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	3/31/2025
Active	Non Resident	Agent	Life	3/11/2015	3/31/2025
Active	Non Resident	Agent	Property	3/11/2015	3/31/2025
Active	Non Resident	Agent	Casualty	3/11/2015	3/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	8/7/2017	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
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
Active	All Savers Insurance Company	301940	Agent - Health	12/7/2022
Active	All Savers Insurance Company	301940	Agent - Life	12/7/2022
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
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	12/7/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	12/7/2022
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	12/7/2022
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	12/7/2022
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
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