DEPARTMENT OF INSURANCE
Affiliations
NameWillis Of New Jersey IncDOIID595076NAIC NPN7129584
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentLife9/8/20101/1/2025 
InactiveNon ResidentAgentHealth9/8/20101/1/2025 
InactiveNon ResidentAgentCasualty9/7/20041/1/2025 
InactiveNon ResidentAgentProperty2/22/20061/1/2025 
InactiveNon ResidentSurplus Lines BrokerNot Applicable1/23/20091/9/2025 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveACE American Insurance Company300625Agent - Casualty11/5/20041/6/2025
InactiveACE American Insurance Company300625Agent - Property2/22/20061/6/2025
InactiveACE Fire Underwriters Insurance Company301679Agent - Casualty11/10/20061/6/2025
InactiveACE Fire Underwriters Insurance Company301679Agent - Property11/10/20061/6/2025
InactiveACE Property and Casualty Insurance Company300520Agent - Casualty4/20/20051/6/2025
InactiveACE Property and Casualty Insurance Company300520Agent - Property2/22/20061/6/2025
InactiveAllianz Global Risks US Insurance Company301250Agent - Casualty8/7/20191/1/2025
InactiveAllianz Global Risks US Insurance Company301250Agent - Property8/7/20191/1/2025
InactiveAmerican Automobile Insurance Company300953Agent - Casualty8/2/20221/1/2025
InactiveAmerican Automobile Insurance Company300953Agent - Property8/2/20221/1/2025
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Casualty5/2/201712/11/2017
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Property5/2/201712/11/2017
InactiveAmerican General Life Insurance Company301585Agent - Health12/2/20158/6/2018
InactiveAmerican General Life Insurance Company301585Agent - Life12/2/20158/6/2018
InactiveAmerican Guarantee and Liability Insurance Company301216Agent - Health9/16/20101/7/2025
InactiveAmerican Heritage Life Insurance Company300272Agent - Health6/3/20191/7/2021
InactiveAmerican Heritage Life Insurance Company300272Agent - Life6/3/20191/7/2021
InactiveAmerican Zurich Insurance Company300592Agent - Health9/28/20101/7/2025
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health9/15/201011/2/2016
InactiveAnthem Insurance Companies, Inc.300941Agent - Health9/15/201010/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health9/15/201011/2/2016
InactiveAnthem Life Insurance Company301209Agent - Life9/15/201011/2/2016
InactiveArch Indemnity Insurance Company301459Agent - Casualty9/13/20211/17/2025
InactiveArch Indemnity Insurance Company301459Agent - Property9/13/20211/17/2025
InactiveArch Insurance Company300688Agent - Casualty9/13/20211/17/2025
InactiveArch Insurance Company300688Agent - Property9/13/20211/17/2025
InactiveBankers Standard Insurance Company301620Agent - Casualty11/10/20061/6/2025
InactiveBankers Standard Insurance Company301620Agent - Property11/10/20061/6/2025
InactiveBerkley Insurance Company301355Agent - Casualty4/11/20171/1/2025
InactiveBerkley National Insurance Company515028Agent - Casualty4/11/201710/24/2017
InactiveBerkley National Insurance Company515028Agent - Property4/11/201710/24/2017
InactiveBerkley Regional Insurance Company300920Agent - Casualty4/11/201710/24/2017
InactiveBerkley Regional Insurance Company300920Agent - Property4/11/201710/24/2017
InactiveBoston Mutual Life Insurance Company300143Agent - Health10/21/20101/1/2025
InactiveBoston Mutual Life Insurance Company300143Agent - Life10/21/20101/1/2025
InactiveCapitol Indemnity Corporation301030Agent - Casualty8/18/20171/1/2025
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty4/12/201212/21/2015
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property4/12/201212/21/2015
