DEPARTMENT OF INSURANCE
Affiliations
NameEmbrace Pet Ins LLCDOIID723377NAIC NPN8818543
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty2/23/2010 3/31/2026
ActiveNon ResidentAgentProperty2/23/2010 3/31/2026
ActiveNon ResidentManaging General AgentNot Applicable9/11/2017 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Managing General Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Family Home Insurance Company301817Agent - Casualty10/27/201511/14/2021
InactiveAmerican Family Home Insurance Company301817Agent - Property10/27/201511/14/2021
ActiveAmerican Modern Home Insurance Company300791Agent - Casualty6/18/2012 
ActiveAmerican Modern Home Insurance Company300791Agent - Property6/18/2012 
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty10/27/201511/14/2021
InactiveAmerican Modern Select Insurance Company581481Agent - Property10/27/201511/14/2021
ActiveAmerican Pet Insurance Company, Inc.301240Agent - Casualty10/16/2024 
ActiveAmerican Pet Insurance Company, Inc.301240Agent - Property10/16/2024 
ActiveIndependence American Insurance Company524747Agent - Casualty2/28/2024 
ActiveIndependence American Insurance Company524747Agent - Property2/28/2024 
InactiveRLI Insurance Company301217Agent - Casualty5/1/20106/11/2014
InactiveRLI Insurance Company301217Agent - Property5/1/20106/11/2014
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBarrett, Peter 930155Agent - Casualty8/16/20196/25/2024
InactiveBarrett, Peter 930155Agent - Property8/16/20196/25/2024
ActiveBatten, Christine Lynn 936037Agent - Casualty8/27/2019 
ActiveBatten, Christine Lynn 936037Agent - Property8/27/2019 
ActiveBatten, Jessica 930177Agent - Casualty8/16/2019 
ActiveBatten, Jessica 930177Agent - Property8/16/2019 
ActiveBaum, Joshua 875774Agent - Casualty8/16/2019 
ActiveBaum, Joshua 875774Agent - Property8/16/2019 
InactiveBender, Karen 971762Agent - Casualty8/16/20198/3/2021
InactiveBender, Karen 971762Agent - Property8/16/20198/3/2021
InactiveBennett, Laura Joanna 634748Agent - Casualty2/23/20107/6/2017
InactiveBennett, Laura Joanna 634748Agent - Property2/23/20107/6/2017
InactiveBiernot, Leah 1032334Agent - Casualty8/26/20193/31/2021
InactiveBiernot, Leah 1032334Agent - Property8/26/20193/31/2021
InactiveBinkley, Kimberley 1035921Agent - Casualty11/21/20199/11/2020
InactiveBinkley, Kimberley 1035921Agent - Property11/21/20199/11/2020
InactiveBohannon, Courtney Symone 979616Agent - Casualty8/16/201912/11/2019
InactiveBohannon, Courtney Symone 979616Agent - Property8/16/201912/11/2019
InactiveBohannon, Curtis 979566Agent - Casualty8/16/20191/22/2021
InactiveBohannon, Curtis 979566Agent - Property8/16/20191/22/2021
InactiveBrickman, Aubri 905760Agent - Property11/21/201910/20/2020
InactiveBukach, Courtney 948116Agent - Casualty11/21/201910/14/2022
InactiveBukach, Courtney 948116Agent - Property11/21/201910/14/2022
InactiveBurns, Candace 978341Agent - Casualty8/16/20197/16/2021
InactiveBurns, Candace 978341Agent - Property8/16/20197/16/2021
ActiveCirelly, Xena 946570Agent - Casualty8/16/2019 
ActiveCirelly, Xena 946570Agent - Property8/16/2019 
ActiveDelaney, Joseph 1045383Agent - Casualty8/16/2019 
ActiveDelaney, Joseph 1045383Agent - Property8/16/2019 
InactiveDrumm, Miranda 1029210Agent - Casualty8/16/20199/11/2020
