DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Altus Specialty Group LLC	DOIID	755301	NAIC NPN	15840729

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	5/31/2011	3/31/2015
Inactive	Non Resident	Agent	Life	5/31/2011	3/31/2015
Inactive	Non Resident	Agent	Health	5/31/2011	3/31/2015
Inactive	Non Resident	Agent	Casualty	5/31/2011	3/31/2015
* 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	Hartford Casualty Insurance Company	301332	Agent - Casualty	11/24/2012	3/31/2015
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	11/24/2012	3/31/2015
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	12/18/2012	3/31/2015
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	1/17/2013	3/31/2015
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	1/17/2013	3/31/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chavious, Glenn T	561726	Agent - Casualty	5/31/2011	3/31/2015
Inactive	Chavious, Glenn T	561726	Agent - Health	5/31/2011	3/31/2015
Inactive	Chavious, Glenn T	561726	Agent - Life	5/31/2011	3/31/2015
Inactive	Chavious, Glenn T	561726	Agent - Property	5/31/2011	3/31/2015