DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Commonwealth Risk Solutions Ltd	DOIID	688720	NAIC NPN	11576492

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	9/15/2008		3/31/2026
Active	Resident	Agent	Health	9/15/2008		3/31/2026
Active	Resident	Agent	Property	9/15/2008		3/31/2026
Active	Resident	Agent	Casualty	9/15/2008		3/31/2026
Inactive	Resident	Surplus Lines Broker	Not Applicable	1/30/2015	9/15/2020
* 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
Active	ACE American Insurance Company	300625	Agent - Casualty	6/15/2011
Active	ACE American Insurance Company	300625	Agent - Property	6/15/2011
Active	American Family Home Insurance Company	301817	Agent - Casualty	2/24/2022
Active	American Family Home Insurance Company	301817	Agent - Property	2/24/2022
Active	American Southern Home Insurance Company	626276	Agent - Casualty	2/24/2022
Active	American Southern Home Insurance Company	626276	Agent - Property	2/24/2022
Inactive	Cedar Insurance Company	300428	Agent - Casualty	4/26/2011	3/11/2014
Inactive	Cedar Insurance Company	300428	Agent - Property	4/26/2011	3/11/2014
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	9/30/2011
Active	Safety National Casualty Corporation	300390	Agent - Casualty	4/15/2010
Active	Safety National Casualty Corporation	300390	Agent - Property	4/15/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Monarch, Bryan Thomas	535553	Agent - Casualty	9/3/2015
Active	Monarch, Bryan Thomas	535553	Agent - Health	9/3/2015
Active	Monarch, Bryan Thomas	535553	Agent - Property	9/3/2015
Inactive	Monarch, Thomas Beavin	382415	Agent - Casualty	9/15/2008	9/15/2020
Inactive	Monarch, Thomas Beavin	382415	Agent - Property	9/15/2008	9/15/2020
Inactive	Monarch, Thomas Beavin	382415	Surplus Lines Broker - Not Applicable	1/30/2015	9/15/2020
Active	Nelson, John B	394408	Agent - Casualty	9/15/2008
Active	Nelson, John B	394408	Agent - Health	9/15/2008
Active	Nelson, John B	394408	Agent - Life	9/15/2008
Active	Nelson, John B	394408	Agent - Property	9/15/2008