DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Moughamian, Stephen	DOIID	832509	NAIC NPN	17179706

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	2/7/2014		9/30/2026
Active	Resident	Agent	Property	2/7/2014		9/30/2026
Active	Resident	Surplus Lines Broker	Not Applicable	7/11/2019		9/30/2026
* 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	07/15/2024	09/30/2024	07/23/2024	07/23/2024	Yes
Surplus Lines Broker	07/15/2024	09/30/2024	07/31/2024	07/31/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	7/23/2018
Active	Hanover Insurance Company (The)	300508	Agent - Property	7/23/2018
Active	Imperium Insurance Company	300804	Agent - Casualty	7/24/2023
Inactive	Underwriters at Lloyd's, London	300658	Agent - Casualty	3/23/2015	12/19/2023
Inactive	Underwriters at Lloyd's, London	300658	Agent - Property	3/23/2015	12/19/2023
Active	Verlan Fire Insurance Company	517102	Agent - Casualty	12/6/2016
Active	Verlan Fire Insurance Company	517102	Agent - Property	12/6/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Risk Placement Services Inc	509419	Agent - Casualty	8/21/2015
Active	Risk Placement Services Inc	509419	Agent - Property	8/21/2015
Active	Risk Placement Services Inc	509419	Surplus Lines Broker - Not Applicable	7/12/2019