PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameBowhead Specialty Underwriters Inc.DOIID1102220NAIC NPN19853093
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty10/2/2020 3/31/2026
ActiveNon ResidentAgentProperty10/2/2020 3/31/2026
ActiveNon ResidentManaging General AgentNot Applicable4/16/2024 3/31/2026
ActiveNon ResidentSurplus Lines BrokerNot Applicable10/16/2020 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Managing General Agent01/15/202603/31/2026   
Surplus Lines Broker01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveMidvale Indemnity Company300292Agent - Casualty2/1/2021 
ActiveMidvale Indemnity Company300292Agent - Property2/1/2021 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveGisi, Gregory V 783942Surplus Lines Broker - Not Applicable10/16/20205/5/2021
InactiveGood, Chester John 868973Agent - Casualty10/2/20205/5/2021
InactiveGood, Chester John 868973Agent - Property10/2/20205/5/2021
ActiveMack, Benjamin Jason 800959Agent - Casualty4/20/2022 
ActiveMack, Benjamin Jason 800959Agent - Casualty4/17/2024 
ActiveMack, Benjamin Jason 800959Agent - Property4/20/2022 
ActiveMack, Benjamin Jason 800959Agent - Property4/17/2024 
ActiveMack, Benjamin Jason 800959Surplus Lines Broker - Not Applicable4/12/2022 
InactiveMazzone, Susanne M 1117660Agent - Casualty5/5/20214/20/2022
DeniedMazzone, Susanne M 1117660Agent - Casualty  
InactiveMazzone, Susanne M 1117660Agent - Property5/5/20214/20/2022
DeniedMazzone, Susanne M 1117660Agent - Property  
InactiveMazzone, Susanne M 1117660Surplus Lines Broker - Not Applicable5/5/20214/20/2022

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