DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hiscox Insurance Services Inc.	DOIID	719199	NAIC NPN	2100060

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	9/8/2022		3/31/2026
Active	Non Resident	Agent	Casualty	9/8/2022		3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Donnelly, Edward D	619560	Agent - Casualty
Denied	Donnelly, Edward D	619560	Agent - Property
Active	Tijerino, Angelica Maria	1222101	Agent - Casualty	9/8/2022
Active	Tijerino, Angelica Maria	1222101	Agent - Property	9/8/2022