DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Santiago, Jose Manuel	DOIID	854010	NAIC NPN	587683

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/29/2014		7/31/2026
Active	Non Resident	Agent	Property	9/29/2014		7/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/21/2022		7/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2026	07/31/2026
Surplus Lines Broker	05/15/2026	07/31/2026

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Crc Insurance Services, LLC	502276	Agent - Property
Denied	Crc Insurance Services, LLC	502276	Agent - Casualty
Active	Crc Insurance Services, LLC	502276	Surplus Lines Broker - Not Applicable	12/5/2022