DEPARTMENT OF INSURANCE

Affiliations

Name	Acrisure West Insurance Services, LLC DBA : American Restoration Insurance Brokers, American Restoration Insurance Brokers	DOIID	1246860	NAIC NPN	20558632

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/14/2022	3/31/2026
Active	Non Resident	Agent	Life	12/14/2022	3/31/2026
Active	Non Resident	Agent	Property	12/14/2022	3/31/2026
Active	Non Resident	Agent	Health	12/14/2022	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	ACE American Insurance Company	300625	Agent - Casualty	5/16/2025
Active	ACE American Insurance Company	300625	Agent - Property	5/16/2025
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	5/16/2025
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	5/16/2025
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	5/16/2025
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	5/16/2025
Active	AIG Assurance Company	300897	Agent - Casualty	2/9/2024
Active	AIG Assurance Company	300897	Agent - Property	2/9/2024
Active	AIG Property Casualty Company	300621	Agent - Casualty	2/9/2024
Active	AIG Property Casualty Company	300621	Agent - Property	2/9/2024
Active	AIU Insurance Company	300729	Agent - Casualty	2/9/2024
Active	AIU Insurance Company	300729	Agent - Property	2/9/2024
Active	Accendo Insurance Company	300312	Agent - Life	7/3/2025
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	7/3/2025
Active	All Savers Insurance Company	301940	Agent - Health	2/4/2025
Active	All Savers Insurance Company	301940	Agent - Life	2/4/2025
Active	AmTrust Insurance Company	300179	Agent - Casualty	12/29/2023
Active	AmTrust Insurance Company	300179	Agent - Property	12/29/2023
Active	American Family Home Insurance Company	301817	Agent - Casualty	3/3/2025
Active	American Family Home Insurance Company	301817	Agent - Property	3/3/2025
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	12/27/2023
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	12/27/2023
Active	American Home Assurance Company	300246	Agent - Casualty	2/9/2024
Active	American Home Assurance Company	300246	Agent - Property	2/9/2024
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	1/25/2024
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	1/25/2024
Active	American Zurich Insurance Company	300592	Agent - Casualty	12/27/2023
Active	American Zurich Insurance Company	300592	Agent - Property	12/27/2023
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	1/5/2024	12/16/2024
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	1/5/2024	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Health	1/5/2024	12/16/2024
Inactive	Anthem Life Insurance Company	301209	Agent - Life	1/5/2024	12/16/2024
Active	Arch Indemnity Insurance Company	301459	Agent - Casualty	1/15/2025
Active	Arch Indemnity Insurance Company	301459	Agent - Property	1/15/2025
Active	Arch Insurance Company	300688	Agent - Casualty	1/15/2025
Active	Arch Insurance Company	300688	Agent - Property	1/15/2025
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	11/21/2024
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	11/21/2024
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	5/16/2025
Active	Bankers Standard Insurance Company	301620	Agent - Property	5/16/2025
Active	Chubb Indemnity Insurance Company	300438	Agent - Casualty	5/16/2025
Active	Chubb Indemnity Insurance Company	300438	Agent - Property	5/16/2025
Active	Chubb National Insurance Company	301392	Agent - Casualty	5/16/2025
Active	Chubb National Insurance Company	301392	Agent - Property	5/16/2025
Active	Colonial American Casualty & Surety Company	300769	Agent - Casualty	12/27/2023
Active	Colonial American Casualty & Surety Company	300769	Agent - Property	12/27/2023
Active	Commerce and Industry Insurance Company	300881	Agent - Casualty	2/9/2024
Active	Commerce and Industry Insurance Company	300881	Agent - Property	2/9/2024
Inactive	Compcare Health Services Insurance Corporation	948751	Agent - Health	1/5/2024	12/16/2024
Active	Continental Casualty Company	301019	Agent - Casualty	11/11/2024
Active	Continental Casualty Company	301019	Agent - Property	11/11/2024
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/3/2025
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/3/2025
