DEPARTMENT OF INSURANCE

Affiliations

Name	IIB Holding Company LLC	DOIID	614250	NAIC NPN	7956640

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/22/2005		3/31/2025
Active	Non Resident	Agent	Life	8/26/2005		3/31/2025
Active	Non Resident	Agent	Casualty	8/22/2005		3/31/2025
Active	Non Resident	Agent	Property	8/22/2005		3/31/2025
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	8/26/2005	7/1/2014
Active	Non Resident	Surplus Lines Broker	Not Applicable	10/4/2005		3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

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 American Insurance Company	300625	Agent - Casualty	8/23/2007	7/1/2020
Inactive	ACE American Insurance Company	300625	Agent - Health	2/4/2011	7/1/2020
Inactive	ACE American Insurance Company	300625	Agent - Property	8/23/2007	7/1/2020
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	8/23/2007	7/1/2020
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	8/23/2007	7/1/2020
Inactive	AGCS Marine Insurance Company	300403	Agent - Casualty	12/6/2019	7/3/2023
Inactive	AGCS Marine Insurance Company	300403	Agent - Property	12/6/2019	7/3/2023
Active	AIG Property Casualty Company	300621	Agent - Casualty	4/8/2008
Active	AIG Property Casualty Company	300621	Agent - Property	4/8/2008
Active	AXIS Insurance Company	301290	Agent - Health	5/1/2012
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	3/9/2011	10/28/2014
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	3/9/2011	10/28/2014
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	4/2/2013	7/27/2020
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	4/2/2013	7/27/2020
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	4/2/2013	7/27/2020
Inactive	American Zurich Insurance Company	300592	Agent - Property	4/2/2013	7/27/2020
Inactive	Arch Indemnity Insurance Company	301459	Agent - Casualty	1/11/2022	8/23/2023
Inactive	Arch Indemnity Insurance Company	301459	Agent - Property	1/11/2022	8/23/2023
Inactive	Arch Insurance Company	300688	Agent - Casualty	6/10/2016	8/23/2023
Inactive	Arch Insurance Company	300688	Agent - Property	6/10/2016	8/23/2023
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	6/19/2009	12/9/2013
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	6/19/2009	12/9/2013
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	3/14/2016	7/1/2020
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	3/14/2016	7/1/2020
Active	Berkley Life and Health Insurance Company	301421	Agent - Health	4/28/2014
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	6/19/2013	12/21/2015
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	6/19/2013	12/21/2015
Inactive	Continental Casualty Company	301019	Agent - Casualty	5/16/2015	8/26/2016
Inactive	Continental Casualty Company	301019	Agent - Property	5/16/2015	8/26/2016
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	3/9/2011	10/28/2014
Inactive	Continental Insurance Company (The)	301242	Agent - Property	3/9/2011	10/28/2014
Inactive	Employers Insurance Company of Wausau	301813	Agent - Casualty	2/13/2013	4/27/2017
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	2/13/2013	4/27/2017
Inactive	Federal Insurance Company	301144	Agent - Casualty	9/13/2005	7/1/2020
Inactive	Federal Insurance Company	301144	Agent - Property	9/13/2005	7/1/2020
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	2/13/2013	4/27/2017
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	2/13/2013	4/27/2017
Active	Granite State Insurance Company	300818	Agent - Casualty	4/8/2008
Active	Granite State Insurance Company	300818	Agent - Property	4/8/2008
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	9/13/2005	7/1/2020
Inactive	Great Northern Insurance Company	301107	Agent - Property	9/13/2005	7/1/2020
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	8/23/2007	7/1/2020
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	8/23/2007	7/1/2020
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	4/8/2008
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	4/8/2008
Inactive	LM Insurance Corporation	301061	Agent - Casualty	2/13/2013	4/27/2017
Inactive	LM Insurance Corporation	301061	Agent - Property	2/13/2013	4/27/2017
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	2/13/2013	4/27/2017
Inactive	Liberty Insurance Corporation	300444	Agent - Property	2/13/2013	4/27/2017
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	2/13/2013	4/27/2017
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	2/13/2013	4/27/2017
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	10/9/2010	4/27/2017
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	2/13/2013	4/27/2017
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	1/25/2008	11/28/2022
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	1/25/2008	11/28/2022
Inactive	Metropolitan Tower Life Insurance Company	300322	Agent - Health	3/7/2018	11/28/2022
Inactive	Metropolitan Tower Life Insurance Company	300322	Agent - Life	3/7/2018	11/28/2022
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	3/9/2011	10/28/2014
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	3/9/2011	10/28/2014
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	4/8/2008
