DEPARTMENT OF INSURANCE

Affiliations

Name	Keystone Risk Managers LLC	DOIID	722065	NAIC NPN	6914448

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	2/1/2010	3/31/2026
Active	Non Resident	Agent	Property	2/1/2010	3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	2/4/2016	3/31/2026
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	11/30/2011
Active	ACE American Insurance Company	300625	Agent - Property	11/30/2011
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	11/30/2011
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	11/30/2011
Active	AIG Property Casualty Company	300621	Agent - Casualty	4/13/2011
Active	AIG Property Casualty Company	300621	Agent - Property	4/13/2011
Active	Allied Eastern Indemnity Company	683842	Agent - Casualty	8/20/2010
Active	Allied Insurance Company of America	793586	Agent - Casualty	2/8/2022
Active	Allied Insurance Company of America	793586	Agent - Property	2/8/2022
Active	AmGUARD Insurance Company	500010	Agent - Casualty	12/30/2019
Active	AmGUARD Insurance Company	500010	Agent - Property	12/30/2019
Active	AmTrust Insurance Company	300179	Agent - Casualty	5/22/2014
Active	AmTrust Insurance Company	300179	Agent - Property	5/22/2014
Active	American Automobile Insurance Company	300953	Agent - Casualty	10/12/2017
Active	American Automobile Insurance Company	300953	Agent - Property	10/12/2017
Active	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	6/11/2019
Active	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	6/11/2019
Inactive	American Economy Insurance Company	300315	Agent - Casualty	9/21/2020	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	9/21/2020	3/29/2024
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	1/15/2012	3/29/2024
Inactive	American Fire and Casualty Company	300567	Agent - Property	1/15/2012	3/29/2024
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	11/3/2011
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	11/3/2011
Active	American Interstate Insurance Company	301092	Agent - Casualty	1/24/2025
Active	American Zurich Insurance Company	300592	Agent - Casualty	7/7/2011
Active	American Zurich Insurance Company	300592	Agent - Property	7/7/2011
Inactive	Assurance Company of America	300432	Agent - Casualty	7/7/2011	12/17/2014
Inactive	Assurance Company of America	300432	Agent - Property	7/7/2011	12/17/2014
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	1/31/2022
Active	Bankers Standard Insurance Company	301620	Agent - Property	1/31/2022
Inactive	Berkley Casualty Company	300731	Agent - Casualty	10/22/2010	2/18/2020
Inactive	Berkley Casualty Company	300731	Agent - Property	10/22/2010	2/18/2020
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	12/8/2020
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	12/8/2020
Active	Chubb Indemnity Insurance Company	300438	Agent - Casualty	6/2/2021
Active	Chubb Indemnity Insurance Company	300438	Agent - Property	6/2/2021
Active	Colonial American Casualty & Surety Company	300769	Agent - Casualty	10/10/2017
Active	Colonial American Casualty & Surety Company	300769	Agent - Property	10/10/2017
Active	Continental Casualty Company	301019	Agent - Casualty	10/2/2017
Active	Continental Casualty Company	301019	Agent - Property	10/2/2017
Active	Continental Insurance Company (The)	301242	Agent - Casualty	4/4/2017
Active	Continental Insurance Company (The)	301242	Agent - Property	4/4/2017
Inactive	Country Mutual Insurance Company	301024	Agent - Casualty	1/1/2017	6/13/2019
Inactive	Country Mutual Insurance Company	301024	Agent - Property	1/1/2017	6/13/2019
Active	Eastern Advantage Assurance Company	692390	Agent - Casualty	8/20/2010
Active	Eastern Alliance Insurance Company	683841	Agent - Casualty	8/20/2010
Inactive	Employers Assurance Company	300120	Agent - Casualty	2/27/2015	1/3/2024
Inactive	Employers Compensation Insurance Company	797885	Agent - Casualty	8/6/2018	1/3/2024
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	2/5/2010
Active	Employers Insurance Company of Wausau	301813	Agent - Property	2/5/2010
Inactive	Employers Preferred Insurance Company	520656	Agent - Casualty	2/27/2015	1/3/2024
Inactive	FCCI Insurance Company	557454	Agent - Casualty	5/5/2010	12/20/2013
Inactive	FCCI Insurance Company	557454	Agent - Property	5/5/2010	12/20/2013
Active	Farmington Casualty Company	301137	Agent - Casualty	12/8/2020
Active	Farmington Casualty Company	301137	Agent - Property	12/8/2020
Active	Federal Insurance Company	301144	Agent - Casualty	3/22/2016
Active	Federal Insurance Company	301144	Agent - Property	3/22/2016
Active	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	10/10/2017
Active	Fidelity and Deposit Company of Maryland	300976	Agent - Property	10/10/2017
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	2/5/2010
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	2/5/2010
Active	Great American Insurance Company of New York	301897	Agent - Casualty	7/13/2012
Active	Great American Insurance Company of New York	301897	Agent - Property	7/13/2012
Active	Great Northern Insurance Company	301107	Agent - Casualty	9/13/2018
Active	Great Northern Insurance Company	301107	Agent - Property	9/13/2018
Inactive	Guarantee Insurance Company	300611	Agent - Casualty	10/16/2012	12/18/2017
Active	GuideOne Elite Insurance Company	300490	Agent - Casualty	5/15/2018
