DEPARTMENT OF INSURANCE

Affiliations

Name	AB Risk Specialist, LLC	DOIID	735620	NAIC NPN	14123907

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	8/30/2010	4/5/2021
Inactive	Non Resident	Agent	Property	8/30/2010	4/5/2021
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	7/5/2011	4/5/2021
* 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	ACE American Insurance Company	300625	Agent - Casualty	9/9/2013	4/5/2021
Inactive	ACE American Insurance Company	300625	Agent - Property	9/9/2013	4/5/2021
Inactive	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	9/29/2020	4/5/2021
Inactive	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	9/29/2020	4/5/2021
Inactive	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	9/29/2020	4/5/2021
Inactive	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	9/29/2020	4/5/2021
Inactive	Arch Insurance Company	300688	Agent - Casualty	5/18/2011	4/5/2021
Inactive	Arch Insurance Company	300688	Agent - Property	5/18/2011	4/5/2021
Inactive	Great Midwest Insurance Company	301418	Agent - Casualty	1/22/2015	4/5/2021
Inactive	Great Midwest Insurance Company	301418	Agent - Property	1/22/2015	4/5/2021
Inactive	Hanover American Insurance Company (The)	300447	Agent - Casualty	9/29/2020	4/5/2021
Inactive	Hanover American Insurance Company (The)	300447	Agent - Property	9/29/2020	4/5/2021
Inactive	Hanover Insurance Company (The)	300508	Agent - Casualty	9/29/2020	4/5/2021
Inactive	Hanover Insurance Company (The)	300508	Agent - Property	9/29/2020	4/5/2021
Inactive	Imperium Insurance Company	300804	Agent - Casualty	1/22/2015	4/5/2021
Inactive	Imperium Insurance Company	300804	Agent - Property	1/22/2015	4/5/2021
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Casualty	9/29/2020	4/5/2021
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Property	9/29/2020	4/5/2021
Inactive	Medical Protective Company (The)	301207	Agent - Casualty	3/30/2016	2/17/2021
Inactive	Medical Protective Company (The)	301207	Agent - Property	3/30/2016	2/17/2021
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	1/19/2011	4/5/2021
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	1/19/2011	4/5/2021
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	9/9/2013	4/5/2021
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	9/9/2013	4/5/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Becker, Amy M	708168	Agent - Casualty	10/6/2013	4/5/2021
Inactive	Becker, Amy M	708168	Agent - Property	10/6/2013	4/5/2021
Inactive	Becker, Keith Patrick	702668	Agent - Casualty	8/30/2010	4/5/2021
Inactive	Becker, Keith Patrick	702668	Agent - Property	8/30/2010	4/5/2021
Inactive	Becker, Keith Patrick	702668	Surplus Lines Broker - Not Applicable	7/5/2011	4/5/2021
Inactive	Blankenship, Crys O	600373	Agent - Casualty	10/6/2013	2/24/2016
Inactive	Blankenship, Crys O	600373	Agent - Property	10/6/2013	2/24/2016
Inactive	Hobby, Judson Luther	335462	Agent - Casualty	10/6/2013	4/5/2021
Inactive	Hobby, Judson Luther	335462	Agent - Property	10/6/2013	4/5/2021
Denied	Sheats, Mark Garland	578220	Agent - Casualty
Denied	Sheats, Mark Garland	578220	Agent - Property