DEPARTMENT OF INSURANCE

Affiliations

Name	Alteris Ins Services Inc	DOIID	763010	NAIC NPN	3537131

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/14/2011		3/31/2025
Active	Non Resident	Agent	Property	9/14/2011		3/31/2025
Inactive	Non Resident	Managing General Agent	Not Applicable	11/16/2011	3/31/2019
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	9/14/2011	11/25/2020
* 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
Active	Allied World Specialty Insurance Company	301088	Agent - Casualty	5/28/2012
Active	Allied World Specialty Insurance Company	301088	Agent - Property	5/28/2012
Active	Argonaut Insurance Company	301422	Agent - Casualty	9/22/2011
Active	Argonaut Insurance Company	301422	Agent - Property	9/22/2011
Active	Granite State Insurance Company	300818	Agent - Casualty	3/5/2015
Active	Granite State Insurance Company	300818	Agent - Property	3/5/2015
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	12/9/2014	5/4/2016
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	12/9/2014	5/4/2016
Inactive	Great American Insurance Company	301586	Agent - Casualty	12/9/2014	5/4/2016
Inactive	Great American Insurance Company	301586	Agent - Property	12/9/2014	5/4/2016
Active	Illinois National Insurance Company	301367	Agent - Casualty	3/5/2015
Active	Illinois National Insurance Company	301367	Agent - Property	3/5/2015
Active	Markel Insurance Company	301475	Agent - Casualty	6/21/2021
Active	Markel Insurance Company	301475	Agent - Property	6/21/2021
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	6/8/2015
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	6/8/2015
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	11/22/2022
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	11/22/2022
Active	New Hampshire Insurance Company	301670	Agent - Casualty	3/5/2015
Active	New Hampshire Insurance Company	301670	Agent - Property	3/5/2015
Inactive	SPARTA Insurance Company	301523	Agent - Casualty	12/7/2012	2/3/2016
Inactive	SPARTA Insurance Company	301523	Agent - Property	12/7/2012	2/3/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arledge, Michael Evin	544219	Agent - Casualty	9/14/2011	11/14/2011
Inactive	Arledge, Michael Evin	544219	Agent - Property	9/14/2011	11/14/2011
Inactive	Arledge, Michael Evin	544219	Surplus Lines Broker - Not Applicable	9/14/2011	11/14/2011
Inactive	Bethoney, Patricia Lanzo	775005	Agent - Casualty	5/30/2012	10/15/2015
Inactive	Bethoney, Patricia Lanzo	775005	Agent - Property	5/30/2012	10/15/2015
Inactive	Bethoney, Patricia Lanzo	775005	Surplus Lines Broker - Not Applicable	5/30/2012	10/19/2015
Inactive	Coates, Susan R	928732	Agent - Casualty	9/27/2017	4/15/2020
Inactive	Coates, Susan R	928732	Agent - Property	9/27/2017	4/15/2020
Inactive	Coates, Susan R	928732	Surplus Lines Broker - Not Applicable	9/27/2017	6/26/2020
Inactive	Fuller, Paul Roderick	573355	Agent - Casualty	5/30/2012	12/21/2016
Inactive	Fuller, Paul Roderick	573355	Agent - Property	5/30/2012	12/21/2016
Inactive	Fuller, Paul Roderick	573355	Surplus Lines Broker - Not Applicable	5/30/2012	12/21/2016
Inactive	Hald, Christian E	826757	Surplus Lines Broker - Not Applicable	6/26/2020	11/25/2020
Inactive	Locher, Gregory George	905625	Agent - Casualty	1/10/2017	9/27/2017
Inactive	Locher, Gregory George	905625	Agent - Property	1/10/2017	9/27/2017
Inactive	Locher, Gregory George	905625	Surplus Lines Broker - Not Applicable	12/21/2016	9/27/2017
Inactive	Martin, Kevin Bruce	811628	Agent - Casualty	3/25/2014	1/8/2015
Inactive	Martin, Kevin Bruce	811628	Agent - Property	3/25/2014	1/8/2015
Inactive	Martin, Kevin Bruce	811628	Surplus Lines Broker - Not Applicable	3/24/2014	10/7/2015
Active	Poplawski, Joseph R	577612	Agent - Casualty	4/15/2020
Active	Poplawski, Joseph R	577612	Agent - Property	4/15/2020
Inactive	Schenck, Hilbert Van N	391691	Agent - Casualty	9/14/2011	10/26/2015
Inactive	Schenck, Hilbert Van N	391691	Agent - Property	9/14/2011	10/26/2015
Inactive	Schenck, Hilbert Van N	391691	Surplus Lines Broker - Not Applicable	9/14/2011	10/26/2015