DEPARTMENT OF INSURANCE

Affiliations

Name	One80 Intermediaries Inc DBA : One80 Intermediaries, International Excess Program Managers Agency	DOIID	722533	NAIC NPN	6356847

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	6/8/2020	3/31/2026
Active	Non Resident	Agent	Property	9/29/2016	3/31/2026
Active	Non Resident	Agent	Casualty	9/29/2016	3/31/2026
Active	Non Resident	Agent	Health	6/8/2020	3/31/2026
Pending	Non Resident	Managing General Agent	Not Applicable
Active	Non Resident	Surplus Lines Broker	Not Applicable	10/17/2011	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	6/25/2020
Active	ACE American Insurance Company	300625	Agent - Property	6/25/2020
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	8/7/2020
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	8/7/2020
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	6/25/2020
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	6/25/2020
Active	AXIS Insurance Company	301290	Agent - Casualty	8/3/2021
Active	AXIS Insurance Company	301290	Agent - Property	8/3/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	8/12/2021
Active	Aetna Life Insurance Company	301140	Agent - Health	8/12/2021
Active	All Savers Insurance Company	301940	Agent - Health	12/21/2023
Active	All Savers Insurance Company	301940	Agent - Life	12/21/2023
Active	Allied World Specialty Insurance Company	301088	Agent - Casualty	1/31/2022
Active	Allied World Specialty Insurance Company	301088	Agent - Property	1/31/2022
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	7/31/2023
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	7/31/2023
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	7/31/2023
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	7/31/2023
Active	AmFed National Insurance Company	889152	Agent - Casualty	8/8/2023
Active	AmTrust Insurance Company	300179	Agent - Casualty	6/29/2023
Active	AmTrust Insurance Company	300179	Agent - Property	6/29/2023
Inactive	American Alternative Insurance Corporation	301697	Agent - Casualty	10/3/2016	12/10/2018
Inactive	American Alternative Insurance Corporation	301697	Agent - Property	10/3/2016	12/10/2018
Inactive	American Economy Insurance Company	300315	Agent - Casualty	4/14/2021	1/30/2023
Inactive	American Economy Insurance Company	300315	Agent - Property	4/14/2021	1/30/2023
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	10/3/2016	12/11/2018
Inactive	American Family Home Insurance Company	301817	Agent - Property	10/3/2016	12/11/2018
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	10/7/2021
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	10/7/2021
Active	American Interstate Insurance Company	301092	Agent - Casualty	10/13/2022
Active	American Interstate Insurance Company	301092	Agent - Property	10/13/2022
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	5/20/2019	9/23/2020
Inactive	American Modern Home Insurance Company	300791	Agent - Property	5/20/2019	9/23/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	6/29/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	6/29/2023
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	5/20/2019	9/23/2020
Inactive	American Modern Select Insurance Company	581481	Agent - Property	5/20/2019	9/23/2020
Active	American National Insurance Company	301861	Agent - Life	7/25/2022
Active	American National Property and Casualty Company	300392	Agent - Casualty	5/2/2022
Active	American National Property and Casualty Company	300392	Agent - Property	5/2/2022
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	10/3/2016	9/23/2020
Inactive	American Southern Home Insurance Company	626276	Agent - Property	10/3/2016	9/23/2020
Active	American Zurich Insurance Company	300592	Agent - Casualty	10/7/2021
Active	American Zurich Insurance Company	300592	Agent - Property	10/7/2021
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	5/16/2023	7/15/2023
Inactive	Anthem Health Plans of New Hampshire, Inc.	944064	Agent - Health	5/16/2023	7/15/2023
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	5/16/2023	7/15/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/16/2023	7/15/2023
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/16/2023	7/15/2023
Active	Arch Insurance Company	300688	Agent - Casualty	4/23/2021
Active	Arch Insurance Company	300688	Agent - Property	4/23/2021
Active	Atlantic Specialty Insurance Company	518595	Agent - Casualty	3/20/2020
Active	Atlantic Specialty Insurance Company	518595	Agent - Property	3/20/2020
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	4/21/2023
