DEPARTMENT OF INSURANCE

Affiliations

Name	Special Contingency Risks Inc	DOIID	648584	NAIC NPN	8819291

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	3/11/2015	3/31/2027
Active	Non Resident	Agent	Life	3/11/2015	3/31/2027
Active	Non Resident	Agent	Property	3/11/2015	3/31/2027
Active	Non Resident	Agent	Casualty	3/11/2015	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	8/7/2017	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	All Savers Insurance Company	301940	Agent - Health	12/7/2022	6/2/2025
Inactive	All Savers Insurance Company	301940	Agent - Life	12/7/2022	6/2/2025
Denied	American Guarantee and Liability Insurance Company	301216	Agent - Casualty
Denied	American Guarantee and Liability Insurance Company	301216	Agent - Property
Denied	American Zurich Insurance Company	300592	Agent - Casualty
Denied	American Zurich Insurance Company	300592	Agent - Property
Active	Arch Insurance Company	300688	Agent - Health	3/17/2023
Denied	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty
Denied	Fidelity and Deposit Company of Maryland	300976	Agent - Property
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	7/12/2010	11/13/2014
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	7/12/2010	11/13/2014
Active	Illinois National Insurance Company	301367	Agent - Casualty	7/1/2015
Active	Illinois National Insurance Company	301367	Agent - Property	7/1/2015
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	10/27/2017
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Property	10/27/2017
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	10/27/2017
Active	Liberty Mutual Insurance Company	301159	Agent - Property	10/27/2017
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	7/1/2015
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	7/1/2015
Active	New Hampshire Insurance Company	301670	Agent - Casualty	7/1/2015
Active	New Hampshire Insurance Company	301670	Agent - Property	7/1/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	12/7/2022	12/17/2024
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	12/7/2022	12/17/2024
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/7/2022	12/17/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/7/2022	12/17/2024
Active	XL Specialty Insurance Company	301605	Agent - Casualty	3/30/2018
Active	XL Specialty Insurance Company	301605	Agent - Property	3/30/2018
Denied	Zurich American Insurance Company	301121	Agent - Casualty
Denied	Zurich American Insurance Company	301121	Agent - Property
Denied	Zurich American Insurance Company of Illinois	301805	Agent - Casualty
Denied	Zurich American Insurance Company of Illinois	301805	Agent - Property

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bruner, Brady	1337429	Agent - Casualty	5/28/2024
Active	Bruner, Brady	1337429	Agent - Property	5/28/2024
Active	Caceres, Nercida	851165	Agent - Health	8/24/2022
Inactive	Caceres, Nercida	851165	Agent - Life	8/26/2022	1/30/2024
Inactive	Evans, Evan K	567424	Agent - Health	4/6/2009	11/13/2014
Inactive	Evans, Evan K	567424	Agent - Life	4/6/2009	11/13/2014
Inactive	Hartnett, Christopher J	715826	Agent - Health	6/12/2012	6/12/2012
Inactive	Hartnett, Christopher J	715826	Agent - Life	6/12/2012	6/12/2012
Inactive	Kassay, Brenda A	756323	Agent - Casualty	7/22/2014	11/13/2014
Inactive	Kassay, Brenda A	756323	Agent - Property	7/22/2014	11/13/2014
Inactive	Mcgee, Michelle Fleck	1051244	Agent - Casualty	8/19/2019	7/4/2022
Inactive	Mcgee, Michelle Fleck	1051244	Agent - Property	8/19/2019	7/4/2022
Active	Seel, Philipp A	851169	Agent - Casualty	3/11/2015
Active	Seel, Philipp A	851169	Agent - Health	3/11/2015
Active	Seel, Philipp A	851169	Agent - Life	3/11/2015
Active	Seel, Philipp A	851169	Agent - Property	3/11/2015
Active	Seel, Philipp A	851169	Surplus Lines Broker - Not Applicable	8/7/2017
Inactive	Taylor, Kurt E	756934	Agent - Casualty	7/28/2014	11/13/2014
Inactive	Taylor, Kurt E	756934	Agent - Property	7/28/2014	11/13/2014
Active	Tomosoiu, Helen M	641120	Agent - Casualty	3/18/2024
Active	Tomosoiu, Helen M	641120	Agent - Health	11/11/2022
Active	Tomosoiu, Helen M	641120	Agent - Life	1/19/2023
Active	Tomosoiu, Helen M	641120	Agent - Property	3/18/2024
Active	Woodward, Ivy	1244518	Agent - Casualty	12/16/2022
Active	Woodward, Ivy	1244518	Agent - Property	12/16/2022
Active	Woodward, Ivy	1244518	Surplus Lines Broker - Not Applicable	6/27/2025
Inactive	Zutz, Theodore C	376792	Agent - Casualty	1/30/2007	7/22/2014
Inactive	Zutz, Theodore C	376792	Agent - Property	1/30/2007	7/22/2014