Agency Information

AXIS INSURANCE SERVICES LLC

SUITE 206

FRANKLIN LAKES, NJ 07417

201-847-9175

https://www.axisins.com

msmith@axisins.com

5735604

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	855687	11/30/2012	Active	11/30/2012	11/30/2027

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	11/30/2012	Active	11/30/2012
Health	01/30/2024	Active	01/30/2024
Life	01/30/2024	Active	01/30/2024
Property	11/30/2012	Active	11/30/2012

Company Name	Appointment Type	Status	Active Date
17
ACE AMERICAN INSURANCE COMPANY	Health	Active	01/31/2024
1415
Company Name	Appointment Type	Status	Active Date
ALLIED WORLD INSURANCE COMPANY	Casualty	Active	06/19/2013
	Property	Active	06/19/2013
97228
Company Name	Appointment Type	Status	Active Date
ALLIED WORLD NATIONAL ASSURANCE COMPANY	Casualty	Active	06/19/2013
	Property	Active	06/19/2013
1008
Company Name	Appointment Type	Status	Active Date
ALLIED WORLD SPECIALTY INSURANCE COMPANY	Casualty	Active	06/19/2013
	Property	Active	06/19/2013
233
Company Name	Appointment Type	Status	Active Date
FEDERAL INSURANCE COMPANY	Health	Active	01/31/2024
1728
Company Name	Appointment Type	Status	Active Date
GREAT MIDWEST INSURANCE COMPANY	Casualty	Active	12/21/2017
	Property	Active	12/21/2017
1214
Company Name	Appointment Type	Status	Active Date
HDI GLOBAL INSURANCE COMPANY	Casualty	Active	04/18/2024
	Property	Active	04/18/2024
861
Company Name	Appointment Type	Status	Active Date
IRONSHORE INDEMNITY INC	Casualty	Active	09/13/2017
693
Company Name	Appointment Type	Status	Active Date
UNITED STATES LIABILITY INSURANCE COMPANY	Casualty	Active	12/05/2013
	Property	Active	12/05/2013

row(s) 1 - 15 of 15

Name	Association Type	Agent	Begin Date	End Date
MIKE W SMITH	Designated Resp Lic Prdcr	Yes	09/16/2020	-

1 - 1