DEPARTMENT OF INSURANCE

Name	Acrisure Insurance Partners Services Of NY LLC	DOIID	1250681	NAIC NPN	20579102

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	1/11/2023	3/31/2027
Active	Non Resident	Agent	Casualty	1/11/2023	3/31/2027
Active	Non Resident	Agent	Property	1/11/2023	3/31/2027
Active	Non Resident	Agent	Health	1/11/2023	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/19/2023	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	01/31/2025	01/31/2025	Yes
Surplus Lines Broker	01/15/2025	03/31/2025	01/31/2025	01/31/2025	Yes

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

Address Information

Type	Address
Business / Home Office	One Liberty Plaza, 19th Floor New York, NY 10006

Internet Information

Type	Address
Business Email	insurancelicensing@acrisure.com

Phone Information

Type	Phone
Business / Home Office	(800) 748-0351