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		3/31/2027
Active	Non Resident	Agent	Property	9/14/2011		3/31/2027
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.

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	01/18/2025	01/18/2025	Yes

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