DEPARTMENT OF INSURANCE

Affiliations

Name	Chubb Insurance Solutions Agency Inc.	DOIID	505858	NAIC NPN	3375600

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/9/2002		3/31/2026
Active	Non Resident	Agent	Health	7/30/2004		3/31/2026
Active	Non Resident	Agent	Life	10/26/2021		3/31/2026
Active	Non Resident	Agent	Property	9/9/2002		3/31/2026
Inactive	Non Resident	Agent	General Lines	4/7/2000	8/15/2000
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/22/2007		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	9/9/2002
Inactive	ACE American Insurance Company	300625	Agent - General Lines	4/7/2000	8/15/2000
Active	ACE American Insurance Company	300625	Agent - Health	8/10/2004
Active	ACE American Insurance Company	300625	Agent - Property	9/9/2002
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	10/15/2002
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - General Lines	5/19/2000	8/15/2000
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	10/15/2002
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	10/15/2002
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - General Lines	5/19/2000	8/15/2000
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	10/15/2002
Inactive	AGCS Marine Insurance Company	300403	Agent - Casualty	5/28/2003	12/15/2005
Inactive	AGCS Marine Insurance Company	300403	Agent - Property	5/28/2003	12/15/2005
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	10/15/2002
Inactive	Bankers Standard Insurance Company	301620	Agent - General Lines	5/18/2000	8/15/2000
Active	Bankers Standard Insurance Company	301620	Agent - Property	10/15/2002
Inactive	Chicago Insurance Company	300295	Agent - Casualty	5/28/2003	12/15/2005
Inactive	Chicago Insurance Company	300295	Agent - Property	5/28/2003	12/15/2005
Active	Chubb Indemnity Insurance Company	300438	Agent - Casualty	2/1/2017
Active	Chubb Indemnity Insurance Company	300438	Agent - Property	2/1/2017
Active	Chubb National Insurance Company	301392	Agent - Casualty	2/1/2017
Active	Chubb National Insurance Company	301392	Agent - Property	2/1/2017
Active	Combined Insurance Company of America	301472	Agent - Life	5/17/2023
Active	Executive Risk Indemnity Inc.	301510	Agent - Casualty	1/31/2017
Active	Federal Insurance Company	301144	Agent - Casualty	2/1/2017
Active	Federal Insurance Company	301144	Agent - Health	2/1/2017
Active	Federal Insurance Company	301144	Agent - Property	2/1/2017
Active	Great Northern Insurance Company	301107	Agent - Casualty	2/1/2017
Active	Great Northern Insurance Company	301107	Agent - Property	2/1/2017
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Casualty	8/18/2010	5/1/2012
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Property	8/18/2010	5/1/2012
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	10/15/2002
Inactive	Indemnity Insurance Company of North America	301760	Agent - General Lines	5/19/2000	8/15/2000
Active	Indemnity Insurance Company of North America	301760	Agent - Property	10/15/2002
Active	Insurance Company of North America	300226	Agent - Casualty	10/15/2002
Inactive	Insurance Company of North America	300226	Agent - General Lines	5/18/2000	8/15/2000
Active	Insurance Company of North America	300226	Agent - Property	10/15/2002
