DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Adams, Philip E	DOIID	880622	NAIC NPN	3760226

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/16/2015		11/30/2026
Active	Non Resident	Agent	Property	6/16/2015		11/30/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/16/2015		11/30/2026
* 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	09/15/2024	11/30/2024	09/23/2024	09/23/2024	Yes
Surplus Lines Broker	09/15/2024	11/30/2024	09/23/2024	09/23/2024	Yes

Designated to act on behalf of the following Business Entities

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