DEPARTMENT OF INSURANCE

Affiliations

Name	Envision Ins Group LLC	DOIID	681265	NAIC NPN	9165795

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/27/2016	3/31/2026
Active	Non Resident	Agent	Property	7/27/2016	3/31/2026
Denied	Non Resident	Agent	Health
Denied	Non Resident	Agent	Life
Denied	Non Resident	Agent	Personal Lines
* 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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	12/5/2011	12/9/2013
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	12/5/2011	12/9/2013
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Active	Cincinnati Insurance Company	301298	Agent - Casualty	8/2/2016
Active	Cincinnati Insurance Company	301298	Agent - Property	8/2/2016
Active	Great American Insurance Company	301586	Agent - Casualty	10/19/2023
Active	Great American Insurance Company	301586	Agent - Property	10/19/2023
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	12/5/2011	12/9/2013
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	12/5/2011	12/9/2013
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	12/5/2011	12/9/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Property	12/5/2011	12/9/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	12/5/2011	12/9/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	12/5/2011	12/9/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	12/5/2011	12/9/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	12/5/2011	12/9/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	12/5/2011	12/9/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	12/5/2011	12/9/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	12/5/2011	12/9/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	12/5/2011	12/9/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gregurich, Brad Andrew	314456	Agent - Casualty	4/8/2009	3/31/2014
Inactive	Gregurich, Brad Andrew	314456	Agent - Property	4/8/2009	3/31/2014
Active	Peterson, Jeffrey K	922068	Agent - Casualty	7/27/2016
Active	Peterson, Jeffrey K	922068	Agent - Property	7/27/2016