DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Evergreen/Uni LLC	DOIID	836441	NAIC NPN	17211821

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/10/2022		3/31/2026
Active	Non Resident	Agent	Property	10/10/2022		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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arch Insurance Company	300688	Agent - Casualty	10/28/2022
Active	Arch Insurance Company	300688	Agent - Property	10/28/2022
Inactive	Bond Safeguard Insurance Company	564983	Agent - Casualty	12/9/2019	3/31/2022
Inactive	Endurance American Insurance Company	724397	Agent - Casualty	12/9/2019	3/31/2022
Inactive	Endurance Assurance Corporation	670371	Agent - Casualty	12/9/2019	3/31/2022
Active	Evergreen National Indemnity Company	300146	Agent - Casualty	11/8/2022
Active	Evergreen National Indemnity Company	300146	Agent - Property	11/8/2022
Inactive	Lexon Insurance Company	300352	Agent - Casualty	12/9/2019	3/31/2022
Active	Ohio Indemnity Company	301745	Agent - Property	12/20/2022
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	8/20/2024
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	8/20/2024
Inactive	U.S. Specialty Insurance Company	300186	Agent - Casualty	6/13/2016	3/31/2022
Inactive	U.S. Specialty Insurance Company	300186	Agent - Property	6/13/2016	3/31/2022
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	11/4/2022
Active	Westchester Fire Insurance Company	300990	Agent - Property	11/4/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Tucker, Matthew Tracy	343309	Agent - Casualty	10/10/2022
Active	Tucker, Matthew Tracy	343309	Agent - Property	10/10/2022