DEPARTMENT OF INSURANCE

Affiliations

Name	Ups Capital Ins Agency Inc	DOIID	398341	NAIC NPN	2202058

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/15/2000		3/31/2027
Active	Non Resident	Agent	Property	8/15/2000		3/31/2027
Denied	Non Resident	Agent	Health
Denied	Non Resident	Agent	Life
Inactive	Non Resident	Agent	General Lines	12/8/1999	8/15/2000
Active	Non Resident	Independent Adjuster	Property & Casualty	12/4/2015		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	AIG Property Casualty Company	300621	Agent - Casualty	6/21/2018
Active	AIG Property Casualty Company	300621	Agent - Property	6/21/2018
Active	American Home Assurance Company	300246	Agent - Casualty	10/5/2000
Active	American Home Assurance Company	300246	Agent - Property	10/5/2000
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	1/11/2003
Active	Indemnity Insurance Company of North America	301760	Agent - Property	1/11/2003
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	10/5/2000
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	10/5/2000
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	8/15/2000
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - General Lines	12/8/1999	8/15/2000
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	8/15/2000
Active	New Hampshire Insurance Company	301670	Agent - Casualty	6/21/2018
Active	New Hampshire Insurance Company	301670	Agent - Property	6/21/2018
Inactive	Northern Assurance Company of America The	301331	Agent - Casualty	10/16/2008	12/11/2012
Inactive	Northern Assurance Company of America The	301331	Agent - Property	10/16/2008	12/11/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bentley, Perry Alan	754787	Independent Adjuster - Property & Casualty	12/4/2015	8/31/2016
Inactive	Cirone, Michael Joseph	581195	Agent - Casualty	2/9/2005	5/16/2005
Inactive	Cirone, Michael Joseph	581195	Agent - Property	2/9/2005	5/16/2005
Active	Dawson, Dominique Demitrious	1024827	Independent Adjuster - Property & Casualty	6/24/2020
Denied	Delaney, Thonisha Michelle	560343	Agent - Casualty
Denied	Delaney, Thonisha Michelle	560343	Agent - Property
Inactive	Flanagan, Heather Michelle	383574	Agent - Casualty	1/12/2004	2/9/2005
Inactive	Flanagan, Heather Michelle	383574	Agent - Property	1/12/2004	2/9/2005
Inactive	Hitchcox, William Clarence	369167	Agent - Casualty	8/15/2000	4/22/2002
Inactive	Hitchcox, William Clarence	369167	Agent - General Lines	12/8/1999	8/15/2000
Inactive	Hitchcox, William Clarence	369167	Agent - Property	8/15/2000	4/22/2002
Active	Iannone, Jeffery Thomas	1361175	Agent - Casualty	11/21/2024
Active	Iannone, Jeffery Thomas	1361175	Agent - Property	11/21/2024
Inactive	Jones, Hathaway	536860	Agent - Casualty	1/12/2004	7/31/2010
Inactive	Jones, Hathaway	536860	Agent - Property	1/12/2004	7/31/2010
Inactive	Morsman, Lisa Mattingly	590003	Agent - Casualty	2/9/2005	1/23/2006
Inactive	Morsman, Lisa Mattingly	590003	Agent - Property	2/9/2005	1/23/2006
Inactive	Mounts, Lonnie David	321696	Agent - Casualty	8/15/2000	6/12/2002
Inactive	Mounts, Lonnie David	321696	Agent - General Lines	12/8/1999	8/15/2000
Inactive	Mounts, Lonnie David	321696	Agent - Property	8/15/2000	6/12/2002
Inactive	Plourde, Michael David	509192	Agent - Casualty	6/7/2001	2/28/2010
Denied	Plourde, Michael David	509192	Agent - Health
Denied	Plourde, Michael David	509192	Agent - Life
Inactive	Plourde, Michael David	509192	Agent - Property	6/7/2001	2/28/2010
Denied	Ravenell, Landanese Miyoko	584233	Agent - Casualty
Denied	Ravenell, Landanese Miyoko	584233	Agent - Property
Inactive	Robb, Christopher Lee	626072	Agent - Casualty	4/11/2006	7/21/2016
Inactive	Robb, Christopher Lee	626072	Agent - Property	4/11/2006	7/21/2016
Inactive	Robinson, Mark Joseph	655959	Agent - Casualty	8/1/2016	9/23/2024
Inactive	Robinson, Mark Joseph	655959	Agent - Property	8/1/2016	9/23/2024
Inactive	Sabula, Michael	624743	Agent - Casualty	4/11/2006	8/31/2007
Inactive	Sabula, Michael	624743	Agent - Property	4/11/2006	8/31/2007
Inactive	Sewell, Karletta Diane	550388	Agent - Casualty	1/12/2004	1/27/2006
Inactive	Sewell, Karletta Diane	550388	Agent - Property	1/12/2004	1/27/2006
Active	Terry, Jonathan H	367143	Agent - Casualty	11/25/2024
Inactive	Terry, Jonathan H	367143	Agent - General Lines	12/8/1999	8/15/2000
Active	Terry, Jonathan H	367143	Agent - Property	11/25/2024
Denied	Turney, Tom Helm	641986	Agent - Casualty
Denied	Turney, Tom Helm	641986	Agent - Property
Inactive	Turney, Tom Helm	641986	Independent Adjuster - Property & Casualty	7/21/2016	3/31/2020
Inactive	Villalba, Hernan Anival	562663	Agent - Casualty	2/15/2005	2/7/2011
Inactive	Villalba, Hernan Anival	562663	Agent - Property	2/15/2005	2/7/2011
Inactive	Winter, Robert	519535	Agent - Casualty	1/12/2004	2/9/2005
Inactive	Winter, Robert	519535	Agent - Property	1/12/2004	2/9/2005