DEPARTMENT OF INSURANCE

Affiliations

Name	Willis Administrative Services Corporation DBA : Willis Services Corporation	DOIID	394874	NAIC NPN	686658

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	11/9/1998	4/30/2002
Inactive	Non Resident	Administrator	Not Applicable	4/4/1994	3/31/2008
Active	Non Resident	Agent	Casualty	10/1/2008		3/31/2026
Active	Non Resident	Agent	Property	10/1/2008		3/31/2026
Inactive	Non Resident	Agent	Health	6/7/2011	2/27/2019
Inactive	Non Resident	Agent	Life	6/7/2011	2/27/2019
Active	Non Resident	Reinsurance Intermediary Broker	Not Applicable	12/2/2021		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	01/15/2024	03/31/2024	02/20/2024	02/20/2024	Yes
Reinsurance Intermediary Broker	01/15/2024	03/31/2024	02/20/2024	02/20/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allied World Insurance Company	301336	Agent - Casualty	3/26/2014
Active	Allied World Insurance Company	301336	Agent - Property	3/26/2014
Active	Allied World Specialty Insurance Company	301088	Agent - Casualty	3/26/2014
Active	Allied World Specialty Insurance Company	301088	Agent - Property	3/26/2014
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	4/21/2011
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	4/21/2011
Active	American Zurich Insurance Company	300592	Agent - Casualty	4/21/2011
Active	American Zurich Insurance Company	300592	Agent - Property	4/21/2011
Inactive	Arch Insurance Company	300688	Agent - Casualty	2/19/2014	1/13/2020
Inactive	Arch Insurance Company	300688	Agent - Property	2/19/2014	1/13/2020
Inactive	Assurance Company of America	300432	Agent - Casualty	4/21/2011	1/2/2013
Inactive	Assurance Company of America	300432	Agent - Property	4/21/2011	1/2/2013
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	9/20/2019
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	9/20/2019
Active	Farmington Casualty Company	301137	Agent - Casualty	9/20/2019
Active	Farmington Casualty Company	301137	Agent - Property	9/20/2019
Active	Great American Insurance Company	301586	Agent - Casualty	5/29/2019
Active	Great American Insurance Company	301586	Agent - Property	5/29/2019
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	5/23/2019
Active	Hanover American Insurance Company (The)	300447	Agent - Property	5/23/2019
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	5/23/2019
Active	Hanover Insurance Company (The)	300508	Agent - Property	5/23/2019
Active	Manufacturers Alliance Insurance Company	519940	Agent - Casualty	7/18/2017
Active	Manufacturers Alliance Insurance Company	519940	Agent - Property	7/18/2017
Inactive	Maryland Casualty Company	301719	Agent - Casualty	4/21/2011	1/2/2013
Inactive	Maryland Casualty Company	301719	Agent - Property	4/21/2011	1/2/2013
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	5/23/2019
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	5/23/2019
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	4/21/2011	1/2/2013
Inactive	Northern Insurance Company of New York	301317	Agent - Property	4/21/2011	1/2/2013
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Casualty	7/18/2017
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Property	7/18/2017
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Casualty	7/18/2017
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Property	7/18/2017
Active	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	9/20/2019
Active	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	9/20/2019
Active	St. Paul Guardian Insurance Company	301372	Agent - Casualty	9/20/2019
Active	St. Paul Guardian Insurance Company	301372	Agent - Property	9/20/2019
Active	St. Paul Mercury Insurance Company	300783	Agent - Casualty	9/20/2019
Active	St. Paul Mercury Insurance Company	300783	Agent - Property	9/20/2019
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	9/20/2019
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	9/20/2019
Active	The Phoenix Insurance Company	301502	Agent - Casualty	9/20/2019
Active	The Phoenix Insurance Company	301502	Agent - Property	9/20/2019
Active	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	9/20/2019
Active	Travelers Casualty Insurance Company of America	300522	Agent - Property	9/20/2019
Active	Travelers Casualty and Surety Company	301067	Agent - Casualty	9/20/2019
Active	Travelers Casualty and Surety Company	301067	Agent - Property	9/20/2019
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	9/20/2019
Active	Travelers Indemnity Company (The)	301855	Agent - Property	9/20/2019
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	9/20/2019
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	9/20/2019
