DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pioneer Special Risk Insurance Services, Inc DBA : Pioneer Special Risk	DOIID	711258	NAIC NPN	8821793

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/8/2022		3/31/2025
Active	Non Resident	Agent	Casualty	11/8/2022		3/31/2025
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	11/24/2009	1/21/2021
* 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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arch Insurance Company	300688	Agent - Casualty	8/17/2009	2/13/2012
Inactive	Arch Insurance Company	300688	Agent - Property	8/17/2009	2/13/2012
Inactive	National Casualty Company	301483	Agent - Casualty	9/14/2020	2/7/2021
Inactive	National Casualty Company	301483	Agent - Property	9/14/2020	2/7/2021
Inactive	Scottsdale Indemnity Company	300232	Agent - Casualty	9/14/2020	2/7/2021
Inactive	Scottsdale Indemnity Company	300232	Agent - Property	9/14/2020	2/7/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Beaver, Janet Elizabeth	707067	Agent - Casualty	8/13/2009	5/25/2015
Inactive	Beaver, Janet Elizabeth	707067	Agent - Property	8/13/2009	5/25/2015
Inactive	Beaver, Janet Elizabeth	707067	Surplus Lines Broker - Not Applicable	11/24/2009	11/25/2013
Active	Chang, Eileen	1143130	Agent - Casualty	11/8/2022
Active	Chang, Eileen	1143130	Agent - Property	11/8/2022
Inactive	Davis, Donald Scott	939900	Agent - Casualty	4/10/2019	2/7/2021
Inactive	Davis, Donald Scott	939900	Agent - Property	4/10/2019	2/7/2021
Inactive	Davis, Donald Scott	939900	Surplus Lines Broker - Not Applicable	3/2/2017	7/31/2021
Denied	Dubois, Gary	871829	Agent - Casualty
Denied	Dubois, Gary	871829	Agent - Property
Inactive	Dubois, Gary	871829	Surplus Lines Broker - Not Applicable	5/25/2015	11/10/2016
Inactive	Flores, Edward	827418	Surplus Lines Broker - Not Applicable	11/25/2013	6/7/2016
Denied	Hinman, Eugene K	579903	Agent - Casualty
Denied	Hinman, Eugene K	579903	Agent - Property
Denied	Mones, Michael Anthony	1110774	Agent - Casualty
Denied	Mones, Michael Anthony	1110774	Agent - Property
Inactive	Stewart, James G	724929	Agent - Casualty	5/25/2015	3/31/2019
Inactive	Stewart, James G	724929	Agent - Property	5/25/2015	3/31/2019
Inactive	Stewart, James G	724929	Surplus Lines Broker - Not Applicable	5/25/2015	3/31/2019