DEPARTMENT OF INSURANCE

Affiliations

Name	Risk Specialists Companies Ins Agency Inc	DOIID	669694	NAIC NPN	3687951

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/4/2008	3/31/2025
Active	Non Resident	Agent	Health	7/18/2012	3/31/2025
Active	Non Resident	Agent	Property	1/4/2008	3/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	2/15/2008	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
Active	AIG Assurance Company	300897	Agent - Casualty	1/19/2010
Active	AIG Assurance Company	300897	Agent - Property	1/19/2010
Active	AIG Property Casualty Company	300621	Agent - Casualty	1/19/2010
Active	AIG Property Casualty Company	300621	Agent - Property	1/19/2010
Active	American Home Assurance Company	300246	Agent - Casualty	4/22/2013
Active	American Home Assurance Company	300246	Agent - Property	4/22/2013
Active	Commerce and Industry Insurance Company	300881	Agent - Casualty	1/19/2010
Active	Commerce and Industry Insurance Company	300881	Agent - Property	1/19/2010
Active	Granite State Insurance Company	300818	Agent - Casualty	1/19/2010
Active	Granite State Insurance Company	300818	Agent - Property	1/19/2010
Active	Illinois National Insurance Company	301367	Agent - Casualty	5/5/2010
Active	Illinois National Insurance Company	301367	Agent - Property	5/5/2010
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	8/28/2009
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	8/28/2009
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	8/28/2009
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	4/21/2015
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	8/28/2009
Active	New Hampshire Insurance Company	301670	Agent - Casualty	1/19/2010
Active	New Hampshire Insurance Company	301670	Agent - Property	1/19/2010
Active	Western Surety Company	300283	Agent - Casualty	2/6/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Agee, Polly Ann	871674	Agent - Casualty	4/29/2015	6/18/2019
Inactive	Agee, Polly Ann	871674	Agent - Health	4/29/2015	6/18/2019
Inactive	Agee, Polly Ann	871674	Agent - Property	4/29/2015	6/18/2019
Inactive	Agee, Polly Ann	871674	Surplus Lines Broker - Not Applicable	4/29/2015	6/18/2019
Active	Bailey, Justin Daniel	1245067	Agent - Casualty	2/21/2023
Active	Bailey, Justin Daniel	1245067	Agent - Property	2/21/2023
Active	Bailey, Justin Daniel	1245067	Surplus Lines Broker - Not Applicable	2/21/2023
Inactive	Barrett, April Jeannette	721729	Agent - Casualty	11/1/2010	11/13/2013
Inactive	Barrett, April Jeannette	721729	Agent - Property	11/1/2010	11/13/2013
Inactive	Barrett, April Jeannette	721729	Surplus Lines Broker - Not Applicable	10/13/2010	11/13/2013
Inactive	Barrow, Tambo	842273	Agent - Casualty	7/2/2014	9/24/2014
Inactive	Barrow, Tambo	842273	Agent - Property	7/2/2014	9/24/2014
Inactive	Barrow, Tambo	842273	Surplus Lines Broker - Not Applicable	8/12/2014	10/14/2014
Denied	Bazan, Brian C	1207681	Agent - Casualty
Denied	Bazan, Brian C	1207681	Agent - Property
Active	Bazan, Brian C	1207681	Surplus Lines Broker - Not Applicable	6/13/2022
Inactive	Bennette, Bradley	1180924	Agent - Casualty	3/10/2022	6/12/2023
Inactive	Bennette, Bradley	1180924	Agent - Property	3/10/2022	6/12/2023
Inactive	Bennette, Bradley	1180924	Surplus Lines Broker - Not Applicable	3/10/2022	1/25/2024