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	9/20/2019
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	9/20/2019
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	9/20/2019
Active	Travelers Property Casualty Company of America	301649	Agent - Property	9/20/2019
Active	Zurich American Insurance Company	301121	Agent - Casualty	4/21/2011
Active	Zurich American Insurance Company	301121	Agent - Property	4/21/2011
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	4/21/2011
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	4/21/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alexander, Carol Jean	371149	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Anderson, Jennifer Lynn	372585	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Baker, Barbara A	318858	Adjuster - Independent	12/28/2001	4/30/2002
Inactive	Bordner, Vicki Elaine	337416	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Breazeale, Joyce Ann	676136	Agent - Casualty	10/1/2008	1/31/2012
Inactive	Breazeale, Joyce Ann	676136	Agent - Property	10/1/2008	1/31/2012
Inactive	Brown, Kristi Jane	367394	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Cammack, Kathleen D	368152	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Cook, David Ray	362225	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Costello, Tiffany	1162914	Agent - Casualty	10/20/2021	7/8/2022
Inactive	Costello, Tiffany	1162914	Agent - Property	10/20/2021	7/8/2022
Inactive	Costello, Tiffany	1162914	Reinsurance Intermediary Broker - Not Applicable	12/2/2021	8/29/2022
Inactive	Cottner, Kathleen W	342659	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Coulter, Jackie Renae'	306165	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Cunningham, Susan Menendez	368447	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Dalton, Bonnie A	310456	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Active	Erickson, Kevin	1213764	Agent - Casualty	7/8/2022
Active	Erickson, Kevin	1213764	Agent - Property	7/8/2022
Active	Erickson, Kevin	1213764	Reinsurance Intermediary Broker - Not Applicable	8/29/2022
Denied	Gwinn, Crissy Jo	506880	Agent - Casualty
Inactive	Gwinn, Crissy Jo	506880	Agent - Health	7/25/2016	2/27/2019
Inactive	Gwinn, Crissy Jo	506880	Agent - Life	7/25/2016	2/27/2019
Denied	Gwinn, Crissy Jo	506880	Agent - Property
Inactive	Holloway, Thomas Henry	392552	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Keiffner, Connie Jo	514533	Adjuster - Independent	12/28/2001	4/30/2002
Denied	Lombard, Robert J	750147	Agent - Casualty
Denied	Lombard, Robert J	750147	Agent - Property
Active	Lynam, Christopher	1146016	Agent - Casualty	2/7/2024
Active	Lynam, Christopher	1146016	Agent - Property	2/7/2024
Inactive	Mahaffey, Kim Elizabeth	308358	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	McKay, Waynette	357247	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Midgett, Kari	924043	Agent - Casualty	7/22/2019	10/20/2021
Inactive	Midgett, Kari	924043	Agent - Property	7/22/2019	10/20/2021
Inactive	Milburn, Roy Anita	315448	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Active	Murray, Andrew Ian	1214058	Agent - Casualty	7/11/2022
Active	Murray, Andrew Ian	1214058	Agent - Property	7/11/2022
Active	Murray, Andrew Ian	1214058	Reinsurance Intermediary Broker - Not Applicable	8/29/2022
Inactive	Peveler, William R	360448	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Pritchard, Gayla Lynn	347600	Adjuster - Independent	12/28/2001	4/30/2002
Inactive	Ramsey, Garry Rodney	362431	Administrator - Not Applicable	12/21/2001	5/31/2021
Inactive	Riley, Patrick C	343214	Adjuster - Independent	12/28/2001	4/30/2002
Inactive	Rose, Thomas H	325029	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Senger, Madonna Ann	373374	Adjuster - Independent	12/28/2001	4/30/2002
Inactive	Smith, Kelly Sue	342877	Adjuster - Independent	6/14/1996	11/9/1998
Inactive	Squires, Annette J	379818	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Truax, Cathy Marie	311798	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Venturino, Mark	1173394	Agent - Casualty	1/10/2022	7/19/2022
Inactive	Venturino, Mark	1173394	Agent - Property	1/10/2022	7/19/2022
Inactive	Woodside, James Ellis	749703	Agent - Casualty	3/6/2017	10/20/2021
Inactive	Woodside, James Ellis	749703	Agent - Health	6/7/2011	7/25/2016
Inactive	Woodside, James Ellis	749703	Agent - Life	6/7/2011	7/25/2016
Inactive	Woodside, James Ellis	749703	Agent - Property	3/6/2017	10/20/2021
Inactive	Wray, Mary	751691	Agent - Casualty	5/18/2011	9/28/2021
Inactive	Wray, Mary	751691	Agent - Property	5/18/2011	9/28/2021