InactiveColonial American Casualty & Surety Company300769Agent - Casualty1/9/20241/7/2025
InactiveColonial American Casualty & Surety Company300769Agent - Property1/9/20241/7/2025
InactiveContinental Insurance Company (The)301242Agent - Casualty11/6/20171/2/2025
InactiveContinental Insurance Company (The)301242Agent - Property11/6/20171/2/2025
InactiveEmployers Insurance Company of Wausau301813Agent - Casualty7/24/20151/15/2025
InactiveEmployers Insurance Company of Wausau301813Agent - Property7/24/20151/15/2025
InactiveExecutive Risk Indemnity Inc.301510Agent - Casualty8/17/20061/6/2025
InactiveFarmington Casualty Company301137Agent - Casualty4/12/201212/21/2015
InactiveFarmington Casualty Company301137Agent - Property4/12/201212/21/2015
InactiveFederal Insurance Company301144Agent - Casualty10/19/20051/6/2025
InactiveFederal Insurance Company301144Agent - Property2/22/20061/6/2025
InactiveFidelity and Deposit Company of Maryland300976Agent - Casualty1/9/20241/7/2025
InactiveFidelity and Deposit Company of Maryland300976Agent - Property1/9/20241/7/2025
InactiveFirst Liberty Insurance Corporation (The)301060Agent - Casualty7/24/20151/15/2025
InactiveFirst Liberty Insurance Corporation (The)301060Agent - Property7/24/20151/15/2025
InactiveGreat American Insurance Company301586Agent - Casualty12/21/20221/13/2025
InactiveGreat American Insurance Company301586Agent - Property12/21/20221/13/2025
InactiveGreat American Insurance Company of New York301897Agent - Casualty10/14/20091/13/2025
InactiveGreat American Insurance Company of New York301897Agent - Property10/14/20091/13/2025
InactiveHartford Accident and Indemnity Company301917Agent - Casualty7/1/200511/7/2008
InactiveHartford Accident and Indemnity Company301917Agent - Property7/1/200511/7/2008
InactiveHartford Casualty Insurance Company301332Agent - Casualty7/1/200511/5/2009
InactiveHartford Casualty Insurance Company301332Agent - Property7/1/200511/5/2009
InactiveHartford Fire Insurance Company300628Agent - Casualty1/12/20171/1/2025
InactiveHartford Fire Insurance Company300628Agent - Property1/12/20171/1/2025
InactiveHartford Insurance Company of the Midwest301918Agent - Casualty7/1/200511/7/2008
InactiveHartford Insurance Company of the Midwest301918Agent - Property7/1/200511/7/2008
InactiveHartford Underwriters Insurance Company301064Agent - Casualty7/1/200511/5/2009
InactiveHartford Underwriters Insurance Company301064Agent - Property7/1/200511/5/2009
InactiveIndemnity Insurance Company of North America301760Agent - Casualty11/5/20041/6/2025
InactiveIndemnity Insurance Company of North America301760Agent - Property2/22/20061/6/2025
InactiveIndependence American Insurance Company524747Agent - Casualty11/8/20231/1/2025
InactiveIndependence American Insurance Company524747Agent - Property11/8/20231/1/2025
InactiveLM Insurance Corporation301061Agent - Casualty7/24/20151/15/2025
InactiveLM Insurance Corporation301061Agent - Property7/24/20151/15/2025
InactiveLiberty Insurance Corporation300444Agent - Casualty7/24/20151/15/2025
InactiveLiberty Insurance Corporation300444Agent - Property7/24/20151/15/2025
InactiveLiberty Insurance Underwriters Inc.301391Agent - Casualty2/11/20151/1/2025
InactiveLiberty Insurance Underwriters Inc.301391Agent - Property2/11/20151/1/2025
InactiveLiberty Mutual Fire Insurance Company301913Agent - Casualty7/24/20151/15/2025
InactiveLiberty Mutual Fire Insurance Company301913Agent - Property7/24/20151/15/2025
InactiveLiberty Mutual Insurance Company301159Agent - Casualty2/11/20151/1/2025
