PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameRivera, Susan DOIID909702NAIC NPN12408246
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentProperty3/14/20162/28/2021 
InactiveNon ResidentAgentCasualty3/14/20162/28/2021 
InactiveNon ResidentSurplus Lines BrokerNot Applicable3/14/20162/28/2021 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHiscox Insurance Company Inc.300894Agent - Casualty8/29/20162/28/2021
InactiveHiscox Insurance Company Inc.300894Agent - Property8/29/20162/28/2021
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveTango Specialty Insurance Services LLC722327Agent - Property8/30/20165/13/2019
InactiveTango Specialty Insurance Services LLC722327Agent - Casualty8/30/20165/13/2019
InactiveTango Specialty Insurance Services LLC722327Surplus Lines Broker - Not Applicable3/31/20165/13/2019

© Commonwealth of Kentucky. All rights reserved.