Active	GuideOne Elite Insurance Company	300490	Agent - Property	5/15/2018
Active	GuideOne Insurance Company	301794	Agent - Casualty	5/15/2018
Active	GuideOne Insurance Company	301794	Agent - Property	5/15/2018
Active	GuideOne Specialty Insurance Company	300278	Agent - Casualty	5/15/2018
Active	GuideOne Specialty Insurance Company	300278	Agent - Property	5/15/2018
Active	Harleysville Insurance Company	301462	Agent - Casualty	3/8/2016
Active	Harleysville Insurance Company	301462	Agent - Property	3/8/2016
Active	Harleysville Preferred Insurance Company	638415	Agent - Casualty	3/8/2016
Active	Harleysville Preferred Insurance Company	638415	Agent - Property	3/8/2016
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	11/11/2014	8/21/2017
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	11/11/2014	8/21/2017
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	11/11/2014	8/21/2017
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	11/11/2014	8/21/2017
Active	LM Insurance Corporation	301061	Agent - Casualty	2/5/2010
Active	LM Insurance Corporation	301061	Agent - Property	2/5/2010
Active	Liberty Insurance Corporation	300444	Agent - Casualty	2/5/2010
Active	Liberty Insurance Corporation	300444	Agent - Property	2/5/2010
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	2/5/2010
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	2/5/2010
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	2/5/2010
Active	Liberty Mutual Insurance Company	301159	Agent - Property	2/5/2010
Active	Markel American Insurance Company	300377	Agent - Casualty	12/14/2011
Active	Markel American Insurance Company	300377	Agent - Property	12/14/2011
Active	Markel Insurance Company	301475	Agent - Casualty	12/14/2011
Active	Markel Insurance Company	301475	Agent - Property	12/14/2011
Inactive	Maryland Casualty Company	301719	Agent - Casualty	7/7/2011	12/17/2014
Inactive	Maryland Casualty Company	301719	Agent - Property	7/7/2011	12/17/2014
Inactive	Middlesex Mutual Assurance Company	569442	Agent - Casualty	4/15/2010	12/31/2016
Inactive	Middlesex Mutual Assurance Company	569442	Agent - Property	4/15/2010	12/31/2016
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	5/22/2014
Active	Milford Casualty Insurance Company	301460	Agent - Property	5/22/2014
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Casualty	5/5/2010	12/20/2013
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Property	5/5/2010	12/20/2013
Active	National Fire Insurance Company of Hartford	301063	Agent - Casualty	9/19/2020
Active	National Fire Insurance Company of Hartford	301063	Agent - Property	9/19/2020
Inactive	National Trust Insurance Company	300367	Agent - Casualty	5/5/2010	12/20/2013
Inactive	National Trust Insurance Company	300367	Agent - Property	5/5/2010	12/20/2013
Active	Nationwide Assurance Company	300166	Agent - Casualty	1/12/2020
Active	Nationwide General Insurance Company	300603	Agent - Casualty	8/15/2019
Active	Nationwide General Insurance Company	300603	Agent - Property	8/15/2019
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	8/15/2019
Active	Nationwide Insurance Company of America	300333	Agent - Property	8/15/2019
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	3/8/2016
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	3/8/2016
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	1/12/2020
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	1/12/2020
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	7/7/2011	12/16/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	7/7/2011	12/16/2014
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	1/15/2012
Active	Ohio Casualty Insurance Company	301492	Agent - Property	1/15/2012
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	1/15/2012	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Property	1/15/2012	3/29/2024
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	11/30/2011
Active	Pacific Employers Insurance Company	301753	Agent - Property	11/30/2011
Inactive	Park National Insurance Company	692514	Agent - Casualty	9/18/2018	3/10/2025
Inactive	Park National Insurance Company	692514	Agent - Property	9/18/2018	3/10/2025
Inactive	Pinnacle National Insurance Company	300698	Agent - Casualty	3/3/2016	5/7/2019
Inactive	Pinnacle National Insurance Company	300698	Agent - Property	3/3/2016	5/7/2019
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Protective Insurance Company	301117	Agent - Casualty	9/29/2017	10/30/2018
Inactive	Protective Insurance Company	301117	Agent - Property	9/29/2017	10/30/2018
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	9/21/2020	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	9/21/2020	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	9/21/2020	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/21/2020	3/29/2024
Inactive	Sagamore Insurance Company	300942	Agent - Casualty	9/29/2017	10/30/2018
Inactive	Sagamore Insurance Company	300942	Agent - Property	9/29/2017	10/30/2018
Inactive	Samsung Fire & Marine Insurance Co., Ltd (US Branch)	752518	Agent - Casualty	11/15/2013	9/19/2017
Inactive	Samsung Fire & Marine Insurance Co., Ltd (US Branch)	752518	Agent - Property	11/15/2013	9/19/2017
Active	Security National Insurance Company	301151	Agent - Casualty	5/22/2014
Active	Security National Insurance Company	301151	Agent - Property	5/22/2014
