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DEPARTMENT OF INSURANCE
Affiliations
Name
Guy Carpenter Broking Inc
DOIID
714151
NAIC NPN
4646505
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Property
11/15/2019
3/31/2027
Active
Non Resident
Agent
Casualty
11/15/2019
3/31/2027
Active
Non Resident
Surplus Lines Broker
Not Applicable
6/10/2015
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
03/25/2025
03/25/2025
Yes
Surplus Lines Broker
01/15/2025
03/31/2025
03/25/2025
03/25/2025
Yes
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
American Casualty Company of Reading, Pennsylvania
300956
Agent - Casualty
6/22/2021
Active
American Casualty Company of Reading, Pennsylvania
300956
Agent - Property
6/22/2021
Inactive
Arch Insurance Company
300688
Agent - Casualty
4/16/2010
10/8/2019
Inactive
Arch Insurance Company
300688
Agent - Property
4/16/2010
10/8/2019
Active
Continental Casualty Company
301019
Agent - Casualty
6/22/2021
Active
Continental Casualty Company
301019
Agent - Property
6/22/2021
Active
Continental Insurance Company (The)
301242
Agent - Casualty
6/22/2021
Active
Continental Insurance Company (The)
301242
Agent - Property
6/22/2021
Inactive
Federal Insurance Company
301144
Agent - Casualty
10/13/2010
10/8/2019
Inactive
Federal Insurance Company
301144
Agent - Property
10/13/2010
10/8/2019
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Pending
Adler, Eunice E
1383310
Agent - Casualty
Pending
Adler, Eunice E
1383310
Agent - Property
Inactive
Bridenstine, Patricia
997964
Agent - Casualty
2/19/2020
8/12/2022
Inactive
Bridenstine, Patricia
997964
Agent - Property
2/19/2020
8/12/2022
Active
Guerriero, Frank
711513
Agent - Casualty
11/15/2019
Active
Guerriero, Frank
711513
Agent - Property
11/15/2019
Active
Guerriero, Frank
711513
Surplus Lines Broker - Not Applicable
6/10/2015
Inactive
Mcandrew, Cynthia
749962
Agent - Casualty
12/23/2019
4/19/2021
Inactive
Mcandrew, Cynthia
749962
Agent - Property
12/23/2019
4/19/2021
Active
Nichols, Embry Lynne
837828
Agent - Casualty
3/6/2025
Active
Nichols, Embry Lynne
837828
Agent - Property
3/6/2025
Active
Nichols, Embry Lynne
837828
Surplus Lines Broker - Not Applicable
3/6/2025
Active
Pollis, Timothy Kerwin
989301
Agent - Casualty
3/6/2025
Active
Pollis, Timothy Kerwin
989301
Agent - Property
3/6/2025
Denied
Race, Robert Kempton
869301
Agent - Casualty
Denied
Race, Robert Kempton
869301
Agent - Property
Pending Replacement
Waterman, Michael L
664187
Agent - Casualty
12/26/2019
Pending Replacement
Waterman, Michael L
664187
Agent - Property
12/26/2019
Inactive
Woodbury, Marion A.
622944
Agent - Casualty
9/21/2009
10/8/2019
Inactive
Woodbury, Marion A.
622944
Agent - Property
9/21/2009
10/8/2019
Inactive
Woodbury, Marion A.
622944
Surplus Lines Broker - Not Applicable
6/10/2015
10/10/2019
Denied
Zaccagnino, Salvatore
783309
Agent - Casualty
Denied
Zaccagnino, Salvatore
783309
Agent - Property
Inactive
Zaccagnino, Salvatore
783309
Surplus Lines Broker - Not Applicable
8/2/2021
7/21/2023
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