DEPARTMENT OF INSURANCE

Affiliations

Name	Embroker Ins Services LLC	DOIID	901870	NAIC NPN	17701177

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	12/15/2015		3/31/2027
Active	Non Resident	Agent	Casualty	12/15/2015		3/31/2027
Inactive	Non Resident	Agent	Life	10/24/2016	3/3/2025
Inactive	Non Resident	Agent	Health	10/24/2016	3/3/2025
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	7/31/2017	8/1/2023
* 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
Active	ACE American Insurance Company	300625	Agent - Casualty	2/8/2017
Active	ACE American Insurance Company	300625	Agent - Property	2/8/2017
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	2/8/2017
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	2/8/2017
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	2/8/2017
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	2/8/2017
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	7/11/2016
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	7/11/2016
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	7/11/2016
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	7/11/2016
Active	Arch Insurance Company	300688	Agent - Casualty	12/28/2017
Active	Arch Insurance Company	300688	Agent - Property	12/28/2017
Active	Berkley Insurance Company	301355	Agent - Casualty	8/8/2018
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	5/10/2016	11/30/2017
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	5/10/2016	11/30/2017
Active	Chubb National Insurance Company	301392	Agent - Casualty	2/8/2017
Active	Chubb National Insurance Company	301392	Agent - Property	2/8/2017
Active	Continental Casualty Company	301019	Agent - Casualty	12/16/2019
Active	Continental Casualty Company	301019	Agent - Property	12/16/2019
Inactive	Employers Assurance Company	300120	Agent - Casualty	7/7/2016	9/9/2022
Inactive	Employers Compensation Insurance Company	797885	Agent - Casualty	8/6/2018	9/9/2022
Inactive	Employers Preferred Insurance Company	520656	Agent - Casualty	7/7/2016	9/9/2022
Active	Everest National Insurance Company	301319	Agent - Casualty	9/26/2019
Active	Everest National Insurance Company	301319	Agent - Property	9/26/2019
Active	Executive Risk Indemnity Inc.	301510	Agent - Casualty	2/2/2018
Inactive	Farmington Casualty Company	301137	Agent - Casualty	5/10/2016	11/30/2017
Inactive	Farmington Casualty Company	301137	Agent - Property	5/10/2016	11/30/2017
Active	Federal Insurance Company	301144	Agent - Casualty	2/8/2017
Active	Federal Insurance Company	301144	Agent - Property	2/8/2017
Active	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	5/26/2022
Active	Fidelity and Guaranty Insurance Company	301009	Agent - Property	5/26/2022
Active	Great American Alliance Insurance Company	301247	Agent - Casualty	10/30/2019
Active	Great American Alliance Insurance Company	301247	Agent - Property	10/30/2019
Active	Great American Assurance Company	300327	Agent - Casualty	10/30/2019
Active	Great American Assurance Company	300327	Agent - Property	10/30/2019
Active	Great American Insurance Company	301586	Agent - Casualty	10/30/2019
Active	Great American Insurance Company	301586	Agent - Property	10/30/2019
Active	Great American Spirit Insurance Company	300233	Agent - Casualty	10/30/2019
Active	Great American Spirit Insurance Company	300233	Agent - Property	10/30/2019
Active	Great Northern Insurance Company	301107	Agent - Casualty	2/8/2017
Active	Great Northern Insurance Company	301107	Agent - Property	2/8/2017
Active	Greenwich Insurance Company	301754	Agent - Casualty	8/20/2019
Active	Greenwich Insurance Company	301754	Agent - Property	8/20/2019
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	7/11/2016
Active	Hanover American Insurance Company (The)	300447	Agent - Property	7/11/2016
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	7/11/2016
Active	Hanover Insurance Company (The)	300508	Agent - Property	7/11/2016
Active	Hartford Accident and Indemnity Company	301917	Agent - Casualty	11/10/2021
Active	Hartford Accident and Indemnity Company	301917	Agent - Property	11/10/2021
Active	Hartford Insurance Company of the Southeast	1014204	Agent - Casualty	7/4/2021
Active	Hartford Insurance Company of the Southeast	1014204	Agent - Property	7/4/2021
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/11/2017	3/3/2025
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	4/11/2017	3/3/2025
