DEPARTMENT OF INSURANCE

Name	Convex North America Insurance Services LLC	DOIID	1154417	NAIC NPN	20031631

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	8/29/2024	3/31/2027
Active	Non Resident	Agent	Property	8/26/2021	3/31/2027
Active	Non Resident	Agent	Casualty	8/26/2021	3/31/2027
Active	Non Resident	Agent	Health	8/29/2024	3/31/2027
Active	Non Resident	Independent Adjuster	Property & Casualty	8/29/2024	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	8/26/2021	3/31/2027

*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	01/22/2025	01/22/2025	Yes
Surplus Lines Broker	01/15/2025	03/31/2025	01/22/2025	01/22/2025	Yes

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	47 Hulfish St Ste 310 Princeton, NJ 085423713

Internet Information

Type	Address
Business Email	bob.eells@convexin.com

Phone Information

Type	Phone
Business / Home Office	(215) 796-7556