DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Provenzo, Gregory Paul	DOIID	1055291	NAIC NPN	3014156

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/9/2019		4/30/2026
Active	Non Resident	Agent	Property	9/9/2019		4/30/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/31/2022		4/30/2026
* 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	02/15/2026	04/30/2026
Surplus Lines Broker	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Berkley Insurance Company	301355	Agent - Casualty	12/28/2021
Active	RLI Insurance Company	301217	Agent - Casualty	7/2/2020
Active	RLI Insurance Company	301217	Agent - Property	7/2/2020
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	2/10/2020
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	2/10/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	RSG Specialty, LLC	726176	Agent - Casualty	10/11/2020
Active	RSG Specialty, LLC	726176	Agent - Property	10/11/2020