Active	Employers Assurance Company	300120	Agent - Casualty	4/2/2024
Active	Employers Compensation Insurance Company	797885	Agent - Casualty	4/2/2024
Active	Employers Preferred Insurance Company	520656	Agent - Casualty	4/2/2024
Active	Everest Denali Insurance Company	941054	Agent - Casualty	4/7/2025
Active	Everest Denali Insurance Company	941054	Agent - Property	4/7/2025
Active	Everest National Insurance Company	301319	Agent - Casualty	4/7/2025
Active	Everest National Insurance Company	301319	Agent - Property	4/7/2025
Active	Everest Premier Insurance Company	941053	Agent - Casualty	4/7/2025
Active	Everest Premier Insurance Company	941053	Agent - Property	4/7/2025
Active	Everest Reinsurance Company	301836	Agent - Health	4/7/2025
Active	Executive Risk Indemnity Inc.	301510	Agent - Casualty	5/16/2025
Active	Executive Risk Indemnity Inc.	301510	Agent - Property	5/16/2025
Active	Federal Insurance Company	301144	Agent - Casualty	5/16/2025
Active	Federal Insurance Company	301144	Agent - Property	5/16/2025
Active	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	12/27/2023
Active	Fidelity and Deposit Company of Maryland	300976	Agent - Property	12/27/2023
Active	Granite State Insurance Company	300818	Agent - Casualty	2/9/2024
Active	Granite State Insurance Company	300818	Agent - Property	2/9/2024
Active	Great Northern Insurance Company	301107	Agent - Casualty	5/16/2025
Active	Great Northern Insurance Company	301107	Agent - Property	5/16/2025
Active	Illinois National Insurance Company	301367	Agent - Casualty	2/9/2024
Active	Illinois National Insurance Company	301367	Agent - Property	2/9/2024
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	5/16/2025
Active	Indemnity Insurance Company of North America	301760	Agent - Property	5/16/2025
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	2/9/2024
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	2/9/2024
Active	Markel Insurance Company	301475	Agent - Casualty	2/26/2024
Active	Markel Insurance Company	301475	Agent - Health	2/26/2024
Active	Markel Insurance Company	301475	Agent - Property	2/26/2024
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	12/29/2023
Active	Milford Casualty Insurance Company	301460	Agent - Property	12/29/2023
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	2/9/2024
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	2/9/2024
Active	New Hampshire Insurance Company	301670	Agent - Casualty	2/9/2024
Active	New Hampshire Insurance Company	301670	Agent - Property	2/9/2024
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	5/16/2025
Active	Pacific Employers Insurance Company	301753	Agent - Property	5/16/2025
Active	Pacific Indemnity Company	301610	Agent - Casualty	5/16/2025
Active	Pacific Indemnity Company	301610	Agent - Property	5/16/2025
Active	Security National Insurance Company	301151	Agent - Casualty	12/29/2023
Active	Security National Insurance Company	301151	Agent - Property	12/29/2023
Active	Sequoia Insurance Company	628046	Agent - Casualty	12/29/2023
Active	Sequoia Insurance Company	628046	Agent - Property	12/29/2023
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	11/21/2024
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	11/21/2024
Active	Standard Insurance Company	300185	Agent - Health	12/27/2024
Active	Standard Insurance Company	300185	Agent - Life	12/27/2024
Active	Starr Indemnity and Liability Company	301685	Agent - Casualty	3/29/2024
Active	Starr Indemnity and Liability Company	301685	Agent - Health	3/29/2024
Active	Starr Indemnity and Liability Company	301685	Agent - Property	3/29/2024
Active	Technology Insurance Company	613278	Agent - Casualty	12/29/2023
Active	Technology Insurance Company	613278	Agent - Property	12/29/2023
Active	The Phoenix Insurance Company	301502	Agent - Casualty	11/21/2024
Active	The Phoenix Insurance Company	301502	Agent - Property	11/21/2024
Active	Tier One Insurance Company	301056	Agent - Health	7/2/2025
Active	Tier One Insurance Company	301056	Agent - Life	7/2/2025
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	11/21/2024
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	11/21/2024
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	11/21/2024
Active	Travelers Personal Insurance Company	705785	Agent - Property	11/21/2024
