DEPARTMENT OF INSURANCE
Affiliations
NameMag Mutual Ins Agency LlcDOIID704396NAIC NPN1645548
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty5/11/2009 3/31/2025
ActiveNon ResidentAgentCasualty5/11/2009 3/31/2025
ActiveNon ResidentSurplus Lines BrokerNot Applicable8/27/2018 3/31/2025
* 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
Agent01/15/202503/31/2025   
Surplus Lines Broker01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE American Insurance Company300625Agent - Casualty5/28/2009 
ActiveACE American Insurance Company300625Agent - Property5/28/2009 
ActiveACE Property and Casualty Insurance Company300520Agent - Casualty3/13/2016 
ActiveACE Property and Casualty Insurance Company300520Agent - Property3/13/2016 
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty5/26/200912/5/2013
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property5/26/200912/5/2013
ActiveBankers Standard Insurance Company301620Agent - Casualty5/28/2009 
ActiveBankers Standard Insurance Company301620Agent - Property5/28/2009 
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty10/2/201312/3/2014
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property10/2/201312/3/2014
InactiveFarmington Casualty Company301137Agent - Casualty10/2/201312/3/2014
InactiveFarmington Casualty Company301137Agent - Property10/2/201312/3/2014
ActiveFederal Insurance Company301144Agent - Casualty5/21/2009 
ActiveFederal Insurance Company301144Agent - Property5/21/2009 
ActiveFidelity and Guaranty Insurance Company301009Agent - Casualty1/11/2023 
ActiveFidelity and Guaranty Insurance Company301009Agent - Property1/11/2023 
ActiveIndemnity Insurance Company of North America301760Agent - Casualty5/28/2009 
ActiveIndemnity Insurance Company of North America301760Agent - Property5/28/2009 
ActiveMAG Mutual Insurance Company500011Agent - Casualty5/20/2010 
ActiveMAG Mutual Insurance Company500011Agent - Property5/20/2010 
ActivePacific Employers Insurance Company301753Agent - Casualty5/28/2009 
ActivePacific Employers Insurance Company301753Agent - Property5/28/2009 
ActiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty5/19/2023 
ActiveSt. Paul Fire and Marine Insurance Company300782Agent - Property5/19/2023 
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty2/8/2022 
ActiveStandard Fire Insurance Company (The)301068Agent - Property2/8/2022 
InactiveThe Phoenix Insurance Company301502Agent - Casualty5/26/200912/5/2013
InactiveThe Phoenix Insurance Company301502Agent - Property5/26/200912/5/2013
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty10/2/201312/3/2014
InactiveTravelers Casualty Insurance Company of America300522Agent - Property10/2/201312/3/2014
InactiveTravelers Casualty and Surety Company301067Agent - Casualty10/2/201312/3/2014
InactiveTravelers Casualty and Surety Company301067Agent - Property10/2/201312/3/2014
InactiveTravelers Casualty and Surety Company of America301334Agent - Casualty10/2/201312/3/2014
InactiveTravelers Casualty and Surety Company of America301334Agent - Property10/2/201312/3/2014
InactiveTravelers Commercial Insurance Company301506Agent - Casualty10/20/201710/5/2021
InactiveTravelers Commercial Insurance Company301506Agent - Property10/20/201710/5/2021
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty5/26/200912/5/2013
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property5/26/200912/5/2013
InactiveTravelers Indemnity Company (The)301855Agent - Casualty5/26/200912/5/2013
InactiveTravelers Indemnity Company (The)301855Agent - Property5/26/200912/5/2013
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty5/26/200912/5/2013
InactiveTravelers Indemnity Company of America (The)301093Agent - Property5/26/200912/5/2013
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty10/2/201312/3/2014
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property10/2/201312/3/2014
ActiveTravelers Personal Insurance Company705785Agent - Casualty5/26/2022 
ActiveTravelers Personal Insurance Company705785Agent - Property5/26/2022 
ActiveTravelers Property Casualty Company of America301649Agent - Casualty2/22/2023 
ActiveTravelers Property Casualty Company of America301649Agent - Property2/22/2023 
ActiveWestchester Fire Insurance Company300990Agent - Casualty3/13/2016 
ActiveWestchester Fire Insurance Company300990Agent - Property3/13/2016 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAtkins, Scott Allen 732449Agent - Casualty5/31/2022 
ActiveAtkins, Scott Allen 732449Agent - Property5/31/2022 
ActiveFarnell, Kimberly Anne 919934Agent - Casualty5/31/2022 
ActiveFarnell, Kimberly Anne 919934Agent - Property5/31/2022 
ActiveFreeman, Donna Lammert 696883Agent - Casualty5/26/2009 
ActiveFreeman, Donna Lammert 696883Agent - Property5/26/2009 
InactiveGoen, Roy E 697735Agent - Casualty1/3/20145/31/2015
InactiveGoen, Roy E 697735Agent - Property1/3/20145/31/2015
InactiveGoen, Roy E 697735Surplus Lines Broker - Not Applicable1/22/20145/31/2015
DeniedHymer, Brandi Jo 1186177Agent - Casualty  
DeniedHymer, Brandi Jo 1186177Agent - Property  
DeniedJoseph, Megan Hughes 711032Agent - Casualty  
DeniedJoseph, Megan Hughes 711032Agent - Property  
ActiveLynch, Edmund 558315Agent - Casualty2/14/2023 
ActiveLynch, Edmund 558315Agent - Property2/14/2023 
ActiveLynch, Edmund 558315Surplus Lines Broker - Not Applicable2/14/2023 
ActiveLyons, Jesse Michael 721382Agent - Casualty5/31/2022 
ActiveLyons, Jesse Michael 721382Agent - Property5/31/2022 
ActiveMalloy, Kim Sue 728283Agent - Casualty5/31/2022 
ActiveMalloy, Kim Sue 728283Agent - Property5/31/2022 
ActiveMcGee, Kimberly 613791Agent - Casualty5/31/2022 
ActiveMcGee, Kimberly 613791Agent - Property5/31/2022 
ActivePainter, Lani Denise 749626Agent - Casualty7/26/2023 
ActivePainter, Lani Denise 749626Agent - Property7/26/2023 
ActivePrevo, Clarence A 697911Agent - Casualty2/1/2022 
ActivePrevo, Clarence A 697911Agent - Property2/1/2022 
ActivePrevo, Clarence A 697911Surplus Lines Broker - Not Applicable8/27/2018 
InactiveQuaif, Carol A 698654Agent - Casualty5/11/200912/26/2016
InactiveQuaif, Carol A 698654Agent - Property5/11/200912/26/2016
InactiveQuaif, Carol A 698654Surplus Lines Broker - Not Applicable2/11/201612/26/2016
InactiveSmith, Brent Alan 698032Surplus Lines Broker - Not Applicable1/12/20174/2/2018
ActiveSoares, Michael A 689889Agent - Casualty5/24/2022 
DeniedSoares, Michael A 689889Agent - Property  
InactiveValladares, Jorge 846063Agent - Casualty5/31/20229/20/2023
InactiveValladares, Jorge 846063Agent - Property5/31/20229/20/2023

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