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	Casualty	4/15/2022		3/31/2028
Active	Non Resident	Agent	Health	4/15/2022		3/31/2028
Active	Non Resident	Agent	Life	4/15/2022		3/31/2028
Active	Non Resident	Agent	Property	4/15/2022		3/31/2028
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/29/2022		3/31/2028
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

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	Ameritas Life Insurance Corporation	300126	Agent - Health	10/15/2025
Active	Federal Insurance Company	301144	Agent - Casualty	2/13/2024
Active	Federal Insurance Company	301144	Agent - Property	2/13/2024
Active	Standard Insurance Company	300185	Agent - Health	3/9/2026
Active	Standard Insurance Company	300185	Agent - Life	3/9/2026
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