DEPARTMENT OF INSURANCE

Affiliations

Name	Community Association Underwriters Of America, Inc.	DOIID	608111	NAIC NPN	686200

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	1/28/2014	3/31/2025
Active	Non Resident	Agent	Life	11/8/2019	3/31/2025
Active	Non Resident	Agent	Health	11/8/2019	3/31/2025
Active	Non Resident	Agent	Casualty	1/28/2014	3/31/2025
Denied	Non Resident	Class type not selected (Business Entity)	Line of Authority not selected
Active	Non Resident	Managing General Agent	Not Applicable	7/6/2017	3/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	7/10/2017	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
Agent	01/15/2025	03/31/2025
Managing General 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
Active	American Alternative Insurance Corporation	301697	Agent - Casualty	3/24/2017
Active	American Alternative Insurance Corporation	301697	Agent - Property	3/24/2017
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	3/29/2024
Active	American Family Home Insurance Company	301817	Agent - Casualty	3/24/2017
Active	American Family Home Insurance Company	301817	Agent - Property	3/24/2017
Active	American Southern Home Insurance Company	626276	Agent - Casualty	3/24/2017
Active	American Southern Home Insurance Company	626276	Agent - Property	3/24/2017
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	3/7/2016	5/4/2021
Inactive	Great American Insurance Company of New York	301897	Agent - Property	3/7/2016	5/4/2021
Active	Manufacturers Alliance Insurance Company	519940	Agent - Casualty	3/6/2014
Active	Manufacturers Alliance Insurance Company	519940	Agent - Property	3/6/2014
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Casualty	3/6/2014
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Property	3/6/2014
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Casualty	3/6/2014
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Property	3/6/2014
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	1/31/2014	8/11/2021
Inactive	Praetorian Insurance Company	301021	Agent - Property	1/31/2014	8/11/2021
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	1/31/2014	8/11/2021
Active	QBE Insurance Corporation	300515	Agent - Health	9/4/2020
Inactive	QBE Insurance Corporation	300515	Agent - Property	1/31/2014	8/11/2021
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	3/26/2019	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	3/26/2019	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	3/26/2019	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	3/26/2019	3/29/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bell, Adam Michael George	1004937	Agent - Casualty	7/10/2019	4/22/2020
Inactive	Bell, Adam Michael George	1004937	Agent - Property	7/10/2019	4/22/2020
Inactive	Blasch, Mark E	330938	Agent - Casualty	6/14/2005	1/16/2014
Inactive	Blasch, Mark E	330938	Agent - Property	6/14/2005	1/16/2014
Active	Henken, Douglas	1028573	Agent - Casualty	5/30/2019
Active	Henken, Douglas	1028573	Agent - Health	11/8/2019
Active	Henken, Douglas	1028573	Agent - Life	11/8/2019
Active	Henken, Douglas	1028573	Agent - Property	5/30/2019
Active	Henken, Douglas	1028573	Surplus Lines Broker - Not Applicable	4/22/2020
Active	Long, Lori Ann	827578	Agent - Casualty	1/28/2014
Active	Long, Lori Ann	827578	Agent - Property	1/28/2014
Inactive	Morgan, Mark Douglas	1031736	Agent - Casualty	5/30/2019	2/13/2020
Inactive	Morgan, Mark Douglas	1031736	Agent - Property	5/30/2019	2/13/2020
Inactive	Morgan, Mark Douglas	1031736	Surplus Lines Broker - Not Applicable	5/30/2019	4/22/2020
Denied	Nugent, Ashley V	1320549	Agent - Casualty
Denied	Nugent, Ashley V	1320549	Agent - Property
Inactive	Travis, Robert A	761222	Agent - Casualty	7/6/2017	5/30/2019
Inactive	Travis, Robert A	761222	Agent - Health	4/24/2015	5/30/2019
Inactive	Travis, Robert A	761222	Agent - Property	7/6/2017	5/30/2019
Denied	Travis, Robert A	761222	Managing General Agent - Not Applicable
Inactive	Travis, Robert A	761222	Surplus Lines Broker - Not Applicable	7/10/2017	4/22/2020
Inactive	Tufano, Matthew Erich	1044449	Agent - Casualty	7/10/2019	9/23/2019
Inactive	Tufano, Matthew Erich	1044449	Agent - Property	7/10/2019	9/23/2019