Agency Information

PREVAIL INS MANAGEMENT SERVICES INC

4202 DOUGLAS BLVD, SUITE 300

GRANITE BAY, CA 95746

916-745-8801

ben@prevailims.com

16778484

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	936843	02/25/2014	Active	02/25/2014	02/28/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	02/25/2014	Active	02/25/2014
Property	02/25/2014	Active	02/25/2014

Company Name	Appointment Type	Status	Active Date
810
DOCTORS COMPANY AN INTERINSURANCE EXCHANGE,THE	Casualty	Active	09/15/2021
	Property	Active	09/15/2021
113385
Company Name	Appointment Type	Status	Active Date
EMPLOYERS ASSURANCE COMPANY	Casualty	Active	03/06/2017
100892
Company Name	Appointment Type	Status	Active Date
EMPLOYERS COMPENSATION INSURANCE COMPANY	Casualty	Active	03/06/2017
1779
Company Name	Appointment Type	Status	Active Date
EMPLOYERS INSURANCE COMPANY OF NEVADA	Casualty	Active	03/06/2017
111020
Company Name	Appointment Type	Status	Active Date
EMPLOYERS PREFERRED INSURANCE COMPANY	Casualty	Active	03/06/2017
1666
Company Name	Appointment Type	Status	Active Date
MEDICAL PROTECTIVE COMPANY (THE)	Casualty	Active	09/15/2014
	Property	Active	09/15/2014
936
Company Name	Appointment Type	Status	Active Date
SAFETY NATIONAL CASUALTY CORPORATION	Casualty	Active	12/28/2016
	Property	Active	12/28/2016

row(s) 1 - 10 of 10

Name	Association Type	Agent	Begin Date	End Date
BENJAMIN ALEXANDER BORCHERS	Designated Resp Lic Prdcr	Yes	09/29/2020	-

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