Inactive	Biggs, David Alan	643226	Agent - Casualty	4/8/2015	12/31/2015
Inactive	Biggs, David Alan	643226	Agent - Health	4/8/2015	12/31/2015
Inactive	Biggs, David Alan	643226	Agent - Property	4/8/2015	12/31/2015
Inactive	Biggs, David Alan	643226	Surplus Lines Broker - Not Applicable	4/8/2015	12/31/2015
Inactive	Bradley, Vanessa	654543	Agent - Casualty	6/16/2015	2/8/2024
Inactive	Bradley, Vanessa	654543	Agent - Property	6/16/2015	2/8/2024
Inactive	Bradley, Vanessa	654543	Surplus Lines Broker - Not Applicable	4/17/2017	12/17/2021
Active	Brantley, Lyndsey Marie	1204901	Agent - Casualty	2/21/2023
Active	Brantley, Lyndsey Marie	1204901	Agent - Property	2/21/2023
Active	Brantley, Lyndsey Marie	1204901	Surplus Lines Broker - Not Applicable	2/21/2023
Inactive	Brown, Joe	597564	Agent - Casualty	6/13/2014	6/4/2015
Inactive	Brown, Joe	597564	Agent - Property	6/13/2014	6/4/2015
Inactive	Brown, Joe	597564	Surplus Lines Broker - Not Applicable	9/4/2014	10/31/2015
Inactive	Brunson, Barbara Schulenberg	302358	Agent - Casualty	12/12/2014	11/11/2020
Inactive	Brunson, Barbara Schulenberg	302358	Agent - Property	12/12/2014	11/11/2020
Inactive	Brunson, Barbara Schulenberg	302358	Surplus Lines Broker - Not Applicable	11/20/2014	11/11/2020
Denied	Burton, Sarah Linnell	1254460	Agent - Casualty
Denied	Burton, Sarah Linnell	1254460	Agent - Property
Active	Burton, Sarah Linnell	1254460	Surplus Lines Broker - Not Applicable	2/21/2023
Inactive	Buzeta, Felipe	855437	Agent - Casualty	9/1/2015	10/26/2021
Inactive	Buzeta, Felipe	855437	Agent - Health	9/1/2015	10/26/2021
Inactive	Buzeta, Felipe	855437	Agent - Property	9/1/2015	10/26/2021
Inactive	Buzeta, Felipe	855437	Surplus Lines Broker - Not Applicable	9/1/2015	10/26/2021
Inactive	Carlisle, Janine V	860419	Agent - Casualty	11/13/2014	2/8/2024
Inactive	Carlisle, Janine V	860419	Agent - Property	11/13/2014	2/8/2024
Inactive	Carlisle, Janine V	860419	Surplus Lines Broker - Not Applicable	11/13/2014	12/17/2021
Inactive	Carosi, Michael	842872	Agent - Casualty	7/2/2014	7/27/2018
Inactive	Carosi, Michael	842872	Agent - Property	7/2/2014	10/24/2018
Inactive	Carosi, Michael	842872	Surplus Lines Broker - Not Applicable	7/30/2014	2/20/2019
Inactive	Colon, Gail Allen	831419	Agent - Casualty	2/4/2014	10/11/2023
Inactive	Colon, Gail Allen	831419	Agent - Property	2/4/2014	10/11/2023
Inactive	Colon, Gail Allen	831419	Surplus Lines Broker - Not Applicable	11/21/2014	6/11/2024
Active	Davidson, Kimberley	728185	Agent - Casualty	1/16/2024
Active	Davidson, Kimberley	728185	Agent - Property	1/16/2024
Active	Davidson, Kimberley	728185	Surplus Lines Broker - Not Applicable	1/25/2024
Active	Defabo, Darren Michael	1188116	Agent - Casualty	3/10/2022
Active	Defabo, Darren Michael	1188116	Agent - Property	3/10/2022
Active	Defabo, Darren Michael	1188116	Surplus Lines Broker - Not Applicable	3/10/2022
Inactive	Del Gatto, Josephine Ann	887770	Agent - Casualty	9/8/2015	9/24/2018
Inactive	Del Gatto, Josephine Ann	887770	Agent - Health	9/8/2015	9/24/2018
Inactive	Del Gatto, Josephine Ann	887770	Agent - Property	9/8/2015	9/24/2018
Inactive	Del Gatto, Josephine Ann	887770	Surplus Lines Broker - Not Applicable	8/24/2015	9/24/2018