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	4/8/2008
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	3/27/2006	4/27/2017
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	3/27/2006	4/27/2017
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	3/14/2016	7/1/2020
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	3/14/2016	7/1/2020
Inactive	Pacific Indemnity Company	301610	Agent - Casualty	9/13/2005	7/1/2020
Inactive	Pacific Indemnity Company	301610	Agent - Property	9/13/2005	7/1/2020
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	8/31/2017
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	8/31/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/15/2007	10/8/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/15/2007	10/8/2021
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	2/18/2019	1/15/2020
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	2/18/2019	1/15/2020
Active	StarNet Insurance Company	502746	Agent - Health	1/20/2017
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	6/19/2009	12/20/2018
Inactive	The Phoenix Insurance Company	301502	Agent - Property	6/19/2009	12/20/2018
Inactive	Transportation Insurance Company	301575	Agent - Casualty	5/16/2015	8/26/2016
Inactive	Transportation Insurance Company	301575	Agent - Property	5/16/2015	8/26/2016
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	6/19/2013	1/15/2020
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	6/19/2013	1/15/2020
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	6/19/2009	12/9/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	6/19/2009	12/9/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	6/19/2009	12/20/2018
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	6/19/2009	12/20/2018
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	6/19/2009	12/9/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	6/19/2009	12/9/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	6/19/2009	12/9/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	6/19/2009	12/9/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	4/3/2018	1/15/2020
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	4/3/2018	1/15/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/15/2007	10/8/2021
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/15/2007	10/8/2021
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/17/2010	11/30/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/17/2010	11/30/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/17/2010	11/30/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/17/2010	11/30/2016
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	5/16/2015	8/26/2016
Inactive	Valley Forge Insurance Company	301052	Agent - Property	5/16/2015	8/26/2016
Inactive	Vigilant Insurance Company	301143	Agent - Casualty	9/13/2005	7/1/2020
Inactive	Vigilant Insurance Company	301143	Agent - Property	9/13/2005	7/1/2020
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	2/13/2013	3/30/2015
Inactive	Wausau Business Insurance Company	301476	Agent - Property	2/13/2013	3/30/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	2/13/2013	8/27/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	2/13/2013	8/27/2015
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	8/23/2007	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011	7/1/2020
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	8/23/2007	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011	7/1/2020
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	4/2/2013	7/27/2020
Inactive	Zurich American Insurance Company	301121	Agent - Property	4/2/2013	7/27/2020
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	4/2/2013	7/27/2020
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	4/2/2013	7/27/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Coughlin, Matthew F	583763	Agent - Casualty	8/22/2005
Active	Coughlin, Matthew F	583763	Agent - Health	7/8/2014
Active	Coughlin, Matthew F	583763	Agent - Life	7/8/2014
Active	Coughlin, Matthew F	583763	Agent - Property	8/22/2005
Active	Coughlin, Matthew F	583763	Surplus Lines Broker - Not Applicable	10/4/2005
Inactive	Harveth, Michael Douglas	583759	Agent - Health	8/22/2005	4/30/2014
Inactive	Harveth, Michael Douglas	583759	Agent - Life	8/26/2005	4/30/2014
Inactive	Harveth, Michael Douglas	583759	Agent - Variable Life and Variable Annuities	8/26/2005	4/30/2014
Inactive	Lowe, Marilyn	535676	Agent - Casualty	8/29/2006	10/31/2020
Inactive	Lowe, Marilyn	535676	Agent - Property	8/29/2006	10/31/2020
Inactive	Lowe, Marilyn	535676	Surplus Lines Broker - Not Applicable	8/29/2006	10/31/2020
Active	Luria, Edward B	745647	Agent - Casualty	3/9/2011
Active	Luria, Edward B	745647	Agent - Property	3/9/2011
Inactive	Quarles, Carol Gene	376707	Agent - Casualty	8/22/2005	4/27/2010
Inactive	Quarles, Carol Gene	376707	Agent - Property	8/22/2005	4/27/2010
Inactive	Quarles, Carol Gene	376707	Surplus Lines Broker - Not Applicable	10/4/2005	4/27/2010
Inactive	Winkle, Edith Loretta	578599	Agent - Casualty	1/24/2007	6/30/2010
Inactive	Winkle, Edith Loretta	578599	Agent - Property	1/24/2007	6/30/2010