InactiveLiberty Mutual Insurance Company301159Agent - Property2/11/20151/1/2025
InactiveLife Insurance Company of North America300711Agent - Health5/29/20181/1/2025
InactiveLife Insurance Company of North America300711Agent - Life5/29/20181/1/2025
InactiveMetropolitan Life Insurance Company301948Agent - Health10/22/20121/1/2025
InactiveMetropolitan Life Insurance Company301948Agent - Life10/22/20121/1/2025
InactiveMitsui Sumitomo Insurance Company of America301070Agent - Casualty10/23/20141/1/2025
InactiveMitsui Sumitomo Insurance Company of America301070Agent - Property10/23/20141/1/2025
InactiveMitsui Sumitomo Insurance USA Inc.301681Agent - Casualty10/23/20141/1/2025
InactiveMitsui Sumitomo Insurance USA Inc.301681Agent - Property10/23/20141/1/2025
InactiveMount Vernon Fire Insurance Company301397Agent - Casualty5/21/20121/1/2025
InactiveMount Vernon Fire Insurance Company301397Agent - Property5/21/20121/1/2025
InactiveNational Fire Insurance Company of Hartford301063Agent - Casualty2/28/20171/2/2025
InactiveNational Fire Insurance Company of Hartford301063Agent - Property2/28/20171/2/2025
InactivePacific Employers Insurance Company301753Agent - Casualty11/10/20061/6/2025
InactivePacific Employers Insurance Company301753Agent - Property11/10/20061/6/2025
InactivePlatte River Insurance Company301089Agent - Casualty8/18/20171/1/2025
InactiveProvident Life and Accident Insurance Company301525Agent - Health10/30/20181/1/2025
InactiveProvident Life and Accident Insurance Company301525Agent - Life10/30/20181/1/2025
InactiveRiverport Insurance Company301714Agent - Casualty4/11/201710/24/2017
InactiveRiverport Insurance Company301714Agent - Property4/11/201710/24/2017
InactiveSentinel Insurance Company, Limited501696Agent - Casualty7/1/200511/7/2008
InactiveSentinel Insurance Company, Limited501696Agent - Property7/1/200511/7/2008
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty4/12/201212/5/2013
InactiveStandard Fire Insurance Company (The)301068Agent - Property4/12/201212/5/2013
InactiveStarNet Insurance Company502746Agent - Casualty4/11/201710/24/2017
InactiveStarNet Insurance Company502746Agent - Property4/11/201710/24/2017
InactiveStarmount Life Insurance Company628031Agent - Health10/30/20181/1/2025
InactiveStarr Indemnity and Liability Company301685Agent - Casualty2/5/20191/1/2025
InactiveStarr Indemnity and Liability Company301685Agent - Property2/5/20191/1/2025
InactiveState National Insurance Company, Inc.300888Agent - Casualty4/27/20201/1/2025
InactiveState National Insurance Company, Inc.300888Agent - Property4/27/20201/1/2025
InactiveThe Phoenix Insurance Company301502Agent - Casualty4/12/201212/21/2015
InactiveThe Phoenix Insurance Company301502Agent - Property4/12/201212/21/2015
InactiveTransportation Insurance Company301575Agent - Casualty5/14/20181/2/2025
InactiveTransportation Insurance Company301575Agent - Property5/14/20181/2/2025
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty4/12/201212/5/2013
InactiveTravelers Casualty Insurance Company of America300522Agent - Property4/12/201212/5/2013
InactiveTravelers Casualty and Surety Company301067Agent - Casualty4/12/20121/1/2025
InactiveTravelers Casualty and Surety Company301067Agent - Property4/12/20121/1/2025
InactiveTravelers Casualty and Surety Company of America301334Agent - Casualty3/28/20181/1/2025
InactiveTravelers Casualty and Surety Company of America301334Agent - Property3/28/20181/1/2025
InactiveTravelers Indemnity Company (The)301855Agent - Casualty4/12/20121/1/2025
InactiveTravelers Indemnity Company (The)301855Agent - Property4/12/20121/1/2025
