DEPARTMENT OF INSURANCE
Affiliations
NameIS Agency LLCDOIID834202NAIC NPN15335684
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty2/19/2014 3/31/2026
ActiveNon ResidentAgentCasualty2/19/2014 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmGUARD Insurance Company500010Agent - Casualty10/27/20201/18/2024
InactiveAmGUARD Insurance Company500010Agent - Property10/27/20201/18/2024
ActiveBerkshire Hathaway Direct Insurance Company300925Agent - Casualty2/19/2014 
ActiveBerkshire Hathaway Direct Insurance Company300925Agent - Property4/3/2023 
InactiveEmployers Assurance Company300120Agent - Casualty1/25/20215/1/2023
InactiveEmployers Compensation Insurance Company797885Agent - Casualty1/25/20215/1/2023
InactiveEmployers Preferred Insurance Company520656Agent - Casualty1/25/20215/1/2023
ActiveNational Liability & Fire Insurance Company300213Agent - Casualty4/3/2023 
ActiveNational Liability & Fire Insurance Company300213Agent - Property4/3/2023 
InactiveNorGUARD Insurance Company500015Agent - Casualty10/27/20201/18/2024
ActiveWellfleet Insurance Company300542Agent - Casualty5/5/2023 
ActiveWellfleet Insurance Company300542Agent - Property5/5/2023 
ActiveWellfleet New York Insurance Company300245Agent - Casualty5/5/2023 
ActiveWellfleet New York Insurance Company300245Agent - Property5/5/2023 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCarpenter, Chad Michael 833739Agent - Casualty2/19/201410/28/2020
InactiveCarpenter, Chad Michael 833739Agent - Property2/19/201410/28/2020
InactiveCavender, Winona Lee 946174Agent - Casualty10/28/202010/31/2022
InactiveCavender, Winona Lee 946174Agent - Property10/28/202010/31/2022
ActiveStein, Michael Eric 1212469Agent - Casualty4/24/2025 
ActiveStein, Michael Eric 1212469Agent - Property4/24/2025 
DeniedThompson, Daniel C 1108435Agent - Casualty  
DeniedThompson, Daniel C 1108435Agent - Property  

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