DEPARTMENT OF INSURANCE

Name	Risen, Marc H	DOIID	348078	NAIC NPN	5953953

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Administrator	Not Applicable	4/5/1991		8/31/2024
Active	Resident	Agent	Property	8/15/2000		8/31/2024
Active	Resident	Agent	Casualty	8/15/2000		8/31/2024
Inactive	Resident	Agent	General Lines	7/12/1985	8/15/2000
Active	Resident	Managing General Agent	Not Applicable	9/22/1999		8/31/2024
Active	Resident	Surplus Lines Broker	Not Applicable	2/11/2016		8/31/2024

*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
Administrator	06/15/2024	08/31/2024
Agent	06/15/2024	08/31/2024
Managing General Agent	06/15/2024	08/31/2024
Surplus Lines Broker	06/15/2024	08/31/2024

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	9520 Ormsby Station Rd Ste 300 Louisville, KY 402235019
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(502) 429-9990