DEPARTMENT OF INSURANCE

Affiliations

Name	Amtrust North America Inc	DOIID	581977	NAIC NPN	7075035

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Denied	Non Resident	Adjuster	Independent
Active	Non Resident	Agent	Property	11/12/2004	3/31/2026
Active	Non Resident	Agent	Casualty	11/12/2004	3/31/2026
Active	Non Resident	Independent Adjuster	Workers' Compensation	1/21/2009	3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	2/25/2016	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
Agent	01/15/2026	03/31/2026
Independent Adjuster	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	AIG Assurance Company	300897	Agent - Casualty	10/22/2014
Active	AIG Assurance Company	300897	Agent - Property	10/22/2014
Active	AmTrust Insurance Company	300179	Agent - Casualty	1/20/2010
Active	AmTrust Insurance Company	300179	Agent - Property	1/20/2010
Active	CorePointe Insurance Company	300406	Agent - Casualty	12/4/2015
Active	CorePointe Insurance Company	300406	Agent - Property	12/4/2015
Inactive	Developers Surety and Indemnity Company	516432	Agent - Casualty	6/18/2014	3/21/2016
Active	Heritage Indemnity Company	301155	Agent - Casualty	5/8/2018
Active	Heritage Indemnity Company	301155	Agent - Property	5/8/2018
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	10/22/2014
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	10/22/2014
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	3/12/2020
Active	Liberty Mutual Insurance Company	301159	Agent - Property	3/12/2020
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	1/20/2010
Active	Milford Casualty Insurance Company	301460	Agent - Property	1/20/2010
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	10/22/2014
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	10/22/2014
Active	New Hampshire Insurance Company	301670	Agent - Casualty	10/22/2014
Active	New Hampshire Insurance Company	301670	Agent - Property	10/22/2014
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	3/12/2020
Active	Ohio Casualty Insurance Company	301492	Agent - Property	3/12/2020
Active	Park National Insurance Company	692514	Agent - Casualty	10/10/2013
Active	Park National Insurance Company	692514	Agent - Property	10/10/2013
Active	Security National Insurance Company	301151	Agent - Casualty	1/20/2010
Active	Security National Insurance Company	301151	Agent - Property	1/20/2010
Active	Sequoia Insurance Company	628046	Agent - Casualty	10/10/2013
Active	Sequoia Insurance Company	628046	Agent - Property	10/10/2013
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	11/18/2014	12/21/2015
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	11/18/2014	12/21/2015
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	11/18/2014	12/21/2015
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	11/18/2014	12/21/2015
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	11/18/2014	12/21/2015
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	11/18/2014	12/21/2015
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	1/26/2005	7/17/2017
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	1/26/2005	7/17/2017
Active	Technology Insurance Company	613278	Agent - Casualty	3/1/2007
Active	Technology Insurance Company	613278	Agent - Property	3/1/2007
Active	Wesco Insurance Company	300534	Agent - Casualty	3/1/2007
Active	Wesco Insurance Company	300534	Agent - Property	3/1/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Butler, Sirahn A	848391	Agent - Casualty	7/31/2023	8/11/2023
Inactive	Butler, Sirahn A	848391	Agent - Property	7/31/2023	8/11/2023
Active	Childs, Cherina A	818202	Agent - Casualty	4/10/2025
Active	Childs, Cherina A	818202	Agent - Property	4/10/2025
Inactive	Corrao, Carmen Jonathon	1353001	Agent - Casualty	8/20/2024	3/5/2025
Inactive	Corrao, Carmen Jonathon	1353001	Agent - Property	8/20/2024	3/5/2025
Inactive	Ganguzza, Angelo T	660163	Agent - Casualty	8/17/2017	5/31/2019
Inactive	Ganguzza, Angelo T	660163	Agent - Property	8/17/2017	5/31/2019
Inactive	Ganguzza, Angelo T	660163	Surplus Lines Broker - Not Applicable	8/17/2017	5/31/2019
Active	Gedney, Michelle R	647222	Agent - Casualty	4/22/2019
Active	Gedney, Michelle R	647222	Agent - Property	4/22/2019
Active	Gedney, Michelle R	647222	Surplus Lines Broker - Not Applicable	5/31/2019
Inactive	Hollander, Stuart Dov	579477	Agent - Casualty	11/12/2004	4/26/2018
Inactive	Hollander, Stuart Dov	579477	Agent - Property	11/12/2004	4/26/2018
Inactive	Hollander, Stuart Dov	579477	Surplus Lines Broker - Not Applicable	2/25/2016	4/26/2018
Inactive	Jessie, Emily Elizabeth	731837	Staff Adjuster - Property & Casualty	9/19/2024	10/1/2024
Inactive	Jessie, Emily Elizabeth	731837	Staff Adjuster - Workers' Compensation	9/19/2024	10/1/2024
Active	Layden, Daniel	968259	Agent - Casualty	6/18/2024
Active	Layden, Daniel	968259	Agent - Property	6/18/2024
Inactive	Leo, Jeffrey P	580001	Agent - Casualty	3/21/2018	1/15/2019
Inactive	Leo, Jeffrey P	580001	Agent - Property	3/21/2018	1/15/2019
Inactive	Martin, Lisa	611283	Independent Adjuster - Property & Casualty	4/8/2021	9/19/2024
Active	Mcclure, Rachel	962996	Agent - Casualty	8/20/2024
Active	Mcclure, Rachel	962996	Agent - Property	8/20/2024
Active	Melnik, Scott T	756933	Independent Adjuster - Property & Casualty	10/1/2024
Active	Melnik, Scott T	756933	Independent Adjuster - Workers' Compensation	10/1/2024
Active	Odear, Dylan Paul	1367457	Agent - Casualty	11/19/2024
Active	Odear, Dylan Paul	1367457	Agent - Property	11/18/2024
Inactive	Price, Darrell Lynn	692861	Independent Adjuster - Workers' Compensation	1/21/2009	3/5/2019
Inactive	Sawyer, Erick Edison	641947	Staff Adjuster - Property & Casualty	3/5/2019	4/8/2021
Inactive	Sharp, Zelma Faye	1032867	Agent - Casualty	3/28/2019	12/16/2024
Inactive	Sharp, Zelma Faye	1032867	Agent - Property	3/28/2019	12/16/2024
Inactive	Shear, Stephanie Hope	720664	Agent - Casualty	8/21/2024	4/5/2025
Inactive	Shear, Stephanie Hope	720664	Agent - Property	8/21/2024	4/5/2025
Inactive	Trivison, Delynn Dotherow	622432	Agent - Casualty	1/12/2018	4/22/2019
Inactive	Trivison, Delynn Dotherow	622432	Agent - Property	1/12/2018	4/22/2019
Active	Webb, Erin Marie	981495	Agent - Casualty	8/20/2024
Active	Webb, Erin Marie	981495	Agent - Property	8/20/2024
Active	Zoltowski, Joseph Christopher	1301519	Agent - Casualty	10/6/2023
Active	Zoltowski, Joseph Christopher	1301519	Agent - Property	10/6/2023