DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Doxa E&S Solutions, LLC DBA : Promont Insurance Advisors, Transportation Insurors, Promont Insurance Advisors, Promont Insurance Advisors	DOIID	958156	NAIC NPN	18366398

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	4/15/2024		3/31/2025
Active	Non Resident	Agent	Health	4/15/2024		3/31/2025
Active	Non Resident	Agent	Casualty	10/1/2018		3/31/2025
Active	Non Resident	Agent	Property	10/1/2018		3/31/2025
Active	Non Resident	Independent Adjuster	Property & Casualty	10/26/2022		3/31/2025
Active	Non Resident	Managing General Agent	Not Applicable	10/11/2023		3/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	10/1/2018		3/31/2025
* 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	01/15/2025	03/31/2025
Independent Adjuster	01/15/2025	03/31/2025
Managing General Agent	01/15/2025	03/31/2025
Surplus Lines Broker	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arch Indemnity Insurance Company	301459	Agent - Casualty	7/27/2021
Active	Arch Indemnity Insurance Company	301459	Agent - Property	7/27/2021
Active	Arch Insurance Company	300688	Agent - Casualty	6/11/2020
Active	Arch Insurance Company	300688	Agent - Property	6/11/2020
Active	Great Midwest Insurance Company	301418	Agent - Casualty	10/26/2021
Active	Great Midwest Insurance Company	301418	Agent - Property	10/26/2021
Inactive	Hiscox Insurance Company Inc.	300894	Agent - Casualty	9/1/2017	8/21/2018
Inactive	Hiscox Insurance Company Inc.	300894	Agent - Property	9/1/2017	8/21/2018
Inactive	Imperium Insurance Company	300804	Agent - Casualty	10/26/2021	7/25/2023
Inactive	Imperium Insurance Company	300804	Agent - Property	10/26/2021	7/25/2023
Active	Medical Protective Company (The)	301207	Agent - Casualty	4/1/2020
Active	Medical Protective Company (The)	301207	Agent - Property	4/1/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Guerrero, Joseph	618007	Agent - Health	4/15/2024
Active	Guerrero, Joseph	618007	Agent - Life	4/15/2024
Inactive	Longbons, Jeffrey M	793526	Agent - Casualty	6/21/2017	8/21/2018
Inactive	Longbons, Jeffrey M	793526	Agent - Property	6/21/2017	8/21/2018
Inactive	Longbons, Jeffrey M	793526	Surplus Lines Broker - Not Applicable	6/21/2017	8/21/2018
Active	Morris, Gregory R	1000978	Agent - Casualty	10/1/2018
Active	Morris, Gregory R	1000978	Agent - Casualty	10/11/2023
Active	Morris, Gregory R	1000978	Agent - Property	10/1/2018
Active	Morris, Gregory R	1000978	Agent - Property	10/11/2023
Active	Morris, Gregory R	1000978	Surplus Lines Broker - Not Applicable	10/1/2018
Active	Penebaker, David James	669258	Staff Adjuster - Property & Casualty	10/26/2022