DEPARTMENT OF INSURANCE

Affiliations

Name	Dubraski & Assoc Ins Services LLC	DOIID	616811	NAIC NPN	8453890

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	12/7/2005	6/15/2021
Inactive	Non Resident	Agent	Property	12/7/2005	6/15/2021
Inactive	Non Resident	Agent	Life	10/3/2005	6/15/2021
Inactive	Non Resident	Agent	Health	10/3/2005	6/15/2021
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	3/21/2012	6/15/2021
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

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	3/4/2016	6/15/2021
Inactive	ACE American Insurance Company	300625	Agent - Property	3/4/2016	6/15/2021
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	3/4/2016	6/15/2021
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	3/4/2016	6/15/2021
Inactive	American Alternative Insurance Corporation	301697	Agent - Health	2/4/2015	4/24/2020
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	1/26/2017	7/31/2019
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	1/26/2017	7/31/2019
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	1/26/2017	7/31/2019
Inactive	American Zurich Insurance Company	300592	Agent - Property	1/26/2017	7/31/2019
Inactive	Arch Insurance Company	300688	Agent - Casualty	2/14/2017	6/15/2021
Inactive	Arch Insurance Company	300688	Agent - Property	2/14/2017	6/15/2021
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	5/20/2013	12/3/2014
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	5/20/2013	12/3/2014
Inactive	ClearPath Insurance Company	979815	Agent - Casualty	1/1/2018	6/5/2019
Inactive	Farmington Casualty Company	301137	Agent - Casualty	5/20/2013	12/3/2014
Inactive	Farmington Casualty Company	301137	Agent - Property	5/20/2013	12/3/2014
Inactive	Federal Insurance Company	301144	Agent - Casualty	8/9/2011	6/15/2021
Inactive	Federal Insurance Company	301144	Agent - Property	8/9/2011	6/15/2021
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	10/2/2013	12/3/2014
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	10/2/2013	12/3/2014
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	10/2/2013	12/3/2014
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	10/2/2013	12/3/2014
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	10/2/2013	12/3/2014
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	10/2/2013	12/3/2014
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	5/20/2013	12/3/2014
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	5/20/2013	12/3/2014
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	5/20/2013	12/3/2014
Inactive	The Phoenix Insurance Company	301502	Agent - Property	5/20/2013	12/3/2014
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	5/20/2013	12/3/2014
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	5/20/2013	12/3/2014
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	5/20/2013	12/3/2014
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	5/20/2013	12/3/2014
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	5/20/2013	12/3/2014
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	5/20/2013	12/3/2014
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	5/20/2013	12/3/2014
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	5/20/2013	12/3/2014
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	5/20/2013	12/3/2014
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	5/20/2013	12/3/2014
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	5/20/2013	12/3/2014
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	5/20/2013	12/3/2014
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	3/4/2016	6/15/2021
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	3/4/2016	6/15/2021
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	1/26/2017	7/31/2019
Inactive	Zurich American Insurance Company	301121	Agent - Property	1/26/2017	7/31/2019
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	1/26/2017	7/31/2019
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	1/26/2017	7/31/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Christian, Michael Benton	341119	Agent - Casualty	7/28/2017	6/15/2021
Inactive	Christian, Michael Benton	341119	Agent - Property	7/28/2017	6/15/2021
Inactive	Christian, Michael Benton	341119	Surplus Lines Broker - Not Applicable	7/28/2017	1/6/2022
Denied	Converse, Kathryn B	867716	Agent - Casualty
Denied	Converse, Kathryn B	867716	Agent - Health
Denied	Converse, Kathryn B	867716	Agent - Life
Denied	Converse, Kathryn B	867716	Agent - Property
Denied	Dane, Joanne A	866669	Agent - Health
Denied	Dane, Joanne A	866669	Agent - Life
Inactive	Dubraski, Robert John	603280	Agent - Casualty	12/7/2005	6/15/2021
Inactive	Dubraski, Robert John	603280	Agent - Health	10/3/2005	6/15/2021
Inactive	Dubraski, Robert John	603280	Agent - Life	10/3/2005	6/15/2021
Inactive	Dubraski, Robert John	603280	Agent - Property	12/7/2005	6/15/2021
Inactive	Dubraski, Robert John	603280	Surplus Lines Broker - Not Applicable	3/21/2012	1/7/2022
Denied	Guiteau, Wesly	923414	Agent - Casualty
Denied	Guiteau, Wesly	923414	Agent - Property
Denied	Hoopes, Lauren	933222	Agent - Casualty
Denied	Hoopes, Lauren	933222	Agent - Health
Denied	Hoopes, Lauren	933222	Agent - Property
Denied	Jenovese, Angela Denise	740248	Agent - Casualty
Denied	Jenovese, Angela Denise	740248	Agent - Property
Denied	Kalb, David George	369430	Agent - Casualty
Denied	Kalb, David George	369430	Agent - Health
Denied	Kalb, David George	369430	Agent - Life
Denied	Kalb, David George	369430	Agent - Property
Denied	Levy, Joseph D	777305	Agent - Casualty
Denied	Levy, Joseph D	777305	Agent - Property
Denied	Manzi, Mark Edward	777306	Agent - Casualty
Denied	Manzi, Mark Edward	777306	Agent - Property
Inactive	Mina, John F	701165	Agent - Casualty	10/2/2017	6/15/2021
Inactive	Mina, John F	701165	Agent - Property	10/2/2017	6/15/2021
Inactive	Mina, John F	701165	Surplus Lines Broker - Not Applicable	10/2/2017	6/15/2021
Inactive	Scheuermann, Sharon	639047	Agent - Casualty	9/22/2017	6/15/2021
Inactive	Scheuermann, Sharon	639047	Agent - Property	9/22/2017	6/15/2021
Inactive	Stephenson, Jackson Riggs	374019	Agent - Casualty	9/22/2017	6/15/2021
Inactive	Stephenson, Jackson Riggs	374019	Agent - Property	9/22/2017	6/15/2021
Denied	Sullivan, Patricia H	935540	Agent - Casualty
Denied	Sullivan, Patricia H	935540	Agent - Property
Denied	Sussman, Cathryn P	532864	Agent - Casualty
Denied	Sussman, Cathryn P	532864	Agent - Health
Denied	Sussman, Cathryn P	532864	Agent - Life
Denied	Sussman, Cathryn P	532864	Agent - Property
Denied	Sutter, Ben A	977076	Agent - Health
Denied	Sutter, Ben A	977076	Agent - Life
Inactive	Williams, Christopher Joe	337133	Agent - Health	9/22/2017	6/15/2021
Denied	Williams, Christopher Joe	337133	Agent - Life