Agency Information

HISCOX INC

5 CONCOURSE PKWY STE 2150

ATLANTA, GA 30328-7107

630-315-7723

michael.baker@hiscox.com

8605505

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res. Producer Firm	19980	12/22/2005	Active	12/22/2005	12/31/2026

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	12/22/2005	Active	12/22/2005
Property	12/22/2005	Active	12/22/2005

Company Name	Appointment Type	Status	Active Date
235
FEDERATED MUTUAL INSURANCE COMPANY	Casualty	Active	03/03/2016
	Property	Active	03/03/2016
288
Company Name	Appointment Type	Status	Active Date
GREAT AMERICAN INSURANCE COMPANY	Casualty	Active	08/16/2010
	Property	Active	08/16/2010
307
Company Name	Appointment Type	Status	Active Date
HARTFORD ACCIDENT & INDEMNITY COMPANY	Casualty	Active	07/19/2023
	Property	Active	07/19/2023
308
Company Name	Appointment Type	Status	Active Date
HARTFORD CASUALTY INSURANCE COMPANY	Casualty	Active	09/14/2023
	Property	Active	09/14/2023
56
Company Name	Appointment Type	Status	Active Date
HISCOX INSURANCE COMPANY, INC.	Casualty	Active	06/01/2008
	Property	Active	08/17/2011
1518
Company Name	Appointment Type	Status	Active Date
STATE NATIONAL INSURANCE COMPANY INC	Casualty	Active	01/10/2007
	Property	Active	01/10/2007

row(s) 1 - 12 of 12

Name	Association Type	Agent	Begin Date	End Date
JOSEPH TINA	Designated Resp Lic Prdcr	Yes	09/09/2024	-

1 - 1