Agency Information

HEALTH SPECIAL RISK INC

2345 RICE STREET

ROSEVILLE, MN 55113

972-512-5730

corplicensing@arrowheadgrp.com

686964

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Independent Adjuster	3211026	12/22/2016	Active	12/22/2016	12/31/2025
Non-Res. Producer Firm	758109	06/09/2011	Active	06/09/2011	06/30/2026
Non-Res. Third Party Admin.	8107	10/01/2009	Active	10/01/2009	09/30/2025

Qualification Type	Original Issue Date	Status	Effective Date
Adj - Property and Casualty	07/01/2018	Active	07/01/2018
Casualty	06/09/2011	Active	06/09/2011
Health	06/09/2011	Active	06/09/2011
Life	06/09/2011	Active	06/09/2011
Property	06/09/2011	Active	06/09/2011
TPA1 -Life/Health Insurance	10/01/2009	Active	10/01/2009

Company Name	Appointment Type	Status	Active Date
17
ACE AMERICAN INSURANCE COMPANY	Health	Active	09/16/2014
1342
Company Name	Appointment Type	Status	Active Date
ARCH INSURANCE COMPANY	Health	Active	09/22/2020
17973
Company Name	Appointment Type	Status	Active Date
EVEREST REINSURANCE COMPANY	Health	Active	06/06/2024
233
Company Name	Appointment Type	Status	Active Date
FEDERAL INSURANCE COMPANY	Health	Active	07/26/2018
1109
Company Name	Appointment Type	Status	Active Date
LIBERTY INSURANCE UNDERWRITERS INC	Casualty	Active	09/23/2013
	Health	Active	09/23/2013
	Property	Active	09/23/2013
1105
Company Name	Appointment Type	Status	Active Date
MARKEL INSURANCE COMPANY	Casualty	Active	06/24/2011
	Health	Active	06/24/2011
	Property	Active	06/24/2011
565
Company Name	Appointment Type	Status	Active Date
STARR INDEMNITY & LIABILITY COMPANY	Health	Active	11/29/2011
737
Company Name	Appointment Type	Status	Active Date
ZURICH AMERICAN INSURANCE COMPANY	Casualty	Active	09/25/2017
	Property	Active	09/25/2017

row(s) 1 - 13 of 13

Name	Association Type	Agent	Begin Date	End Date
BRANDON MATTHEW SCHALL	Designated Resp Lic Prdcr	Yes	12/12/2022	-
CATHARINE ARLENE RAY	Designated Resp Lic Adjuster	No	12/06/2022	-

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