DEPARTMENT OF INSURANCE

Affiliations

Name	Tangram Insurance Services, Inc.	DOIID	600660	NAIC NPN	7636563

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/17/2017	3/31/2025
Active	Non Resident	Agent	Property	3/17/2017	3/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/12/2021	3/31/2025
* 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	01/15/2025	03/31/2025
Surplus Lines Broker	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	2/5/2008	8/9/2011
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	2/5/2008	8/9/2011
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	2/5/2008	8/9/2011
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	2/5/2008	8/9/2011
Active	AMCO Insurance Company	300204	Agent - Casualty	12/18/2019
Active	AMCO Insurance Company	300204	Agent - Property	12/18/2019
Active	Allied Insurance Company of America	793586	Agent - Casualty	2/2/2022
Active	Allied Insurance Company of America	793586	Agent - Property	2/2/2022
Active	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	12/18/2019
Active	Allied Property and Casualty Insurance Company	300279	Agent - Property	12/18/2019
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	2/5/2008	8/9/2011
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	2/5/2008	8/9/2011
Active	Berkley National Insurance Company	515028	Agent - Casualty	4/19/2023
Active	Berkley National Insurance Company	515028	Agent - Property	4/19/2023
Active	Berkley Regional Insurance Company	300920	Agent - Casualty	4/19/2023
Active	Berkley Regional Insurance Company	300920	Agent - Property	4/19/2023
Active	Depositors Insurance Company	301634	Agent - Casualty	12/18/2019
Active	Depositors Insurance Company	301634	Agent - Property	12/18/2019
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Casualty	12/15/2009	11/12/2011
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Property	12/15/2009	11/12/2011
Inactive	Everest National Insurance Company	301319	Agent - Casualty	7/12/2011	11/5/2012
Inactive	Everest National Insurance Company	301319	Agent - Property	7/12/2011	11/5/2012
Active	Great Divide Insurance Company	301636	Agent - Casualty	4/19/2023
Active	Great Divide Insurance Company	301636	Agent - Property	4/19/2023
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	12/18/2019
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	12/18/2019
Active	Nationwide Assurance Company	300166	Agent - Casualty	3/4/2020
Active	Nationwide General Insurance Company	300603	Agent - Casualty	12/18/2019
Active	Nationwide General Insurance Company	300603	Agent - Property	12/18/2019
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	12/18/2019
Active	Nationwide Insurance Company of America	300333	Agent - Property	12/18/2019
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	12/18/2019
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	12/18/2019
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	2/2/2022
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	2/2/2022
Active	New York Marine and General Insurance Company	301932	Agent - Casualty	10/4/2019
Active	New York Marine and General Insurance Company	301932	Agent - Property	10/4/2019
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	2/5/2008	8/9/2011
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	2/5/2008	8/9/2011
Active	QBE Insurance Corporation	300515	Agent - Casualty	8/4/2017
Active	QBE Insurance Corporation	300515	Agent - Property	8/4/2017
Active	Security National Insurance Company	301151	Agent - Casualty	2/20/2020
Active	Security National Insurance Company	301151	Agent - Property	2/20/2020
Active	Service American Indemnity Company	301191	Agent - Casualty	9/20/2021
Active	StarNet Insurance Company	502746	Agent - Casualty	4/19/2023
Active	StarNet Insurance Company	502746	Agent - Property	4/19/2023
Active	Technology Insurance Company	613278	Agent - Casualty	2/20/2020
Active	Technology Insurance Company	613278	Agent - Property	2/20/2020
Active	Tri-State Insurance Company of Minnesota	663528	Agent - Casualty	4/19/2023
Active	Wesco Insurance Company	300534	Agent - Casualty	2/20/2020
Active	Wesco Insurance Company	300534	Agent - Property	2/20/2020
Active	XL Specialty Insurance Company	301605	Agent - Casualty	9/9/2019
Active	XL Specialty Insurance Company	301605	Agent - Property	9/9/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Binford, Benjamin Riley	394082	Agent - Casualty	12/27/2006	3/31/2013
Inactive	Binford, Benjamin Riley	394082	Agent - Property	12/27/2006	3/31/2013
Inactive	Binford, Benjamin Riley	394082	Surplus Lines Broker - Not Applicable	1/10/2008	3/31/2017
Inactive	Prichard, John Roger	719308	Agent - Casualty	3/14/2017	7/29/2021
Inactive	Prichard, John Roger	719308	Agent - Property	3/14/2017	7/29/2021
Active	Schipper, Rekha Skantharaja	984476	Agent - Casualty	8/11/2021
Active	Schipper, Rekha Skantharaja	984476	Agent - Property	8/11/2021
Active	Schipper, Rekha Skantharaja	984476	Surplus Lines Broker - Not Applicable	4/12/2021