Active	Delaney, Michael James	1320806	Agent - Casualty	3/1/2024
Active	Delaney, Michael James	1320806	Agent - Property	3/1/2024
Active	Delaney, Michael James	1320806	Surplus Lines Broker - Not Applicable	3/1/2024
Inactive	Delffs, Patricia Anne	877894	Agent - Casualty	5/28/2015	2/8/2024
Inactive	Delffs, Patricia Anne	877894	Agent - Property	5/28/2015	2/8/2024
Inactive	Delffs, Patricia Anne	877894	Surplus Lines Broker - Not Applicable	5/15/2015	12/17/2021
Inactive	Durany, Steven Neil	802223	Agent - Casualty	6/1/2021	1/4/2024
Inactive	Durany, Steven Neil	802223	Agent - Health	6/1/2021	1/4/2024
Inactive	Durany, Steven Neil	802223	Agent - Property	6/1/2021	1/4/2024
Inactive	Durany, Steven Neil	802223	Surplus Lines Broker - Not Applicable	6/1/2021	1/25/2024
Inactive	Eiring, Carla Bisgaard	1180896	Agent - Casualty	3/10/2022	2/8/2024
Inactive	Eiring, Carla Bisgaard	1180896	Agent - Property	3/10/2022	2/8/2024
Active	Eiring, Carla Bisgaard	1180896	Surplus Lines Broker - Not Applicable	3/10/2022
Inactive	Ellis, Duncan C	604950	Agent - Casualty	2/21/2023	3/25/2024
Inactive	Ellis, Duncan C	604950	Agent - Property	2/21/2023	3/25/2024
Inactive	Ellis, Duncan C	604950	Surplus Lines Broker - Not Applicable	2/21/2023	3/25/2024
Active	Elrod, Taylor M	1043413	Agent - Casualty	2/21/2023
Active	Elrod, Taylor M	1043413	Agent - Property	2/21/2023
Active	Elrod, Taylor M	1043413	Surplus Lines Broker - Not Applicable	2/21/2023
Inactive	Fallo, Charles John	589414	Agent - Casualty	7/13/2010	2/9/2012
Inactive	Fallo, Charles John	589414	Agent - Property	7/13/2010	2/9/2012
Inactive	Fallo, Charles John	589414	Surplus Lines Broker - Not Applicable	10/27/2010	2/9/2012
Inactive	Flannelly, Kailey	1150855	Agent - Casualty	4/17/2022	1/25/2024
Inactive	Flannelly, Kailey	1150855	Agent - Property	4/17/2022	1/25/2024
Inactive	Foster, Sean	1304308	Agent - Casualty	1/25/2024	4/22/2024
Inactive	Foster, Sean	1304308	Agent - Property	1/25/2024	4/22/2024
Inactive	Foster, Sean	1304308	Surplus Lines Broker - Not Applicable	1/25/2024	4/22/2024
Inactive	Frazier, Stacey Robin	825516	Agent - Casualty	12/12/2013	11/13/2020
Inactive	Frazier, Stacey Robin	825516	Agent - Property	12/12/2013	11/13/2020
Inactive	Frazier, Stacey Robin	825516	Surplus Lines Broker - Not Applicable	10/30/2013	12/31/2021
Active	Goldman, Craig	1252145	Agent - Casualty	2/21/2023
Denied	Goldman, Craig	1252145	Agent - Health
Active	Goldman, Craig	1252145	Agent - Property	2/21/2023
Active	Goldman, Craig	1252145	Surplus Lines Broker - Not Applicable	2/21/2023
Inactive	Gonzales, Susan C	1302542	Agent - Casualty	1/25/2024	3/4/2024
Inactive	Gonzales, Susan C	1302542	Agent - Property	1/25/2024	3/4/2024
Active	Gonzales, Susan C	1302542	Surplus Lines Broker - Not Applicable	1/25/2024
Inactive	Gould, John	1195799	Agent - Casualty	5/11/2022	6/12/2023
Inactive	Gould, John	1195799	Agent - Property	5/11/2022	6/12/2023
Inactive	Gould, John	1195799	Surplus Lines Broker - Not Applicable	5/11/2022	7/18/2023
Inactive	Harris, Lilah Alexander	825151	Agent - Casualty	8/24/2015	10/30/2017
Inactive	Harris, Lilah Alexander	825151	Agent - Property	8/24/2015	10/30/2017
Inactive	Harris, Lilah Alexander	825151	Surplus Lines Broker - Not Applicable	8/24/2015	11/28/2017
