DEPARTMENT OF INSURANCE

Affiliations

Name	The Ambassador Group LLC DBA : AMBASSADOR ALTERNATIVE INSURANCE SOLUTIONS, LLC	DOIID	885869	NAIC NPN	17676782

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	11/8/2018	9/1/2020
Inactive	Resident	Agent	Life	11/8/2018	9/1/2020
Inactive	Resident	Agent	Property	8/6/2015	3/31/2021
Inactive	Resident	Agent	Casualty	8/6/2015	3/31/2021
* 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
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	2/20/2020	3/31/2021
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	2/20/2020	3/31/2021
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	2/20/2020	3/31/2021
Inactive	American Zurich Insurance Company	300592	Agent - Property	2/20/2020	3/31/2021
Inactive	Commerce and Industry Insurance Company	300881	Agent - Casualty	1/8/2019	3/31/2021
Inactive	Commerce and Industry Insurance Company	300881	Agent - Property	1/8/2019	3/31/2021
Inactive	Manufacturers Alliance Insurance Company	519940	Agent - Casualty	2/5/2016	4/5/2021
Inactive	Manufacturers Alliance Insurance Company	519940	Agent - Property	2/5/2016	4/5/2021
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	1/8/2019	3/31/2021
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	1/8/2019	3/31/2021
Inactive	New Hampshire Insurance Company	301670	Agent - Casualty	1/8/2019	3/31/2021
Inactive	New Hampshire Insurance Company	301670	Agent - Property	1/8/2019	3/31/2021
Inactive	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Casualty	2/5/2016	4/5/2021
Inactive	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Property	2/5/2016	4/5/2021
Inactive	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Casualty	2/5/2016	4/5/2021
Inactive	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Property	2/5/2016	4/5/2021
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	2/20/2020	3/31/2021
Inactive	Zurich American Insurance Company	301121	Agent - Property	2/20/2020	3/31/2021
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	2/20/2020	3/31/2021
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	2/20/2020	3/31/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lubbers, Aaron G	681534	Agent - Casualty	5/6/2019	11/18/2020
Inactive	Lubbers, Aaron G	681534	Agent - Property	5/6/2019	11/18/2020
Inactive	Smith, Darin	518601	Agent - Casualty	8/6/2015	9/1/2020
Inactive	Smith, Darin	518601	Agent - Health	11/8/2018	9/1/2020
Inactive	Smith, Darin	518601	Agent - Life	11/8/2018	9/1/2020
Inactive	Smith, Darin	518601	Agent - Property	8/6/2015	9/1/2020
Inactive	White, Brandon Michael	562567	Agent - Casualty	8/6/2015	3/31/2021
Denied	White, Brandon Michael	562567	Agent - Health
Denied	White, Brandon Michael	562567	Agent - Life
Inactive	White, Brandon Michael	562567	Agent - Property	8/6/2015	3/31/2021