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DEPARTMENT OF INSURANCE
Affiliations
Name
Pine Hill Ins Services
DOIID
871628
NAIC NPN
17366923
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Pending Replacement
Non Resident
Agent
Life
3/10/2015
3/31/2025
Pending Replacement
Non Resident
Agent
Casualty
3/10/2015
3/31/2025
Pending Replacement
Non Resident
Agent
Property
3/10/2015
3/31/2025
* 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
01/15/2025
03/31/2025
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
AMCO Insurance Company
300204
Agent - Casualty
12/28/2015
9/6/2024
Inactive
AMCO Insurance Company
300204
Agent - Property
12/28/2015
9/6/2024
Inactive
Allied Insurance Company of America
793586
Agent - Casualty
12/28/2015
9/6/2024
Inactive
Allied Insurance Company of America
793586
Agent - Property
12/28/2015
9/6/2024
Inactive
Allied Property and Casualty Insurance Company
300279
Agent - Casualty
12/28/2015
9/6/2024
Inactive
Allied Property and Casualty Insurance Company
300279
Agent - Property
12/28/2015
9/6/2024
Pending Replacement
AmGUARD Insurance Company
500010
Agent - Casualty
10/24/2017
Pending Replacement
AmGUARD Insurance Company
500010
Agent - Property
10/24/2017
Inactive
AmTrust Insurance Company
300179
Agent - Casualty
7/31/2017
8/5/2019
Inactive
AmTrust Insurance Company
300179
Agent - Property
7/31/2017
8/5/2019
Pending Replacement
Automobile Insurance Company of Hartford, Connecticut
300630
Agent - Casualty
4/19/2022
Pending Replacement
Automobile Insurance Company of Hartford, Connecticut
300630
Agent - Property
4/19/2022
Inactive
Charter Oak Fire Insurance Company (The)
301501
Agent - Casualty
12/31/2015
12/14/2016
Inactive
Charter Oak Fire Insurance Company (The)
301501
Agent - Property
12/31/2015
12/14/2016
Inactive
Depositors Insurance Company
301634
Agent - Casualty
12/28/2015
9/6/2024
Inactive
Depositors Insurance Company
301634
Agent - Property
12/28/2015
9/6/2024
Inactive
Erie Family Life Insurance Company
301400
Agent - Life
3/14/2016
2/5/2018
Pending Replacement
Erie Insurance Company
300230
Agent - Casualty
3/14/2016
Pending Replacement
Erie Insurance Company
300230
Agent - Property
3/14/2016
Pending Replacement
Erie Insurance Company of New York
789916
Agent - Casualty
3/14/2016
Pending Replacement
Erie Insurance Company of New York
789916
Agent - Property
3/14/2016
Pending Replacement
Erie Insurance Exchange
300789
Agent - Casualty
3/14/2016
Pending Replacement
Erie Insurance Exchange
300789
Agent - Property
3/14/2016
Pending Replacement
Erie Insurance Property & Casualty Company
789942
Agent - Casualty
3/14/2016
Pending Replacement
Erie Insurance Property & Casualty Company
789942
Agent - Property
3/14/2016
Inactive
Farmington Casualty Company
301137
Agent - Casualty
12/31/2015
12/14/2016
Inactive
Farmington Casualty Company
301137
Agent - Property
12/31/2015
12/14/2016
Pending Replacement
Flagship City Insurance Company
789965
Agent - Casualty
3/14/2016
Pending Replacement
Flagship City Insurance Company
789965
Agent - Property
3/14/2016
Inactive
Milford Casualty Insurance Company
301460
Agent - Casualty
7/31/2017
8/5/2019
Inactive
Milford Casualty Insurance Company
301460
Agent - Property
7/31/2017
8/5/2019
Inactive
Nationwide General Insurance Company
300603
Agent - Casualty
8/28/2019
9/6/2024
Inactive
Nationwide General Insurance Company
300603
Agent - Property
8/28/2019
9/6/2024
Inactive
Nationwide Insurance Company of America
300333
Agent - Casualty
8/28/2019
9/6/2024
Inactive
Nationwide Insurance Company of America
300333
Agent - Property
8/28/2019
9/6/2024
Inactive
Nationwide Mutual Insurance Company
301749
Agent - Casualty
8/25/2016
9/6/2024
Inactive
Nationwide Mutual Insurance Company
301749
Agent - Property
8/25/2016
9/6/2024
Pending Replacement
NorGUARD Insurance Company
500015
Agent - Casualty
6/15/2015
Inactive
Park National Insurance Company
692514
Agent - Casualty
7/31/2017
8/5/2019