Active	Sequoia Insurance Company	628046	Agent - Casualty	5/5/2020
Active	Sequoia Insurance Company	628046	Agent - Property	5/5/2020
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	12/8/2020	11/4/2022
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	12/8/2020	11/4/2022
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	12/8/2020	11/4/2022
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	12/8/2020	11/4/2022
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	12/8/2020	11/4/2022
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	12/8/2020	11/4/2022
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	12/8/2020
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	12/8/2020
Active	Star Insurance Company	301553	Agent - Casualty	8/27/2020
Active	Star Insurance Company	301553	Agent - Property	8/27/2020
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	4/1/2019
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	4/1/2019
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021
Active	Technology Insurance Company	613278	Agent - Casualty	5/22/2014
Active	Technology Insurance Company	613278	Agent - Property	5/22/2014
Active	The Phoenix Insurance Company	301502	Agent - Casualty	12/8/2020
Active	The Phoenix Insurance Company	301502	Agent - Property	12/8/2020
Active	Transportation Insurance Company	301575	Agent - Casualty	1/30/2018
Active	Transportation Insurance Company	301575	Agent - Property	1/30/2018
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	12/8/2020	11/4/2022
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	12/8/2020	11/4/2022
Active	Travelers Casualty and Surety Company	301067	Agent - Casualty	12/8/2020
Active	Travelers Casualty and Surety Company	301067	Agent - Property	12/8/2020
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	12/8/2020
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	12/8/2020
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	12/8/2020
Active	Travelers Indemnity Company (The)	301855	Agent - Property	12/8/2020
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	12/8/2020	11/4/2022
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	12/8/2020	11/4/2022
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	12/8/2020	11/4/2022
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	12/8/2020	11/4/2022
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	12/8/2020
Active	Travelers Property Casualty Company of America	301649	Agent - Property	12/8/2020
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	11/11/2014	8/21/2017
Inactive	Trumbull Insurance Company	300242	Agent - Property	11/11/2014	8/21/2017
Active	Valley Forge Insurance Company	301052	Agent - Casualty	2/15/2021
Active	Valley Forge Insurance Company	301052	Agent - Property	2/15/2021
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	2/5/2010	3/30/2015
Inactive	Wausau Business Insurance Company	301476	Agent - Property	2/5/2010	3/30/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	2/5/2010	8/27/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	2/5/2010	8/27/2015
Active	Wesco Insurance Company	300534	Agent - Casualty	5/22/2014
Active	Wesco Insurance Company	300534	Agent - Property	5/22/2014
Inactive	West American Insurance Company	301112	Agent - Casualty	1/15/2012	3/29/2024
Inactive	West American Insurance Company	301112	Agent - Property	1/15/2012	3/29/2024
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	11/30/2011
Active	Westchester Fire Insurance Company	300990	Agent - Property	11/30/2011
Inactive	Westfield Insurance Company	301950	Agent - Casualty	6/15/2010	11/28/2011
Inactive	Westfield Insurance Company	301950	Agent - Property	6/15/2010	11/28/2011
Active	Williamsburg National Insurance Company	301825	Agent - Casualty	8/27/2020
Active	Williamsburg National Insurance Company	301825	Agent - Property	8/27/2020
Active	Zurich American Insurance Company	301121	Agent - Casualty	11/3/2011
Active	Zurich American Insurance Company	301121	Agent - Property	11/3/2011
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	11/3/2011
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	11/3/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Bedisky, Beth A	1254872	Agent - Casualty
Denied	Bedisky, Beth A	1254872	Agent - Property
Inactive	Hawk, Lea Ann	695191	Agent - Casualty	10/27/2020	7/20/2023
Inactive	Hawk, Lea Ann	695191	Agent - Property	10/27/2020	7/20/2023
Inactive	Hilbert, Amber-Lee	824678	Surplus Lines Broker - Not Applicable	10/19/2021	3/17/2025
Active	Irwin, David James	752148	Agent - Casualty	1/15/2019
Active	Irwin, David James	752148	Agent - Property	1/15/2019
Active	Irwin, David James	752148	Surplus Lines Broker - Not Applicable	3/17/2025
Inactive	Lengle, Charles D	579767	Agent - Casualty	2/1/2010	9/30/2020
Inactive	Lengle, Charles D	579767	Agent - Property	2/1/2010	9/30/2020
Inactive	Lengle, Charles D	579767	Surplus Lines Broker - Not Applicable	12/16/2016	9/30/2020
Inactive	Moran, Jeffrey Eugene	804965	Surplus Lines Broker - Not Applicable	12/9/2020	5/25/2022
Denied	Scullin, Robert P	1254904	Agent - Casualty
Denied	Scullin, Robert P	1254904	Agent - Property
Inactive	Wright, Randal Wayne	776027	Agent - Casualty	11/5/2012	7/20/2023
Inactive	Wright, Randal Wayne	776027	Agent - Property	6/19/2013	7/20/2023