DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Derosa, Timothy Buckley	DOIID	802073	NAIC NPN	9600758

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	1/23/2013		1/31/2026
Active	Non Resident	Agent	Casualty	1/23/2013		1/31/2026
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	1/23/2013	1/31/2022
* 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	ACE American Insurance Company	300625	Agent - Casualty	5/6/2014	9/9/2021
Inactive	ACE American Insurance Company	300625	Agent - Property	5/6/2014	9/9/2021
Active	AIG Property Casualty Company	300621	Agent - Casualty	3/11/2013
Active	AIG Property Casualty Company	300621	Agent - Property	3/11/2013
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	5/6/2014	9/9/2021
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	5/6/2014	9/9/2021
Active	Berkley Regional Insurance Company	300920	Agent - Casualty	11/3/2021
Active	Berkley Regional Insurance Company	300920	Agent - Property	11/3/2021
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	8/29/2017	9/9/2021
Inactive	Great Northern Insurance Company	301107	Agent - Property	8/29/2017	9/9/2021
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - Casualty	8/6/2020	7/6/2021
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - Property	8/6/2020	7/6/2021
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	8/4/2017	12/28/2023
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Property	8/4/2017	12/28/2023
Inactive	Pacific Indemnity Company	301610	Agent - Casualty	8/29/2017	9/9/2021
Inactive	Pacific Indemnity Company	301610	Agent - Property	8/29/2017	9/9/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Orchid Underwriters Agency LLC	902184	Agent - Property	12/18/2015	7/29/2021
Inactive	Orchid Underwriters Agency LLC	902184	Agent - Casualty	12/18/2015	7/29/2021
Inactive	Orchid Underwriters Agency LLC	902184	Surplus Lines Broker - Not Applicable	12/18/2015	7/29/2021
Inactive	Platinum Partners Ins Services Inc	806304	Agent - Property	3/27/2013	2/9/2017
Inactive	Platinum Partners Ins Services Inc	806304	Agent - Casualty	3/27/2013	2/9/2017
Inactive	Platinum Partners X S Services LLC	806305	Agent - Property	3/22/2013	3/31/2017
Inactive	Platinum Partners X S Services LLC	806305	Agent - Casualty	3/22/2013	3/31/2017
Inactive	Platinum Partners X S Services LLC	806305	Surplus Lines Broker - Not Applicable	3/22/2013	1/31/2022