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty4/12/201212/3/2014
InactiveTravelers Indemnity Company of America (The)301093Agent - Property4/12/201212/3/2014
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty4/12/20121/1/2025
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property4/12/20121/1/2025
InactiveTravelers Property Casualty Company of America301649Agent - Casualty4/12/20121/1/2025
InactiveTravelers Property Casualty Company of America301649Agent - Property4/12/20121/1/2025
InactiveTri-State Insurance Company of Minnesota663528Agent - Casualty4/11/201710/24/2017
InactiveTri-State Insurance Company of Minnesota663528Agent - Property4/11/201710/24/2017
InactiveTrumbull Insurance Company300242Agent - Casualty7/1/200511/7/2008
InactiveTrumbull Insurance Company300242Agent - Property7/1/200511/7/2008
InactiveTwin City Fire Insurance Company300721Agent - Casualty7/1/200511/7/2008
InactiveTwin City Fire Insurance Company300721Agent - Property7/1/200511/7/2008
InactiveUNUM Life Insurance Company of America300817Agent - Health10/30/20181/1/2025
InactiveUNUM Life Insurance Company of America300817Agent - Life10/30/20181/1/2025
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Health8/24/20151/1/2025
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Life8/24/20151/1/2025
InactiveUnitedHealthcare Insurance Company300946Agent - Health6/18/20185/31/2024
InactiveUnitedHealthcare Insurance Company300946Agent - Life6/18/20185/31/2024
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health6/18/20185/31/2024
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/1/20215/31/2024
InactiveUnum Insurance Company301499Agent - Health10/30/20181/1/2025
InactiveUnum Insurance Company301499Agent - Life10/30/20181/1/2025
InactiveVanliner Insurance Company301420Agent - Casualty8/8/20141/16/2019
InactiveVanliner Insurance Company301420Agent - Property8/8/20141/16/2019
InactiveWestchester Fire Insurance Company301414Agent - Casualty11/5/20041/1/2011
InactiveWestchester Fire Insurance Company300990Agent - Casualty1/1/20111/6/2025
InactiveWestchester Fire Insurance Company301414Agent - Property2/22/20061/1/2011
InactiveWestchester Fire Insurance Company300990Agent - Property1/1/20111/6/2025
InactiveWestern Surety Company300283Agent - Casualty8/6/20091/1/2025
InactiveZurich American Insurance Company301121Agent - Health9/28/20101/7/2025
InactiveZurich American Insurance Company of Illinois301805Agent - Health9/28/20101/7/2025
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmadeo, Vita N 994205Agent - Life7/11/20181/14/2025
InactiveBateman, Michael L 945805Agent - Casualty3/17/20179/30/2021
DeniedBateman, Michael L 945805Agent - Health  
InactiveBateman, Michael L 945805Agent - Property3/17/20179/30/2021
InactiveBoyle, Casey H 1176120Agent - Casualty6/5/20231/1/2025
InactiveBoyle, Casey H 1176120Agent - Property6/5/20231/1/2025
InactiveBoyle, Casey H 1176120Surplus Lines Broker - Not Applicable2/15/20241/22/2025
InactiveBrownbridge, Helena E 739114Agent - Casualty6/19/20188/23/2024
InactiveBrownbridge, Helena E 739114Agent - Health6/19/20188/23/2024
InactiveBrownbridge, Helena E 739114Agent - Property6/19/20188/23/2024
InactiveCoburn, Samuel A 582512Agent - Casualty9/7/20041/26/2007
InactiveCoburn, Samuel A 582512Agent - Health9/7/20041/11/2006
InactiveCoburn, Samuel A 582512Agent - Life9/7/20041/11/2006
InactiveCoburn, Samuel A 582512Agent - Property9/7/20041/26/2007
InactiveCondello, Chris J 784610Agent - Casualty8/29/20231/13/2025
InactiveCondello, Chris J 784610Agent - Property8/29/20231/13/2025
