DEPARTMENT OF INSURANCE

Affiliations

Name	Avalon Risk Management Insurance Agency LLC	DOIID	709353	NAIC NPN	8283254

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	7/14/2009	3/31/2027
Active	Non Resident	Agent	Casualty	7/14/2009	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	02/12/2025	02/12/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	1/14/2010	4/7/2021
Inactive	Aegis Security Insurance Company	300492	Agent - Property	1/14/2010	4/7/2021
Active	American Alternative Insurance Corporation	301697	Agent - Casualty	12/5/2016
Active	American Alternative Insurance Corporation	301697	Agent - Property	12/5/2016
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	9/14/2017
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	9/14/2017
Active	American Zurich Insurance Company	300592	Agent - Casualty	9/14/2017
Active	American Zurich Insurance Company	300592	Agent - Property	9/14/2017
Inactive	Curative Insurance Company of Illinois	535026	Agent - Casualty	3/21/2016	12/31/2019
Inactive	Gateway Insurance Company	300136	Agent - Casualty	3/21/2016	12/31/2019
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	4/11/2016	9/12/2022
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	4/11/2016	9/12/2022
Active	Great American Assurance Company	300327	Agent - Casualty	6/16/2016
Active	Great American Assurance Company	300327	Agent - Property	6/16/2016
Active	Great American Insurance Company	301586	Agent - Casualty	7/29/2010
Active	Great American Insurance Company	301586	Agent - Property	7/29/2010
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Casualty	8/5/2019
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Property	8/5/2019
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Casualty	8/5/2019
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Property	8/5/2019
Active	New York Marine and General Insurance Company	301932	Agent - Casualty	6/18/2012
Active	New York Marine and General Insurance Company	301932	Agent - Property	6/18/2012
Inactive	Southwest Marine and General Insurance Company	679107	Agent - Casualty	11/5/2015	4/12/2018
Active	Zurich American Insurance Company	301121	Agent - Casualty	9/14/2017
Active	Zurich American Insurance Company	301121	Agent - Property	9/14/2017
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	9/14/2017
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	9/14/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Alexander, Derek R	1314892	Agent - Casualty	6/4/2024
Active	Alexander, Derek R	1314892	Agent - Property	6/4/2024
Inactive	Baker, Joy E	1051482	Agent - Casualty	3/4/2020	3/30/2022
Inactive	Baker, Joy E	1051482	Agent - Property	3/4/2020	3/30/2022
Active	Blackwell, La Donna Ann	1139934	Agent - Casualty	11/2/2021
Active	Blackwell, La Donna Ann	1139934	Agent - Property	11/2/2021
Active	Brown, Michael S	1150760	Agent - Casualty	11/2/2021
Active	Brown, Michael S	1150760	Agent - Property	11/2/2021
Inactive	Brush-Delatte, Christie Lynn	732941	Agent - Casualty	12/3/2010	12/31/2019
Inactive	Brush-Delatte, Christie Lynn	732941	Agent - Property	12/3/2010	11/16/2011
Active	Carril, Leslie Mercedes	1247676	Agent - Casualty	4/26/2023
Active	Carril, Leslie Mercedes	1247676	Agent - Property	4/26/2023
Active	Crelia, Esmeralda	1247882	Agent - Casualty	4/26/2023
Active	Crelia, Esmeralda	1247882	Agent - Property	4/26/2023
Inactive	Gelsomino, Lisa M	681325	Agent - Casualty	8/15/2010	4/7/2021
Inactive	Gelsomino, Lisa M	681325	Agent - Property	8/15/2010	4/7/2021
Active	Glover, Kathleen M	1371318	Agent - Casualty	2/12/2025
Active	Glover, Kathleen M	1371318	Agent - Property	2/12/2025
Active	Grey-Choo, Alicia	1296217	Agent - Casualty	4/5/2024
Active	Grey-Choo, Alicia	1296217	Agent - Property	4/5/2024
Active	Hennessy, Lisa M	1062769	Agent - Casualty	3/4/2020
Active	Hennessy, Lisa M	1062769	Agent - Property	3/4/2020
Active	Mackey, Maya M	1337127	Agent - Casualty	8/2/2024
Active	Mackey, Maya M	1337127	Agent - Property	8/2/2024
Inactive	Maher, Jodie	1062935	Agent - Casualty	3/4/2020	10/21/2022
Inactive	Maher, Jodie	1062935	Agent - Property	3/4/2020	10/21/2022
Active	Mccauley, Benita Simpson	1143320	Agent - Casualty	4/25/2022
Active	Mccauley, Benita Simpson	1143320	Agent - Property	4/25/2022
Active	Mendoza Wells, Lucy	1276291	Agent - Casualty	10/9/2023
Active	Mendoza Wells, Lucy	1276291	Agent - Property	10/9/2023
Inactive	Pratt, Gordon Graham	704812	Agent - Casualty	7/14/2009	8/15/2010
Inactive	Pratt, Gordon Graham	704812	Agent - Property	7/14/2009	8/15/2010
Active	Roesch, Karen Ann	1143304	Agent - Casualty	5/26/2022
Active	Roesch, Karen Ann	1143304	Agent - Property	5/26/2022
Inactive	Stewart, Patty Ann	1113276	Agent - Casualty	10/11/2021	2/13/2024
Inactive	Stewart, Patty Ann	1113276	Agent - Property	10/11/2021	2/13/2024