DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Acrisure Mid-Atlantic XS Program Insurance Agency, LLC	DOIID	723396	NAIC NPN	7114514

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	3/5/2010		3/31/2026
Active	Non Resident	Agent	Casualty	3/5/2010		3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/19/2014		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	Response Received Date	Payment Received Date	Renewal Complete
Agent	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	Great American Insurance Company	301586	Agent - Casualty	1/8/2015
Active	Great American Insurance Company	301586	Agent - Property	1/8/2015
Active	HDI Global Insurance Company	676678	Agent - Casualty	8/9/2023
Active	HDI Global Insurance Company	676678	Agent - Property	8/9/2023
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	6/17/2016	11/30/2017
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	6/17/2016	11/30/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Coleman, Laurie Summers	721578	Agent - Casualty	3/5/2010
Active	Coleman, Laurie Summers	721578	Agent - Property	3/5/2010
Active	Coleman, Laurie Summers	721578	Surplus Lines Broker - Not Applicable	3/19/2014