006	10/6/2023
* 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	8/17/2007	9/27/2022
Inactive	ACE American Insurance Company	300625	Agent - Property	8/17/2007	9/27/2022
Inactive	AGCS Marine Insurance Company	300403	Agent - Casualty	10/15/2004	1/1/2012
Inactive	AGCS Marine Insurance Company	300403	Agent - Property	10/15/2004	1/1/2012
Inactive	AXIS Insurance Company	301290	Agent - Casualty	9/1/2016	9/27/2022
Inactive	AXIS Insurance Company	301290	Agent - Property	9/1/2016	9/27/2022
Inactive	Arch Insurance Company	300688	Agent - Casualty	9/11/2007	9/27/2022
Inactive	Arch Insurance Company	300688	Agent - Property	9/11/2007	9/27/2022
Inactive	Beazley Insurance Company, Inc.	300899	Agent - Casualty	7/2/2019	9/27/2022
Inactive	Beazley Insurance Company, Inc.	300899	Agent - Property	7/2/2019	9/27/2022
Inactive	Berkley Insurance Company	301355	Agent - Casualty	10/14/2016	9/27/2022
Inactive	Chicago Insurance Company	300295	Agent - Casualty	10/15/2004	3/25/2021
Inactive	Chicago Insurance Company	300295	Agent - Property	10/15/2004	3/25/2021
Inactive	Continental Casualty Company	301019	Agent - Casualty	2/20/2023	10/6/2023
Inactive	Continental Casualty Company	301019	Agent - Property	2/20/2023	10/6/2023
Inactive	Federal Insurance Company	301144	Agent - Casualty	3/15/2016	9/27/2022
Inactive	Federal Insurance Company	301144	Agent - Property	3/15/2016	9/27/2022
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	10/11/2016	9/27/2022
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Property	10/11/2016	9/27/2022
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	10/11/2016	9/27/2022
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	10/11/2016	9/27/2022
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	4/4/2016	9/27/2022
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Property	4/4/2016	9/27/2022
Inactive	National Casualty Company	301483	Agent - Casualty	12/22/2005	10/4/2007
Inactive	National Casualty Company	301483	Agent - Property	12/22/2005	10/4/2007
Inactive	New York Marine and General Insurance Company	301932	Agent - Casualty	3/16/2011	1/27/2021
Inactive	New York Marine and General Insurance Company	301932	Agent - Property	3/16/2011	1/27/2021
Inactive	Protective Insurance Company	301117	Agent - Casualty	3/17/2016	4/20/2017
Inactive	Protective Insurance Company	301117	Agent - Property	3/17/2016	4/20/2017
Inactive	RLI Insurance Company	301217	Agent - Casualty	10/16/2017	9/27/2022
Inactive	RLI Insurance Company	301217	Agent - Property	10/16/2017	9/27/2022
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	8/17/2007	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011	9/27/2022
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	8/17/2007	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011	9/27/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Andersen, Michael J	976340	Agent - Casualty	7/2/2019	9/27/2022
Inactive	Andersen, Michael J	976340	Agent - Property	7/2/2019	9/27/2022
Inactive	Andersen, Michael J	976340	Surplus Lines Broker - Not Applicable	4/12/2018	10/4/2022
Denied	Ferreira, John P	1217170	Agent - Casualty
Denied	Ferreira, John P	1217170	Agent - Property
Inactive	Ferreira, John P	1217170	Surplus Lines Broker - Not Applicable	9/27/2022	1/12/2023
Inactive	Pattwell, Sean M	593562	Surplus Lines Broker - Not Applicable	6/17/2015	4/12/2018
Inactive	Roth, Robert D	1218414	Agent - Casualty	9/27/2022	10/6/2023
Inactive	Roth, Robert D	1218414	Agent - Property	9/27/2022	10/6/2023
Inactive	Roth, Robert D	1218414	Surplus Lines Broker - Not Applicable	9/27/2022	10/6/2023
Inactive	Stewart, James G	724929	Agent - Casualty	5/14/2010	9/8/2015
Denied	Stewart, James G	724929	Agent - Health
Denied	Stewart, James G	724929	Agent - Life
Inactive	Stewart, James G	724929	Agent - Property	5/14/2010	9/8/2015
Inactive	Testa, Roger P	375000	Agent - Casualty	7/14/2004	11/22/2004
Inactive	Testa, Roger P	375000	Agent - Property	7/14/2004	11/22/2004
Inactive	Young, James Albert	385361	Agent - Casualty	12/13/2004	2/8/2022
Inactive	Young, James Albert	385361	Agent - Health	7/14/2004	12/12/2008
Inactive	Young, James Albert	385361	Agent - Life	7/14/2004	12/12/2008
Inactive	Young, James Albert	385361	Agent - Property	12/13/2004	2/8/2022
Inactive	Young, James Albert	385361	Surplus Lines Broker - Not Applicable	2/17/2006	10/4/2022