DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ponderosa Insurance Agency LLC	DOIID	686248	NAIC NPN	11292479

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/19/2008		3/31/2026
Active	Non Resident	Agent	Property	9/19/2008		3/31/2026
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	1/28/2020	12/13/2021
* 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
Active	Repwest Insurance Company	300987	Agent - Casualty	6/10/2011
Active	Repwest Insurance Company	300987	Agent - Property	6/10/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Amoroso, Richard Michael	598284	Agent - Casualty	9/19/2008	6/30/2013
Inactive	Amoroso, Richard Michael	598284	Agent - Property	9/19/2008	6/30/2013
Active	Coronado, Louis	972490	Agent - Casualty	1/18/2024
Active	Coronado, Louis	972490	Agent - Property	1/18/2024
Inactive	Johnson, Philip Blake	803782	Agent - Casualty	9/13/2013	1/18/2024
Inactive	Johnson, Philip Blake	803782	Agent - Property	9/13/2013	1/18/2024
Inactive	Johnson, Philip Blake	803782	Surplus Lines Broker - Not Applicable	1/28/2020	5/23/2022