DEPARTMENT OF INSURANCE

Affiliations

Name	Orchid Underwriters Agency LLC DBA : Orchid Ins Brokers	DOIID	902184	NAIC NPN	15485539

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	12/18/2015	3/31/2027
Active	Non Resident	Agent	Casualty	12/18/2015	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	12/18/2015	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	02/11/2025	02/11/2025	Yes
Surplus Lines Broker	01/15/2025	03/31/2025	02/11/2025	02/11/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - Casualty	5/13/2016	3/6/2024
Inactive	ACE American Insurance Company	300625	Agent - Property	5/13/2016	3/6/2024
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	8/30/2016	3/6/2024
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	8/30/2016	3/6/2024
Active	AIG Property Casualty Company	300621	Agent - Casualty	2/10/2016
Active	AIG Property Casualty Company	300621	Agent - Property	2/10/2016
Inactive	American Alternative Insurance Corporation	301697	Agent - Casualty	6/5/2017	1/11/2021
Inactive	American Alternative Insurance Corporation	301697	Agent - Property	6/5/2017	1/11/2021
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	5/13/2016	3/6/2024
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	5/13/2016	3/6/2024
Inactive	Crestbrook Insurance Company	805354	Agent - Casualty	5/12/2017	6/12/2017
Inactive	Crestbrook Insurance Company	805354	Agent - Property	5/12/2017	6/12/2017
Inactive	Federal Insurance Company	301144	Agent - Casualty	3/7/2016	3/6/2024
Inactive	Federal Insurance Company	301144	Agent - Property	3/7/2016	3/6/2024
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	6/20/2017	3/6/2024
Inactive	Great Northern Insurance Company	301107	Agent - Property	6/20/2017	3/6/2024
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	11/25/2020	2/22/2021
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	11/25/2020	2/22/2021
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	11/25/2020	2/22/2021
Inactive	GuideOne Insurance Company	301794	Agent - Property	11/25/2020	2/22/2021
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	11/25/2020	2/22/2021
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	11/25/2020	2/22/2021
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	8/30/2016	3/6/2024
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	8/30/2016	3/6/2024
Active	Jewelers Mutual Insurance Company, SI	301935	Agent - Casualty	7/27/2020
Active	Jewelers Mutual Insurance Company, SI	301935	Agent - Property	7/27/2020
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	8/7/2017	12/28/2023
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Property	8/7/2017	12/28/2023
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	5/12/2017	6/12/2017
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	5/12/2017	6/12/2017
Inactive	Pacific Indemnity Company	301610	Agent - Casualty	6/20/2017	3/6/2024
Inactive	Pacific Indemnity Company	301610	Agent - Property	6/20/2017	3/6/2024
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	8/30/2016	3/6/2024
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	8/30/2016	3/6/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Derosa, Timothy Buckley	802073	Agent - Casualty	12/18/2015	7/29/2021
Inactive	Derosa, Timothy Buckley	802073	Agent - Property	12/18/2015	7/29/2021
Inactive	Derosa, Timothy Buckley	802073	Surplus Lines Broker - Not Applicable	12/18/2015	7/29/2021
Active	Mangeot, Hilary Celeste	911595	Agent - Casualty	7/15/2016
Active	Mangeot, Hilary Celeste	911595	Agent - Property	7/15/2016
Inactive	Schofield, Bryan W	1029805	Agent - Casualty	12/17/2020	2/23/2021
Inactive	Schofield, Bryan W	1029805	Agent - Property	12/17/2020	2/23/2021
Inactive	Schofield, Bryan W	1029805	Surplus Lines Broker - Not Applicable	12/17/2020	6/14/2021
Inactive	Terzer, Ronald	1132746	Agent - Casualty	7/29/2021	12/18/2024
Inactive	Terzer, Ronald	1132746	Agent - Property	7/29/2021	12/18/2024
Inactive	Terzer, Ronald	1132746	Surplus Lines Broker - Not Applicable	7/6/2021	12/18/2024
Active	Watje, James Robert	1108152	Agent - Casualty	12/18/2024
Active	Watje, James Robert	1108152	Agent - Property	12/18/2024
Active	Watje, James Robert	1108152	Surplus Lines Broker - Not Applicable	12/18/2024