DEPARTMENT OF INSURANCE

Affiliations

Name	Assuredpartners Of Illinois LLC	DOIID	879256	NAIC NPN	17586845

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	5/29/2015	3/31/2027
Active	Non Resident	Agent	Property	5/29/2015	3/31/2027
Active	Non Resident	Agent	Casualty	5/29/2015	3/31/2027
Active	Non Resident	Agent	Life	5/29/2015	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	12/19/2016	3/31/2027
* 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	01/15/2025	01/15/2025	Yes
Surplus Lines Broker	01/15/2025	03/31/2025	01/15/2025	01/15/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	9/11/2017
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	9/11/2017
Active	AIG Property Casualty Company	300621	Agent - Casualty	8/16/2017
Active	AIG Property Casualty Company	300621	Agent - Property	8/16/2017
Active	AmTrust Insurance Company	300179	Agent - Casualty	8/21/2024
Active	AmTrust Insurance Company	300179	Agent - Property	8/21/2024
Active	American Alternative Insurance Corporation	301697	Agent - Casualty	12/5/2017
Active	American Alternative Insurance Corporation	301697	Agent - Property	12/5/2017
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	3/29/2024
Active	American Family Home Insurance Company	301817	Agent - Casualty	9/20/2023
Active	American Family Home Insurance Company	301817	Agent - Property	9/20/2023
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	11/14/2019	3/29/2024
Inactive	American Fire and Casualty Company	300567	Agent - Property	11/14/2019	3/29/2024
Active	American General Life Insurance Company	301585	Agent - Health	2/25/2022
Active	American General Life Insurance Company	301585	Agent - Life	2/25/2022
Active	Amerisure Insurance Company	300298	Agent - Casualty	1/27/2023
Active	Amerisure Insurance Company	300298	Agent - Property	1/27/2023
Active	Amerisure Mutual Insurance Company	301576	Agent - Casualty	1/27/2023
Active	Amerisure Mutual Insurance Company	301576	Agent - Property	1/27/2023
Active	Amerisure Partners Insurance Company	760791	Agent - Casualty	1/27/2023
Active	Amerisure Partners Insurance Company	760791	Agent - Property	1/27/2023
Active	Arch Indemnity Insurance Company	301459	Agent - Casualty	11/2/2021
Active	Arch Indemnity Insurance Company	301459	Agent - Property	11/2/2021
Active	Arch Insurance Company	300688	Agent - Casualty	4/27/2017
Active	Arch Insurance Company	300688	Agent - Property	4/27/2017
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	2/19/2025
Active	Auto-Owners Insurance Company	301480	Agent - Property	2/19/2025
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	3/6/2017
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	3/6/2017
Active	Berkley National Insurance Company	515028	Agent - Casualty	6/30/2024
Active	Berkley National Insurance Company	515028	Agent - Property	6/30/2024
Active	Berkley Regional Insurance Company	300920	Agent - Casualty	6/30/2024
Active	Berkley Regional Insurance Company	300920	Agent - Property	6/30/2024
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	3/1/2023
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	3/1/2023
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	3/1/2023
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	3/1/2023
Active	Cincinnati Insurance Company	301298	Agent - Casualty	12/19/2019
Active	Cincinnati Insurance Company	301298	Agent - Property	12/19/2019
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	2/10/2023
Active	CompBenefits Insurance Company	301864	Agent - Health	2/22/2021
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	11/14/2019	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	11/14/2019	10/13/2022
Active	Continental Insurance Company (The)	301242	Agent - Casualty	3/19/2018
Active	Continental Insurance Company (The)	301242	Agent - Property	3/19/2018
Active	Crestbrook Insurance Company	805354	Agent - Casualty	10/16/2018
Active	Crestbrook Insurance Company	805354	Agent - Property	10/16/2018
Active	Dental Concern Inc. (The)	301641	Agent - Health	2/22/2021
Active	Employers Assurance Company	300120	Agent - Casualty	3/28/2024
Active	Employers Compensation Insurance Company	797885	Agent - Casualty	3/28/2024
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	12/15/2021
Active	Employers Insurance Company of Wausau	301813	Agent - Property	12/15/2021
Active	Employers Preferred Insurance Company	520656	Agent - Casualty	3/28/2024
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	12/7/2021	12/29/2021
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	12/7/2021	12/29/2021
