DEPARTMENT OF INSURANCE

Affiliations

Name	Acrisure Mga, LLC DBA : Acrisure Risk Insurance Services, KF&B Program Managers Insurance Services	DOIID	862250	NAIC NPN	17432980

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	1/27/2020	3/31/2026
Active	Non Resident	Agent	Health	5/16/2018	3/31/2026
Active	Non Resident	Agent	Casualty	12/23/2014	3/31/2026
Active	Non Resident	Agent	Property	12/23/2014	3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	12/23/2014	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	Manufacturers Alliance Insurance Company	519940	Agent - Casualty	10/28/2015
Active	Manufacturers Alliance Insurance Company	519940	Agent - Property	10/28/2015
Inactive	New York Marine and General Insurance Company	301932	Agent - Casualty	8/11/2015	6/6/2019
Inactive	New York Marine and General Insurance Company	301932	Agent - Property	8/11/2015	6/6/2019
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Casualty	10/28/2015
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Property	10/28/2015
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Casualty	10/28/2015
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Property	10/28/2015
Inactive	Protective Insurance Company	301117	Agent - Casualty	3/5/2018	3/9/2018
Inactive	Protective Insurance Company	301117	Agent - Property	3/5/2018	3/9/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hayward, Sharon Rose	837774	Agent - Casualty	12/23/2014	3/19/2019
Denied	Hayward, Sharon Rose	837774	Agent - Health
Inactive	Hayward, Sharon Rose	837774	Agent - Life	12/23/2014	3/19/2019
Inactive	Hayward, Sharon Rose	837774	Agent - Property	12/23/2014	3/19/2019
Inactive	Hayward, Sharon Rose	837774	Surplus Lines Broker - Not Applicable	12/23/2014	1/17/2020
Active	Kalior, Lawrence John	360965	Agent - Casualty	3/19/2019
Active	Kalior, Lawrence John	360965	Agent - Property	3/19/2019
Active	Kalior, Lawrence John	360965	Surplus Lines Broker - Not Applicable	12/4/2014
Active	Kolenda, Courtney Lynne	1022910	Agent - Casualty	3/28/2019
Active	Kolenda, Courtney Lynne	1022910	Agent - Health	3/19/2019
Active	Kolenda, Courtney Lynne	1022910	Agent - Life	1/27/2020
Active	Kolenda, Courtney Lynne	1022910	Agent - Property	3/28/2019
Active	Kolenda, Courtney Lynne	1022910	Surplus Lines Broker - Not Applicable	3/19/2019
Active	Leinenbach, Michael	1065331	Agent - Casualty	2/19/2020
Active	Leinenbach, Michael	1065331	Agent - Property	2/19/2020
Inactive	Parker, William L	511526	Agent - Casualty	4/28/2018	3/19/2019
Inactive	Parker, William L	511526	Agent - Health	5/16/2018	3/19/2019
Inactive	Parker, William L	511526	Agent - Life	5/1/2018	3/19/2019
Inactive	Parker, William L	511526	Agent - Property	4/28/2018	3/19/2019
Pending Replacement	Whitten, John	1197203	Agent - Health	6/21/2022
Pending Replacement	Whitten, John	1197203	Agent - Life	6/21/2022