DEPARTMENT OF INSURANCE

Affiliations

Name	Leverity Ins Group Inc	DOIID	749921	NAIC NPN	16110450

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	3/14/2011	3/31/2021
Inactive	Non Resident	Agent	Casualty	3/14/2011	3/31/2021
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	3/29/2011	3/31/2021
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	3/29/2011	3/31/2021
Inactive	AIG Property Casualty Company	300621	Agent - Casualty	11/15/2016	3/31/2021
Inactive	AIG Property Casualty Company	300621	Agent - Property	11/15/2016	3/31/2021
Inactive	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	12/5/2012	3/13/2017
Inactive	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	12/5/2012	3/13/2017
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	8/31/2011	3/31/2021
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/31/2011	3/31/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/31/2011	3/31/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/31/2011	3/31/2021
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	8/13/2018	3/31/2021
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	8/13/2018	3/31/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	8/31/2011	3/31/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/31/2011	3/31/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	8/31/2011	3/31/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	8/31/2011	3/31/2021
Inactive	Federal Insurance Company	301144	Agent - Casualty	3/15/2012	6/5/2018
Inactive	Federal Insurance Company	301144	Agent - Property	3/15/2012	6/5/2018
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	6/19/2013	3/31/2021
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	6/19/2013	3/31/2021
Inactive	Grange Insurance Company	300234	Agent - Casualty	6/19/2013	3/31/2021
Inactive	Grange Insurance Company	300234	Agent - Property	6/19/2013	3/31/2021
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	6/19/2013	3/31/2021
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	6/19/2013	3/31/2021
Inactive	Great West Casualty Company	301015	Agent - Casualty	5/3/2011	6/20/2018
Inactive	Great West Casualty Company	301015	Agent - Property	5/3/2011	6/20/2018
Inactive	Hanover American Insurance Company (The)	300447	Agent - Casualty	12/5/2012	3/13/2017
Inactive	Hanover American Insurance Company (The)	300447	Agent - Property	12/5/2012	3/13/2017
Inactive	Hanover Insurance Company (The)	300508	Agent - Casualty	12/5/2012	3/13/2017
Inactive	Hanover Insurance Company (The)	300508	Agent - Property	12/5/2012	3/13/2017
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Casualty	12/5/2012	3/13/2017
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Property	12/5/2012	3/13/2017
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	6/19/2013	3/31/2021
Inactive	Trustgard Insurance Company	300104	Agent - Property	6/19/2013	3/31/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bern, Peter M	745194	Agent - Casualty	3/14/2011	3/31/2021
Inactive	Bern, Peter M	745194	Agent - Property	3/14/2011	3/31/2021