DEPARTMENT OF INSURANCE
Affiliations
NameNext Wave Insurance Services LLCDOIID699737NAIC NPN8659525
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty6/28/2013 3/31/2027
ActiveNon ResidentAgentHealth6/2/2015 3/31/2027
ActiveNon ResidentAgentTravel 1/11/2024 3/31/2027
ActiveNon ResidentAgentProperty6/28/2013 3/31/2027
InactiveNon ResidentAgentLife6/2/20157/29/2023 
ActiveNon ResidentSurplus Lines BrokerNot Applicable11/10/2015 3/31/2027
* 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
Agent01/15/202703/31/2027   
Surplus Lines Broker01/15/202703/31/2027   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveACE American Insurance Company300625Agent - Casualty3/4/20164/5/2024
InactiveACE American Insurance Company300625Agent - Property3/4/20164/5/2024
InactiveACE Property and Casualty Insurance Company300520Agent - Casualty3/4/20164/5/2024
InactiveACE Property and Casualty Insurance Company300520Agent - Property3/4/20164/5/2024
InactiveAmTrust Insurance Company300179Agent - Casualty6/16/20161/21/2020
InactiveAmTrust Insurance Company300179Agent - Property6/16/20161/21/2020
ActiveAmerican Zurich Insurance Company300592Agent - Travel 1/12/2026 
InactiveArch Insurance Company300688Agent - Health7/29/201910/3/2024
InactiveBankers Standard Insurance Company301620Agent - Casualty3/9/20164/5/2024
InactiveBankers Standard Insurance Company301620Agent - Property3/9/20164/5/2024
InactiveEmployers Assurance Company300120Agent - Casualty2/14/20123/31/2013
InactiveEmployers Insurance Company of Wausau301813Agent - Casualty5/6/20103/31/2013
InactiveEmployers Insurance Company of Wausau301813Agent - Property5/6/20103/31/2013
InactiveEmployers Preferred Insurance Company520656Agent - Casualty2/14/20123/31/2013
ActiveEverspan Insurance Company300487Agent - Casualty12/1/2023 
ActiveEverspan Insurance Company300487Agent - Property12/1/2023 
InactiveFederal Insurance Company301144Agent - Casualty5/26/20103/31/2013
InactiveFederal Insurance Company301144Agent - Property5/26/20103/31/2013
InactiveFirst Liberty Insurance Corporation (The)301060Agent - Casualty5/6/20103/31/2013
InactiveFirst Liberty Insurance Corporation (The)301060Agent - Property5/6/20103/31/2013
ActiveGreat American Insurance Company301586Agent - Casualty10/9/2025 
ActiveGreat American Insurance Company301586Agent - Property10/9/2025 
InactiveGreat Northern Insurance Company301107Agent - Casualty5/16/20123/31/2013
InactiveGreat Northern Insurance Company301107Agent - Property5/16/20123/31/2013
InactiveIndemnity Insurance Company of North America301760Agent - Casualty3/4/20164/5/2024
InactiveIndemnity Insurance Company of North America301760Agent - Property3/4/20164/5/2024
ActiveIndependence American Insurance Company524747Agent - Casualty7/22/2025 
ActiveIndependence American Insurance Company524747Agent - Property7/22/2025 
InactiveLM Insurance Corporation301061Agent - Casualty5/6/20103/31/2013
InactiveLM Insurance Corporation301061Agent - Property5/6/20103/31/2013
InactiveLiberty Insurance Corporation300444Agent - Casualty5/6/20103/31/2013
InactiveLiberty Insurance Corporation300444Agent - Property5/6/20103/31/2013
InactiveLiberty Mutual Fire Insurance Company301913Agent - Casualty5/6/20103/31/2013
InactiveLiberty Mutual Fire Insurance Company301913Agent - Property5/6/20103/31/2013
InactiveLiberty Mutual Insurance Company301159Agent - Casualty5/6/20103/31/2013
InactiveLiberty Mutual Insurance Company301159Agent - Property5/6/20103/31/2013
InactiveManufacturers Alliance Insurance Company519940Agent - Casualty4/13/20113/31/2013
InactiveManufacturers Alliance Insurance Company519940Agent - Property4/13/20113/31/2013
