DEPARTMENT OF INSURANCE

Affiliations

Name	American Specialty Insurance & Risk Services, Inc.	DOIID	601367	NAIC NPN	8354200

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	5/3/2005	11/13/2024
Active	Non Resident	Agent	Health	1/19/2005		3/31/2027
Active	Non Resident	Agent	Casualty	1/19/2005		3/31/2027
Active	Non Resident	Agent	Property	1/19/2005		3/31/2027
Inactive	Non Resident	Agent	Life	1/19/2005	4/17/2025
Active	Non Resident	Independent Adjuster	Property & Casualty	2/11/2005		3/31/2027
Active	Non Resident	Managing General Agent	Not Applicable	6/17/2020		3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	5/29/2025		3/31/2027
* 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
Agent	01/15/2027	03/31/2027
Independent Adjuster	01/15/2027	03/31/2027
Managing General Agent	01/15/2027	03/31/2027
Surplus Lines Broker	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	7/18/2006
Active	ACE American Insurance Company	300625	Agent - Property	7/18/2006
Active	AXIS Insurance Company	301290	Agent - Casualty	12/12/2007
Active	AXIS Insurance Company	301290	Agent - Health	11/18/2015
Active	AXIS Insurance Company	301290	Agent - Property	12/12/2007
Inactive	AXIS Reinsurance Company	300426	Agent - Casualty	12/12/2007	12/8/2014
Inactive	AXIS Reinsurance Company	300426	Agent - Property	12/12/2007	12/8/2014
Inactive	Aegis Security Insurance Company	300492	Agent - Health	3/24/2015	11/9/2022
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	8/9/2006	1/8/2024
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	8/9/2006	1/8/2024
Inactive	American Sentinel Insurance Company	519097	Agent - Health	12/12/2008	6/21/2017
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	8/9/2006	1/8/2024
Inactive	American Zurich Insurance Company	300592	Agent - Property	8/9/2006	1/8/2024
Active	Arch Indemnity Insurance Company	301459	Agent - Casualty	3/11/2024
Active	Arch Indemnity Insurance Company	301459	Agent - Health	3/11/2024
Active	Arch Indemnity Insurance Company	301459	Agent - Property	3/11/2024
Active	Arch Insurance Company	300688	Agent - Casualty	3/11/2024
Active	Arch Insurance Company	300688	Agent - Health	3/11/2024
Active	Arch Insurance Company	300688	Agent - Property	3/11/2024
Active	Arch Property Casualty Insurance Company	523075	Agent - Casualty	3/11/2024
Active	Arch Property Casualty Insurance Company	523075	Agent - Health	3/11/2024
Active	Arch Property Casualty Insurance Company	523075	Agent - Property	3/11/2024
Inactive	Aspen American Insurance Company	301513	Agent - Casualty	11/27/2016	12/28/2018
Inactive	Aspen American Insurance Company	301513	Agent - Property	11/27/2016	12/28/2018
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	12/9/2005	12/9/2013
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	12/9/2005	12/9/2013
Active	CorePointe Insurance Company	300406	Agent - Casualty	4/4/2024
Active	CorePointe Insurance Company	300406	Agent - Property	4/4/2024
Inactive	Farmington Casualty Company	301137	Agent - Casualty	5/9/2006	12/9/2013
Inactive	Farmington Casualty Company	301137	Agent - Property	5/9/2006	12/9/2013
Active	Federal Insurance Company	301144	Agent - Casualty	9/20/2006
Active	Federal Insurance Company	301144	Agent - Property	9/20/2006
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	12/16/2005	12/9/2013
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Property	12/16/2005	12/9/2013
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Casualty	12/16/2005	12/9/2013
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Property	12/16/2005	12/9/2013
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	2/27/2023
Active	Fireman's Fund Insurance Company	301423	Agent - Property	2/27/2023
Inactive	Greenwich Insurance Company	301754	Agent - Casualty	6/4/2020	2/12/2026
Inactive	Greenwich Insurance Company	301754	Agent - Property	6/4/2020	2/12/2026
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	7/18/2006
Active	Indemnity Insurance Company of North America	301760	Agent - Property	7/18/2006
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	4/4/2024
Active	Milford Casualty Insurance Company	301460	Agent - Property	4/4/2024
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/21/2007	1/26/2014
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	2/21/2006
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Health	9/23/2021
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	2/21/2006
Active	Southern Insurance Company	301630	Agent - Casualty	4/4/2024
Active	Southern Insurance Company	301630	Agent - Property	4/4/2024
