DEPARTMENT OF INSURANCE

Affiliations

Name	Aegis Ins Services Inc	DOIID	916921	NAIC NPN	3385593

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/23/2016	3/31/2026
Active	Non Resident	Agent	Property	6/23/2016	3/31/2026
Active	Non Resident	Independent Adjuster	Property & Casualty	6/20/2016	3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/23/2016	3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Byrne, Justen G	987486	Agent - Casualty	2/7/2022
Active	Byrne, Justen G	987486	Agent - Property	2/7/2022
Active	Byrne, Justen G	987486	Surplus Lines Broker - Not Applicable	5/31/2018
Inactive	Carnovale, Paul	874152	Independent Adjuster - Property & Casualty	6/20/2016	5/11/2023
Active	Cook, Jane	1031771	Agent - Casualty	2/7/2022
Active	Cook, Jane	1031771	Agent - Property	2/7/2022
Active	Cook, Jane	1031771	Surplus Lines Broker - Not Applicable	1/11/2022
Active	Granzow, Andrew S	683851	Independent Adjuster - Property & Casualty	12/20/2017
Denied	Larson, Karen P	918071	Agent - Casualty
Denied	Larson, Karen P	918071	Agent - Property
Inactive	Larson, Karen P	918071	Surplus Lines Broker - Not Applicable	8/23/2016	2/10/2022
Denied	Madden, Brian Michael	987484	Agent - Casualty
Denied	Madden, Brian Michael	987484	Agent - Property
Active	Madden, Brian Michael	987484	Surplus Lines Broker - Not Applicable	3/18/2022
Inactive	Madden, Brian S	918072	Agent - Casualty	6/23/2016	2/10/2022
Inactive	Madden, Brian S	918072	Agent - Property	6/23/2016	2/10/2022
Inactive	Madden, Brian S	918072	Surplus Lines Broker - Not Applicable	6/23/2016	2/10/2022
Denied	Rivera, Raysa Maritza	1192747	Agent - Casualty
Denied	Rivera, Raysa Maritza	1192747	Agent - Property
Active	Rivera, Raysa Maritza	1192747	Surplus Lines Broker - Not Applicable	3/18/2022
Active	Roznowski, Joshua	863725	Independent Adjuster - Property & Casualty	10/5/2017
Active	Stephens, Jeremy Lane	1208066	Agent - Casualty	9/1/2022
Active	Stephens, Jeremy Lane	1208066	Agent - Property	9/1/2022
Denied	Viswambharan, Smitha	925707	Agent - Casualty
Denied	Viswambharan, Smitha	925707	Agent - Property
Active	Viswambharan, Smitha	925707	Surplus Lines Broker - Not Applicable	9/7/2016