DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Amynta P&C LLC DBA : Amynta Work Comp Solutions, Brit Global Specialty USA	DOIID	724011	NAIC NPN	13353763

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/8/2010		3/31/2026
Active	Non Resident	Agent	Property	3/8/2010		3/31/2026
Active	Non Resident	Independent Adjuster	Workers' Compensation	1/8/2024		3/31/2026
Inactive	Non Resident	Independent Adjuster	Property & Casualty	11/5/2010	3/31/2014
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/18/2022		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
Inactive	Falls Lake National Insurance Company	301796	Agent - Casualty	9/28/2023	10/9/2023
Inactive	Falls Lake National Insurance Company	301796	Agent - Property	9/28/2023	10/9/2023
Active	National Specialty Insurance Company	300993	Agent - Casualty	8/24/2017
Active	National Specialty Insurance Company	300993	Agent - Property	8/24/2017
Active	State National Insurance Company, Inc.	300888	Agent - Casualty	2/24/2017
Active	State National Insurance Company, Inc.	300888	Agent - Property	2/24/2017
Active	Stonewood Insurance Company	1174059	Agent - Casualty	10/9/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Carroll, Thomas G	919965	Agent - Casualty	1/20/2017	1/31/2020
Inactive	Carroll, Thomas G	919965	Agent - Property	1/20/2017	1/31/2020
Inactive	Cowhey, Jeffrey D	590362	Agent - Casualty	9/8/2022	12/21/2023
Inactive	Cowhey, Jeffrey D	590362	Agent - Property	9/8/2022	12/21/2023
Inactive	Cowhey, Jeffrey D	590362	Surplus Lines Broker - Not Applicable	9/8/2022	12/21/2023
Inactive	Davies, Nicholas J	722709	Agent - Casualty	3/8/2010	10/29/2021
Inactive	Davies, Nicholas J	722709	Agent - Property	3/8/2010	10/29/2021
Inactive	Davies, Nicholas J	722709	Surplus Lines Broker - Not Applicable	3/8/2010	3/31/2020
Active	Excell, Jeffrey S	1302916	Independent Adjuster - Workers' Compensation	1/8/2024
Inactive	Kaechler, Nancy Jane	741271	Independent Adjuster - Property & Casualty	11/5/2010	2/28/2014
Active	Pasquale, Thomas A	911721	Agent - Casualty	12/21/2023
Active	Pasquale, Thomas A	911721	Agent - Property	12/21/2023
Active	Pasquale, Thomas A	911721	Surplus Lines Broker - Not Applicable	12/21/2023
Inactive	Reid, Christopher Gerard	306817	Independent Adjuster - Property & Casualty	11/5/2010	3/31/2014
Inactive	Stubbs, Terry S	698065	Agent - Casualty	10/29/2021	9/8/2022
Inactive	Stubbs, Terry S	698065	Agent - Property	10/29/2021	9/8/2022
Inactive	Stubbs, Terry S	698065	Agent - Property	10/29/2021	9/8/2022
Inactive	Stubbs, Terry S	698065	Surplus Lines Broker - Not Applicable	10/29/2021	9/8/2022
Inactive	Stubbs, Terry S	698065	Surplus Lines Broker - Not Applicable	1/18/2022	9/8/2022