DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Greenwald, Thomas A	DOIID	957020	NAIC NPN	3328854

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/12/2017		12/31/2025
Active	Non Resident	Agent	Property	6/12/2017		12/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/17/2017		12/31/2025
* 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	10/15/2025	12/31/2025
Surplus Lines Broker	10/15/2025	12/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Property Casualty Company	300621	Agent - Casualty	12/4/2017	1/8/2019
Inactive	AIG Property Casualty Company	300621	Agent - Property	12/4/2017	1/8/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/18/2018	10/30/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/18/2018	10/30/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Convelo Ins Group LLC	960585	Agent - Property	7/18/2017	11/20/2019
Inactive	Convelo Ins Group LLC	960585	Agent - Casualty	7/18/2017	11/20/2019
Active	Convelo Ins Group LLC	960585	Surplus Lines Broker - Not Applicable	7/24/2017
Inactive	Insur Risk Management Services, LLC	1081105	Agent - Property	4/14/2020	12/16/2020
Inactive	Insur Risk Management Services, LLC	1081105	Agent - Casualty	4/14/2020	12/16/2020
Inactive	Insur Risk Management Services, LLC	1081105	Surplus Lines Broker - Not Applicable	4/14/2020	12/16/2020