DEPARTMENT OF INSURANCE

Affiliations

Name	Envision Ins Group LLC	DOIID	681265	NAIC NPN	9165795

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	7/27/2016	3/31/2028
Active	Non Resident	Agent	Casualty	7/27/2016	3/31/2028
Denied	Non Resident	Agent	Personal Lines
Denied	Non Resident	Agent	Health
Denied	Non Resident	Agent	Life
* 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	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	12/5/2011	12/9/2013
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	12/5/2011	12/9/2013
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Active	Cincinnati Insurance Company	301298	Agent - Casualty	8/2/2016
Active	Cincinnati Insurance Company	301298	Agent - Property	8/2/2016
Active	Great American Insurance Company	301586	Agent - Casualty	10/19/2023
Active	Great American Insurance Company	301586	Agent - Property	10/19/2023
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	12/5/2011	12/9/2013
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	12/5/2011	12/9/2013
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	12/5/2011	12/9/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Property	12/5/2011	12/9/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	12/5/2011	12/9/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	12/5/2011	12/9/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	12/5/2011	12/9/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	12/5/2011	12/9/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	12/5/2011	12/9/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	12/5/2011	12/9/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	12/5/2011	12/9/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	12/5/2011	12/9/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gregurich, Brad Andrew	314456	Agent - Casualty	4/8/2009	3/31/2014
Inactive	Gregurich, Brad Andrew	314456	Agent - Property	4/8/2009	3/31/2014
Active	Peterson, Jeffrey K	922068	Agent - Casualty	7/27/2016
Active	Peterson, Jeffrey K	922068	Agent - Property	7/27/2016