DEPARTMENT OF INSURANCE

Affiliations

Name	Breckenridge Insurance Services, LLC	DOIID	746375	NAIC NPN	10906304

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	1/20/2011	3/31/2027
Active	Non Resident	Agent	Casualty	1/20/2011	3/31/2027
Active	Non Resident	Agent	Life	1/20/2025	3/31/2027
Active	Non Resident	Agent	Health	1/20/2025	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/20/2011	3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025	01/16/2025	01/16/2025	Yes
Surplus Lines Broker	01/15/2025	03/31/2025	01/16/2025	01/16/2025	Yes

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	5/10/2013
Active	ACE American Insurance Company	300625	Agent - Property	5/10/2013
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	5/10/2013
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	5/10/2013
Inactive	AIG Property Casualty Company	300621	Agent - Casualty	12/23/2015	3/1/2017
Inactive	AIG Property Casualty Company	300621	Agent - Property	12/23/2015	3/1/2017
Active	AmTrust Insurance Company	300179	Agent - Casualty	2/17/2017
Active	AmTrust Insurance Company	300179	Agent - Property	2/17/2017
Active	American Alternative Insurance Corporation	301697	Agent - Casualty	6/20/2019
Active	American Alternative Insurance Corporation	301697	Agent - Property	6/20/2019
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	6/17/2014	4/25/2017
Inactive	American Family Home Insurance Company	301817	Agent - Property	6/17/2014	4/25/2017
Active	American Home Assurance Company	300246	Agent - Casualty	12/23/2015
Active	American Home Assurance Company	300246	Agent - Property	12/23/2015
Active	American National Property and Casualty Company	300392	Agent - Casualty	4/8/2021
Active	American National Property and Casualty Company	300392	Agent - Property	4/8/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	6/17/2014	4/25/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Property	6/17/2014	4/25/2017
Active	Arch Insurance Company	300688	Agent - Casualty	10/5/2011
Active	Arch Insurance Company	300688	Agent - Property	10/5/2011
Active	Ascot Insurance Company	301516	Agent - Casualty	8/19/2020
Active	Ascot Insurance Company	301516	Agent - Property	8/19/2020
Active	Berkley Casualty Company	300731	Agent - Casualty	10/7/2019
Active	Berkley Casualty Company	300731	Agent - Property	2/17/2020
Active	Berkley Insurance Company	301355	Agent - Casualty	3/23/2017
Active	Berkley National Insurance Company	515028	Agent - Casualty	11/14/2018
Active	Berkley National Insurance Company	515028	Agent - Property	11/14/2018
Active	Berkley Regional Insurance Company	300920	Agent - Casualty	3/23/2017
Active	Berkley Regional Insurance Company	300920	Agent - Property	3/23/2017
Active	Carolina Casualty Insurance Company	300271	Agent - Casualty	10/7/2019
Active	Carolina Casualty Insurance Company	300271	Agent - Property	2/17/2020
Active	Commerce and Industry Insurance Company	300881	Agent - Casualty	12/23/2015
Active	Commerce and Industry Insurance Company	300881	Agent - Property	12/23/2015
Active	CorePointe Insurance Company	300406	Agent - Casualty	10/28/2021
Active	CorePointe Insurance Company	300406	Agent - Property	10/28/2021
Inactive	Employers Assurance Company	300120	Agent - Casualty	5/24/2016	12/16/2021
Inactive	Employers Compensation Insurance Company	797885	Agent - Casualty	8/6/2018	12/16/2021
Inactive	Employers Preferred Insurance Company	520656	Agent - Casualty	5/24/2016	12/16/2021
Active	Federal Insurance Company	301144	Agent - Casualty	3/2/2011
Active	Federal Insurance Company	301144	Agent - Property	3/2/2011
Active	Granite State Insurance Company	300818	Agent - Casualty	12/23/2015
Active	Granite State Insurance Company	300818	Agent - Property	12/23/2015
