DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Magmutual Placement Services, LLC	DOIID	735275	NAIC NPN	7633339

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/7/2021		3/31/2026
Active	Non Resident	Agent	Casualty	1/7/2021		3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/7/2021		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
Inactive	Fox, Jack Richard	689049	Agent - Casualty	10/1/2010	7/31/2012
Inactive	Fox, Jack Richard	689049	Agent - Property	10/1/2010	7/31/2012
Inactive	Lyons, Jesse Michael	721382	Agent - Casualty	9/5/2012	3/31/2020
Inactive	Lyons, Jesse Michael	721382	Agent - Property	9/5/2012	3/31/2020
Active	Prevo, Clarence A	697911	Agent - Casualty	1/7/2021
Active	Prevo, Clarence A	697911	Agent - Property	1/7/2021
Active	Prevo, Clarence A	697911	Surplus Lines Broker - Not Applicable	1/7/2021