DEPARTMENT OF INSURANCE

Affiliations

Name	Convelo Ins Group LLC	DOIID	960585	NAIC NPN	18471398

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/18/2017	3/31/2025
Active	Non Resident	Agent	Property	7/18/2017	3/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	7/24/2017	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
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
Inactive	AIG Property Casualty Company	300621	Agent - Casualty	12/4/2017	1/3/2019
Inactive	AIG Property Casualty Company	300621	Agent - Property	12/4/2017	1/3/2019
Active	AmTrust Insurance Company	300179	Agent - Casualty	7/26/2022
Active	AmTrust Insurance Company	300179	Agent - Property	7/26/2022
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	6/20/2018	8/17/2022
Inactive	Dairyland Insurance Company	301370	Agent - Property	6/20/2018	8/17/2022
Active	Diamond State Insurance Company	300468	Agent - Casualty	6/19/2019
Active	Diamond State Insurance Company	300468	Agent - Property	6/19/2019
Active	Employers Assurance Company	300120	Agent - Casualty	10/19/2022
Active	Employers Compensation Insurance Company	797885	Agent - Casualty	8/6/2018
Active	Employers Preferred Insurance Company	520656	Agent - Casualty	10/19/2022
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
Active	GuideOne Elite Insurance Company	300490	Agent - Casualty	5/18/2020
Active	GuideOne Elite Insurance Company	300490	Agent - Property	5/18/2020
Active	GuideOne Insurance Company	301794	Agent - Casualty	5/18/2020
Active	GuideOne Insurance Company	301794	Agent - Property	5/18/2020
Active	GuideOne Specialty Insurance Company	300278	Agent - Casualty	5/18/2020
Active	GuideOne Specialty Insurance Company	300278	Agent - Property	5/18/2020
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	7/26/2022
Active	Milford Casualty Insurance Company	301460	Agent - Property	7/26/2022
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	12/15/2017	1/16/2020
Inactive	Praetorian Insurance Company	301021	Agent - Property	12/15/2017	1/16/2020
Active	Security National Insurance Company	301151	Agent - Casualty	7/26/2022
Active	Security National Insurance Company	301151	Agent - Property	7/26/2022
Active	Sequoia Insurance Company	628046	Agent - Casualty	7/26/2022
Active	Sequoia Insurance Company	628046	Agent - Property	7/26/2022
Active	Technology Insurance Company	613278	Agent - Casualty	7/26/2022
Active	Technology Insurance Company	613278	Agent - Property	7/26/2022
Active	Wesco Insurance Company	300534	Agent - Casualty	7/26/2022
Active	Wesco Insurance Company	300534	Agent - Property	7/26/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Greenwald, Thomas A	957020	Agent - Casualty	7/18/2017	11/20/2019
Inactive	Greenwald, Thomas A	957020	Agent - Property	7/18/2017	11/20/2019
Active	Greenwald, Thomas A	957020	Surplus Lines Broker - Not Applicable	7/24/2017
Active	Lamberg, Joshua Aaron	618388	Agent - Casualty	6/25/2020
Active	Lamberg, Joshua Aaron	618388	Agent - Property	6/25/2020
Active	Lamberg, Joshua Aaron	618388	Surplus Lines Broker - Not Applicable	6/25/2020
Denied	Mercier, Brandon L	1124148	Agent - Casualty
Denied	Mercier, Brandon L	1124148	Agent - Property
Denied	Penley, James Douglas	1125941	Agent - Casualty
Denied	Penley, James Douglas	1125941	Agent - Property
Inactive	Sims, Steven E	670448	Agent - Casualty	11/20/2019	6/25/2020
Inactive	Sims, Steven E	670448	Agent - Property	11/20/2019	6/25/2020
Inactive	Sims, Steven E	670448	Surplus Lines Broker - Not Applicable	11/20/2019	10/8/2020