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	5/1/2012	6/19/2018
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	5/1/2012	6/19/2018
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	10/15/2002
Inactive	Pacific Employers Insurance Company	301753	Agent - General Lines	5/19/2000	8/15/2000
Active	Pacific Employers Insurance Company	301753	Agent - Property	10/15/2002
Active	Pacific Indemnity Company	301610	Agent - Casualty	2/1/2017
Active	Pacific Indemnity Company	301610	Agent - Property	2/1/2017
Active	Penn Millers Insurance Company	301584	Agent - Casualty	7/18/2018
Active	Penn Millers Insurance Company	301584	Agent - Property	7/18/2018
Active	Vigilant Insurance Company	301143	Agent - Casualty	2/1/2017
Active	Vigilant Insurance Company	301143	Agent - Property	2/1/2017
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	10/15/2002	1/1/2011
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	10/15/2002	1/1/2011
Active	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Alcantara, Wendy Maria	712249	Agent - Casualty
Denied	Alcantara, Wendy Maria	712249	Agent - Property
Denied	Apte, Kenneth John	670781	Agent - Casualty
Denied	Apte, Kenneth John	670781	Agent - Property
Denied	Beacht, Susan	981186	Agent - Casualty
Denied	Beacht, Susan	981186	Agent - Property
Inactive	Beitler, Donna J	670929	Agent - Casualty	6/26/2017	2/21/2018
Inactive	Beitler, Donna J	670929	Agent - Property	6/26/2017	2/21/2018
Denied	Bibeau, Maureen Davis	1246143	Agent - Casualty
Denied	Bibeau, Maureen Davis	1246143	Agent - Property
Denied	Bicking, Margaret Kelsie	905769	Agent - Casualty
Denied	Bicking, Margaret Kelsie	905769	Agent - Property
Denied	Borgmann, Shannon D	1369790	Agent - Casualty
Denied	Borgmann, Shannon D	1369790	Agent - Property
Denied	Burger, Justin John	1098763	Agent - Casualty
Denied	Burger, Justin John	1098763	Agent - Property
Inactive	Burke, Heidi A	721667	Agent - Casualty	8/14/2012	3/20/2014
Inactive	Burke, Heidi A	721667	Agent - Health	8/14/2012	3/20/2014
Inactive	Burke, Heidi A	721667	Agent - Property	8/14/2012	3/20/2014
Inactive	Burke, Heidi A	721667	Surplus Lines Broker - Not Applicable	8/14/2012	3/20/2014
Inactive	Crudeli, Donna	645859	Agent - Casualty	1/24/2007	1/17/2011
Inactive	Crudeli, Donna	645859	Agent - Health	1/25/2007	1/17/2011
Inactive	Crudeli, Donna	645859	Agent - Property	1/24/2007	1/17/2011
Inactive	Crudeli, Donna	645859	Surplus Lines Broker - Not Applicable	1/22/2007	2/14/2012
Denied	Dabulis, Eric D	572103	Agent - Casualty
Denied	Dabulis, Eric D	572103	Agent - Property
Inactive	Diesso, Lisa	1107327	Agent - Health	9/7/2022	5/15/2024
Denied	Dippel, Teresa L	1064958	Agent - Casualty
Denied	Dippel, Teresa L	1064958	Agent - Property
Denied	Donerson, Pamela	714971	Agent - Casualty
Denied	Donerson, Pamela	714971	Agent - Health
Denied	Donerson, Pamela	714971	Agent - Property
Inactive	Ellis, Katherine	1050195	Agent - Health	4/12/2023	4/9/2024
Denied	Ellis, Katherine	1050195	Agent - Life
Inactive	Espaillat, Javier Antonio	543763	Agent - Casualty	6/2/2017	3/31/2022
Inactive	Espaillat, Javier Antonio	543763	Agent - Property	6/2/2017	3/31/2022
Denied	Fallon, Dennis J	916046	Agent - Casualty
Denied	Fallon, Dennis J	916046	Agent - Property
