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	Casualty	5/11/2009	3/31/2027
Active	Non Resident	Agent	Property	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.

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
Pending	Crescio, Joseph Victor	1145770	Agent - Casualty
Pending	Crescio, Joseph Victor	1145770	Agent - Property
Active	Crescio, Joseph Victor	1145770	Surplus Lines Broker - Not Applicable	4/28/2025
Inactive	Farnell, Kimberly Anne	919934	Agent - Casualty	5/31/2022	4/28/2025
Inactive	Farnell, Kimberly Anne	919934	Agent - Property	5/31/2022	4/28/2025
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	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
Active	West, Kim Sue	728283	Agent - Casualty	5/31/2022
Active	West, Kim Sue	728283	Agent - Property	5/31/2022
Denied	Wolff, Jason Truman	364518	Agent - Casualty
Denied	Wolff, Jason Truman	364518	Agent - Property