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	12/7/2021
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	12/7/2021
Active	Federal Insurance Company	301144	Agent - Casualty	12/18/2015
Active	Federal Insurance Company	301144	Agent - Property	12/18/2015
Active	Gray Insurance Company (The)	301532	Agent - Casualty	10/4/2023
Active	Great Divide Insurance Company	301636	Agent - Casualty	6/30/2024
Active	Great Divide Insurance Company	301636	Agent - Property	6/30/2024
Active	Great Northern Insurance Company	301107	Agent - Casualty	6/25/2019
Active	Great Northern Insurance Company	301107	Agent - Property	6/25/2019
Active	Guardian Life Insurance Company of America	301316	Agent - Health	4/6/2020
Active	Guardian Life Insurance Company of America	301316	Agent - Life	4/6/2020
Active	HDI Global Insurance Company	676678	Agent - Casualty	8/3/2023
Active	HDI Global Insurance Company	676678	Agent - Property	8/3/2023
Active	Hartford Accident and Indemnity Company	301917	Agent - Casualty	9/15/2022
Active	Hartford Accident and Indemnity Company	301917	Agent - Property	9/15/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	7/1/2016	12/13/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	7/1/2016	12/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/1/2016	12/13/2016
Active	Humana Insurance Company	301104	Agent - Health	2/22/2021
Inactive	Humana Insurance Company	301104	Agent - Life	7/1/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/1/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/1/2016	12/13/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	7/1/2016	12/13/2016
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	9/19/2019
Active	Indemnity Insurance Company of North America	301760	Agent - Property	9/19/2019
Inactive	Indiana Insurance Company	301909	Agent - Casualty	11/14/2019	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	11/14/2019	2/3/2023
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	12/15/2021
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	12/15/2021
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	3/25/2021
Active	Liberty Mutual Insurance Company	301159	Agent - Property	3/25/2021
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	8/21/2024
Active	Milford Casualty Insurance Company	301460	Agent - Property	8/21/2024
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Casualty	2/25/2020
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Property	2/25/2020
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Casualty	2/25/2020
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Property	2/25/2020
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	10/16/2018
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	10/16/2018
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	11/14/2019	5/10/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	11/14/2019	5/10/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	9/17/2015
Active	Ohio Casualty Insurance Company	301492	Agent - Property	11/14/2019
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	11/14/2019	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Property	11/14/2019	3/29/2024
Active	Owners Insurance Company	300796	Agent - Casualty	2/19/2025
Active	Owners Insurance Company	300796	Agent - Property	2/19/2025
Active	Pacific Indemnity Company	301610	Agent - Casualty	6/13/2019
Active	Pacific Indemnity Company	301610	Agent - Property	6/13/2019
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	11/14/2019	9/26/2024
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	11/14/2019	9/26/2024
Active	Peerless Insurance Company	301910	Agent - Casualty	11/14/2019
Active	Peerless Insurance Company	301910	Agent - Property	11/14/2019
Active	Principal Life Insurance Company	300129	Agent - Health	7/24/2023
Active	Principal Life Insurance Company	300129	Agent - Life	7/24/2023
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	9/20/2024
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	9/20/2024
Inactive	QBE Insurance Corporation	300515	Agent - Health	6/16/2017	8/12/2021
Active	Riverport Insurance Company	301714	Agent - Casualty	6/30/2024
Active	Riverport Insurance Company	301714	Agent - Property	6/30/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	4/18/2018	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	4/18/2018	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	4/18/2018	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	4/18/2018	3/29/2024