Active	Feliciano, Rosa	389136	Agent - Casualty	6/15/2017
Active	Feliciano, Rosa	389136	Agent - Property	6/15/2017
Inactive	Forish, Ralitsa	1001512	Agent - Casualty	2/28/2020	10/10/2023
Inactive	Forish, Ralitsa	1001512	Agent - Property	2/28/2020	10/10/2023
Denied	Geling, Melissa Alota	981270	Agent - Casualty
Denied	Geling, Melissa Alota	981270	Agent - Property
Denied	Gentile, Joseph	1369793	Agent - Casualty
Denied	Gentile, Joseph	1369793	Agent - Property
Denied	Gomez, Mine L	981062	Agent - Casualty
Denied	Gomez, Mine L	981062	Agent - Property
Active	Gordon, Joann	687384	Agent - Casualty	2/6/2014
Active	Gordon, Joann	687384	Agent - Property	2/6/2014
Active	Gordon, Joann	687384	Surplus Lines Broker - Not Applicable	2/6/2014
Denied	Gowen, Abbie	1027250	Agent - Casualty
Denied	Gowen, Abbie	1027250	Agent - Property
Denied	Hagedorn, Kyle Brian	1275319	Agent - Casualty
Denied	Hagedorn, Kyle Brian	1275319	Agent - Property
Pending	Hernandez, Gary Hernandez	1314812	Agent - Casualty
Pending	Hernandez, Gary Hernandez	1314812	Agent - Property
Denied	Hone, Rebecca	1275307	Agent - Casualty
Denied	Hone, Rebecca	1275307	Agent - Property
Inactive	Khanhai, Nicole A	545285	Agent - Casualty	8/12/2021	9/11/2023
Inactive	Khanhai, Nicole A	545285	Agent - Health	8/12/2021	9/11/2023
Inactive	Khanhai, Nicole A	545285	Agent - Property	8/12/2021	9/11/2023
Denied	Kitixis, Spyridon	671836	Agent - Casualty
Denied	Kitixis, Spyridon	671836	Agent - Property
Denied	Lacy, Shantell Monique	1216536	Agent - Health
Denied	Lacy, Shantell Monique	1216536	Agent - Life
Inactive	Lamiotte, Rosemary	636979	Agent - Casualty	12/21/2006	3/18/2008
Inactive	Lamiotte, Rosemary	636979	Agent - Health	12/21/2006	3/18/2008
Inactive	Lamiotte, Rosemary	636979	Agent - Property	12/21/2006	3/18/2008
Active	Leander-Kucsan, Allison Kim	734899	Agent - Casualty	6/15/2017
Active	Leander-Kucsan, Allison Kim	734899	Agent - Property	6/15/2017
Inactive	Lee, Pattie Joyner	687379	Agent - Casualty	8/14/2012	7/31/2016
Inactive	Lee, Pattie Joyner	687379	Agent - Property	8/14/2012	7/31/2016
Inactive	Lee, Pattie Joyner	687379	Surplus Lines Broker - Not Applicable	8/14/2012	8/5/2016
Denied	Lewis, Shauna-Kay Terri	1056313	Agent - Casualty
Denied	Lewis, Shauna-Kay Terri	1056313	Agent - Property
Denied	Ly, Kathy	1310205	Agent - Casualty
Denied	Ly, Kathy	1310205	Agent - Property
Denied	Masley, Mandie	1137943	Agent - Casualty
Denied	Masley, Mandie	1137943	Agent - Property
Active	Mays, Karen L	880425	Agent - Casualty	5/10/2017
Active	Mays, Karen L	880425	Agent - Health	5/10/2017
Active	Mays, Karen L	880425	Agent - Property	5/10/2017
Active	Mays, Karen L	880425	Surplus Lines Broker - Not Applicable	5/10/2017
Inactive	Milby, Paul Steven	576539	Agent - Casualty	2/6/2014	8/19/2014
Inactive	Milby, Paul Steven	576539	Agent - Property	2/6/2014	8/19/2014
Inactive	Milby, Paul Steven	576539	Surplus Lines Broker - Not Applicable	2/6/2014	8/19/2014
Active	Morrissette, Paul	811994	Agent - Casualty	7/31/2016
Active	Morrissette, Paul	811994	Agent - Life	10/26/2021
Active	Morrissette, Paul	811994	Agent - Property	7/31/2016
Active	Morrissette, Paul	811994	Surplus Lines Broker - Not Applicable	7/31/2016
