DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Jardine Lloyd Thompson Ins Services Inc	DOIID	598986	NAIC NPN	8261177

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	6/8/2005	12/3/2007
Inactive	Non Resident	Agent	Property	1/9/2008	10/1/2018
Inactive	Non Resident	Agent	Casualty	7/14/2009	10/1/2018
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	7/14/2009	10/1/2018
* 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	American Modern Home Insurance Company	300791	Agent - Casualty	6/15/2012	8/22/2012
Inactive	American Modern Home Insurance Company	300791	Agent - Property	6/15/2012	8/22/2012
Inactive	Arch Insurance Company	300688	Agent - Casualty	3/28/2011	9/12/2017
Inactive	Arch Insurance Company	300688	Agent - Property	3/28/2011	9/12/2017
Inactive	Federal Insurance Company	301144	Agent - Casualty	1/25/2013	10/1/2018
Inactive	Federal Insurance Company	301144	Agent - Property	1/25/2013	10/1/2018
Inactive	Starr Indemnity and Liability Company	301685	Agent - Casualty	6/1/2010	10/1/2018
Inactive	Starr Indemnity and Liability Company	301685	Agent - Property	6/1/2010	10/1/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Reiss, Robyn E	806209	Agent - Casualty	2/13/2014	7/31/2018
Inactive	Reiss, Robyn E	806209	Agent - Property	2/13/2014	7/31/2018
Inactive	Reiss, Robyn E	806209	Surplus Lines Broker - Not Applicable	2/13/2014	7/31/2018
Inactive	Scarborough, Jay Ross	554462	Administrator - Not Applicable	6/8/2005	12/3/2007
Inactive	Scarborough, Jay Ross	554462	Agent - Casualty	7/14/2009	2/4/2014
Inactive	Scarborough, Jay Ross	554462	Agent - Property	1/9/2008	2/4/2014
Inactive	Scarborough, Jay Ross	554462	Surplus Lines Broker - Not Applicable	7/14/2009	2/4/2014