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	3/31/2027
Active	Non Resident	Agent	Property	7/18/2017	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	7/24/2017	3/31/2027
* 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	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
Active	Berkley National Insurance Company	515028	Agent - Casualty	11/7/2024
Active	Berkley National Insurance Company	515028	Agent - Property	11/7/2024
Active	Berkley Regional Insurance Company	300920	Agent - Casualty	11/7/2024
Active	Berkley Regional Insurance Company	300920	Agent - Property	11/7/2024
Active	Church Mutual Insurance Company, S.I.	301554	Agent - Casualty	7/24/2024
Active	Church Mutual Insurance Company, S.I.	301554	Agent - Property	7/24/2024
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	StarNet Insurance Company	502746	Agent - Casualty	11/7/2024
Active	StarNet Insurance Company	502746	Agent - Property	11/7/2024
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