DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Acrisure Partner Group LLC	DOIID	1246693	NAIC NPN	20555814

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	12/13/2022		3/31/2026
Active	Non Resident	Agent	Casualty	12/13/2022		3/31/2026
Active	Non Resident	Agent	Life	12/13/2022		3/31/2026
Active	Non Resident	Agent	Health	12/13/2022		3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/6/2023		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	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	10/29/2024
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	10/29/2024
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	10/29/2024
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	10/29/2024
Active	Employers Assurance Company	300120	Agent - Casualty	3/15/2024
Active	Employers Compensation Insurance Company	797885	Agent - Casualty	3/15/2024
Active	Employers Preferred Insurance Company	520656	Agent - Casualty	3/15/2024
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	10/29/2024
Active	Hanover American Insurance Company (The)	300447	Agent - Property	10/29/2024
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	10/29/2024
Active	Hanover Insurance Company (The)	300508	Agent - Property	10/29/2024
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	10/29/2024
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	10/29/2024
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	9/14/2023
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	9/14/2023
Active	United Concordia Insurance Company	903543	Agent - Health	5/9/2024
Active	Verlan Fire Insurance Company	517102	Agent - Casualty	10/29/2024
Active	Verlan Fire Insurance Company	517102	Agent - Property	10/29/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Kolenda, Courtney Lynne	1022910	Agent - Casualty	12/13/2022
Active	Kolenda, Courtney Lynne	1022910	Agent - Health	12/13/2022
Active	Kolenda, Courtney Lynne	1022910	Agent - Life	12/13/2022
Active	Kolenda, Courtney Lynne	1022910	Agent - Property	12/13/2022
Active	Kolenda, Courtney Lynne	1022910	Surplus Lines Broker - Not Applicable	1/6/2023