Company Information

AMEX ASSURANCE COMPANY

18850 N 56th St

PHOENIX, AZ 8-5054

602-537-6511

27928

Company Type	License #	Original Issue Date	Status	Status Date	Domicile State
Property and Casualty Insurer	893	07/11/1980	Active	07/11/1980	Illinois

Authorized Line	Status	Effective Date	Reinsurer
Casualty	Approved	07/11/1980	No
Health - Property and Casualty Insurer	Approved	07/11/1980	No
Workers Compensation - Property and Casualty Insurer	Approved	07/01/1999	No
Property	Approved	07/11/1980	No
Surety	Approved	07/11/1980	No
Marine and Transportation	Approved	04/03/2008	No

Agency Name	Status	Active Date	Appointment
4677
AMERICAN EXPRESS TRAVEL RELATED SERVICES CO INC	Active	10/29/1997	Casualty
	Active	01/13/2005	Health
	Active	10/29/1997	Property
	Active	11/23/2015	Travel Baggage
11709
Agency Name	Status	Active Date	Appointment
ASSURANT INSURANCE AGENCY, INC.	Active	03/11/2020	Casualty
	Active	03/11/2020	Health
	Active	03/11/2020	Property
144332
Agency Name	Status	Active Date	Appointment
SPECIALTY RISK SERVICES LLC	Active	01/16/2018	Casualty
	Active	01/16/2018	Health
	Active	01/16/2018	Property
14821
Agency Name	Status	Active Date	Appointment
THE SIGNAL	Active	09/01/2022	Travel Baggage

row(s) 1 - 11 of 11

Agent Name	Status	Active Date	Appointment
1630922
BANKS, DARON	Active	04/17/2020	Health
	Active	04/17/2020	Personal Lines
1630605
Agent Name	Status	Active Date	Appointment
BARNETT-WOODARD, LARISSA VENISE	Active	04/17/2020	Health
	Active	04/17/2020	Personal Lines
1631292
Agent Name	Status	Active Date	Appointment
BAUMAN, ZACHARY	Active	04/17/2020	Health
	Active	04/17/2020	Personal Lines
939155
Agent Name	Status	Active Date	Appointment
BERMAN, PAUL	Active	03/19/2020	Casualty
	Active	03/19/2020	Health
	Active	03/19/2020	Property
1633155
Agent Name	Status	Active Date	Appointment
BLAKE, JAMOI	Active	04/17/2020	Health
	Active	04/17/2020	Personal Lines
1639035
Agent Name	Status	Active Date	Appointment
BROWN, KAYLA SHI-ANN	Active	03/25/2020	Health
	Active	03/25/2020	Personal Lines
115557
Agent Name	Status	Active Date	Appointment
CLARKE, PAMELA J	Active	08/13/2013	Casualty
	Active	08/13/2013	Health

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