InactiveMilford Casualty Insurance Company301460Agent - Casualty6/16/20161/21/2020
InactiveMilford Casualty Insurance Company301460Agent - Property6/16/20161/21/2020
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty12/28/20193/30/2026
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Health12/28/20193/30/2026
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property12/28/20193/30/2026
InactiveNorth Pointe Insurance Company301029Agent - Casualty1/18/20123/31/2013
InactiveNorth Pointe Insurance Company301029Agent - Property1/18/20123/31/2013
InactivePacific Employers Insurance Company301753Agent - Casualty3/9/20164/5/2024
InactivePacific Employers Insurance Company301753Agent - Property3/9/20164/5/2024
InactivePark National Insurance Company692514Agent - Casualty6/16/20161/21/2020
InactivePark National Insurance Company692514Agent - Property6/16/20161/21/2020
InactivePennsylvania Manufacturers Association Insurance Company300228Agent - Casualty4/13/20113/31/2013
InactivePennsylvania Manufacturers Association Insurance Company300228Agent - Property4/13/20113/31/2013
InactivePennsylvania Manufacturers Indemnity Company519939Agent - Casualty4/13/20113/31/2013
InactivePennsylvania Manufacturers Indemnity Company519939Agent - Property4/13/20113/31/2013
InactiveProtective Insurance Company301117Agent - Casualty11/14/201811/26/2019
InactiveProtective Insurance Company301117Agent - Property11/14/201811/26/2019
InactiveSagamore Insurance Company300942Agent - Casualty11/14/201811/26/2019
InactiveSagamore Insurance Company300942Agent - Property11/14/201811/26/2019
InactiveSecurity National Insurance Company301151Agent - Casualty6/16/20161/21/2020
InactiveSecurity National Insurance Company301151Agent - Property6/16/20161/21/2020
InactiveTechnology Insurance Company613278Agent - Casualty6/16/20161/21/2020
InactiveTechnology Insurance Company613278Agent - Property6/16/20161/21/2020
InactiveWausau Business Insurance Company301476Agent - Casualty5/6/20103/31/2013
InactiveWausau Business Insurance Company301476Agent - Property5/6/20103/31/2013
InactiveWausau Underwriters Insurance Company301105Agent - Casualty5/6/20103/31/2013
InactiveWausau Underwriters Insurance Company301105Agent - Property5/6/20103/31/2013
InactiveWesco Insurance Company300534Agent - Casualty6/16/20161/21/2020
InactiveWesco Insurance Company300534Agent - Property6/16/20161/21/2020
InactiveWestchester Fire Insurance Company300990Agent - Casualty3/4/20164/5/2024
InactiveWestchester Fire Insurance Company300990Agent - Property3/4/20164/5/2024
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveGould, Donald Ernest 696657Agent - Casualty6/28/201312/31/2014
InactiveGould, Donald Ernest 696657Agent - Health9/19/201312/31/2014
InactiveGould, Donald Ernest 696657Agent - Life9/19/201312/31/2014
InactiveGould, Donald Ernest 696657Agent - Property6/28/201312/31/2014
ActiveNoland, Brock 1229838Agent - Casualty8/10/2023 
DeniedNoland, Brock 1229838Agent - Health  
ActiveNoland, Brock 1229838Agent - Property9/9/2025 
ActiveNoland, Brock 1229838Agent - Travel 1/11/2024 
ActiveNoland, Brock 1229838Surplus Lines Broker - Not Applicable7/29/2023 
InactiveWard, Cameron Bronson 833249Agent - Casualty3/5/20152/4/2025
ActiveWard, Cameron Bronson 833249Agent - Health6/2/2015 
InactiveWard, Cameron Bronson 833249Agent - Life6/2/20157/29/2023
InactiveWard, Cameron Bronson 833249Agent - Property3/5/20152/4/2025
InactiveWard, Cameron Bronson 833249Surplus Lines Broker - Not Applicable11/10/20157/29/2023

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