DEPARTMENT OF INSURANCE

Affiliations

Name	Perez De Corcho, Jose Miguel	DOIID	832927	NAIC NPN	604677

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	2/4/2014	9/30/2025
Active	Non Resident	Agent	Property	2/4/2014	9/30/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/27/2014	9/30/2025
* 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	07/15/2025	09/30/2025
Surplus Lines Broker	07/15/2025	09/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	American National Property and Casualty Company	300392	Agent - Casualty	8/7/2015
Active	American National Property and Casualty Company	300392	Agent - Property	8/7/2015
Active	Arch Indemnity Insurance Company	301459	Agent - Casualty	1/21/2022
Active	Arch Indemnity Insurance Company	301459	Agent - Property	1/21/2022
Active	Arch Insurance Company	300688	Agent - Casualty	1/21/2022
Active	Arch Insurance Company	300688	Agent - Property	1/21/2022
Active	Berkley Insurance Company	301355	Agent - Casualty	2/10/2021
Active	CorePointe Insurance Company	300406	Agent - Casualty	10/28/2021
Active	CorePointe Insurance Company	300406	Agent - Property	10/28/2021
Active	Integon National Insurance Company	301600	Agent - Casualty	4/15/2020
Active	Integon National Insurance Company	301600	Agent - Property	4/15/2020
Active	MIC General Insurance Corporation	300398	Agent - Casualty	4/15/2020
Active	MIC General Insurance Corporation	300398	Agent - Property	4/15/2020
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	10/28/2021
Active	Milford Casualty Insurance Company	301460	Agent - Property	10/28/2021
Active	Security National Insurance Company	301151	Agent - Casualty	11/8/2021
Active	Security National Insurance Company	301151	Agent - Property	11/8/2021
Active	Southern Insurance Company	301630	Agent - Casualty	10/28/2021
Active	Southern Insurance Company	301630	Agent - Property	10/28/2021
Active	StarStone National Insurance Company	300812	Agent - Casualty	2/28/2025
Active	StarStone National Insurance Company	300812	Agent - Property	2/28/2025
Active	Technology Insurance Company	613278	Agent - Casualty	11/8/2021
Active	Technology Insurance Company	613278	Agent - Property	11/8/2021
Active	Wesco Insurance Company	300534	Agent - Casualty	11/8/2021
Active	Wesco Insurance Company	300534	Agent - Property	11/8/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Breckenridge Insurance Services, LLC	746375	Agent - Property	1/22/2021	8/10/2024
Inactive	Breckenridge Insurance Services, LLC	746375	Agent - Casualty	1/22/2021	8/10/2024
Active	Breckenridge Insurance Services, LLC	746375	Surplus Lines Broker - Not Applicable	1/22/2021
Active	Overby - Seawell Co	562532	Agent - Property	9/15/2015
Active	Overby - Seawell Co	562532	Agent - Casualty	9/15/2015