DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Fidelis Marine Underwriters LLC	DOIID	945482	NAIC NPN	14237107

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	2/21/2017	4/19/2021
Inactive	Non Resident	Agent	Property	2/21/2017	4/19/2021
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	2/21/2017	3/17/2021
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	U.S. Specialty Insurance Company	300186	Agent - Casualty	3/3/2017	4/19/2021
Inactive	U.S. Specialty Insurance Company	300186	Agent - Property	3/3/2017	4/19/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brown, Henry Elder	940936	Agent - Casualty	2/21/2017	4/19/2021
Inactive	Brown, Henry Elder	940936	Agent - Property	2/21/2017	4/19/2021
Inactive	Brown, Lawrence Baldwin	940007	Agent - Casualty	2/21/2017	4/19/2021
Inactive	Brown, Lawrence Baldwin	940007	Agent - Property	2/21/2017	4/19/2021
Inactive	Luke, Daniel	940341	Agent - Casualty	2/21/2017	4/19/2021
Inactive	Luke, Daniel	940341	Agent - Property	2/21/2017	4/19/2021
Inactive	Luke, Daniel	940341	Surplus Lines Broker - Not Applicable	2/21/2017	3/17/2021