DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Andreas, Sean Kip	DOIID	752810	NAIC NPN	2019827

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	4/25/2011		9/30/2024
Active	Non Resident	Agent	Health	4/25/2011		9/30/2024
Active	Non Resident	Agent	Life	4/25/2011		9/30/2024
Active	Non Resident	Agent	Casualty	4/25/2011		9/30/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/16/2021		9/30/2024
* 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	07/15/2024	09/30/2024
Surplus Lines Broker	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Active	Continental Insurance Company (The)	301242	Agent - Casualty	5/9/2022
Active	Continental Insurance Company (The)	301242	Agent - Property	5/9/2022
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	2/3/2016	10/31/2017
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	2/3/2016	10/31/2017
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	5/31/2011	12/18/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	5/31/2011	12/18/2012
Active	National Guardian Life Insurance Company	300596	Agent - Health	10/14/2021
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021
Active	Valley Forge Insurance Company	301052	Agent - Casualty	4/11/2022
Active	Valley Forge Insurance Company	301052	Agent - Property	4/11/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Edgewood Partners Insurance Center	549891	Agent - Health	3/26/2024
Pending	Edgewood Partners Insurance Center	549891	Agent - Life
Active	Edgewood Partners Insurance Center	549891	Agent - Property	3/26/2024
Active	Edgewood Partners Insurance Center	549891	Agent - Casualty	3/26/2024
Active	Edgewood Partners Insurance Center	549891	Surplus Lines Broker - Not Applicable	3/26/2024
Denied	USI Insurance Services National, Inc	509421	Agent - Health
Denied	USI Insurance Services National, Inc	509421	Agent - Life
Denied	USI Insurance Services National, Inc	509421	Agent - Property
Denied	USI Insurance Services National, Inc	509421	Agent - Casualty