DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Rivera, Stacy	DOIID	898804	NAIC NPN	13703720

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/12/2015	11/19/2018
Inactive	Non Resident	Agent	Casualty	11/12/2015	11/19/2018
* 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 Contractors Indemnity Company	536843	Agent - Casualty	12/5/2016	1/7/2019
Inactive	Argonaut Insurance Company	301422	Agent - Casualty	9/26/2016	8/13/2018
Inactive	Argonaut Insurance Company	301422	Agent - Property	9/26/2016	8/13/2018
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Casualty	8/2/2016	10/25/2018
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Property	8/2/2016	10/25/2018
Inactive	Great American Insurance Company	301586	Agent - Casualty	12/17/2015	11/19/2018
Inactive	Great American Insurance Company	301586	Agent - Property	12/17/2015	11/19/2018
Inactive	Guarantee Company of North America USA (The)	300857	Agent - Casualty	10/5/2016	11/19/2018
Inactive	International Fidelity Insurance Company	301131	Agent - Casualty	10/28/2016	1/10/2018
Inactive	U.S. Specialty Insurance Company	300186	Agent - Casualty	12/5/2016	1/7/2019
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	11/18/2015	1/24/2018
Inactive	Zurich American Insurance Company	301121	Agent - Property	11/18/2015	1/24/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis of Connecticut LLC	566166	Agent - Casualty	11/25/2015	12/20/2017
Inactive	Willis of Connecticut LLC	566166	Agent - Property	11/25/2015	12/20/2017