DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Platinum Partners Ins Services Inc	DOIID	806304	NAIC NPN	7497410

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	3/27/2013	2/9/2017
Inactive	Non Resident	Agent	Property	3/27/2013	2/9/2017
* 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	5/13/2016
Inactive	ACE American Insurance Company	300625	Agent - Property	5/6/2014	5/13/2016
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	5/6/2014	5/13/2016
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	5/6/2014	5/13/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Derosa, Timothy Buckley	802073	Agent - Casualty	3/27/2013	2/9/2017
Inactive	Derosa, Timothy Buckley	802073	Agent - Property	3/27/2013	2/9/2017