DEPARTMENT OF INSURANCE

Affiliations

Name	Elliott Jr, Jack H	DOIID	805982	NAIC NPN	8935943

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/18/2013	6/30/2026
Active	Non Resident	Agent	Property	3/18/2013	6/30/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	5/3/2013	6/30/2026
* 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	04/15/2024	06/30/2024	04/09/2024	04/09/2024	Yes
Surplus Lines Broker	04/15/2024	06/30/2024	04/09/2024	04/09/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AIG Property Casualty Company	300621	Agent - Casualty	4/6/2021
Active	AIG Property Casualty Company	300621	Agent - Property	4/6/2021
Active	American Home Assurance Company	300246	Agent - Casualty	4/6/2021
Active	American Home Assurance Company	300246	Agent - Property	4/6/2021
Active	Arch Insurance Company	300688	Agent - Casualty	1/4/2021
Active	Arch Insurance Company	300688	Agent - Property	1/4/2021
Active	Berkley Regional Insurance Company	300920	Agent - Casualty	3/27/2023
Active	Berkley Regional Insurance Company	300920	Agent - Property	3/27/2023
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	10/23/2014	12/21/2015
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	10/23/2014	12/21/2015
Active	Commerce and Industry Insurance Company	300881	Agent - Casualty	4/6/2021
Active	Commerce and Industry Insurance Company	300881	Agent - Property	4/6/2021
Active	Doctors Company, an Interinsurance Exchange (The)	301946	Agent - Casualty	9/20/2022
Active	Doctors Company, an Interinsurance Exchange (The)	301946	Agent - Property	9/20/2022
Inactive	Farmington Casualty Company	301137	Agent - Casualty	10/23/2014	12/21/2015
Inactive	Farmington Casualty Company	301137	Agent - Property	10/23/2014	12/21/2015
Active	Illinois National Insurance Company	301367	Agent - Casualty	4/6/2021
Active	Illinois National Insurance Company	301367	Agent - Property	4/6/2021
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	4/6/2021
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	4/6/2021
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	5/27/2021
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Property	5/27/2021
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	7/12/2022	3/16/2023
Inactive	QBE Insurance Corporation	300515	Agent - Property	7/12/2022	3/16/2023
Active	RLI Insurance Company	301217	Agent - Casualty	12/7/2022
Active	RLI Insurance Company	301217	Agent - Property	12/7/2022
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	10/23/2014	12/21/2015
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	10/23/2014	12/21/2015
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	10/23/2014	12/21/2015
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	10/23/2014	12/21/2015
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	10/23/2014	12/21/2015
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	10/23/2014	12/21/2015
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	10/23/2014	12/21/2015
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	10/23/2014	12/21/2015
Active	Star Insurance Company	301553	Agent - Casualty	5/19/2021
Active	Star Insurance Company	301553	Agent - Property	5/19/2021
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	10/23/2014	12/21/2015
Inactive	The Phoenix Insurance Company	301502	Agent - Property	10/23/2014	12/21/2015
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	10/23/2014	12/21/2015
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	10/23/2014	12/21/2015
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	10/23/2014	3/17/2023
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	10/23/2014	3/17/2023
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	10/23/2014	12/21/2015
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	10/23/2014	12/21/2015
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	10/23/2014	12/21/2015
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	10/23/2014	12/21/2015
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	10/23/2014	12/21/2015
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	10/23/2014	12/21/2015
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	10/23/2014	3/17/2023
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	10/23/2014	3/17/2023
Active	Williamsburg National Insurance Company	301825	Agent - Casualty	5/19/2021
Active	Williamsburg National Insurance Company	301825	Agent - Property	5/19/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CRC Ins Services, LLC	502276	Agent - Property	8/5/2022	3/28/2023
Inactive	CRC Ins Services, LLC	502276	Agent - Casualty	8/5/2022	3/28/2023
Inactive	CRC Ins Services, LLC	502276	Surplus Lines Broker - Not Applicable	8/5/2022	3/28/2023
Active	Propel Insurance Agency , LLC	536922	Agent - Property	10/18/2023
Active	Propel Insurance Agency , LLC	536922	Agent - Casualty	10/18/2023
Active	Propel Insurance Agency , LLC	536922	Surplus Lines Broker - Not Applicable	10/18/2023