DEPARTMENT OF INSURANCE
Affiliations
NameEQ One Insurance Services, LLCDOIID705707NAIC NPN3227176
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty5/13/2009 3/31/2025
ActiveNon ResidentAgentCasualty5/13/2009 3/31/2025
ActiveNon ResidentSurplus Lines BrokerNot Applicable6/11/2009 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
InactivePraetorian Insurance Company301021Agent - Casualty3/17/20101/28/2016
InactivePraetorian Insurance Company301021Agent - Property3/17/20101/28/2016
InactiveQBE Insurance Corporation300515Agent - Casualty3/17/20101/28/2016
InactiveQBE Insurance Corporation300515Agent - Property3/17/20101/28/2016
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveGaston, Tia Marie 1258882Agent - Casualty5/25/2023 
ActiveGaston, Tia Marie 1258882Agent - Property5/25/2023 
ActiveGaston, Tia Marie 1258882Surplus Lines Broker - Not Applicable5/4/2023 
InactiveGonzalez, Guillermo Ernesto 830683Agent - Casualty3/19/20155/4/2023
InactiveGonzalez, Guillermo Ernesto 830683Agent - Property3/19/20155/4/2023
InactiveGonzalez, Guillermo Ernesto 830683Surplus Lines Broker - Not Applicable3/19/20151/31/2024
InactiveUrrutia, Angela Cribbs 692057Agent - Casualty5/13/200910/31/2015
InactiveUrrutia, Angela Cribbs 692057Agent - Property5/13/200910/31/2015
InactiveUrrutia, Angela Cribbs 692057Surplus Lines Broker - Not Applicable6/11/200910/31/2015

© Commonwealth of Kentucky. All rights reserved.