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.

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