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	12/9/2005	12/14/2016
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	12/9/2005	12/14/2016
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	12/9/2005	12/9/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	12/9/2005	12/9/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	12/9/2005	12/9/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	12/9/2005	12/9/2013
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	2/6/2026
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	2/6/2026
Inactive	Star Insurance Company	301553	Agent - Casualty	8/23/2011	8/1/2013
Inactive	Star Insurance Company	301553	Agent - Property	8/23/2011	8/1/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	12/9/2005	12/9/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Property	12/9/2005	12/9/2013
Inactive	TravCo Personal Insurance Company	301284	Agent - Casualty	6/14/2005	12/9/2013
Inactive	TravCo Personal Insurance Company	301284	Agent - Property	6/14/2005	12/9/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	5/9/2006	12/9/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	5/9/2006	12/9/2013
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	12/9/2005	12/9/2013
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	12/9/2005	12/9/2013
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	5/9/2006	8/2/2013
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	5/9/2006	8/2/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	12/9/2005	12/9/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	12/9/2005	12/9/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	12/9/2005	12/21/2015
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	12/9/2005	12/21/2015
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	12/9/2005	12/9/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	12/9/2005	12/9/2013
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	7/10/2025
Active	Travelers Property Casualty Company of America	301649	Agent - Property	7/10/2025
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	6/14/2005	12/9/2013
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	6/14/2005	12/9/2013
Inactive	XL Insurance America, Inc.	300182	Agent - Casualty	9/11/2013	2/13/2018
Inactive	XL Insurance America, Inc.	300182	Agent - Property	9/11/2013	2/13/2018
Inactive	XL Specialty Insurance Company	301605	Agent - Casualty	6/4/2020	2/12/2026
Inactive	XL Specialty Insurance Company	301605	Agent - Property	6/4/2020	2/12/2026
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	8/9/2006	1/8/2024
Inactive	Zurich American Insurance Company	301121	Agent - Property	8/9/2006	1/8/2024
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	8/9/2006	1/8/2024
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	8/9/2006	1/8/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Batt, Spencer Lee	721703	Administrator - Not Applicable	7/16/2024
Active	Batt, Spencer Lee	721703	Agent - Casualty	7/16/2024
Active	Batt, Spencer Lee	721703	Agent - Casualty	4/17/2025
Active	Batt, Spencer Lee	721703	Agent - Health	7/16/2024
Denied	Batt, Spencer Lee	721703	Agent - Life
Active	Batt, Spencer Lee	721703	Agent - Property	7/16/2024
Active	Batt, Spencer Lee	721703	Agent - Property	4/17/2025
Active	Beuchel, Jordin Leeann	1217978	Agent - Casualty	2/13/2026
Active	Beuchel, Jordin Leeann	1217978	Agent - Health	2/13/2026
Active	Beuchel, Jordin Leeann	1217978	Agent - Property	2/13/2026
Active	Burkhardt, Tiffany Marie	1406460	Independent Adjuster - Property & Casualty	6/4/2026
Denied	Burnett, Regina Benson	1176638	Agent - Casualty
Denied	Burnett, Regina Benson	1176638	Agent - Property
Denied	Cate, Sean Timothy	1390735	Agent - Casualty
Denied	Cate, Sean Timothy	1390735	Agent - Health
Denied	Cate, Sean Timothy	1390735	Agent - Property
Inactive	Eshelman, Peter Thomas	370240	Administrator - Not Applicable	5/3/2005	11/16/2009
Inactive	Eshelman, Peter Thomas	370240	Agent - Casualty	1/19/2005	11/16/2009
Inactive	Eshelman, Peter Thomas	370240	Agent - Health	1/19/2005	11/16/2009
Inactive	Eshelman, Peter Thomas	370240	Agent - Life	1/19/2005	11/16/2009
Inactive	Eshelman, Peter Thomas	370240	Agent - Property	1/19/2005	11/16/2009
Inactive	Eshelman, Timothy J	327513	Agent - Casualty	1/19/2005	11/16/2009
Inactive	Eshelman, Timothy J	327513	Agent - Health	1/19/2005	11/16/2009
Inactive	Eshelman, Timothy J	327513	Agent - Property	1/19/2005	11/16/2009
Inactive	Gratigny, Lowell Thomas	595413	Independent Adjuster - Property & Casualty	9/11/2006	2/28/2015