Active	Great American Alliance Insurance Company	301247	Agent - Casualty	7/23/2020
Active	Great American Alliance Insurance Company	301247	Agent - Property	7/23/2020
Inactive	Great American Assurance Company	300327	Agent - Casualty	12/7/2011	7/13/2016
Inactive	Great American Assurance Company	300327	Agent - Property	12/7/2011	7/13/2016
Active	Great American Insurance Company	301586	Agent - Casualty	12/7/2011
Active	Great American Insurance Company	301586	Agent - Property	12/7/2011
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	12/7/2011	6/17/2020
Inactive	Great American Insurance Company of New York	301897	Agent - Property	12/7/2011	6/17/2020
Inactive	Great American Security Insurance Company	301228	Agent - Casualty	12/7/2011	7/13/2016
Inactive	Great American Security Insurance Company	301228	Agent - Property	12/7/2011	7/13/2016
Inactive	Great American Spirit Insurance Company	300233	Agent - Casualty	12/7/2011	6/17/2020
Inactive	Great American Spirit Insurance Company	300233	Agent - Property	12/7/2011	6/17/2020
Active	Hartford Accident and Indemnity Company	301917	Agent - Casualty	10/23/2015
Active	Hartford Accident and Indemnity Company	301917	Agent - Property	10/23/2015
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	3/10/2015	8/21/2017
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	3/10/2015	8/21/2017
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	9/16/2013	12/4/2018
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	9/16/2013	12/4/2018
Inactive	Integon National Insurance Company	301600	Agent - Casualty	4/14/2020	1/31/2025
Inactive	Integon National Insurance Company	301600	Agent - Property	4/14/2020	1/31/2025
Active	Key Risk Insurance Company	630687	Agent - Casualty	10/7/2019
Active	Key Risk Insurance Company	630687	Agent - Property	2/17/2020
Inactive	MIC General Insurance Corporation	300398	Agent - Casualty	4/14/2020	1/31/2025
Inactive	MIC General Insurance Corporation	300398	Agent - Property	4/14/2020	1/31/2025
Active	Markel American Insurance Company	300377	Agent - Casualty	2/4/2013
Active	Markel American Insurance Company	300377	Agent - Property	2/4/2013
Active	Markel Insurance Company	301475	Agent - Casualty	2/4/2013
Active	Markel Insurance Company	301475	Agent - Property	2/4/2013
Active	Midwest Employers Casualty Company	300124	Agent - Casualty	10/7/2019
Active	Midwest Employers Casualty Company	300124	Agent - Property	2/17/2020
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	2/17/2017
Active	Milford Casualty Insurance Company	301460	Agent - Property	2/17/2017
Active	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	2/24/2014
Active	Mount Vernon Fire Insurance Company	301397	Agent - Property	2/24/2014
Active	NOVA Casualty Company	622806	Agent - Casualty	12/6/2017
Active	NOVA Casualty Company	622806	Agent - Property	12/6/2017
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	12/23/2015
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	12/23/2015
Active	Old Republic Insurance Company	301225	Agent - Casualty	8/10/2023
Active	Old Republic Insurance Company	301225	Agent - Property	8/10/2023
Inactive	Park National Insurance Company	692514	Agent - Casualty	2/17/2017	3/2/2025
Inactive	Park National Insurance Company	692514	Agent - Property	2/17/2017	3/2/2025
Inactive	RLI Insurance Company	301217	Agent - Casualty	6/9/2015	10/3/2017
Inactive	RLI Insurance Company	301217	Agent - Property	6/9/2015	10/3/2017
Inactive	Riverport Insurance Company	301714	Agent - Casualty	3/23/2017	10/23/2017
Inactive	Riverport Insurance Company	301714	Agent - Property	3/23/2017	10/23/2017
Inactive	Samsung Fire & Marine Insurance Co., Ltd (US Branch)	752518	Agent - Casualty	5/7/2013	7/30/2015