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/4/2025
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	2/4/2025
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/4/2025
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/4/2025
Active	Vigilant Insurance Company	301143	Agent - Casualty	5/16/2025
Active	Vigilant Insurance Company	301143	Agent - Property	5/16/2025
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	7/2/2025
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	7/2/2025
Active	Wesco Insurance Company	300534	Agent - Casualty	12/29/2023
Active	Wesco Insurance Company	300534	Agent - Property	12/29/2023
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	5/16/2025
Active	Westchester Fire Insurance Company	300990	Agent - Property	5/16/2025
Active	Zurich American Insurance Company	301121	Agent - Casualty	12/27/2023
Active	Zurich American Insurance Company	301121	Agent - Property	12/27/2023
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	12/27/2023
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	12/27/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Denied	Anderson, Jennifer Suzanne	1306824	Agent - Casualty
Denied	Anderson, Jennifer Suzanne	1306824	Agent - Health
Denied	Anderson, Jennifer Suzanne	1306824	Agent - Life
Denied	Anderson, Jennifer Suzanne	1306824	Agent - Property
Active	Baner, Terry Renae	838666	Agent - Casualty	5/29/2025
Active	Baner, Terry Renae	838666	Agent - Property	5/29/2025
Active	Bedrosian, Alexander	1381453	Agent - Health	6/24/2025
Active	Bedrosian, Alexander	1381453	Agent - Life	6/24/2025
Pending	Bergstrom, William John	1350457	Agent - Casualty
Pending	Bergstrom, William John	1350457	Agent - Property
Active	Burdette, Genevieve Mae	1342529	Agent - Casualty	5/28/2025
Active	Burdette, Genevieve Mae	1342529	Agent - Property	5/28/2025
Pending	Calderon, Sofia	1134563	Agent - Casualty
Pending	Calderon, Sofia	1134563	Agent - Property
Active	Callaway, Steven Andrew	324349	Agent - Casualty	1/29/2025
Active	Callaway, Steven Andrew	324349	Agent - Property	1/29/2025
Pending	Frasca, Orlando	1156854	Agent - Casualty
Pending	Frasca, Orlando	1156854	Agent - Property
Active	Frias, Michele	1070761	Agent - Casualty	5/28/2025
Active	Frias, Michele	1070761	Agent - Property	5/28/2025
Denied	Hernandez, Mike	1061848	Agent - Casualty
Denied	Hernandez, Mike	1061848	Agent - Health
Denied	Hernandez, Mike	1061848	Agent - Life
Denied	Hernandez, Mike	1061848	Agent - Property
Active	Johnson, Jenna Marie	884478	Agent - Health	5/14/2025
Active	Johnson, Jenna Marie	884478	Agent - Life	5/14/2025
Active	Kolenda, Courtney Lynne	1022910	Agent - Casualty	12/14/2022
Active	Kolenda, Courtney Lynne	1022910	Agent - Health	12/14/2022
Active	Kolenda, Courtney Lynne	1022910	Agent - Life	12/14/2022
Active	Kolenda, Courtney Lynne	1022910	Agent - Property	12/14/2022
Active	Kolenda, Courtney Lynne	1022910	Surplus Lines Broker - Not Applicable	1/6/2023
Active	Link, Barry Ellsworth	752191	Agent - Casualty	5/29/2025
Pending	Link, Barry Ellsworth	752191	Agent - Health
Pending	Link, Barry Ellsworth	752191	Agent - Life
Active	Link, Barry Ellsworth	752191	Agent - Property	5/29/2025
Pending	Lopez, Alejandra	1328387	Agent - Casualty
Pending	Lopez, Alejandra	1328387	Agent - Property
Active	Michelini, William Daniel	678602	Agent - Health	7/2/2025
Active	Michelini, William Daniel	678602	Agent - Life	7/2/2025
Active	Morgan, Angel Ann	603984	Agent - Casualty	5/29/2025
Active	Morgan, Angel Ann	603984	Agent - Property	5/29/2025
Pending	Ramos, Courtney Rene	629064	Agent - Casualty
Pending	Ramos, Courtney Rene	629064	Agent - Property
Pending	Tachine, Darren	1099984	Agent - Health
Pending	Tachine, Darren	1099984	Agent - Life
Active	Tradelius, Paul Carl	755951	Agent - Casualty	4/21/2025
Active	Tradelius, Paul Carl	755951	Agent - Property	4/21/2025
Pending	Trapani, Marko John	834143	Agent - Casualty
Pending	Trapani, Marko John	834143	Agent - Property
Active	Trapani, Marko John	834143	Surplus Lines Broker - Not Applicable	5/14/2025
Active	Wallace, Lynne Louise	664888	Agent - Casualty	5/28/2025
Active	Wallace, Lynne Louise	664888	Agent - Property	5/28/2025
Active	Zanze, Shane	1255626	Agent - Casualty	5/27/2025
Active	Zanze, Shane	1255626	Agent - Property	5/27/2025