DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Complex Risk And Ins Assoc LLC	DOIID	873236	NAIC NPN	17431437

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/26/2015		3/31/2027
Active	Non Resident	Agent	Property	3/26/2015		3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/8/2015		3/31/2027
* 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	Greenwich Insurance Company	301754	Agent - Casualty	7/28/2015
Active	Greenwich Insurance Company	301754	Agent - Property	7/28/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cozens, Jonathan Brian	841817	Agent - Casualty	3/26/2015	5/14/2019
Inactive	Cozens, Jonathan Brian	841817	Agent - Property	3/26/2015	5/14/2019
Inactive	Dickson, Thomas Russell	841697	Agent - Casualty	7/28/2015	6/3/2025
Inactive	Dickson, Thomas Russell	841697	Agent - Property	7/28/2015	6/3/2025
Inactive	Dickson, Thomas Russell	841697	Surplus Lines Broker - Not Applicable	4/8/2015	6/3/2025
Active	Mairano, Ronald C	639134	Agent - Casualty	6/3/2025
Active	Mairano, Ronald C	639134	Agent - Property	6/3/2025
Active	Mairano, Ronald C	639134	Surplus Lines Broker - Not Applicable	6/3/2025