DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Sheridan, Timothy Eugene	DOIID	783751	NAIC NPN	3422910

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/15/2015		10/31/2024
Active	Non Resident	Agent	Property	1/15/2015		10/31/2024
Denied	Non Resident	Agent	Personal Lines
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Capson Physicians Insurance Company	301959	Agent - Casualty	2/9/2018	7/9/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Alera Group, Inc.	941451	Agent - Property
Pending	Alera Group, Inc.	941451	Agent - Casualty
Denied	Gcg Risk Management Consultants LLC	724454	Agent - Property
Denied	Gcg Risk Management Consultants LLC	724454	Agent - Casualty
Inactive	Sheridan Ins Group LLC	983305	Agent - Property	2/2/2018	3/31/2024
Inactive	Sheridan Ins Group LLC	983305	Agent - Casualty	2/2/2018	3/31/2024