DEPARTMENT OF INSURANCE

Affiliations

Name	Aps Placement, LLC	DOIID	1019022	NAIC NPN	18968016

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	11/13/2018	3/31/2026
Active	Non Resident	Agent	Casualty	11/13/2018	3/31/2026
Active	Non Resident	Agent	Health	11/13/2018	3/31/2026
Active	Non Resident	Agent	Property	11/13/2018	3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	11/21/2018	3/31/2026
* 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	01/15/2026	03/31/2026
Surplus Lines Broker	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	12/11/2019	12/15/2020
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	12/11/2019	12/15/2020
Inactive	Farmington Casualty Company	301137	Agent - Casualty	12/11/2019	12/15/2020
Inactive	Farmington Casualty Company	301137	Agent - Property	12/11/2019	12/15/2020
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	12/11/2019	12/15/2020
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	12/11/2019	12/15/2020
Active	State National Insurance Company, Inc.	300888	Agent - Casualty	1/13/2020
Active	State National Insurance Company, Inc.	300888	Agent - Property	1/13/2020
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	12/11/2019	12/15/2020
Inactive	The Phoenix Insurance Company	301502	Agent - Property	12/11/2019	12/15/2020
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	12/11/2019	12/15/2020
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	12/11/2019	12/15/2020
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	12/11/2019	12/15/2020
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	12/11/2019	12/15/2020
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	12/11/2019	12/15/2020
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	12/11/2019	12/15/2020
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	12/11/2019	12/15/2020
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	12/11/2019	12/15/2020
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	12/11/2019	12/15/2020
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	12/11/2019	12/15/2020
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	12/11/2019	12/15/2020
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	12/11/2019	12/15/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hayward, Sharon Rose	837774	Surplus Lines Broker - Not Applicable	11/21/2018	5/21/2019
Active	Kolenda, Courtney Lynne	1022910	Agent - Casualty	5/21/2019
Active	Kolenda, Courtney Lynne	1022910	Agent - Health	5/21/2019
Active	Kolenda, Courtney Lynne	1022910	Agent - Life	7/1/2019
Active	Kolenda, Courtney Lynne	1022910	Agent - Property	5/21/2019
Active	Kolenda, Courtney Lynne	1022910	Surplus Lines Broker - Not Applicable	5/21/2019
Inactive	Parker, William L	511526	Agent - Casualty	11/13/2018	5/21/2019
Inactive	Parker, William L	511526	Agent - Health	11/13/2018	5/21/2019
Inactive	Parker, William L	511526	Agent - Life	11/13/2018	7/8/2019
Inactive	Parker, William L	511526	Agent - Property	11/13/2018	5/21/2019