InactiveDrumm, Miranda 1029210Agent - Property8/16/20199/11/2020
InactiveEhinger, Shannon 979846Agent - Casualty8/16/201911/2/2021
InactiveEhinger, Shannon 979846Agent - Property8/16/201911/2/2021
ActiveFolino, Daniel 955035Agent - Casualty8/16/2019 
ActiveFolino, Daniel 955035Agent - Property8/16/2019 
ActiveGerediaga, Jone 1034597Agent - Casualty8/26/2019 
ActiveGerediaga, Jone 1034597Agent - Property8/26/2019 
InactiveGreiner, Lauren 1040607Agent - Casualty8/27/20198/3/2021
InactiveGreiner, Lauren 1040607Agent - Property8/27/20198/3/2021
ActiveGrutzmacher, Diana Marie 931620Agent - Casualty8/16/2019 
ActiveGrutzmacher, Diana Marie 931620Agent - Property8/16/2019 
InactiveGunther, Mariah 1062601Agent - Casualty11/21/20199/2/2021
InactiveGunther, Mariah 1062601Agent - Property11/21/20199/2/2021
ActiveHagesfeld, Christopher Scott 945493Agent - Casualty7/6/2017 
ActiveHagesfeld, Christopher Scott 945493Agent - Property7/6/2017 
ActiveJackson, Brian 956384Agent - Casualty8/16/2019 
ActiveJackson, Brian 956384Agent - Property8/16/2019 
ActiveJacobs, Jessica Lauren 979119Agent - Casualty8/16/2019 
ActiveJacobs, Jessica Lauren 979119Agent - Property8/16/2019 
InactiveKillea, Ann 930171Agent - Casualty2/13/20207/7/2021
InactiveKillea, Ann 930171Agent - Property2/13/20207/7/2021
ActiveKnisely, Joseph 930557Agent - Casualty8/16/2019 
ActiveKnisely, Joseph 930557Agent - Property8/16/2019 
ActiveLindner, Darcy 875785Agent - Casualty8/16/2019 
ActiveLindner, Darcy 875785Agent - Property8/16/2019 
DeniedMajercik, Margaret 957381Agent - Casualty  
DeniedMajercik, Margaret 957381Agent - Property  
ActiveManna, Andrea M 998898Agent - Casualty3/26/2019 
ActiveManna, Andrea M 998898Agent - Property3/26/2019 
InactiveMeder, Annalise 903017Agent - Casualty8/16/20199/11/2020
InactiveMeder, Annalise 903017Agent - Property8/16/20199/11/2020
InactiveMichalski, Kate 1016093Agent - Casualty8/16/20191/25/2021
InactiveMichalski, Kate 1016093Agent - Property8/16/20191/25/2021
InactiveMoore, Kiownne 994055Agent - Casualty8/16/20194/22/2021
InactiveMoore, Kiownne 994055Agent - Property8/16/20194/22/2021
DeniedProvchy, Lindsey 903014Agent - Casualty  
DeniedProvchy, Lindsey 903014Agent - Property  
InactivePutnam, Amanda J 1051663Agent - Casualty11/26/20195/6/2021
InactivePutnam, Amanda J 1051663Agent - Property11/26/20195/6/2021
ActiveRak, Diedre Viktoria 930237Agent - Casualty8/16/2019 
ActiveRak, Diedre Viktoria 930237Agent - Property8/16/2019 
InactiveSkoczen, Sara 1005280Agent - Casualty8/16/20191/10/2020
InactiveSkoczen, Sara 1005280Agent - Property8/16/20191/10/2020
ActiveStorch, Hannah 945494Agent - Casualty8/16/2019 
ActiveStorch, Hannah 945494Agent - Property8/16/2019 
InactiveTuckerman, Samantha 931446Agent - Casualty8/16/20198/3/2021
InactiveTuckerman, Samantha 931446Agent - Property8/16/20198/3/2021
ActiveWalchanowicz, Shelby 985146Agent - Casualty8/16/2019 
ActiveWalchanowicz, Shelby 985146Agent - Property8/16/2019 
InactiveWilliams, Kendra D 1028594Agent - Casualty8/16/201911/21/2019
InactiveWilliams, Kendra D 1028594Agent - Property8/16/201911/21/2019
InactiveYurick, Jessica 1062649Agent - Casualty11/21/20199/6/2022
InactiveYurick, Jessica 1062649Agent - Property11/21/20199/6/2022

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