DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bmt Insurance Advisors, Inc.	DOIID	965612	NAIC NPN	2005299

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	5/20/2021		3/31/2025
Active	Non Resident	Agent	Casualty	5/20/2021		3/31/2025
Inactive	Non Resident	Agent	Health	5/20/2021	2/9/2023
Inactive	Non Resident	Agent	Life	5/20/2021	2/9/2023
* 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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AIG Property Casualty Company	300621	Agent - Casualty	12/22/2021
Active	AIG Property Casualty Company	300621	Agent - Property	12/22/2021
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	6/25/2021	11/1/2022
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	6/25/2021	11/1/2022
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	6/7/2018	7/1/2020
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	6/7/2018	7/1/2020
Active	Crestbrook Insurance Company	805354	Agent - Casualty	11/2/2022
Active	Crestbrook Insurance Company	805354	Agent - Property	11/2/2022
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	11/2/2022
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	11/2/2022
Inactive	Travelers Personal Insurance Company	705785	Agent - Casualty	6/1/2021	11/4/2022
Inactive	Travelers Personal Insurance Company	705785	Agent - Property	6/1/2021	11/4/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Connelly, George Martin	901000	Agent - Casualty	8/30/2017	12/31/2020
Inactive	Connelly, George Martin	901000	Agent - Property	8/30/2017	12/31/2020
Active	Donato, William Chester	583549	Agent - Casualty	2/9/2023
Active	Donato, William Chester	583549	Agent - Property	2/9/2023
Inactive	Shaifer, Carl H	939487	Agent - Health	9/28/2017	4/30/2020
Inactive	Shaifer, Carl H	939487	Agent - Life	9/28/2017	4/30/2020
Inactive	Trubiano, Kimberly K	570051	Agent - Casualty	5/20/2021	2/9/2023
Inactive	Trubiano, Kimberly K	570051	Agent - Health	5/20/2021	2/9/2023
Inactive	Trubiano, Kimberly K	570051	Agent - Life	5/20/2021	2/9/2023
Inactive	Trubiano, Kimberly K	570051	Agent - Property	5/20/2021	2/9/2023