Inactive	Harris, David A	364917	Agent - Casualty	1/19/2005	8/31/2010
Inactive	Harris, David A	364917	Agent - Property	1/19/2005	8/31/2010
Active	Holzinger, Jody Lynn	642575	Agent - Casualty	11/16/2009
Denied	Holzinger, Jody Lynn	642575	Agent - Health
Denied	Holzinger, Jody Lynn	642575	Agent - Life
Active	Holzinger, Jody Lynn	642575	Agent - Property	11/16/2009
Inactive	Huntington, Christy Anne	599961	Adjuster - Independent	9/11/2006	9/4/2009
Inactive	Lash, Tiffany Ann	595414	Adjuster - Independent	9/11/2006	11/30/2007
Denied	Lentz, Abby Marie	674660	Agent - Casualty
Inactive	Lentz, Abby Marie	674660	Agent - Health	12/13/2021	11/21/2025
Denied	Lentz, Abby Marie	674660	Agent - Life
Denied	Lentz, Abby Marie	674660	Agent - Property
Inactive	Lentz, Abby Marie	674660	Surplus Lines Broker - Not Applicable	5/29/2025	9/29/2025
Active	Mello, David L	362320	Agent - Casualty	11/16/2009
Active	Mello, David L	362320	Agent - Property	11/16/2009
Active	Miller, Mishayla Ann	1439350	Agent - Casualty	2/13/2026
Active	Miller, Mishayla Ann	1439350	Agent - Property	2/13/2026
Inactive	Mills, Curtis James	632879	Agent - Casualty	11/16/2009	10/31/2016
Inactive	Mills, Curtis James	632879	Agent - Health	11/16/2009	10/31/2016
Denied	Mills, Curtis James	632879	Agent - Life
Inactive	Mills, Curtis James	632879	Agent - Property	11/16/2009	10/31/2016
Denied	Mitchell, Marla Krull	632885	Agent - Casualty
Denied	Mitchell, Marla Krull	632885	Agent - Health
Denied	Mitchell, Marla Krull	632885	Agent - Life
Denied	Mitchell, Marla Krull	632885	Agent - Property
Active	Mitchell, Marla Krull	632885	Surplus Lines Broker - Not Applicable	9/29/2025
Inactive	Pfefferkorn, Michael A	634062	Agent - Health	12/3/2009	9/30/2025
Denied	Pfefferkorn, Michael A	634062	Agent - Life
Denied	Phillips, Meagan	1230352	Agent - Casualty
Denied	Phillips, Meagan	1230352	Agent - Property
Active	Razo, Cole	1443807	Agent - Casualty	4/14/2026
Pending	Razo, Cole	1443807	Agent - Health
Active	Razo, Cole	1443807	Agent - Property	4/14/2026
Active	Rothlisberger, Sarah L	1410449	Independent Adjuster - Property & Casualty	8/7/2025
Active	Rowe, Rebekah	1005846	Agent - Casualty	6/29/2026
Pending	Rowe, Rebekah	1005846	Agent - Health
Active	Rowe, Rebekah	1005846	Agent - Property	6/29/2026
Inactive	Schall, Brandon	586851	Agent - Casualty	12/16/2009	10/18/2011
Active	Schall, Brandon	586851	Agent - Health	11/16/2009
Denied	Schall, Brandon	586851	Agent - Life
Inactive	Schall, Brandon	586851	Agent - Property	12/16/2009	10/18/2011
Active	Schell, Cathleen Jeanette	595397	Independent Adjuster - Property & Casualty	9/11/2006
Inactive	Shannon, Tonia Renee	599965	Independent Adjuster - Property & Casualty	9/11/2006	7/31/2014
Inactive	Sheehan, Stanley L	688354	Agent - Casualty	12/8/2009	4/17/2020
Inactive	Sheehan, Stanley L	688354	Agent - Property	12/8/2009	4/17/2020
Denied	Smith, Donna Date	557666	Agent - Casualty
Denied	Smith, Donna Date	557666	Agent - Property
Inactive	Smith, Drew A	562697	Agent - Casualty	11/16/2009	1/31/2025
Inactive	Smith, Drew A	562697	Agent - Casualty	6/9/2020	1/31/2025
Inactive	Smith, Drew A	562697	Agent - Health	11/16/2009	1/31/2025
Inactive	Smith, Drew A	562697	Agent - Life	11/16/2009	1/31/2025
Inactive	Smith, Drew A	562697	Agent - Property	11/16/2009	1/31/2025
Inactive	Smith, Drew A	562697	Agent - Property	6/9/2020	1/31/2025
Active	Stach, David J	1413833	Independent Adjuster - Property & Casualty	8/15/2025
Inactive	Sundquist, Douglas Alan	653322	Agent - Casualty	11/16/2009	8/31/2025
Inactive	Sundquist, Douglas Alan	653322	Agent - Health	11/16/2009	8/31/2025
Denied	Sundquist, Douglas Alan	653322	Agent - Life
Inactive	Sundquist, Douglas Alan	653322	Agent - Property	11/16/2009	8/31/2025
Inactive	Thompson, Mark John	595408	Administrator - Not Applicable	11/30/2009	11/13/2024
Active	Thompson, Mark John	595408	Independent Adjuster - Property & Casualty	9/11/2006
Inactive	Thompson, Mary Jane	595410	Independent Adjuster - Property & Casualty	11/16/2009	4/30/2025
Active	Toll, William Gene	380504	Independent Adjuster - Property & Casualty	9/11/2006
Active	Vebert, Megan Christine	1452834	Independent Adjuster - Property & Casualty	4/27/2026
Pending Replacement	Wittwer, Anthony L	351026	Administrator - Not Applicable	12/2/2009
Inactive	Wittwer, Anthony L	351026	Agent - Casualty	11/16/2009	6/13/2025
Denied	Wittwer, Anthony L	351026	Agent - Health
Denied	Wittwer, Anthony L	351026	Agent - Life
Inactive	Wittwer, Anthony L	351026	Agent - Property	11/16/2009	6/13/2025