Inactive
Park National Insurance Company
692514
Agent - Property
7/31/2017
8/5/2019
Inactive
Progressive Casualty Insurance Company
300696
Agent - Casualty
8/16/2016
2/7/2023
Inactive
Progressive Casualty Insurance Company
300696
Agent - Property
8/16/2016
2/7/2023
Inactive
SAFECO Insurance Company of America
300159
Agent - Casualty
1/6/2016
3/26/2018
Inactive
SAFECO Insurance Company of America
300159
Agent - Property
1/6/2016
3/26/2018
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - Casualty
1/6/2016
3/26/2018
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - Property
1/6/2016
3/26/2018
Inactive
Security National Insurance Company
301151
Agent - Casualty
7/31/2017
8/5/2019
Inactive
Security National Insurance Company
301151
Agent - Property
7/31/2017
8/5/2019
Pending Replacement
Standard Fire Insurance Company (The)
301068
Agent - Casualty
11/8/2017
Pending Replacement
Standard Fire Insurance Company (The)
301068
Agent - Property
11/8/2017
Inactive
Technology Insurance Company
613278
Agent - Casualty
7/31/2017
8/5/2019
Inactive
Technology Insurance Company
613278
Agent - Property
7/31/2017
8/5/2019
Inactive
The Phoenix Insurance Company
301502
Agent - Casualty
4/22/2022
11/16/2023
Inactive
The Phoenix Insurance Company
301502
Agent - Property
4/22/2022
11/16/2023
Inactive
Travelers Casualty Insurance Company of America
300522
Agent - Casualty
12/31/2015
12/14/2016
Inactive
Travelers Casualty Insurance Company of America
300522
Agent - Property
12/31/2015
12/14/2016
Inactive
Travelers Casualty and Surety Company
301067
Agent - Casualty
12/31/2015
12/14/2016
Inactive
Travelers Casualty and Surety Company
301067
Agent - Property
12/31/2015
12/14/2016
Inactive
Travelers Casualty and Surety Company of America
301334
Agent - Casualty
3/1/2022
11/16/2023
Inactive
Travelers Casualty and Surety Company of America
301334
Agent - Property
3/1/2022
11/16/2023
Inactive
Travelers Home and Marine Insurance Company (The)
301802
Agent - Casualty
4/22/2022
11/16/2023
Inactive
Travelers Home and Marine Insurance Company (The)
301802
Agent - Property
4/22/2022
11/16/2023
Inactive
Travelers Indemnity Company (The)
301855
Agent - Casualty
12/31/2015
12/20/2018
Inactive
Travelers Indemnity Company (The)
301855
Agent - Property
12/31/2015
12/20/2018
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Casualty
12/31/2015
12/14/2016
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Property
12/31/2015
12/14/2016
Inactive
Travelers Indemnity Company of Connecticut (The)
301591
Agent - Casualty
12/31/2015
12/14/2016
Inactive
Travelers Indemnity Company of Connecticut (The)
301591
Agent - Property
12/31/2015
12/14/2016
Pending Replacement
Travelers Personal Insurance Company
705785
Agent - Casualty
1/29/2019
Pending Replacement
Travelers Personal Insurance Company
705785
Agent - Property
1/29/2019
Inactive
Travelers Property Casualty Company of America
301649
Agent - Casualty
12/31/2015
12/14/2016
Inactive
Travelers Property Casualty Company of America
301649
Agent - Property
12/31/2015
12/14/2016
Inactive
United Financial Casualty Company
301886
Agent - Casualty
8/16/2016
2/7/2023
Inactive
United Financial Casualty Company
301886
Agent - Property
8/16/2016
2/7/2023
Inactive
Wesco Insurance Company
300534
Agent - Casualty
7/31/2017
8/5/2019
Inactive
Wesco Insurance Company
300534
Agent - Property
7/31/2017
8/5/2019
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Mohammed, Salim
865076
Agent - Casualty
3/10/2015
Denied
Mohammed, Salim
865076
Agent - Life
Active
Mohammed, Salim
865076
Agent - Property
3/10/2015
Active
Shah, Kishore R
838079
Agent - Casualty
2/1/2019
Active
Shah, Kishore R
838079
Agent - Life
3/7/2018
Active
Shah, Kishore R
838079
Agent - Property
2/1/2019
Inactive
Shah, Nandini K
864131
Agent - Casualty
4/11/2018
8/31/2020
Inactive
Shah, Nandini K
864131
Agent - Property
4/11/2018
8/31/2020
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