DEPARTMENT OF INSURANCE

Affiliations

Name	Assuredpartners Of New Jersey LLC	DOIID	828232	NAIC NPN	16815036

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	11/22/2013	3/31/2025
Active	Non Resident	Agent	Life	11/22/2013	3/31/2025
Active	Non Resident	Agent	Property	11/22/2013	3/31/2025
Active	Non Resident	Agent	Casualty	11/22/2013	3/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	12/21/2020	3/31/2025
* 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
Surplus Lines Broker	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	5/6/2014
Active	ACE American Insurance Company	300625	Agent - Property	5/6/2014
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/26/2017
Active	AmTrust Insurance Company	300179	Agent - Casualty	9/30/2021
Active	AmTrust Insurance Company	300179	Agent - Property	9/30/2021
Active	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/29/2018
Active	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/29/2018
Inactive	American Continental Insurance Company	643130	Agent - Life	7/26/2017	12/6/2021
Active	American Family Home Insurance Company	301817	Agent - Casualty	5/11/2021
Active	American Family Home Insurance Company	301817	Agent - Property	5/11/2021
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	10/26/2020
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	10/26/2020
Active	American Zurich Insurance Company	300592	Agent - Casualty	10/26/2020
Active	American Zurich Insurance Company	300592	Agent - Property	10/26/2020
Active	Arch Indemnity Insurance Company	301459	Agent - Casualty	8/9/2023
Active	Arch Indemnity Insurance Company	301459	Agent - Property	8/9/2023
Active	Arch Insurance Company	300688	Agent - Casualty	8/9/2023
Active	Arch Insurance Company	300688	Agent - Property	8/9/2023
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	3/30/2016
Active	Bankers Standard Insurance Company	301620	Agent - Property	3/30/2016
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	9/25/2018	12/9/2019
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	9/25/2018	12/9/2019
Active	Clear Spring Property and Casualty Company	301377	Agent - Casualty	10/13/2020
Active	Clear Spring Property and Casualty Company	301377	Agent - Property	10/13/2020
Active	Continental Casualty Company	301019	Agent - Casualty	7/5/2016
Active	Continental Casualty Company	301019	Agent - Property	7/5/2016
Inactive	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/25/2019
Inactive	Continental General Insurance Company	300691	Agent - Life	8/9/2018	1/25/2019
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/26/2017
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/26/2017	6/20/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/16/2017	6/15/2018
Active	Farmington Casualty Company	301137	Agent - Casualty	9/25/2018
Active	Farmington Casualty Company	301137	Agent - Property	9/25/2018
Active	Great American Assurance Company	300327	Agent - Casualty	6/8/2018
Active	Great American Assurance Company	300327	Agent - Property	6/8/2018
Active	Great West Casualty Company	301015	Agent - Casualty	10/15/2018
Active	Great West Casualty Company	301015	Agent - Property	10/15/2018
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/8/2017	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Health	11/16/2017	6/15/2018
Inactive	Humana Insurance Company	301104	Agent - Life	11/16/2017	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/8/2017	6/15/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/8/2017	6/15/2018
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	5/6/2014
Active	Indemnity Insurance Company of North America	301760	Agent - Property	5/6/2014
Active	Insurance Company of North America	300226	Agent - Casualty	5/6/2014
Active	Insurance Company of North America	300226	Agent - Property	5/6/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/8/2017	8/9/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/8/2017	8/9/2018
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	9/30/2021
Active	Milford Casualty Insurance Company	301460	Agent - Property	9/30/2021
Active	New York Marine and General Insurance Company	301932	Agent - Casualty	8/16/2021
Active	New York Marine and General Insurance Company	301932	Agent - Property	8/16/2021
