PUBLIC PROTECTION
CABINET
DEPARTMENT OF INSURANCE
Affiliations
NameExcess Risk Underwriters IncDOIID514314NAIC NPN1048387
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAdministratorNot Applicable10/20/20003/31/2026 
InactiveNon ResidentAgentHealth3/28/20073/31/2026 
InactiveNon ResidentAgentLife3/28/20073/31/2026 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Heritage Life Insurance Company300272Agent - Health4/17/20077/18/2016
InactiveAmerican Heritage Life Insurance Company300272Agent - Life4/17/20077/18/2016
InactiveSymetra Life Insurance Company301691Agent - Health4/1/20073/31/2026
InactiveSymetra Life Insurance Company301691Agent - Life4/1/20073/31/2026
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCullen, Martin Steven 514315Administrator - Not Applicable10/20/20003/31/2026
InactiveCullen, Martin Steven 514315Agent - Health3/5/20243/31/2026
InactiveCullen, Martin Steven 514315Agent - Life3/5/20243/31/2026
InactiveRassiga, Frank Stephen 383508Agent - Health6/21/20072/9/2024
InactiveRassiga, Frank Stephen 383508Agent - Life6/21/20072/9/2024

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