DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Accretive Global Risk Advisors LLC	DOIID	1197890	NAIC NPN	20010273

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	4/8/2022		3/31/2026
Active	Non Resident	Agent	Casualty	4/8/2022		3/31/2026
Inactive	Non Resident	Agent	Life	4/17/2022	6/23/2025
Inactive	Non Resident	Agent	Health	4/17/2022	6/23/2025
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	4/17/2022	8/9/2023
* 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	AmTrust Insurance Company	300179	Agent - Casualty	10/4/2023
Active	AmTrust Insurance Company	300179	Agent - Property	10/4/2023
Active	Employers Assurance Company	300120	Agent - Casualty	4/9/2024
Active	Employers Compensation Insurance Company	797885	Agent - Casualty	4/9/2024
Active	Employers Preferred Insurance Company	520656	Agent - Casualty	4/9/2024
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	10/4/2023
Active	Milford Casualty Insurance Company	301460	Agent - Property	10/4/2023
Active	Security National Insurance Company	301151	Agent - Casualty	10/4/2023
Active	Security National Insurance Company	301151	Agent - Property	10/4/2023
Active	Sequoia Insurance Company	628046	Agent - Casualty	10/4/2023
Active	Sequoia Insurance Company	628046	Agent - Property	10/4/2023
Active	Technology Insurance Company	613278	Agent - Casualty	10/4/2023
Active	Technology Insurance Company	613278	Agent - Property	10/4/2023
Active	Wesco Insurance Company	300534	Agent - Casualty	10/4/2023
Active	Wesco Insurance Company	300534	Agent - Property	10/4/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Wiley, Justin Allen	950235	Agent - Casualty	4/8/2022
Inactive	Wiley, Justin Allen	950235	Agent - Health	4/18/2022	6/23/2025
Inactive	Wiley, Justin Allen	950235	Agent - Life	4/18/2022	6/23/2025
Active	Wiley, Justin Allen	950235	Agent - Property	4/8/2022
Inactive	Wiley, Justin Allen	950235	Surplus Lines Broker - Not Applicable	4/18/2022	8/9/2023