DEPARTMENT OF INSURANCE

Affiliations

Name	U.S. Marine Insurance Group LLC	DOIID	1333903	NAIC NPN	17791427

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	4/8/2024	3/31/2028
Active	Non Resident	Agent	Property	4/8/2024	3/31/2028
Active	Non Resident	Independent Adjuster	Property & Casualty	3/12/2025	3/31/2028
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/17/2024	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
Active	AGCS Marine Insurance Company	300403	Agent - Casualty	3/3/2025
Active	AGCS Marine Insurance Company	300403	Agent - Property	3/3/2025
Active	Markel American Insurance Company	300377	Agent - Casualty	9/15/2025
Active	Markel American Insurance Company	300377	Agent - Property	9/15/2025
Active	XL Specialty Insurance Company	301605	Agent - Casualty	9/18/2025
Active	XL Specialty Insurance Company	301605	Agent - Property	9/18/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Bell, Dexter David	1435519	Agent - Casualty
Denied	Bell, Dexter David	1435519	Agent - Property
Denied	Brooks, David Vincent	1440828	Agent - Casualty
Denied	Brooks, David Vincent	1440828	Agent - Property
Denied	Burgess, Robert K	1441298	Agent - Casualty
Denied	Burgess, Robert K	1441298	Agent - Property
Pending	Canevello, Michael	1436281	Agent - Casualty
Pending	Canevello, Michael	1436281	Agent - Property
Active	Dipaola, Joseph	1327640	Agent - Casualty	4/8/2024
Active	Dipaola, Joseph	1327640	Agent - Property	4/8/2024
Denied	Domitrovich, Gina Irene	1441838	Agent - Casualty
Denied	Domitrovich, Gina Irene	1441838	Agent - Property
Denied	Jakusz, Melanie	992252	Agent - Casualty
Denied	Jakusz, Melanie	992252	Agent - Property
Active	Jakusz, Melanie	992252	Independent Adjuster - Property & Casualty	1/30/2026
Active	Mazza, Antonietta R	659427	Independent Adjuster - Property & Casualty	4/22/2026
Denied	Montez, Christopher Rich	1436282	Agent - Casualty
Denied	Montez, Christopher Rich	1436282	Agent - Property
Active	Smith, Derrek	1341988	Surplus Lines Broker - Not Applicable	6/17/2024
Inactive	Werchadlo, Katie	1370528	Independent Adjuster - Property & Casualty	3/12/2025	6/2/2026
Pending	Zimmerman, Virginia Rebecca	1436010	Agent - Casualty
Pending	Zimmerman, Virginia Rebecca	1436010	Agent - Property