DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	DGU Ins Assoc LLC	DOIID	730478	NAIC NPN	15740744

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/17/2010		3/31/2026
Active	Non Resident	Agent	Casualty	6/17/2010		3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	9/22/2010		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	Sussex Insurance Company	301970	Agent - Casualty	8/11/2010	6/11/2014
Inactive	Sussex Insurance Company	301970	Agent - Property	8/11/2010	6/11/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ayer, Kathleen M	834307	Agent - Casualty	4/4/2014	7/28/2021
Inactive	Ayer, Kathleen M	834307	Agent - Property	4/4/2014	7/28/2021
Inactive	Ayer, Kathleen M	834307	Surplus Lines Broker - Not Applicable	3/26/2014	7/28/2021
Active	Gillingham, Thomas Andrew	698024	Agent - Casualty	8/6/2021
Active	Gillingham, Thomas Andrew	698024	Agent - Property	8/6/2021
Active	Gillingham, Thomas Andrew	698024	Surplus Lines Broker - Not Applicable	8/6/2021
Inactive	Lay, Kevin A	721693	Agent - Casualty	6/17/2010	4/9/2014
Inactive	Lay, Kevin A	721693	Agent - Property	6/17/2010	4/9/2014
Inactive	Lay, Kevin A	721693	Surplus Lines Broker - Not Applicable	9/22/2010	4/9/2014