DEPARTMENT OF INSURANCE

Affiliations

Name	Coy, Mark A	DOIID	679529	NAIC NPN	2053486

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	4/30/2008	6/30/2025
Active	Non Resident	Agent	Property	4/30/2008	6/30/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	5/13/2008	6/30/2025
* 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	04/15/2025	06/30/2025
Surplus Lines Broker	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	6/24/2008
Active	ACE American Insurance Company	300625	Agent - Property	6/24/2008
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	6/24/2008
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	6/24/2008
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	6/24/2008
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	6/24/2008
Active	American Interstate Insurance Company	301092	Agent - Casualty	7/14/2023
Active	American Interstate Insurance Company	301092	Agent - Property	7/14/2023
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	6/24/2008
Active	Bankers Standard Insurance Company	301620	Agent - Property	6/24/2008
Active	Great Divide Insurance Company	301636	Agent - Casualty	1/17/2012
Active	Great Divide Insurance Company	301636	Agent - Property	1/17/2012
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	6/24/2008
Active	Indemnity Insurance Company of North America	301760	Agent - Property	6/24/2008
Active	Lyndon Southern Insurance Company	609602	Agent - Casualty	6/26/2020
Active	Lyndon Southern Insurance Company	609602	Agent - Property	6/26/2020
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	6/24/2008
Active	Pacific Employers Insurance Company	301753	Agent - Property	6/24/2008
Active	Silver Oak Casualty, Inc.	517101	Agent - Casualty	7/14/2023
Active	Silver Oak Casualty, Inc.	517101	Agent - Property	7/14/2023
Active	StarStone National Insurance Company	300812	Agent - Casualty	2/7/2013
Active	StarStone National Insurance Company	300812	Agent - Property	2/7/2013
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	6/24/2008	1/1/2011
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	6/24/2008	1/1/2011
Active	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	AmWins Program Underwriters, Inc	521669	Agent - Casualty	10/22/2009
Active	AmWins Program Underwriters, Inc	521669	Agent - Property	10/22/2009
Active	AmWins Program Underwriters, Inc	521669	Surplus Lines Broker - Not Applicable	10/22/2009