DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pasquale, Thomas A	DOIID	911721	NAIC NPN	2069677

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	4/4/2016		6/30/2026
Active	Non Resident	Agent	Casualty	4/4/2016		6/30/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/2/2023		6/30/2026
* 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	04/15/2024	06/30/2024	04/26/2024	04/26/2024	Yes
Surplus Lines Broker	04/15/2024	06/30/2024	04/26/2024	04/26/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AmTrust Insurance Company	300179	Agent - Casualty	2/12/2018
Active	AmTrust Insurance Company	300179	Agent - Property	2/12/2018
Active	Arch Insurance Company	300688	Agent - Casualty	6/5/2023
Active	Arch Insurance Company	300688	Agent - Property	6/5/2023
Active	CUMIS Insurance Society Inc.	300859	Agent - Casualty	12/1/2020
Active	CUMIS Insurance Society Inc.	300859	Agent - Property	12/1/2020
Active	CorePointe Insurance Company	300406	Agent - Casualty	10/29/2021
Active	CorePointe Insurance Company	300406	Agent - Property	10/29/2021
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	2/12/2018
Active	Milford Casualty Insurance Company	301460	Agent - Property	2/12/2018
Active	Security National Insurance Company	301151	Agent - Casualty	10/6/2017
Active	Security National Insurance Company	301151	Agent - Property	10/6/2017
Active	Southern Insurance Company	301630	Agent - Casualty	10/29/2021
Active	Southern Insurance Company	301630	Agent - Property	10/29/2021
Active	Technology Insurance Company	613278	Agent - Casualty	2/12/2018
Active	Technology Insurance Company	613278	Agent - Property	2/12/2018
Active	Wesco Insurance Company	300534	Agent - Casualty	2/12/2018
Active	Wesco Insurance Company	300534	Agent - Property	2/12/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Amynta P&C LLC	724011	Agent - Property	12/21/2023
Active	Amynta P&C LLC	724011	Agent - Casualty	12/21/2023
Active	Amynta P&C LLC	724011	Surplus Lines Broker - Not Applicable	12/21/2023
Active	Oryx Ins Brokerage Inc	947626	Agent - Property	3/13/2017
Active	Oryx Ins Brokerage Inc	947626	Agent - Casualty	3/13/2017
Denied	Total Program Management LLC	857139	Surplus Lines Broker - Not Applicable