Active	Security National Insurance Company	301151	Agent - Casualty	8/21/2024
Active	Security National Insurance Company	301151	Agent - Property	8/21/2024
Active	Seneca Insurance Company Inc.	301762	Agent - Casualty	4/15/2021
Active	Seneca Insurance Company Inc.	301762	Agent - Property	4/15/2021
Active	Sequoia Insurance Company	628046	Agent - Casualty	8/21/2024
Active	Sequoia Insurance Company	628046	Agent - Property	8/21/2024
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	9/1/2020
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	9/1/2020
Active	StarNet Insurance Company	502746	Agent - Casualty	6/30/2024
Active	StarNet Insurance Company	502746	Agent - Property	6/30/2024
Active	Starmount Life Insurance Company	628031	Agent - Health	9/20/2024
Active	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Casualty	4/2/2021
Active	Swiss Re Corporate Solutions America Insurance Corporation	300338	Agent - Property	4/2/2021
Active	Swiss Re Corporate Solutions Premier Insurance Corporation	300479	Agent - Casualty	4/2/2021
Active	Swiss Re Corporate Solutions Premier Insurance Corporation	300479	Agent - Property	4/2/2021
Active	Technology Insurance Company	613278	Agent - Casualty	8/21/2024
Active	Technology Insurance Company	613278	Agent - Property	8/21/2024
Active	The Gray Casualty & Surety Company	661857	Agent - Casualty	10/4/2023
Active	The Phoenix Insurance Company	301502	Agent - Casualty	3/6/2017
Active	The Phoenix Insurance Company	301502	Agent - Property	3/6/2017
Active	Travelers Casualty and Surety Company	301067	Agent - Casualty	3/6/2017
Active	Travelers Casualty and Surety Company	301067	Agent - Property	3/6/2017
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	11/10/2020
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	11/10/2020
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	3/6/2017
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	3/6/2017
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	7/31/2020
Active	Travelers Personal Insurance Company	705785	Agent - Property	7/31/2020
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	3/6/2017
Active	Travelers Property Casualty Company of America	301649	Agent - Property	3/6/2017
Active	Tri-State Insurance Company of Minnesota	663528	Agent - Casualty	6/30/2024
Active	UNUM Life Insurance Company of America	300817	Agent - Health	9/20/2024
Active	UNUM Life Insurance Company of America	300817	Agent - Life	9/20/2024
Active	Unum Insurance Company	301499	Agent - Health	9/20/2024
Active	Unum Insurance Company	301499	Agent - Life	9/20/2024
Active	Wesco Insurance Company	300534	Agent - Casualty	8/21/2024
Active	Wesco Insurance Company	300534	Agent - Property	8/21/2024
Inactive	West American Insurance Company	301112	Agent - Casualty	11/14/2019	3/29/2024
Inactive	West American Insurance Company	301112	Agent - Property	11/14/2019	3/29/2024
Inactive	Westport Insurance Corporation	301875	Agent - Casualty	4/2/2021	4/20/2023
Inactive	Westport Insurance Corporation	301875	Agent - Property	4/2/2021	4/20/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anderson, Eric Earl	311358	Agent - Casualty	11/7/2019	1/14/2023
Inactive	Anderson, Eric Earl	311358	Agent - Health	5/29/2015	6/6/2018
Inactive	Anderson, Eric Earl	311358	Agent - Life	5/29/2015	1/14/2023
Inactive	Anderson, Eric Earl	311358	Agent - Property	11/7/2019	1/14/2023
Inactive	Cummings, R Scott	368976	Agent - Casualty	8/10/2015	6/6/2018
Inactive	Cummings, R Scott	368976	Agent - Property	8/10/2015	6/6/2018
Inactive	Dohn, Carl E	513398	Agent - Casualty	9/23/2020	7/31/2021
Inactive	Dohn, Carl E	513398	Agent - Property	9/23/2020	7/31/2021
Active	Praxmarer, Luke F	311741	Agent - Casualty	8/23/2021
Active	Praxmarer, Luke F	311741	Agent - Property	8/23/2021
Inactive	Pulgine, Anthony S	656468	Agent - Casualty	6/6/2018	11/7/2019
Inactive	Pulgine, Anthony S	656468	Agent - Health	6/6/2018	11/7/2019
Denied	Pulgine, Anthony S	656468	Agent - Life
Inactive	Pulgine, Anthony S	656468	Agent - Property	6/6/2018	11/7/2019
Inactive	Pulgine, Anthony S	656468	Surplus Lines Broker - Not Applicable	12/19/2016	11/7/2019
Denied	Rotolo, Raymond J	544600	Agent - Health
Denied	Rotolo, Raymond J	544600	Agent - Life
Active	Streich, David P	1018358	Agent - Health	11/7/2019
Active	Streich, David P	1018358	Agent - Life	11/7/2019
Active	Weiss, Howard A	720393	Agent - Casualty	11/25/2019
Active	Weiss, Howard A	720393	Agent - Property	11/25/2019
Active	Weiss, Howard A	720393	Surplus Lines Broker - Not Applicable	11/7/2019