DEPARTMENT OF INSURANCE
Affiliations
NamePioneer Special Risk Insurance Services, Inc
DBA : Pioneer Special Risk
DOIID711258NAIC NPN8821793
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty11/8/2022 3/31/2027
ActiveNon ResidentAgentProperty11/8/2022 3/31/2027
InactiveNon ResidentSurplus Lines BrokerNot Applicable11/24/20091/21/2021 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArch Insurance Company300688Agent - Casualty8/17/20092/13/2012
InactiveArch Insurance Company300688Agent - Property8/17/20092/13/2012
InactiveNational Casualty Company301483Agent - Casualty9/14/20202/7/2021
InactiveNational Casualty Company301483Agent - Property9/14/20202/7/2021
InactiveScottsdale Indemnity Company300232Agent - Casualty9/14/20202/7/2021
InactiveScottsdale Indemnity Company300232Agent - Property9/14/20202/7/2021
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBeaver, Janet Elizabeth 707067Agent - Casualty8/13/20095/25/2015
InactiveBeaver, Janet Elizabeth 707067Agent - Property8/13/20095/25/2015
InactiveBeaver, Janet Elizabeth 707067Surplus Lines Broker - Not Applicable11/24/200911/25/2013
ActiveChang, Eileen 1143130Agent - Casualty11/8/2022 
ActiveChang, Eileen 1143130Agent - Property11/8/2022 
InactiveDavis, Donald Scott 939900Agent - Casualty4/10/20192/7/2021
InactiveDavis, Donald Scott 939900Agent - Property4/10/20192/7/2021
InactiveDavis, Donald Scott 939900Surplus Lines Broker - Not Applicable3/2/20177/31/2021
DeniedDubois, Gary 871829Agent - Casualty  
DeniedDubois, Gary 871829Agent - Property  
InactiveDubois, Gary 871829Surplus Lines Broker - Not Applicable5/25/201511/10/2016
InactiveFlores, Edward 827418Surplus Lines Broker - Not Applicable11/25/20136/7/2016
DeniedHinman, Eugene K 579903Agent - Casualty  
DeniedHinman, Eugene K 579903Agent - Property  
DeniedMones, Michael Anthony 1110774Agent - Casualty  
DeniedMones, Michael Anthony 1110774Agent - Property  
InactiveStewart, James G 724929Agent - Casualty5/25/20153/31/2019
InactiveStewart, James G 724929Agent - Property5/25/20153/31/2019
InactiveStewart, James G 724929Surplus Lines Broker - Not Applicable5/25/20153/31/2019

© Commonwealth of Kentucky. All rights reserved.