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	4/21/2023
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	6/25/2020
Active	Bankers Standard Insurance Company	301620	Agent - Property	6/25/2020
Active	Banner Life Insurance Company	301696	Agent - Life	2/23/2022
Active	Beazley Insurance Company, Inc.	300899	Agent - Casualty	1/15/2021
Active	Beazley Insurance Company, Inc.	300899	Agent - Property	1/15/2021
Active	Berkley Casualty Company	300731	Agent - Casualty	5/9/2023
Active	Berkley Casualty Company	300731	Agent - Property	5/9/2023
Active	Capitol Indemnity Corporation	301030	Agent - Casualty	4/15/2021
Active	Carolina Casualty Insurance Company	300271	Agent - Casualty	6/13/2024
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	4/21/2023
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	4/21/2023
Active	Chubb Indemnity Insurance Company	300438	Agent - Casualty	6/25/2020
Active	Chubb Indemnity Insurance Company	300438	Agent - Property	6/25/2020
Active	Chubb National Insurance Company	301392	Agent - Casualty	6/25/2020
Active	Chubb National Insurance Company	301392	Agent - Property	6/25/2020
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	2/7/2022
Active	Colonial American Casualty & Surety Company	300769	Agent - Casualty	10/7/2021
Active	Colonial American Casualty & Surety Company	300769	Agent - Property	10/7/2021
Active	Companion Life Insurance Company	300191	Agent - Health	1/31/2024
Active	Companion Life Insurance Company	300191	Agent - Life	1/31/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	5/16/2023	7/15/2023
Active	CorePointe Insurance Company	300406	Agent - Casualty	1/19/2024
Active	CorePointe Insurance Company	300406	Agent - Property	1/19/2024
Active	Employers Assurance Company	300120	Agent - Casualty	12/30/2022
Active	Employers Compensation Insurance Company	797885	Agent - Casualty	12/30/2022
Active	Employers Preferred Insurance Company	520656	Agent - Casualty	12/30/2022
Active	Executive Risk Indemnity Inc.	301510	Agent - Casualty	6/25/2020
Active	Federal Insurance Company	301144	Agent - Casualty	6/25/2020
Active	Federal Insurance Company	301144	Agent - Property	6/25/2020
Active	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	10/7/2021
Active	Fidelity and Deposit Company of Maryland	300976	Agent - Property	10/7/2021
Active	Granite State Insurance Company	300818	Agent - Casualty	12/20/2020
Active	Granite State Insurance Company	300818	Agent - Property	12/20/2020
Active	Great American Insurance Company	301586	Agent - Casualty	7/25/2022
Active	Great American Insurance Company	301586	Agent - Property	7/25/2022
Active	Great Northern Insurance Company	301107	Agent - Casualty	6/25/2020
Active	Great Northern Insurance Company	301107	Agent - Property	6/25/2020
Active	HDI Global Insurance Company	676678	Agent - Casualty	8/9/2023
Active	HDI Global Insurance Company	676678	Agent - Property	8/9/2023
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	7/31/2023
Active	Hanover American Insurance Company (The)	300447	Agent - Property	7/31/2023
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	6/4/2020
Active	Hanover Insurance Company (The)	300508	Agent - Property	6/4/2020
Inactive	Hartford Insurance Company of the Southeast	1014204	Agent - Casualty	12/22/2021	7/17/2023
Inactive	Hartford Insurance Company of the Southeast	1014204	Agent - Property	12/22/2021	7/17/2023
Active	Hudson Insurance Company	523144	Agent - Casualty	1/31/2024
Active	Hudson Insurance Company	523144	Agent - Property	1/31/2024
Active	Illinois National Insurance Company	301367	Agent - Casualty	12/20/2020
Active	Illinois National Insurance Company	301367	Agent - Property	12/20/2020
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	6/25/2020
Active	Indemnity Insurance Company of North America	301760	Agent - Property	6/25/2020
Active	Integon National Insurance Company	301600	Agent - Casualty	1/25/2021
Active	Integon National Insurance Company	301600	Agent - Property	1/25/2021
Active	Ironshore Indemnity Inc.	300088	Agent - Casualty	12/29/2022
Active	Ironshore Indemnity Inc.	300088	Agent - Property	12/29/2022
Active	Jewelers Mutual Insurance Company, SI	301935	Agent - Casualty	8/10/2023
Active	Jewelers Mutual Insurance Company, SI	301935	Agent - Property	8/10/2023
Active	KnightBrook Insurance Company	301638	Agent - Casualty	10/11/2023
Active	KnightBrook Insurance Company	301638	Agent - Property	10/11/2023
Active	MIC General Insurance Corporation	300398	Agent - Casualty	1/25/2021
Active	MIC General Insurance Corporation	300398	Agent - Property	1/25/2021
