DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Evergreen/Uni LLC	DOIID	836441	NAIC NPN	17211821

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/10/2022		3/31/2026
Active	Non Resident	Agent	Property	10/10/2022		3/31/2026
* 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
Active	Arch Insurance Company	300688	Agent - Casualty	10/28/2022
Active	Arch Insurance Company	300688	Agent - Property	10/28/2022
Inactive	Bond Safeguard Insurance Company	564983	Agent - Casualty	12/9/2019	3/31/2022
Inactive	Endurance American Insurance Company	724397	Agent - Casualty	12/9/2019	3/31/2022
Inactive	Endurance Assurance Corporation	670371	Agent - Casualty	12/9/2019	3/31/2022
Active	Evergreen National Indemnity Company	300146	Agent - Casualty	11/8/2022
Active	Evergreen National Indemnity Company	300146	Agent - Property	11/8/2022
Inactive	Lexon Insurance Company	300352	Agent - Casualty	12/9/2019	3/31/2022
Active	Ohio Indemnity Company	301745	Agent - Property	12/20/2022
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	8/20/2024
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	8/20/2024
Inactive	U.S. Specialty Insurance Company	300186	Agent - Casualty	6/13/2016	3/31/2022
Inactive	U.S. Specialty Insurance Company	300186	Agent - Property	6/13/2016	3/31/2022
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	11/4/2022
Active	Westchester Fire Insurance Company	300990	Agent - Property	11/4/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Tucker, Matthew Tracy	343309	Agent - Casualty	10/10/2022
Active	Tucker, Matthew Tracy	343309	Agent - Property	10/10/2022