DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Acrisure Re US Limited	DOIID	900078	NAIC NPN	9134081

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/23/2015		3/31/2025
Active	Non Resident	Agent	Casualty	11/23/2015		3/31/2025
Active	Non Resident	Reinsurance Intermediary Broker	Not Applicable	11/23/2015		3/31/2025
* 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
Reinsurance Intermediary Broker	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	10/10/2018
Active	ACE American Insurance Company	300625	Agent - Property	10/10/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Kolenda, Courtney Lynne	1022910	Agent - Casualty	9/9/2021
Active	Kolenda, Courtney Lynne	1022910	Agent - Property	9/9/2021
Active	Kolenda, Courtney Lynne	1022910	Reinsurance Intermediary Broker - Not Applicable	9/9/2021
Inactive	Peters, Christopher J	899250	Agent - Casualty	11/23/2015	9/9/2021
Inactive	Peters, Christopher J	899250	Agent - Property	11/23/2015	9/9/2021
Inactive	Peters, Christopher J	899250	Reinsurance Intermediary Broker - Not Applicable	11/23/2015	9/9/2021