InactiveDepaul, Joseph 589839Agent - Casualty12/2/20167/20/2023
InactiveDepaul, Joseph 589839Agent - Property12/2/20167/20/2023
InactiveDoherty, Greg 1158403Agent - Casualty1/31/20249/5/2024
InactiveDoherty, Greg 1158403Agent - Health1/31/20249/5/2024
InactiveDoherty, Greg 1158403Agent - Life1/31/20249/5/2024
InactiveDoherty, Greg 1158403Agent - Property1/31/20249/5/2024
InactiveDoherty, Greg 1158403Surplus Lines Broker - Not Applicable1/31/20249/5/2024
InactiveDotel, Stephanie Caridad 1249174Agent - Casualty1/16/20231/16/2025
InactiveDotel, Stephanie Caridad 1249174Agent - Property1/16/20231/16/2025
InactiveForry, Patricia A 765718Agent - Casualty1/7/20141/1/2025
InactiveForry, Patricia A 765718Agent - Health1/7/20141/1/2025
InactiveForry, Patricia A 765718Agent - Life1/7/20141/1/2025
InactiveForry, Patricia A 765718Agent - Property1/7/20141/1/2025
ActiveForry, Patricia A 765718Surplus Lines Broker - Not Applicable2/14/2012 
InactiveGramigna, William Gerard 760287Agent - Casualty9/2/201112/29/2015
DeniedGramigna, William Gerard 760287Agent - Health  
InactiveGramigna, William Gerard 760287Agent - Property9/2/201112/29/2015
InactiveHooper, Jacklyn V 1122765Agent - Health3/11/202110/31/2024
InactiveHooper, Jacklyn V 1122765Agent - Life3/11/202110/31/2024
InactiveJennings, John F 500345Agent - Casualty2/14/201212/9/2020
DeniedJennings, John F 500345Agent - Health  
DeniedJennings, John F 500345Agent - Life  
InactiveJennings, John F 500345Agent - Property2/14/201212/9/2020
InactiveJennings, John F 500345Surplus Lines Broker - Not Applicable2/14/20128/3/2022
InactiveKiersznowski, Michele R 760282Agent - Casualty9/2/20113/15/2016
DeniedKiersznowski, Michele R 760282Agent - Health  
DeniedKiersznowski, Michele R 760282Agent - Life  
InactiveKiersznowski, Michele R 760282Agent - Property9/2/20113/15/2016
InactiveMajette, Tyra E 1313424Agent - Casualty12/29/20231/1/2025
InactiveMajette, Tyra E 1313424Agent - Property12/29/20231/1/2025
InactiveMajette, Tyra E 1313424Surplus Lines Broker - Not Applicable12/29/20231/27/2025
InactiveMartin-King, Jaquanda 1224110Agent - Casualty9/19/20221/1/2025
InactiveMartin-King, Jaquanda 1224110Agent - Property9/19/20221/1/2025
InactiveMoran, Kieran J 819792Agent - Casualty3/26/20191/1/2025
InactiveMunroe, Eric J 587589Agent - Casualty9/7/20045/31/2024
InactiveMunroe, Eric J 587589Agent - Health9/8/20105/31/2024
InactiveMunroe, Eric J 587589Agent - Life9/8/20105/31/2024
InactiveMunroe, Eric J 587589Agent - Property9/7/20045/31/2024
InactiveMunroe, Eric J 587589Surplus Lines Broker - Not Applicable1/23/200911/9/2023
InactiveNeumaier, Gaynor M 879518Agent - Casualty6/6/20181/1/2025
InactiveNeumaier, Gaynor M 879518Agent - Property6/6/20181/1/2025
InactiveNeumaier, Gaynor M 879518Surplus Lines Broker - Not Applicable11/21/20231/27/2025
InactiveRemeika, Joe P 623665Agent - Health6/22/20181/1/2025
InactiveRemeika, Joe P 623665Agent - Life6/22/20181/1/2025
InactiveRhatigan, Thomas 913243Agent - Casualty3/8/20231/1/2025
InactiveRhatigan, Thomas 913243Agent - Property3/8/20231/1/2025
InactiveVasso, Victoria 1123770Agent - Casualty3/30/20215/14/2021
InactiveVasso, Victoria 1123770Agent - Property3/30/20215/14/2021
InactiveWagar, Anthony M 1127894Agent - Casualty5/5/20217/20/2023
InactiveWagar, Anthony M 1127894Agent - Property5/5/20217/20/2023
InactiveWeick, Lori R 1128195Agent - Casualty5/4/20211/1/2025
DeniedWeick, Lori R 1128195Agent - Health  
InactiveWeick, Lori R 1128195Agent - Property5/4/20211/1/2025

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