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	9/7/2022
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Health	9/7/2022
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	9/7/2022
Inactive	Protective Insurance Company	301117	Agent - Casualty	6/5/2023	3/31/2024
Inactive	Protective Insurance Company	301117	Agent - Property	6/5/2023	3/31/2024
Inactive	Sagamore Insurance Company	300942	Agent - Casualty	6/5/2023	3/31/2024
Inactive	Sagamore Insurance Company	300942	Agent - Property	6/5/2023	3/31/2024
Active	Security National Insurance Company	301151	Agent - Casualty	9/30/2021
Active	Security National Insurance Company	301151	Agent - Property	9/30/2021
Active	Sequoia Insurance Company	628046	Agent - Casualty	9/30/2021
Active	Sequoia Insurance Company	628046	Agent - Property	9/30/2021
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	9/25/2018
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	9/25/2018
Active	Technology Insurance Company	613278	Agent - Casualty	9/30/2021
Active	Technology Insurance Company	613278	Agent - Property	9/30/2021
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	9/25/2018	12/9/2019
Inactive	The Phoenix Insurance Company	301502	Agent - Property	9/25/2018	12/9/2019
Active	Transportation Insurance Company	301575	Agent - Casualty	5/10/2022
Active	Transportation Insurance Company	301575	Agent - Property	5/10/2022
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	9/25/2018	12/15/2020
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	9/25/2018	12/15/2020
Active	Travelers Casualty and Surety Company	301067	Agent - Casualty	8/15/2016
Active	Travelers Casualty and Surety Company	301067	Agent - Property	8/15/2016
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	12/3/2018
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	12/3/2018
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	9/25/2018
Active	Travelers Indemnity Company (The)	301855	Agent - Property	9/25/2018
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	9/25/2018	12/9/2019
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	9/25/2018	12/9/2019
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	9/25/2018	12/9/2019
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	9/25/2018	12/9/2019
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	9/25/2018
Active	Travelers Property Casualty Company of America	301649	Agent - Property	9/25/2018
Active	Valley Forge Insurance Company	301052	Agent - Casualty	7/10/2017
Active	Valley Forge Insurance Company	301052	Agent - Property	7/10/2017
Active	Vanliner Insurance Company	301420	Agent - Casualty	12/6/2018
Active	Vanliner Insurance Company	301420	Agent - Property	12/6/2018
Active	Wesco Insurance Company	300534	Agent - Casualty	9/30/2021
Active	Wesco Insurance Company	300534	Agent - Property	9/30/2021
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	5/6/2014
Active	Westchester Fire Insurance Company	300990	Agent - Property	5/6/2014
Active	Zurich American Insurance Company	301121	Agent - Casualty	10/26/2020
Active	Zurich American Insurance Company	301121	Agent - Property	10/26/2020
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	10/26/2020
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	10/26/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anderson, Eric Earl	311358	Agent - Casualty	11/22/2013	7/20/2023
Inactive	Anderson, Eric Earl	311358	Agent - Health	11/22/2013	8/30/2023
Inactive	Anderson, Eric Earl	311358	Agent - Life	11/22/2013	8/30/2023
Inactive	Anderson, Eric Earl	311358	Agent - Property	11/22/2013	7/20/2023
Active	Braun, Shirley Ann	1112624	Surplus Lines Broker - Not Applicable	12/21/2020
Active	Chapman, Lisa	811625	Agent - Health	8/7/2023
Active	Chapman, Lisa	811625	Agent - Life	8/7/2023
Inactive	Roth, Robert D	1218414	Agent - Casualty	7/20/2023	6/20/2024
Denied	Roth, Robert D	1218414	Agent - Health
Denied	Roth, Robert D	1218414	Agent - Life
Inactive	Roth, Robert D	1218414	Agent - Property	7/20/2023	6/20/2024
Inactive	Roth, Robert D	1218414	Surplus Lines Broker - Not Applicable	7/20/2023	6/20/2024
Active	Wahl, Christopher J	997110	Agent - Casualty	2/2/2023
Denied	Wahl, Christopher J	997110	Agent - Health
Denied	Wahl, Christopher J	997110	Agent - Life
Active	Wahl, Christopher J	997110	Agent - Property	2/2/2023