Inactive	Hebert, Mary Miller	858675	Agent - Casualty	11/13/2014	9/1/2020
Inactive	Hebert, Mary Miller	858675	Agent - Property	11/13/2014	9/1/2020
Inactive	Hebert, Mary Miller	858675	Surplus Lines Broker - Not Applicable	11/13/2014	9/1/2020
Active	Hofmann, Millianna Rose	978279	Agent - Casualty	2/21/2023
Active	Hofmann, Millianna Rose	978279	Agent - Property	2/21/2023
Active	Hofmann, Millianna Rose	978279	Surplus Lines Broker - Not Applicable	2/21/2023
Inactive	Hokl, Jeffrey F	865174	Agent - Casualty	1/28/2015	3/26/2015
Inactive	Hokl, Jeffrey F	865174	Agent - Property	1/28/2015	3/26/2015
Inactive	Hokl, Jeffrey F	865174	Surplus Lines Broker - Not Applicable	1/28/2015	4/13/2015
Inactive	Kean, Lana Doucet	873289	Agent - Casualty	4/23/2015	2/8/2024
Inactive	Kean, Lana Doucet	873289	Agent - Property	4/23/2015	2/8/2024
Inactive	Kean, Lana Doucet	873289	Surplus Lines Broker - Not Applicable	4/29/2015	12/17/2021
Inactive	Leblanc, Jeremy P	1188918	Agent - Casualty	3/10/2022	4/18/2022
Inactive	Leblanc, Jeremy P	1188918	Agent - Property	3/10/2022	4/18/2022
Inactive	Leblanc, Jeremy P	1188918	Surplus Lines Broker - Not Applicable	3/10/2022	4/18/2022
Active	Lee, Konil	1230158	Agent - Casualty	6/21/2023
Active	Lee, Konil	1230158	Agent - Property	6/21/2023
Active	Lee, Konil	1230158	Surplus Lines Broker - Not Applicable	6/21/2023
Active	Lindo, Jane Kuklevsky	1280971	Agent - Casualty	1/25/2024
Active	Lindo, Jane Kuklevsky	1280971	Agent - Property	1/25/2024
Active	Lindo, Jane Kuklevsky	1280971	Surplus Lines Broker - Not Applicable	1/25/2024
Inactive	Malone, William Jason	841620	Agent - Casualty	6/18/2014	3/11/2020
Inactive	Malone, William Jason	841620	Agent - Property	6/18/2014	3/11/2020
Inactive	Malone, William Jason	841620	Surplus Lines Broker - Not Applicable	11/18/2014	3/31/2020
Active	Mccarrick, Clare	1254363	Agent - Casualty	2/6/2023
Active	Mccarrick, Clare	1254363	Agent - Property	2/6/2023
Active	Mccarrick, Clare	1254363	Surplus Lines Broker - Not Applicable	2/21/2023
Active	Mcconico, Mark Christopher	1252169	Agent - Casualty	2/6/2023
Active	Mcconico, Mark Christopher	1252169	Agent - Property	2/6/2023
Active	Mcconico, Mark Christopher	1252169	Surplus Lines Broker - Not Applicable	2/21/2023
Inactive	Moore, Kelly J	878057	Agent - Casualty	5/27/2015	2/8/2024
Inactive	Moore, Kelly J	878057	Agent - Property	5/27/2015	2/8/2024
Inactive	Moore, Kelly J	878057	Surplus Lines Broker - Not Applicable	12/3/2015	12/17/2021
Active	Morris, Daniel Scott	1247179	Agent - Casualty	1/25/2024
Active	Morris, Daniel Scott	1247179	Agent - Property	1/25/2024
Active	Morris, Daniel Scott	1247179	Surplus Lines Broker - Not Applicable	1/25/2024
Inactive	Muniz, Paul Michael	615934	Agent - Casualty	6/18/2014	12/19/2016
Inactive	Muniz, Paul Michael	615934	Agent - Property	6/18/2014	12/19/2016
Inactive	Muniz, Paul Michael	615934	Surplus Lines Broker - Not Applicable	6/18/2014	12/19/2016
Inactive	Pepin, Armand G	330956	Agent - Casualty	12/4/2009	5/4/2016
Inactive	Pepin, Armand G	330956	Agent - Health	7/18/2012	5/4/2016
Inactive	Pepin, Armand G	330956	Agent - Property	12/4/2009	5/4/2016
Inactive	Pepin, Armand G	330956	Surplus Lines Broker - Not Applicable	12/4/2009	6/30/2016
