DEPARTMENT OF INSURANCE
Affiliations
NameBrown & Brown Of Pennsylvania LPDOIID653749NAIC NPN8044666
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth12/10/2018 3/31/2025
ActiveNon ResidentAgentLife12/10/2018 3/31/2025
ActiveNon ResidentAgentProperty11/10/2014 3/31/2025
ActiveNon ResidentAgentCasualty11/10/2014 3/31/2025
InactiveNon ResidentSurplus Lines BrokerNot Applicable11/3/20172/9/2018 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAetna Health Inc. (PA)660717Agent - Health1/5/201711/1/2018
InactiveAetna Life Insurance Company301140Agent - Health1/5/201711/1/2018
InactiveAetna Life Insurance Company301140Agent - Life1/5/201711/1/2018
ActiveAllied Insurance Company of America793586Agent - Casualty2/2/2022 
ActiveAllied Insurance Company of America793586Agent - Property2/2/2022 
InactiveAmTrust Insurance Company300179Agent - Casualty12/8/20235/28/2024
InactiveAmTrust Insurance Company300179Agent - Property12/8/20235/28/2024
ActiveAmerican Alternative Insurance Corporation301697Agent - Casualty5/10/2023 
ActiveAmerican Alternative Insurance Corporation301697Agent - Property5/10/2023 
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health8/1/200711/3/2016
InactiveAnthem Insurance Companies, Inc.300941Agent - Health8/1/200710/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health8/1/200711/3/2016
InactiveAnthem Life Insurance Company301209Agent - Life8/1/200711/3/2016
InactiveArcadian Health Plan, Inc.728196Agent - Health5/23/201811/1/2018
InactiveBerkshire Life Insurance Company of America300983Agent - Health4/10/201511/1/2018
InactiveBerkshire Life Insurance Company of America300983Agent - Life4/10/201511/1/2018
ActiveBoston Mutual Life Insurance Company300143Agent - Health12/12/2019 
ActiveBoston Mutual Life Insurance Company300143Agent - Life12/12/2019 
InactiveBrickStreet Mutual Insurance Company709251Agent - Casualty11/27/202111/27/2021
ActiveCombined Insurance Company of America301472Agent - Health10/23/2023 
ActiveCombined Insurance Company of America301472Agent - Life10/23/2023 
InactiveCoventry Health and Life Insurance Company301771Agent - Health1/5/201711/1/2018
InactiveEmployers Assurance Company300120Agent - Casualty12/10/20201/3/2024
InactiveEmployers Compensation Insurance Company797885Agent - Casualty12/10/20201/3/2024
InactiveEmployers Preferred Insurance Company520656Agent - Casualty12/10/20201/3/2024
InactiveGuardian Life Insurance Company of America301316Agent - Health4/10/201511/1/2018
InactiveGuardian Life Insurance Company of America301316Agent - Life4/10/201511/1/2018
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health5/23/201811/1/2018
InactiveHumana Health Plan, Inc.300142Agent - Health5/23/201811/1/2018
InactiveHumana Insurance Company301104Agent - Health5/23/201811/1/2018
InactiveHumana Insurance Company301104Agent - Life5/23/201811/1/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Health5/23/201811/1/2018
InactiveHumana Insurance Company of Kentucky300826Agent - Life5/23/201811/1/2018
InactiveHumana Medical Plan, Inc.801568Agent - Health5/23/201811/1/2018
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health5/23/201811/1/2018
ActiveMerchants Bonding Company (Mutual)300170Agent - Casualty8/1/2019 
InactiveMetropolitan Life Insurance Company301948Agent - Health9/10/201311/1/2018
InactiveMetropolitan Life Insurance Company301948Agent - Life9/10/201311/1/2018
InactiveMilford Casualty Insurance Company301460Agent - Casualty12/8/20235/28/2024
InactiveMilford Casualty Insurance Company301460Agent - Property12/8/20235/28/2024
ActiveNationwide Assurance Company300166Agent - Casualty3/4/2020 
ActiveNationwide General Insurance Company300603Agent - Casualty8/28/2019 
ActiveNationwide General Insurance Company300603Agent - Property8/28/2019 
ActiveNationwide Insurance Company of America300333Agent - Casualty8/28/2019 
ActiveNationwide Insurance Company of America300333Agent - Property8/28/2019 
ActiveNationwide Mutual Insurance Company301749Agent - Casualty3/30/2021 
ActiveNationwide Mutual Insurance Company301749Agent - Property3/30/2021 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Casualty2/2/2022 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Property2/2/2022 
InactiveNorthStone Insurance Company818905Agent - Casualty11/27/202111/27/2021
InactivePinnaclePoint Insurance Company819085Agent - Casualty11/27/202111/27/2021
InactiveSecurity National Insurance Company301151Agent - Casualty12/8/20235/28/2024
InactiveSecurity National Insurance Company301151Agent - Property12/8/20235/28/2024
ActiveSelective Insurance Company of America500018Agent - Casualty12/22/2023 
ActiveSelective Insurance Company of America500018Agent - Property12/22/2023 
ActiveSelective Insurance Company of South Carolina500012Agent - Casualty12/22/2023 
ActiveSelective Insurance Company of South Carolina500012Agent - Property12/22/2023 
ActiveSelective Insurance Company of the Southeast300381Agent - Casualty12/22/2023 
ActiveSelective Insurance Company of the Southeast300381Agent - Property12/22/2023 
InactiveSequoia Insurance Company628046Agent - Casualty12/8/20235/28/2024
InactiveSequoia Insurance Company628046Agent - Property12/8/20235/28/2024
InactiveSummitPoint Insurance Company819084Agent - Casualty11/27/202111/27/2021
InactiveTechnology Insurance Company613278Agent - Casualty12/8/20235/28/2024
InactiveTechnology Insurance Company613278Agent - Property12/8/20235/28/2024
ActiveUnited of Omaha Life Insurance Company300156Agent - Health4/16/2023 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life4/16/2023 
InactiveWesco Insurance Company300534Agent - Casualty12/8/20235/28/2024
InactiveWesco Insurance Company300534Agent - Property12/8/20235/28/2024
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveChorzelewski, Edward John 730395Agent - Health11/2/20108/31/2018
InactiveChorzelewski, Edward John 730395Agent - Life11/2/20108/31/2018
InactiveCola, Robert Gerard 651647Agent - Health6/25/200710/26/2010
InactiveCola, Robert Gerard 651647Agent - Life6/25/200710/26/2010
Pending ReplacementHeller, Robert D 688771Agent - Casualty11/10/2014 
Pending ReplacementHeller, Robert D 688771Agent - Health12/10/2018 
Pending ReplacementHeller, Robert D 688771Agent - Life12/10/2018 
Pending ReplacementHeller, Robert D 688771Agent - Property11/10/2014 
InactiveJones, Andrea Lynn 802750Surplus Lines Broker - Not Applicable11/3/20174/22/2020

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