DEPARTMENT OF INSURANCE

Affiliations

Name	Select Risk Services, Inc.	DOIID	1184193	NAIC NPN	18937890

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Pending Replacement	Non Resident	Agent	Property	1/21/2022	3/31/2026
Pending Replacement	Non Resident	Agent	Casualty	1/21/2022	3/31/2026
Pending Replacement	Non Resident	Surplus Lines Broker	Not Applicable	1/21/2022	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
Pending Replacement	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	4/19/2024
Pending Replacement	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	4/19/2024
Pending Replacement	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	4/19/2024
Pending Replacement	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	4/19/2024
Inactive	Arch Insurance Company	300688	Agent - Casualty	9/29/2022	2/27/2026
Inactive	Arch Insurance Company	300688	Agent - Property	9/29/2022	2/27/2026
Pending Replacement	Hanover American Insurance Company (The)	300447	Agent - Casualty	4/19/2024
Pending Replacement	Hanover American Insurance Company (The)	300447	Agent - Property	4/19/2024
Pending Replacement	Hanover Insurance Company (The)	300508	Agent - Casualty	4/19/2024
Pending Replacement	Hanover Insurance Company (The)	300508	Agent - Property	4/19/2024
Pending Replacement	Massachusetts Bay Insurance Company	300898	Agent - Casualty	4/19/2024
Pending Replacement	Massachusetts Bay Insurance Company	300898	Agent - Property	4/19/2024
Pending Replacement	Star Insurance Company	301553	Agent - Casualty	12/6/2025
Pending Replacement	Star Insurance Company	301553	Agent - Property	12/6/2025
Pending Replacement	TNUS Insurance Company	593776	Agent - Casualty	10/3/2022
Pending Replacement	TNUS Insurance Company	593776	Agent - Property	10/3/2022
Pending Replacement	Tokio Marine America Insurance Company	786458	Agent - Casualty	8/1/2022
Pending Replacement	Tokio Marine America Insurance Company	786458	Agent - Property	8/1/2022
Pending Replacement	Trans Pacific Insurance Company	300076	Agent - Casualty	10/3/2022
Pending Replacement	Trans Pacific Insurance Company	300076	Agent - Property	10/3/2022
Pending Replacement	Verlan Fire Insurance Company	517102	Agent - Casualty	4/19/2024
Pending Replacement	Verlan Fire Insurance Company	517102	Agent - Property	4/19/2024
Pending Replacement	Williamsburg National Insurance Company	301825	Agent - Casualty	12/6/2025
Pending Replacement	Williamsburg National Insurance Company	301825	Agent - Property	12/6/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Ross, Brandi Ellis	1183502	Agent - Casualty	1/21/2022
Active	Ross, Brandi Ellis	1183502	Agent - Property	1/21/2022
Active	Ross, Brandi Ellis	1183502	Surplus Lines Broker - Not Applicable	1/21/2022