DEPARTMENT OF INSURANCE

Affiliations

Name	Mag Mutual Ins Agency Llc	DOIID	704396	NAIC NPN	1645548

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	5/11/2009	3/31/2027
Active	Non Resident	Agent	Casualty	5/11/2009	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	8/27/2018	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

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025	03/19/2025	03/19/2025	Yes
Surplus Lines Broker	01/15/2025	03/31/2025	03/19/2025	03/19/2025	Yes

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	5/28/2009
Active	ACE American Insurance Company	300625	Agent - Property	5/28/2009
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	3/13/2016
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	3/13/2016
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	5/26/2009	12/5/2013
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	5/26/2009	12/5/2013
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	5/28/2009
Active	Bankers Standard Insurance Company	301620	Agent - Property	5/28/2009
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	10/2/2013	12/3/2014
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	10/2/2013	12/3/2014
Inactive	Farmington Casualty Company	301137	Agent - Casualty	10/2/2013	12/3/2014
Inactive	Farmington Casualty Company	301137	Agent - Property	10/2/2013	12/3/2014
Active	Federal Insurance Company	301144	Agent - Casualty	5/21/2009
Active	Federal Insurance Company	301144	Agent - Property	5/21/2009
Active	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	1/11/2023
Active	Fidelity and Guaranty Insurance Company	301009	Agent - Property	1/11/2023
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	5/28/2009
Active	Indemnity Insurance Company of North America	301760	Agent - Property	5/28/2009
Active	MAG Mutual Insurance Company	500011	Agent - Casualty	5/20/2010
Active	MAG Mutual Insurance Company	500011	Agent - Property	5/20/2010
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	5/28/2009
Active	Pacific Employers Insurance Company	301753	Agent - Property	5/28/2009
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	5/19/2023	11/26/2024
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	5/19/2023	11/26/2024
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	2/8/2022
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	2/8/2022
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	5/26/2009	12/5/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Property	5/26/2009	12/5/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	10/2/2013	12/3/2014
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	10/2/2013	12/3/2014
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	10/2/2013	12/3/2014
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	10/2/2013	12/3/2014
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	10/2/2013	12/3/2014
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	10/2/2013	12/3/2014
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	10/20/2017	10/5/2021
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	10/20/2017	10/5/2021
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	5/26/2009	12/5/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	5/26/2009	12/5/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	5/26/2009	12/5/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	5/26/2009	12/5/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	5/26/2009	12/5/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	5/26/2009	12/5/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	10/2/2013	12/3/2014
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	10/2/2013	12/3/2014
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	5/26/2022
Active	Travelers Personal Insurance Company	705785	Agent - Property	5/26/2022
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	2/22/2023
Active	Travelers Property Casualty Company of America	301649	Agent - Property	2/22/2023
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	3/13/2016
Active	Westchester Fire Insurance Company	300990	Agent - Property	3/13/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Atkins, Scott Allen	732449	Agent - Casualty	5/31/2022
Active	Atkins, Scott Allen	732449	Agent - Property	5/31/2022
Denied	Bernabe, Keyra Michelle	1345657	Agent - Casualty
Denied	Bernabe, Keyra Michelle	1345657	Agent - Property
Denied	Bernhard, Robert	1358138	Agent - Casualty
Denied	Bernhard, Robert	1358138	Agent - Property
Denied	Borders, Scott	987277	Agent - Casualty
Denied	Borders, Scott	987277	Agent - Property
Active	Farnell, Kimberly Anne	919934	Agent - Casualty	5/31/2022
Active	Farnell, Kimberly Anne	919934	Agent - Property	5/31/2022
Active	Freeman, Donna Lammert	696883	Agent - Casualty	5/26/2009
Active	Freeman, Donna Lammert	696883	Agent - Property	5/26/2009
Denied	Gaffer, Joshua	1072763	Agent - Casualty
Denied	Gaffer, Joshua	1072763	Agent - Property
Inactive	Goen, Roy E	697735	Agent - Casualty	1/3/2014	5/31/2015
Inactive	Goen, Roy E	697735	Agent - Property	1/3/2014	5/31/2015
Inactive	Goen, Roy E	697735	Surplus Lines Broker - Not Applicable	1/22/2014	5/31/2015
Denied	Hymer, Brandi Jo	1186177	Agent - Casualty
Denied	Hymer, Brandi Jo	1186177	Agent - Property
Denied	Joseph, Megan Hughes	711032	Agent - Casualty
Denied	Joseph, Megan Hughes	711032	Agent - Property
Active	Lynch, Edmund	558315	Agent - Casualty	2/14/2023
Active	Lynch, Edmund	558315	Agent - Property	2/14/2023
Active	Lynch, Edmund	558315	Surplus Lines Broker - Not Applicable	2/14/2023
Inactive	Lyons, Jesse Michael	721382	Agent - Casualty	5/31/2022	7/11/2024
Inactive	Lyons, Jesse Michael	721382	Agent - Property	5/31/2022	7/11/2024
Active	Malloy, Kim Sue	728283	Agent - Casualty	5/31/2022
Active	Malloy, Kim Sue	728283	Agent - Property	5/31/2022
Active	McGee, Kimberly	613791	Agent - Casualty	5/31/2022
Active	McGee, Kimberly	613791	Agent - Property	5/31/2022
Active	Moore, Gregg Stephen	704745	Agent - Casualty	7/11/2024
Denied	Moore, Gregg Stephen	704745	Agent - Property
Active	Painter, Lani Denise	749626	Agent - Casualty	7/26/2023
Active	Painter, Lani Denise	749626	Agent - Property	7/26/2023
Active	Prevo, Clarence A	697911	Agent - Casualty	2/1/2022
Active	Prevo, Clarence A	697911	Agent - Property	2/1/2022
Active	Prevo, Clarence A	697911	Surplus Lines Broker - Not Applicable	8/27/2018
Inactive	Quaif, Carol A	698654	Agent - Casualty	5/11/2009	12/26/2016
Inactive	Quaif, Carol A	698654	Agent - Property	5/11/2009	12/26/2016
Inactive	Quaif, Carol A	698654	Surplus Lines Broker - Not Applicable	2/11/2016	12/26/2016
Inactive	Smith, Brent Alan	698032	Surplus Lines Broker - Not Applicable	1/12/2017	4/2/2018
Active	Soares, Michael A	689889	Agent - Casualty	5/24/2022
Denied	Soares, Michael A	689889	Agent - Property
Inactive	Valladares, Jorge	846063	Agent - Casualty	5/31/2022	9/20/2023
Inactive	Valladares, Jorge	846063	Agent - Property	5/31/2022	9/20/2023
Denied	Wolff, Jason Truman	364518	Agent - Casualty
Denied	Wolff, Jason Truman	364518	Agent - Property