Active	Manufacturers Alliance Insurance Company	519940	Agent - Casualty	10/28/2016
Active	Manufacturers Alliance Insurance Company	519940	Agent - Property	10/28/2016
Active	Markel Insurance Company	301475	Agent - Casualty	3/7/2023
Active	Markel Insurance Company	301475	Agent - Property	3/7/2023
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	7/31/2023
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	7/31/2023
Active	Metropolitan Life Insurance Company	301948	Agent - Health	3/29/2023
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	6/29/2023
Active	Milford Casualty Insurance Company	301460	Agent - Property	6/29/2023
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Casualty	11/8/2023
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Property	11/8/2023
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Casualty	11/8/2023
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Property	11/8/2023
Active	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	5/27/2021
Active	Mount Vernon Fire Insurance Company	301397	Agent - Property	5/27/2021
Inactive	NOVA Casualty Company	622806	Agent - Casualty	8/30/2011	6/16/2014
Inactive	NOVA Casualty Company	622806	Agent - Property	8/30/2011	6/16/2014
Active	National Casualty Company	301483	Agent - Casualty	7/29/2022
Active	National Casualty Company	301483	Agent - Property	7/29/2022
Active	National Specialty Insurance Company	300993	Agent - Casualty	4/9/2024
Active	National Specialty Insurance Company	300993	Agent - Property	4/9/2024
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	1/31/2021
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	1/31/2021
Active	New Hampshire Insurance Company	301670	Agent - Casualty	12/20/2020
Active	New Hampshire Insurance Company	301670	Agent - Property	12/20/2020
Active	Next Insurance US Company	1083825	Agent - Casualty	2/29/2024
Active	Next Insurance US Company	1083825	Agent - Property	2/29/2024
Active	Pacific Indemnity Company	301610	Agent - Casualty	6/25/2020
Active	Pacific Indemnity Company	301610	Agent - Property	6/25/2020
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Casualty	10/28/2016
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Property	10/28/2016
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Casualty	10/28/2016
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Property	10/28/2016
Active	Principal Life Insurance Company	300129	Agent - Health	5/10/2023
Active	Principal Life Insurance Company	300129	Agent - Life	5/10/2023
Active	Pruco Life Insurance Company	300954	Agent - Life	8/31/2022
Active	QBE Insurance Corporation	300515	Agent - Casualty	12/2/2020
Active	QBE Insurance Corporation	300515	Agent - Property	12/2/2020
Active	RLI Insurance Company	301217	Agent - Casualty	3/1/2023
Active	RLI Insurance Company	301217	Agent - Property	3/1/2023
Active	Radnor Specialty Insurance Company	923709	Agent - Casualty	12/31/2020
Active	Radnor Specialty Insurance Company	923709	Agent - Property	12/31/2020
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	4/14/2021	1/30/2023
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	4/14/2021	1/30/2023
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	4/14/2021	1/30/2023
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	4/14/2021	1/30/2023
Active	Security National Insurance Company	301151	Agent - Casualty	6/29/2023
Active	Security National Insurance Company	301151	Agent - Property	6/29/2023
Active	Sequoia Insurance Company	628046	Agent - Casualty	6/29/2023
Active	Sequoia Insurance Company	628046	Agent - Property	6/29/2023
Active	Southern Insurance Company	301630	Agent - Casualty	1/19/2024
Active	Southern Insurance Company	301630	Agent - Property	1/19/2024
Active	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	4/21/2023
Active	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	4/21/2023
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	4/21/2023
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	4/21/2023
Active	Star Insurance Company	301553	Agent - Casualty	9/14/2022
Active	Star Insurance Company	301553	Agent - Property	9/14/2022
Active	State National Insurance Company, Inc.	300888	Agent - Casualty	8/17/2023
Active	State National Insurance Company, Inc.	300888	Agent - Property	8/17/2023
Active	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Casualty	3/6/2023
Active	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Property	3/6/2023
Active	TDC National Assurance Company	534982	Agent - Casualty	9/21/2022
Active	Technology Insurance Company	613278	Agent - Casualty	6/29/2023