Active	Hartford Underwriters Insurance Company	301064	Agent - Casualty	4/19/2021
Active	Hartford Underwriters Insurance Company	301064	Agent - Property	4/19/2021
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/14/2017	4/10/2018
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/14/2017	4/10/2018
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/14/2017	12/8/2017
Inactive	Kanawha Insurance Company	300127	Agent - Life	2/14/2017	12/8/2017
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	7/11/2016
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	7/11/2016
Active	Midvale Indemnity Company	300292	Agent - Casualty	12/18/2017
Active	Midvale Indemnity Company	300292	Agent - Property	12/18/2017
Active	National Fire Insurance Company of Hartford	301063	Agent - Casualty	9/30/2024
Active	National Fire Insurance Company of Hartford	301063	Agent - Property	9/30/2024
Active	Pacific Indemnity Company	301610	Agent - Casualty	2/8/2017
Active	Pacific Indemnity Company	301610	Agent - Property	2/8/2017
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	12/7/2016	11/30/2017
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	12/7/2016	11/30/2017
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	12/7/2016	11/30/2017
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	12/7/2016	11/30/2017
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	12/7/2016	11/30/2017
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	12/7/2016	11/30/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	5/10/2016	11/30/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	5/10/2016	11/30/2017
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	5/10/2016	11/30/2017
Inactive	The Phoenix Insurance Company	301502	Agent - Property	5/10/2016	11/30/2017
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	5/10/2016	11/30/2017
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	5/10/2016	11/30/2017
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	5/10/2016	11/30/2017
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	5/10/2016	11/30/2017
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	12/24/2019	11/4/2022
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	12/24/2019	11/4/2022
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	5/10/2016	11/30/2017
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	5/10/2016	11/30/2017
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	5/10/2016	11/30/2017
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	5/10/2016	11/30/2017
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	5/10/2016	11/30/2017
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	5/10/2016	11/30/2017
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	5/10/2016	11/30/2017
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	5/10/2016	11/30/2017
Active	Twin City Fire Insurance Company	300721	Agent - Casualty	5/7/2017
Active	Twin City Fire Insurance Company	300721	Agent - Property	5/7/2017
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	10/20/2017	5/31/2023
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	10/20/2017	5/31/2023
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	10/20/2017	5/31/2023
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/1/2021	5/31/2023
Active	Valley Forge Insurance Company	301052	Agent - Casualty	12/16/2019
Active	Valley Forge Insurance Company	301052	Agent - Property	12/16/2019
Active	Vigilant Insurance Company	301143	Agent - Casualty	2/8/2017
Active	Vigilant Insurance Company	301143	Agent - Property	2/8/2017
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	2/8/2017
Active	Westchester Fire Insurance Company	300990	Agent - Property	2/8/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Derigiotis, David A	1248564	Agent - Casualty
Denied	Derigiotis, David A	1248564	Agent - Property
Inactive	Mangan, Thomas L	722099	Agent - Health	10/24/2016	12/31/2024
Inactive	Mangan, Thomas L	722099	Agent - Life	10/24/2016	12/31/2024
Inactive	Miller, Matthew Cowan	889698	Agent - Casualty	12/15/2015	10/4/2023
Inactive	Miller, Matthew Cowan	889698	Agent - Property	12/15/2015	10/4/2023
Inactive	Miller, Matthew Cowan	889698	Surplus Lines Broker - Not Applicable	7/31/2017	5/31/2023
Active	Noonan, Julie N	817360	Agent - Casualty	10/4/2022
Active	Noonan, Julie N	817360	Agent - Property	10/4/2022