DEPARTMENT OF INSURANCE
Affiliations
NameCommunity Association Underwriters Of America, Inc.DOIID608111NAIC NPN686200
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty1/28/2014 3/31/2027
ActiveNon ResidentAgentLife11/8/2019 3/31/2027
ActiveNon ResidentAgentCasualty1/28/2014 3/31/2027
ActiveNon ResidentAgentHealth11/8/2019 3/31/2027
DeniedNon ResidentClass type not selected (Business Entity)Line of Authority not selected   
ActiveNon ResidentManaging General AgentNot Applicable7/6/2017 3/31/2027
ActiveNon ResidentSurplus Lines BrokerNot Applicable7/10/2017 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202703/31/2027   
Managing General Agent01/15/202703/31/2027   
Surplus Lines Broker01/15/202703/31/2027   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAmerican Alternative Insurance Corporation301697Agent - Casualty3/24/2017 
ActiveAmerican Alternative Insurance Corporation301697Agent - Property3/24/2017 
InactiveAmerican Economy Insurance Company300315Agent - Casualty11/9/20193/29/2024
InactiveAmerican Economy Insurance Company300315Agent - Property11/9/20193/29/2024
ActiveAmerican Family Home Insurance Company301817Agent - Casualty3/24/2017 
ActiveAmerican Family Home Insurance Company301817Agent - Property3/24/2017 
ActiveAmerican Home Assurance Company300246Agent - Casualty1/14/2025 
ActiveAmerican Home Assurance Company300246Agent - Property1/14/2025 
ActiveAmerican Southern Home Insurance Company626276Agent - Casualty3/24/2017 
ActiveAmerican Southern Home Insurance Company626276Agent - Property3/24/2017 
ActiveArch Insurance Company300688Agent - Casualty3/5/2025 
ActiveArch Insurance Company300688Agent - Health3/5/2025 
ActiveArch Insurance Company300688Agent - Property3/5/2025 
ActiveGranite State Insurance Company300818Agent - Casualty1/14/2025 
ActiveGranite State Insurance Company300818Agent - Property1/14/2025 
InactiveGreat American Insurance Company of New York301897Agent - Casualty3/7/20165/4/2021
InactiveGreat American Insurance Company of New York301897Agent - Property3/7/20165/4/2021
ActiveManufacturers Alliance Insurance Company519940Agent - Casualty3/6/2014 
ActiveManufacturers Alliance Insurance Company519940Agent - Property3/6/2014 
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty8/4/20242/24/2025
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property8/4/20242/24/2025
ActivePennsylvania Manufacturers Association Insurance Company300228Agent - Casualty3/6/2014 
ActivePennsylvania Manufacturers Association Insurance Company300228Agent - Property3/6/2014 
ActivePennsylvania Manufacturers Indemnity Company519939Agent - Casualty3/6/2014 
ActivePennsylvania Manufacturers Indemnity Company519939Agent - Property3/6/2014 
InactivePraetorian Insurance Company301021Agent - Casualty1/31/20148/11/2021
InactivePraetorian Insurance Company301021Agent - Property1/31/20148/11/2021
InactiveQBE Insurance Corporation300515Agent - Casualty1/31/20148/11/2021
ActiveQBE Insurance Corporation300515Agent - Health9/4/2020 
InactiveQBE Insurance Corporation300515Agent - Property1/31/20148/11/2021
InactiveSAFECO Insurance Company of America300159Agent - Casualty3/26/20193/29/2024
InactiveSAFECO Insurance Company of America300159Agent - Property3/26/20193/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty3/26/20193/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Property3/26/20193/29/2024
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBell, Adam Michael George 1004937Agent - Casualty7/10/20194/22/2020
InactiveBell, Adam Michael George 1004937Agent - Property7/10/20194/22/2020
InactiveBlasch, Mark E 330938Agent - Casualty6/14/20051/16/2014
InactiveBlasch, Mark E 330938Agent - Property6/14/20051/16/2014
ActiveHenken, Douglas 1028573Agent - Casualty5/30/2019 
ActiveHenken, Douglas 1028573Agent - Health11/8/2019 
ActiveHenken, Douglas 1028573Agent - Life11/8/2019 
ActiveHenken, Douglas 1028573Agent - Property5/30/2019 
ActiveHenken, Douglas 1028573Surplus Lines Broker - Not Applicable4/22/2020 
ActiveLong, Lori Ann 827578Agent - Casualty1/28/2014 
ActiveLong, Lori Ann 827578Agent - Property1/28/2014 
InactiveMorgan, Mark Douglas 1031736Agent - Casualty5/30/20192/13/2020
InactiveMorgan, Mark Douglas 1031736Agent - Property5/30/20192/13/2020
InactiveMorgan, Mark Douglas 1031736Surplus Lines Broker - Not Applicable5/30/20194/22/2020
DeniedNugent, Ashley V 1320549Agent - Casualty  
DeniedNugent, Ashley V 1320549Agent - Property  
ActiveSchneider, Dawn 1316345Surplus Lines Broker - Not Applicable5/22/2026 
InactiveTravis, Robert A 761222Agent - Casualty7/6/20175/30/2019
InactiveTravis, Robert A 761222Agent - Health4/24/20155/30/2019
InactiveTravis, Robert A 761222Agent - Property7/6/20175/30/2019
DeniedTravis, Robert A 761222Managing General Agent - Not Applicable  
InactiveTravis, Robert A 761222Surplus Lines Broker - Not Applicable7/10/20174/22/2020
InactiveTufano, Matthew Erich 1044449Agent - Casualty7/10/20199/23/2019
InactiveTufano, Matthew Erich 1044449Agent - Property7/10/20199/23/2019

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