DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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	Casualty	1/24/2007		3/31/2027
Active	Non Resident	Agent	Property	1/24/2007		3/31/2027
* 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	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
Inactive	Kerridge, Kevin	1001161	Agent - Casualty	9/13/2018	9/10/2024
Inactive	Kerridge, Kevin	1001161	Agent - Property	9/13/2018	9/10/2024
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
Active	Tina, Joseph	1354379	Agent - Casualty	9/10/2024
Active	Tina, Joseph	1354379	Agent - Property	9/10/2024