DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Accretive Global Insurance Services, LLC	DOIID	1199431	NAIC NPN	19836846

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	4/15/2022		3/31/2026
Active	Non Resident	Agent	Life	4/15/2022		3/31/2026
Active	Non Resident	Agent	Casualty	4/15/2022		3/31/2026
Active	Non Resident	Agent	Health	4/15/2022		3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/29/2022		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
Active	Affiliated FM Insurance Company	300108	Agent - Casualty	7/3/2024
Active	Affiliated FM Insurance Company	300108	Agent - Property	7/3/2024
Active	Federal Insurance Company	301144	Agent - Casualty	2/13/2024
Active	Federal Insurance Company	301144	Agent - Property	2/13/2024
Active	Star Insurance Company	301553	Agent - Casualty	2/15/2024
Active	Star Insurance Company	301553	Agent - Property	2/15/2024
Active	Williamsburg National Insurance Company	301825	Agent - Casualty	2/15/2024
Active	Williamsburg National Insurance Company	301825	Agent - Property	2/15/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Wiley, Justin Allen	950235	Agent - Casualty	4/15/2022
Active	Wiley, Justin Allen	950235	Agent - Health	4/15/2022
Active	Wiley, Justin Allen	950235	Agent - Life	4/15/2022
Active	Wiley, Justin Allen	950235	Agent - Property	4/15/2022
Active	Wiley, Justin Allen	950235	Surplus Lines Broker - Not Applicable	4/29/2022