DEPARTMENT OF INSURANCE

Name	Triple Crown Insurance, LLC	DOIID	808123	NAIC NPN	16940100

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	8/15/2025		3/31/2027
Active	Resident	Agent	Casualty	8/15/2025		3/31/2027
Active	Resident	Agent	Life	8/15/2025		3/31/2027
Inactive	Resident	Agent	Health	4/17/2013	3/31/2025
Inactive	Resident	Surplus Lines Broker	Not Applicable	4/3/2019	3/31/2025

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	9305 Springbrooke Cir Louisville, KY 402413007

Internet Information

Type	Address
Business Email	duranhall3@gmail.com
Internet	www.maverickinsures.com

Phone Information

Type	Phone
Business / Home Office	(502) 548-9190