DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Wiley, Justin Allen	DOIID	950235	NAIC NPN	8944095

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/12/2022		1/31/2027
Active	Non Resident	Agent	Property	4/12/2021		1/31/2027
Active	Non Resident	Agent	Health	4/12/2022		1/31/2027
Active	Non Resident	Agent	Casualty	4/12/2021		1/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/21/2021		1/31/2027
* 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	11/15/2026	01/31/2027
Surplus Lines Broker	11/15/2026	01/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AGCS Marine Insurance Company	300403	Agent - Casualty	4/20/2017	1/31/2019
Inactive	AGCS Marine Insurance Company	300403	Agent - Property	4/20/2017	1/31/2019
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	4/20/2017	1/31/2019
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	4/20/2017	1/31/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accretive Global Insurance Services, LLC	1199431	Agent - Property	4/15/2022
Active	Accretive Global Insurance Services, LLC	1199431	Agent - Casualty	4/15/2022
Active	Accretive Global Insurance Services, LLC	1199431	Surplus Lines Broker - Not Applicable	4/29/2022
Active	Accretive Global Insurance Services, LLC	1199431	Agent - Life	4/15/2022
Active	Accretive Global Insurance Services, LLC	1199431	Agent - Health	4/15/2022
Active	Accretive Global Risk Advisors LLC	1197890	Agent - Property	4/8/2022
Active	Accretive Global Risk Advisors LLC	1197890	Agent - Casualty	4/8/2022
Inactive	Accretive Global Risk Advisors LLC	1197890	Surplus Lines Broker - Not Applicable	4/18/2022	8/9/2023
Inactive	Accretive Global Risk Advisors LLC	1197890	Agent - Life	4/18/2022	6/23/2025
Inactive	Accretive Global Risk Advisors LLC	1197890	Agent - Health	4/18/2022	6/23/2025
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	4/20/2017	3/27/2018
Inactive	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	4/20/2017	3/27/2018
Denied	Eirion Risk Underwriters LLC	1199328	Agent - Property
Denied	Eirion Risk Underwriters LLC	1199328	Agent - Casualty
Inactive	Non-Profit Insurance Services, Inc.	1128945	Agent - Property	4/12/2021	4/24/2025
Inactive	Non-Profit Insurance Services, Inc.	1128945	Agent - Casualty	4/12/2021	4/24/2025
Inactive	Non-Profit Insurance Services, Inc.	1128945	Surplus Lines Broker - Not Applicable	8/31/2021	4/24/2025