DEPARTMENT OF INSURANCE

Affiliations

Name	Acrisure Southeast Specialty Insurance Agency, LLC	DOIID	1089877	NAIC NPN	19450427

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/20/2020	3/31/2026
Active	Non Resident	Agent	Property	7/20/2020	3/31/2026
Active	Non Resident	Agent	Life	7/20/2020	3/31/2026
Active	Non Resident	Agent	Health	7/20/2020	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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	All Savers Insurance Company	301940	Agent - Health	8/1/2024
Active	All Savers Insurance Company	301940	Agent - Life	8/1/2024
Active	AmTrust Insurance Company	300179	Agent - Casualty	11/18/2020
Active	AmTrust Insurance Company	300179	Agent - Property	11/18/2020
Active	American Contractors Indemnity Company	536843	Agent - Casualty	5/14/2021
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	1/7/2021
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	5/5/2023	11/27/2023
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	5/5/2023	11/27/2023
Inactive	Companion Life Insurance Company	300191	Agent - Health	6/28/2021	12/21/2023
Inactive	Companion Life Insurance Company	300191	Agent - Life	6/28/2021	12/21/2023
Active	Fidelity Security Life Insurance Company	300466	Agent - Health	2/22/2021
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	2/22/2021
Active	Great American Assurance Company	300327	Agent - Casualty	2/28/2024
Active	Great American Assurance Company	300327	Agent - Property	2/28/2024
Active	Great American Insurance Company	301586	Agent - Casualty	11/14/2024
Active	Great American Insurance Company	301586	Agent - Property	11/14/2024
Active	Great American Spirit Insurance Company	300233	Agent - Casualty	5/1/2024
Active	Great American Spirit Insurance Company	300233	Agent - Property	5/1/2024
Active	Hartford Underwriters Insurance Company	301064	Agent - Casualty	7/10/2022
Active	Hartford Underwriters Insurance Company	301064	Agent - Property	7/10/2022
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	11/18/2020
Active	Milford Casualty Insurance Company	301460	Agent - Property	11/18/2020
Active	Nationwide Life Insurance Company	300495	Agent - Health	5/10/2021
Active	Nationwide Life Insurance Company	300495	Agent - Life	5/10/2021
Active	Next Insurance US Company	1083825	Agent - Casualty	1/18/2023
Active	Next Insurance US Company	1083825	Agent - Property	1/18/2023
Active	Pennsylvania National Mutual Casualty Insurance Company	301395	Agent - Casualty	1/19/2021
Active	Pennsylvania National Mutual Casualty Insurance Company	301395	Agent - Property	1/19/2021
Active	Security National Insurance Company	301151	Agent - Casualty	11/18/2020
Active	Security National Insurance Company	301151	Agent - Property	11/18/2020
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	6/18/2021	10/18/2023
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	6/18/2021	10/18/2023
Active	Sequoia Insurance Company	628046	Agent - Casualty	11/18/2020
Active	Sequoia Insurance Company	628046	Agent - Property	11/18/2020
Active	Technology Insurance Company	613278	Agent - Casualty	11/18/2020
Active	Technology Insurance Company	613278	Agent - Property	11/18/2020
Active	U.S. Specialty Insurance Company	300186	Agent - Casualty	5/14/2021
Inactive	United Financial Casualty Company	301886	Agent - Casualty	11/3/2021	4/3/2025
Inactive	United Financial Casualty Company	301886	Agent - Property	11/3/2021	4/3/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	6/19/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	6/19/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/19/2024
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Life	6/19/2024
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/1/2024
Active	Wesco Insurance Company	300534	Agent - Casualty	11/18/2020
Active	Wesco Insurance Company	300534	Agent - Property	11/18/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Couch, Gregory W	1286432	Agent - Casualty	5/14/2025
Active	Couch, Gregory W	1286432	Agent - Property	5/14/2025
Active	Davis, Jennifer	1120910	Agent - Health	4/29/2021
Active	Davis, Jennifer	1120910	Agent - Life	4/29/2021
Active	Kolenda, Courtney Lynne	1022910	Agent - Casualty	7/20/2020
Active	Kolenda, Courtney Lynne	1022910	Agent - Health	7/20/2020
Active	Kolenda, Courtney Lynne	1022910	Agent - Life	7/20/2020
Active	Kolenda, Courtney Lynne	1022910	Agent - Property	7/20/2020
Active	McCarty, Charles	1168716	Agent - Casualty	5/14/2025
Active	McCarty, Charles	1168716	Agent - Property	5/14/2025
Inactive	Upton, Jason Blaine	735703	Agent - Casualty	9/16/2020	3/12/2025
Inactive	Upton, Jason Blaine	735703	Agent - Property	9/16/2020	3/12/2025