DEPARTMENT OF INSURANCE

Affiliations

Name	Pine Hill Ins Services	DOIID	871628	NAIC NPN	17366923

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	3/10/2015	3/31/2027
Active	Non Resident	Agent	Life	3/10/2015	3/31/2027
Active	Non Resident	Agent	Property	3/10/2015	3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AMCO Insurance Company	300204	Agent - Casualty	12/28/2015	9/6/2024
Inactive	AMCO Insurance Company	300204	Agent - Property	12/28/2015	9/6/2024
Inactive	Allied Insurance Company of America	793586	Agent - Casualty	12/28/2015	9/6/2024
Inactive	Allied Insurance Company of America	793586	Agent - Property	12/28/2015	9/6/2024
Inactive	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	12/28/2015	9/6/2024
Inactive	Allied Property and Casualty Insurance Company	300279	Agent - Property	12/28/2015	9/6/2024
Active	AmGUARD Insurance Company	500010	Agent - Casualty	10/24/2017
Active	AmGUARD Insurance Company	500010	Agent - Property	10/24/2017
Inactive	AmTrust Insurance Company	300179	Agent - Casualty	7/31/2017	8/5/2019
Inactive	AmTrust Insurance Company	300179	Agent - Property	7/31/2017	8/5/2019
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	4/19/2022
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	4/19/2022
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	12/31/2015	12/14/2016
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	12/31/2015	12/14/2016
Inactive	Depositors Insurance Company	301634	Agent - Casualty	12/28/2015	9/6/2024
Inactive	Depositors Insurance Company	301634	Agent - Property	12/28/2015	9/6/2024
Inactive	Erie Family Life Insurance Company	301400	Agent - Life	3/14/2016	2/5/2018
Active	Erie Insurance Company	300230	Agent - Casualty	3/14/2016
Active	Erie Insurance Company	300230	Agent - Property	3/14/2016
Active	Erie Insurance Company of New York	789916	Agent - Casualty	3/14/2016
Active	Erie Insurance Company of New York	789916	Agent - Property	3/14/2016
Active	Erie Insurance Exchange	300789	Agent - Casualty	3/14/2016
Active	Erie Insurance Exchange	300789	Agent - Property	3/14/2016
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	3/14/2016
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	3/14/2016
Inactive	Farmington Casualty Company	301137	Agent - Casualty	12/31/2015	12/14/2016
Inactive	Farmington Casualty Company	301137	Agent - Property	12/31/2015	12/14/2016
Active	Flagship City Insurance Company	789965	Agent - Casualty	3/14/2016
Active	Flagship City Insurance Company	789965	Agent - Property	3/14/2016
Inactive	Milford Casualty Insurance Company	301460	Agent - Casualty	7/31/2017	8/5/2019
Inactive	Milford Casualty Insurance Company	301460	Agent - Property	7/31/2017	8/5/2019
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	8/28/2019	9/6/2024
Inactive	Nationwide General Insurance Company	300603	Agent - Property	8/28/2019	9/6/2024
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	8/28/2019	9/6/2024
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	8/28/2019	9/6/2024
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	8/25/2016	9/6/2024
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	8/25/2016	9/6/2024
Active	NorGUARD Insurance Company	500015	Agent - Casualty	6/15/2015
Inactive	Park National Insurance Company	692514	Agent - Casualty	7/31/2017	8/5/2019
Inactive	Park National Insurance Company	692514	Agent - Property	7/31/2017	8/5/2019
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	8/16/2016	2/7/2023
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	8/16/2016	2/7/2023
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	1/6/2016	3/26/2018
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	1/6/2016	3/26/2018
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	1/6/2016	3/26/2018
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	1/6/2016	3/26/2018
Inactive	Security National Insurance Company	301151	Agent - Casualty	7/31/2017	8/5/2019
Inactive	Security National Insurance Company	301151	Agent - Property	7/31/2017	8/5/2019
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	11/8/2017
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	11/8/2017
Inactive	Technology Insurance Company	613278	Agent - Casualty	7/31/2017	8/5/2019
Inactive	Technology Insurance Company	613278	Agent - Property	7/31/2017	8/5/2019
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	4/22/2022	11/16/2023
Inactive	The Phoenix Insurance Company	301502	Agent - Property	4/22/2022	11/16/2023
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	12/31/2015	12/14/2016
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	12/31/2015	12/14/2016
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	12/31/2015	12/14/2016
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	12/31/2015	12/14/2016
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	3/1/2022	11/16/2023
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	3/1/2022	11/16/2023
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	4/22/2022	11/16/2023
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	4/22/2022	11/16/2023
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	12/31/2015	12/20/2018
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	12/31/2015	12/20/2018
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	12/31/2015	12/14/2016
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	12/31/2015	12/14/2016
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	12/31/2015	12/14/2016
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	12/31/2015	12/14/2016
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	1/29/2019
Active	Travelers Personal Insurance Company	705785	Agent - Property	1/29/2019
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	12/31/2015	12/14/2016
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	12/31/2015	12/14/2016
Inactive	United Financial Casualty Company	301886	Agent - Casualty	8/16/2016	2/7/2023
Inactive	United Financial Casualty Company	301886	Agent - Property	8/16/2016	2/7/2023
Inactive	Wesco Insurance Company	300534	Agent - Casualty	7/31/2017	8/5/2019
Inactive	Wesco Insurance Company	300534	Agent - Property	7/31/2017	8/5/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Mohammed, Salim	865076	Agent - Casualty	3/10/2015
Denied	Mohammed, Salim	865076	Agent - Life
Active	Mohammed, Salim	865076	Agent - Property	3/10/2015
Active	Shah, Kishore R	838079	Agent - Casualty	2/1/2019
Active	Shah, Kishore R	838079	Agent - Life	3/7/2018
Active	Shah, Kishore R	838079	Agent - Property	2/1/2019
Inactive	Shah, Nandini K	864131	Agent - Casualty	4/11/2018	8/31/2020
Inactive	Shah, Nandini K	864131	Agent - Property	4/11/2018	8/31/2020