DEPARTMENT OF INSURANCE

Affiliations

Name	Triad Insurance Management & Services Agency, Inc.	DOIID	521788	NAIC NPN	3926012

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	3/12/2001	3/31/2027
Active	Non Resident	Agent	Casualty	3/12/2001	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/29/2022	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	Accelerant National Insurance Company	538882	Agent - Casualty	2/20/2023
Active	Accelerant National Insurance Company	538882	Agent - Property	2/20/2023
Inactive	Clarendon National Insurance Company	300843	Agent - Casualty	8/13/2001	3/31/2008
Inactive	Clarendon National Insurance Company	300843	Agent - Property	8/13/2001	3/31/2008
Inactive	Great American Assurance Company	300327	Agent - Casualty	1/14/2004	5/25/2021
Inactive	Great American Assurance Company	300327	Agent - Property	1/14/2004	5/25/2021
Inactive	Great American Insurance Company	301586	Agent - Casualty	1/14/2004	5/25/2021
Inactive	Great American Insurance Company	301586	Agent - Property	1/14/2004	5/25/2021
Active	HDI Global Insurance Company	676678	Agent - Casualty	8/9/2023
Active	HDI Global Insurance Company	676678	Agent - Property	8/9/2023
Inactive	Hallmark Insurance Company	301637	Agent - Casualty	4/27/2017	11/7/2023
Inactive	Hallmark Insurance Company	301637	Agent - Property	4/27/2017	11/7/2023
Inactive	Hudson Insurance Company	523144	Agent - Casualty	10/25/2005	7/21/2008
Inactive	Hudson Insurance Company	523144	Agent - Property	10/25/2005	7/21/2008
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Casualty	2/28/2023
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Property	2/28/2023
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Casualty	2/28/2023
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Property	2/28/2023
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	11/13/2009	11/6/2020
Inactive	Praetorian Insurance Company	301021	Agent - Property	11/13/2009	11/6/2020
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	11/13/2009	11/6/2020
Inactive	QBE Insurance Corporation	300515	Agent - Property	11/13/2009	11/6/2020
Inactive	Security Insurance Company of Hartford	300973	Agent - Casualty	3/12/2001	1/15/2002
Inactive	Security Insurance Company of Hartford	300973	Agent - Property	3/12/2001	1/15/2002
Active	StarStone National Insurance Company	300812	Agent - Casualty	7/31/2012
Active	StarStone National Insurance Company	300812	Agent - Property	7/31/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dascaloff, Lisa A	661616	Agent - Casualty	10/1/2007
Active	Dascaloff, Lisa A	661616	Agent - Property	10/1/2007
Active	Dascaloff, Lisa A	661616	Surplus Lines Broker - Not Applicable	6/29/2022
Inactive	Stubbendieck, Bradley A	513143	Agent - Casualty	3/12/2001	1/28/2010
Inactive	Stubbendieck, Bradley A	513143	Agent - Property	3/12/2001	1/28/2010