Inactive	Samsung Fire & Marine Insurance Co., Ltd (US Branch)	752518	Agent - Property	5/7/2013	7/30/2015
Active	Security National Insurance Company	301151	Agent - Casualty	12/30/2013
Active	Security National Insurance Company	301151	Agent - Property	12/30/2013
Active	Sequoia Insurance Company	628046	Agent - Casualty	5/5/2020
Active	Sequoia Insurance Company	628046	Agent - Property	5/5/2020
Active	Southern Insurance Company	301630	Agent - Casualty	10/28/2021
Active	Southern Insurance Company	301630	Agent - Property	10/28/2021
Active	Star Insurance Company	301553	Agent - Casualty	8/31/2017
Active	Star Insurance Company	301553	Agent - Property	8/31/2017
Active	StarNet Insurance Company	502746	Agent - Casualty	3/23/2017
Active	StarNet Insurance Company	502746	Agent - Property	3/23/2017
Active	StarStone National Insurance Company	300812	Agent - Casualty	12/24/2024
Active	StarStone National Insurance Company	300812	Agent - Property	12/24/2024
Active	Starr Indemnity and Liability Company	301685	Agent - Casualty	7/1/2024
Active	Starr Indemnity and Liability Company	301685	Agent - Property	7/1/2024
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	10/10/2017	5/27/2021
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	10/10/2017	5/27/2021
Active	Technology Insurance Company	613278	Agent - Casualty	7/1/2011
Active	Technology Insurance Company	613278	Agent - Property	7/1/2011
Inactive	Tri-State Insurance Company of Minnesota	663528	Agent - Casualty	3/23/2017	10/23/2017
Inactive	Tri-State Insurance Company of Minnesota	663528	Agent - Property	3/23/2017	10/23/2017
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	3/18/2016	9/26/2019
Inactive	Trumbull Insurance Company	300242	Agent - Property	3/18/2016	9/26/2019
Active	Wesco Insurance Company	300534	Agent - Casualty	7/1/2011
Active	Wesco Insurance Company	300534	Agent - Property	7/1/2011
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	5/10/2013
Active	Westchester Fire Insurance Company	300990	Agent - Property	5/10/2013
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	10/1/2012
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	10/1/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Eichhorn, Michael Joseph	773314	Agent - Casualty	11/21/2016	1/22/2021
Inactive	Eichhorn, Michael Joseph	773314	Agent - Property	11/21/2016	1/22/2021
Inactive	Eichhorn, Michael Joseph	773314	Surplus Lines Broker - Not Applicable	11/21/2016	6/22/2017
Inactive	Eichhorn, Richard J	386043	Agent - Casualty	1/20/2011	1/22/2021
Inactive	Eichhorn, Richard J	386043	Agent - Property	1/20/2011	1/22/2021
Inactive	Eichhorn, Richard J	386043	Surplus Lines Broker - Not Applicable	1/20/2011	1/22/2021
Inactive	Feeney, Peter	737988	Agent - Casualty	11/21/2016	12/28/2016
Inactive	Feeney, Peter	737988	Agent - Property	11/21/2016	12/28/2016
Inactive	Feeney, Peter	737988	Surplus Lines Broker - Not Applicable	11/21/2016	12/28/2016
Inactive	Perez De Corcho, Jose Miguel	832927	Agent - Casualty	1/22/2021	8/10/2024
Inactive	Perez De Corcho, Jose Miguel	832927	Agent - Property	1/22/2021	8/10/2024
Active	Perez De Corcho, Jose Miguel	832927	Surplus Lines Broker - Not Applicable	1/22/2021
Active	Pierce, Trevor Scott	1054177	Agent - Casualty	12/19/2019
Active	Pierce, Trevor Scott	1054177	Agent - Property	12/19/2019
Active	Pierce, Trevor Scott	1054177	Surplus Lines Broker - Not Applicable	12/11/2019
Inactive	Preston, Beth M	689128	Agent - Casualty	11/21/2016	2/25/2020
Inactive	Preston, Beth M	689128	Agent - Property	11/21/2016	2/25/2020
Inactive	Preston, Beth M	689128	Surplus Lines Broker - Not Applicable	11/21/2016	2/25/2020
Active	Roth, Robert D	1218414	Agent - Health	1/20/2025
Active	Roth, Robert D	1218414	Agent - Life	1/20/2025