Active	Nemeth, Rachael T	672330	Agent - Casualty	6/15/2017
Active	Nemeth, Rachael T	672330	Agent - Property	6/15/2017
Inactive	Pasinski, Constance R	647469	Agent - Casualty	6/15/2017	7/22/2021
Inactive	Pasinski, Constance R	647469	Agent - Property	6/15/2017	7/22/2021
Denied	Pezzano, Robert G	1049804	Agent - Casualty
Denied	Pezzano, Robert G	1049804	Agent - Property
Denied	Phillips, Alisa C	1098765	Agent - Casualty
Denied	Phillips, Alisa C	1098765	Agent - Property
Denied	Powers, Matthew W	1264290	Agent - Casualty
Denied	Powers, Matthew W	1264290	Agent - Property
Denied	Richards, Marinez	981057	Agent - Casualty
Denied	Richards, Marinez	981057	Agent - Property
Inactive	Rinearson, Emily Jean	995065	Agent - Casualty	6/21/2024	4/10/2025
Inactive	Rinearson, Emily Jean	995065	Agent - Property	6/21/2024	4/10/2025
Active	Ring, Jeffrey Allan	851507	Agent - Casualty	7/31/2016
Active	Ring, Jeffrey Allan	851507	Agent - Property	7/31/2016
Active	Ring, Jeffrey Allan	851507	Surplus Lines Broker - Not Applicable	7/31/2016
Denied	Roberts, Mary C	1073714	Agent - Casualty
Denied	Roberts, Mary C	1073714	Agent - Property
Inactive	Rosen, Michael Andrew	630151	Agent - Casualty	6/15/2017	11/22/2017
Inactive	Rosen, Michael Andrew	630151	Agent - Property	6/15/2017	11/22/2017
Denied	Ruth, Zachary Salvatore	981185	Agent - Casualty
Denied	Ruth, Zachary Salvatore	981185	Agent - Property
Inactive	Sanders, Julia P	827704	Agent - Casualty	6/15/2017	7/31/2017
Inactive	Sanders, Julia P	827704	Agent - Property	6/15/2017	7/31/2017
Denied	Saucedo, London	1275259	Agent - Casualty
Denied	Saucedo, London	1275259	Agent - Property
Denied	Schlegel, Caleb	1372293	Agent - Casualty
Denied	Schlegel, Caleb	1372293	Agent - Property
Denied	Severson, Kevin	1096324	Agent - Casualty
Denied	Severson, Kevin	1096324	Agent - Property
Inactive	Stewart, Karin J	513304	Agent - Casualty	5/10/2017	10/4/2024
Inactive	Stewart, Karin J	513304	Agent - Health	5/10/2017	10/4/2024
Inactive	Stewart, Karin J	513304	Agent - Property	5/10/2017	10/4/2024
Denied	Stine, Richard Alexander	1214246	Agent - Casualty
Denied	Stine, Richard Alexander	1214246	Agent - Property
Inactive	Taylor, Jason W	822577	Agent - Casualty	2/6/2014	11/17/2016
Inactive	Taylor, Jason W	822577	Agent - Property	2/6/2014	11/17/2016
Denied	Thomas, Kevin	1314853	Agent - Casualty
Denied	Thomas, Kevin	1314853	Agent - Property
Inactive	Twietmeyer, Philip Warren	516450	Agent - Casualty	9/9/2002	3/7/2024
Inactive	Twietmeyer, Philip Warren	516450	Agent - Health	7/30/2004	3/7/2024
Inactive	Twietmeyer, Philip Warren	516450	Agent - Property	9/9/2002	3/7/2024
Active	Twietmeyer, Philip Warren	516450	Surplus Lines Broker - Not Applicable	1/22/2007
Denied	Vitale, Colleen R	981058	Agent - Casualty
Denied	Vitale, Colleen R	981058	Agent - Property
Inactive	Whooley, Brian Thomas	501969	Agent - Casualty	8/15/2000	6/11/2001
Inactive	Whooley, Brian Thomas	501969	Agent - General Lines	4/7/2000	8/15/2000
Inactive	Whooley, Brian Thomas	501969	Agent - Property	8/15/2000	6/11/2001
Active	Yourston, Michael	1275062	Agent - Casualty	6/21/2024
Active	Yourston, Michael	1275062	Agent - Property	6/21/2024
Denied	Zerbe, John	1246101	Agent - Casualty
Denied	Zerbe, John	1246101	Agent - Property