DEPARTMENT OF INSURANCE

Affiliations

Name	Health Special Risk Inc	DOIID	397286	NAIC NPN	686964

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	11/30/1993	3/31/2027
Active	Non Resident	Agent	Property	5/14/2011	3/31/2027
Active	Non Resident	Agent	Casualty	5/14/2011	3/31/2027
Active	Non Resident	Agent	Health	5/14/2011	3/31/2027
Active	Non Resident	Agent	Life	5/14/2011	3/31/2027
Active	Non Resident	Independent Adjuster	Property & Casualty	12/15/2016	3/31/2027
* 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	ACE American Insurance Company	300625	Agent - Health	9/16/2014
Inactive	AXIS Insurance Company	301290	Agent - Health	11/15/2011	10/7/2024
Active	Arch Insurance Company	300688	Agent - Health	9/22/2020
Active	Everest Reinsurance Company	301836	Agent - Health	6/6/2024
Active	Federal Insurance Company	301144	Agent - Health	7/26/2018
Inactive	Great American Assurance Company	300327	Agent - Casualty	8/25/2011	6/30/2014
Inactive	Great American Assurance Company	300327	Agent - Property	8/25/2011	6/30/2014
Active	Hartford Fire Insurance Company	300628	Agent - Health	7/22/2024
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	8/6/2024
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/6/2024
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	9/18/2013
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Health	9/18/2013
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Property	9/18/2013
Active	Markel Insurance Company	301475	Agent - Casualty	6/24/2011
Active	Markel Insurance Company	301475	Agent - Health	6/24/2011
Active	Markel Insurance Company	301475	Agent - Property	6/24/2011
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	3/16/2022
Active	QBE Insurance Corporation	300515	Agent - Health	6/18/2012
Active	Starr Indemnity and Liability Company	301685	Agent - Health	11/29/2011
Active	Zurich American Insurance Company	301121	Agent - Casualty	12/30/2011
Active	Zurich American Insurance Company	301121	Agent - Property	12/30/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lenihan, Thomas Joseph	370579	Administrator - Not Applicable	11/30/1993	6/9/2023
Inactive	Munson, Philip K	734397	Agent - Casualty	5/14/2011	3/31/2023
Inactive	Munson, Philip K	734397	Agent - Health	5/14/2011	3/31/2023
Inactive	Munson, Philip K	734397	Agent - Life	5/14/2011	3/31/2023
Inactive	Munson, Philip K	734397	Agent - Property	5/14/2011	3/31/2023
Active	Ray, Catharine Arlene	910293	Independent Adjuster - Property & Casualty	12/15/2016
Active	Schall, Brandon	586851	Administrator - Not Applicable	6/29/2023
Active	Schall, Brandon	586851	Agent - Casualty	6/9/2023
Active	Schall, Brandon	586851	Agent - Health	6/9/2023
Active	Schall, Brandon	586851	Agent - Life	6/9/2023
Active	Schall, Brandon	586851	Agent - Property	6/9/2023