DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hiscox Inc	DOIID	622105	NAIC NPN	8605505

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/24/2007		3/31/2025
Active	Non Resident	Agent	Casualty	1/24/2007		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	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Contractors Bonding and Insurance Company	300184	Agent - Casualty	6/17/2011	12/13/2013
Inactive	Contractors Bonding and Insurance Company	300184	Agent - Property	6/17/2011	12/13/2013
Inactive	Employers Assurance Company	300120	Agent - Casualty	11/1/2010	5/22/2017
Inactive	Employers Preferred Insurance Company	520656	Agent - Casualty	11/1/2010	5/22/2017
Active	Federated Mutual Insurance Company	301106	Agent - Casualty	3/3/2016
Active	Federated Mutual Insurance Company	301106	Agent - Property	3/3/2016
Active	Great American Insurance Company	301586	Agent - Casualty	8/16/2010
Active	Great American Insurance Company	301586	Agent - Property	8/16/2010
Active	Hiscox Insurance Company Inc.	300894	Agent - Casualty	6/1/2008
Active	Hiscox Insurance Company Inc.	300894	Agent - Property	6/1/2008
Active	State National Insurance Company, Inc.	300888	Agent - Casualty	2/1/2007
Active	State National Insurance Company, Inc.	300888	Agent - Property	2/1/2007
Inactive	Underwriters at Lloyd's, London	300658	Agent - Casualty	4/16/2014	12/20/2023
Inactive	Underwriters at Lloyd's, London	300658	Agent - Property	4/16/2014	12/20/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bach, Carl L	771877	Agent - Casualty	1/24/2012	1/12/2018
Inactive	Bach, Carl L	771877	Agent - Property	1/24/2012	1/12/2018
Inactive	Donnelly, Edward D	619560	Agent - Casualty	1/24/2007	1/24/2012
Inactive	Donnelly, Edward D	619560	Agent - Property	1/24/2007	1/24/2012
Active	Kerridge, Kevin	1001161	Agent - Casualty	9/13/2018
Active	Kerridge, Kevin	1001161	Agent - Property	9/13/2018
Inactive	Ray, Kathleen T	648054	Agent - Casualty	6/20/2018	4/11/2023
Inactive	Ray, Kathleen T	648054	Agent - Property	6/20/2018	4/11/2023
Inactive	Sadoff, Brett Stuart	953225	Agent - Casualty	12/18/2017	6/20/2018
Inactive	Sadoff, Brett Stuart	953225	Agent - Property	12/18/2017	6/20/2018