Inactive	Pivarcyk, Richard T	660288	Agent - Casualty	10/13/2010	2/13/2014
Inactive	Pivarcyk, Richard T	660288	Agent - Property	10/13/2010	2/13/2014
Active	Primerano, Sharon B	1230663	Agent - Casualty	2/21/2023
Active	Primerano, Sharon B	1230663	Agent - Property	2/21/2023
Active	Primerano, Sharon B	1230663	Surplus Lines Broker - Not Applicable	2/21/2023
Active	Quarando, Brian	1240986	Agent - Casualty	6/21/2023
Active	Quarando, Brian	1240986	Agent - Property	6/21/2023
Active	Quarando, Brian	1240986	Surplus Lines Broker - Not Applicable	6/21/2023
Inactive	Rand, John B	1180932	Agent - Casualty	3/10/2022	6/10/2024
Inactive	Rand, John B	1180932	Agent - Property	3/10/2022	6/10/2024
Inactive	Rand, John B	1180932	Surplus Lines Broker - Not Applicable	3/10/2022	6/10/2024
Active	Reynolds, Heather Ann	1310119	Agent - Casualty	1/31/2024
Active	Reynolds, Heather Ann	1310119	Agent - Property	1/31/2024
Active	Reynolds, Heather Ann	1310119	Surplus Lines Broker - Not Applicable	1/25/2024
Inactive	Richard, Judy A	858686	Agent - Casualty	11/13/2014	3/11/2020
Inactive	Richard, Judy A	858686	Agent - Property	11/13/2014	3/11/2020
Inactive	Richard, Judy A	858686	Surplus Lines Broker - Not Applicable	11/13/2014	3/31/2020
Inactive	Ryan, Michael Joseph	695162	Agent - Casualty	10/27/2010	3/19/2014
Inactive	Ryan, Michael Joseph	695162	Agent - Property	10/27/2010	3/19/2014
Inactive	Ryan, Michael Joseph	695162	Surplus Lines Broker - Not Applicable	10/13/2010	3/19/2014
Inactive	Sacco, Diane M	836702	Agent - Casualty	4/24/2014	1/25/2024
Inactive	Sacco, Diane M	836702	Agent - Property	4/24/2014	1/25/2024
Inactive	Sacco, Diane M	836702	Surplus Lines Broker - Not Applicable	4/24/2014	9/6/2018
Active	Santos, Paul	1325096	Agent - Casualty	3/12/2024
Active	Santos, Paul	1325096	Agent - Property	3/12/2024
Active	Santos, Paul	1325096	Surplus Lines Broker - Not Applicable	3/1/2024
Active	Seifert, Jennifer	1019108	Agent - Casualty	2/1/2019
Active	Seifert, Jennifer	1019108	Agent - Health	2/1/2019
Active	Seifert, Jennifer	1019108	Agent - Property	2/1/2019
Active	Seifert, Jennifer	1019108	Surplus Lines Broker - Not Applicable	11/19/2018
Denied	Smith, Scott Arthur	1281004	Agent - Casualty
Denied	Smith, Scott Arthur	1281004	Agent - Property
Inactive	Smith, Scott Arthur	1281004	Surplus Lines Broker - Not Applicable	1/25/2024	6/21/2024
Inactive	Sullivan, Kevin Andrew	664456	Agent - Casualty	4/20/2009	5/7/2015
Inactive	Sullivan, Kevin Andrew	664456	Agent - Property	4/20/2009	5/7/2015
Inactive	Sullivan, Kevin Andrew	664456	Surplus Lines Broker - Not Applicable	2/15/2008	5/7/2015
Inactive	Thompson, Larry M	839543	Agent - Casualty	8/1/2016	4/15/2022
Inactive	Thompson, Larry M	839543	Agent - Property	8/1/2016	4/15/2022
Inactive	Thompson, Larry M	839543	Surplus Lines Broker - Not Applicable	8/1/2016	12/17/2021
Inactive	Weinberger, Sandra Jean	877908	Agent - Casualty	6/4/2015	2/8/2024
Inactive	Weinberger, Sandra Jean	877908	Agent - Property	6/4/2015	2/8/2024
Inactive	Weinberger, Sandra Jean	877908	Surplus Lines Broker - Not Applicable	5/15/2015	12/17/2021
Denied	Wiggin, Molly	906759	Agent - Casualty
Denied	Wiggin, Molly	906759	Agent - Property
Active	Wiggin, Molly	906759	Surplus Lines Broker - Not Applicable	6/21/2023