Active	Technology Insurance Company	613278	Agent - Property	6/29/2023
Active	The Phoenix Insurance Company	301502	Agent - Casualty	4/21/2023
Active	The Phoenix Insurance Company	301502	Agent - Property	4/21/2023
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	4/21/2023
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	4/21/2023
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	4/21/2023
Active	Travelers Indemnity Company (The)	301855	Agent - Property	4/21/2023
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	4/21/2023
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	4/21/2023
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	4/21/2023
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	4/21/2023
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	4/21/2023
Active	Travelers Property Casualty Company of America	301649	Agent - Property	4/21/2023
Active	United States Fire Insurance Company	582240	Agent - Casualty	5/14/2020
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	1/28/2022
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	1/28/2022
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/28/2022
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/28/2022
Active	Universal Fire & Casualty Insurance Company	1236242	Agent - Casualty	1/25/2024
Active	Universal Fire & Casualty Insurance Company	1236242	Agent - Property	1/25/2024
Active	Vigilant Insurance Company	301143	Agent - Casualty	6/25/2020
Active	Vigilant Insurance Company	301143	Agent - Property	6/25/2020
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Health	5/16/2023	7/15/2023
Inactive	Wellpoint Life and Health Insurance Company	300469	Agent - Life	5/16/2023	7/15/2023
Active	Wesco Insurance Company	300534	Agent - Casualty	6/29/2023
Active	Wesco Insurance Company	300534	Agent - Property	6/29/2023
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	6/25/2020
Active	Westchester Fire Insurance Company	300990	Agent - Property	6/25/2020
Active	Williamsburg National Insurance Company	301825	Agent - Casualty	9/14/2022
Active	Williamsburg National Insurance Company	301825	Agent - Property	9/14/2022
Active	XL Specialty Insurance Company	301605	Agent - Casualty	10/19/2021
Active	XL Specialty Insurance Company	301605	Agent - Property	10/19/2021
Active	Zurich American Insurance Company	301121	Agent - Casualty	10/7/2021
Active	Zurich American Insurance Company	301121	Agent - Property	10/7/2021
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	10/7/2021
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	10/7/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Burlingame, Martin R	1001114	Surplus Lines Broker - Not Applicable	8/9/2022
Inactive	Demarco, Antony E	683135	Agent - Casualty	2/8/2010	4/30/2016
Inactive	Demarco, Antony E	683135	Agent - Property	2/8/2010	4/30/2016
Inactive	Grimm, Jason	1008367	Agent - Casualty	6/10/2020	1/31/2024
Inactive	Grimm, Jason	1008367	Agent - Property	6/10/2020	1/31/2024
Inactive	Grimm, Jason	1008367	Surplus Lines Broker - Not Applicable	6/10/2020	8/16/2021
Pending Replacement	Kukral, Kenneth Edward	356700	Agent - Casualty	5/12/2020
Pending Replacement	Kukral, Kenneth Edward	356700	Agent - Property	5/12/2020
Pending Replacement	Kukral, Kenneth Edward	356700	Surplus Lines Broker - Not Applicable	5/12/2020
Active	Legge, Jonathan	721912	Agent - Casualty	2/21/2024
Active	Legge, Jonathan	721912	Agent - Property	2/21/2024
Inactive	Legge, Jonathan	721912	Surplus Lines Broker - Not Applicable	2/21/2024	6/20/2024
Active	Milligan, Nicholas Christopher	763540	Agent - Health	6/8/2020
Active	Milligan, Nicholas Christopher	763540	Agent - Life	6/8/2020
Active	Mina, John F	701165	Agent - Casualty	4/22/2020
Active	Mina, John F	701165	Agent - Property	4/22/2020
Active	Mina, John F	701165	Surplus Lines Broker - Not Applicable	4/22/2020
Active	Pender, Marcus M	725211	Agent - Casualty	9/29/2016
Active	Pender, Marcus M	725211	Agent - Property	9/29/2016
Active	Pender, Marcus M	725211	Surplus Lines Broker - Not Applicable	10/17/2011
Active	Pesce, Christopher L	567983	Agent - Casualty	4/29/2021
Pending	Pesce, Christopher L	567983	Agent - Casualty
Active	Pesce, Christopher L	567983	Agent - Property	4/29/2021
Pending	Pesce, Christopher L	567983	Agent - Property
Active	Pesce, Christopher L	567983	Surplus Lines Broker - Not Applicable	4/29/2021
Denied	Powalie, Diana Marie	1023145	Agent - Casualty
Denied	Powalie, Diana Marie	1023145	Agent - Property
Inactive	Powalie, Diana Marie	1023145	Surplus Lines Broker - Not Applicable	6/10/2020	10/12/2021