DEPARTMENT OF INSURANCE
Affiliations
NameSpecialty Brokerage Services LLCDOIID1207496NAIC NPN20306491
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty5/26/2022 3/31/2026
ActiveNon ResidentAgentProperty5/26/2022 3/31/2026
InactiveNon ResidentAgentHealth10/11/202212/2/2024 
ActiveNon ResidentSurplus Lines BrokerNot Applicable9/29/2022 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Surplus Lines Broker01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE American Insurance Company300625Agent - Casualty9/30/2022 
ActiveACE American Insurance Company300625Agent - Property9/30/2022 
ActiveACE Fire Underwriters Insurance Company301679Agent - Casualty9/30/2022 
ActiveACE Fire Underwriters Insurance Company301679Agent - Property9/30/2022 
ActiveACE Property and Casualty Insurance Company300520Agent - Casualty9/30/2022 
ActiveACE Property and Casualty Insurance Company300520Agent - Property9/30/2022 
ActiveAIG Property Casualty Company300621Agent - Casualty9/7/2022 
ActiveAIG Property Casualty Company300621Agent - Property9/7/2022 
ActiveAllmerica Financial Benefit Insurance Company301223Agent - Casualty9/30/2022 
ActiveAllmerica Financial Benefit Insurance Company301223Agent - Property9/30/2022 
ActiveAmerican Home Assurance Company300246Agent - Casualty9/7/2022 
ActiveAmerican Home Assurance Company300246Agent - Property9/7/2022 
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty9/15/202212/13/2023
InactiveAmerican Modern Home Insurance Company300791Agent - Property9/15/202212/13/2023
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty9/15/2022 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property9/15/2022 
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty9/15/202211/17/2023
InactiveAmerican Modern Select Insurance Company581481Agent - Property9/15/202211/17/2023
ActiveAmerican Reliable Insurance Company301889Agent - Casualty10/25/2022 
ActiveAmerican Reliable Insurance Company301889Agent - Property10/25/2022 
ActiveAmerican Select Insurance Company301229Agent - Casualty10/14/2022 
ActiveAmerican Select Insurance Company301229Agent - Property10/14/2022 
ActiveBankers Standard Insurance Company301620Agent - Casualty9/30/2022 
ActiveBankers Standard Insurance Company301620Agent - Property9/30/2022 
ActiveChubb Indemnity Insurance Company300438Agent - Casualty9/30/2022 
ActiveChubb Indemnity Insurance Company300438Agent - Property9/30/2022 
ActiveChubb National Insurance Company301392Agent - Casualty9/30/2022 
ActiveChubb National Insurance Company301392Agent - Property9/30/2022 
ActiveCommerce and Industry Insurance Company300881Agent - Casualty9/7/2022 
ActiveCommerce and Industry Insurance Company300881Agent - Property9/7/2022 
ActiveFederal Insurance Company301144Agent - Casualty9/30/2022 
InactiveFederal Insurance Company301144Agent - Health10/12/202212/2/2024
ActiveFederal Insurance Company301144Agent - Property9/30/2022 
ActiveGreat American Alliance Insurance Company301247Agent - Casualty11/15/2023 
ActiveGreat American Alliance Insurance Company301247Agent - Property11/15/2023 
ActiveGreat American Insurance Company301586Agent - Casualty9/28/2022 
ActiveGreat American Insurance Company301586Agent - Property9/28/2022 
ActiveGreat Northern Insurance Company301107Agent - Casualty9/30/2022 
ActiveGreat Northern Insurance Company301107Agent - Property9/30/2022 
ActiveHanover American Insurance Company (The)300447Agent - Casualty9/30/2022 
ActiveHanover American Insurance Company (The)300447Agent - Property9/30/2022 
ActiveHanover Insurance Company (The)300508Agent - Casualty9/30/2022 
ActiveHanover Insurance Company (The)300508Agent - Property9/30/2022 
ActiveIndemnity Insurance Company of North America301760Agent - Casualty9/30/2022 
ActiveIndemnity Insurance Company of North America301760Agent - Property9/30/2022 
ActiveJewelers Mutual Insurance Company, SI301935Agent - Casualty6/28/2023 
ActiveJewelers Mutual Insurance Company, SI301935Agent - Property6/28/2023 
ActiveMassachusetts Bay Insurance Company300898Agent - Casualty9/30/2022 
ActiveMassachusetts Bay Insurance Company300898Agent - Property9/30/2022 
ActiveMount Vernon Fire Insurance Company301397Agent - Casualty6/9/2025 
ActiveMount Vernon Fire Insurance Company301397Agent - Property6/9/2025 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty9/7/2022 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property9/7/2022 
ActiveNew Hampshire Insurance Company301670Agent - Casualty9/7/2022 
ActiveNew Hampshire Insurance Company301670Agent - Property9/7/2022 
ActiveOhio Farmers Insurance Company301667Agent - Casualty10/14/2022 
ActiveOhio Farmers Insurance Company301667Agent - Property10/14/2022 
ActivePacific Employers Insurance Company301753Agent - Casualty9/30/2022 
ActivePacific Employers Insurance Company301753Agent - Property9/30/2022 
ActivePacific Indemnity Company301610Agent - Casualty9/30/2022 
ActivePacific Indemnity Company301610Agent - Property9/30/2022 
ActiveRLI Insurance Company301217Agent - Casualty9/12/2023 
ActiveRLI Insurance Company301217Agent - Property9/12/2023 
ActiveVigilant Insurance Company301143Agent - Casualty9/30/2022 
ActiveVigilant Insurance Company301143Agent - Property9/30/2022 
ActiveWestchester Fire Insurance Company300990Agent - Casualty9/30/2022 
ActiveWestchester Fire Insurance Company300990Agent - Property9/30/2022 
ActiveWestfield Insurance Company301950Agent - Casualty10/14/2022 
ActiveWestfield Insurance Company301950Agent - Property10/14/2022 
ActiveWestfield National Insurance Company301036Agent - Casualty10/14/2022 
ActiveWestfield National Insurance Company301036Agent - Property10/14/2022 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBowerman, Brian R 354529Agent - Health10/11/20229/30/2024
ActiveJohnston, Patricia Ann 557830Agent - Casualty5/26/2022 
ActiveJohnston, Patricia Ann 557830Agent - Property5/26/2022 
ActiveJohnston, Patricia Ann 557830Surplus Lines Broker - Not Applicable9/29/2022 

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