Individual Information

KEITH BENNETT PRESHER

SANTA MONICA, CA 90405

Active

lstern@jamepsbennett.com

12/29/1986

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	4152	10/01/2001	Active	10/01/2001	08/31/2024
Non-Res. Surplus Lines Broker	3154260	04/26/2016	Active	04/26/2016	04/30/2025

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	10/01/2001	Active	10/01/2001
Health	10/01/2001	Active	10/01/2001
Life	10/01/2001	Active	10/01/2001
Property	10/01/2001	Active	10/01/2001
Surplus Lines	04/26/2016	Active	04/26/2016
Casualty	08/18/1977	Inactive	10/01/2001
Casualty	01/08/1992	Inactive	10/01/2001
Health	08/18/1977	Inactive	10/01/2001
Health	01/08/1992	Inactive	10/01/2001
Life	08/18/1977	Inactive	10/01/2001
Life	01/08/1992	Inactive	10/01/2001
Property	08/18/1977	Inactive	10/01/2001
Property	01/08/1992	Inactive	10/01/2001

Company Name	Appointment Type	Status	Active Date
36
AMERICAN FAMILY LIFE ASSURANCE COMPANY OF COLUMBUS	Health	Active	07/31/2022
	Life	Active	07/31/2022
1794
Company Name	Appointment Type	Status	Active Date
ATLANTIC SPECIALTY INSURANCE COMPANY	Casualty	Active	10/28/2022
	Property	Active	10/28/2022
11055
Company Name	Appointment Type	Status	Active Date
CONTINENTAL AMERICAN INSURANCE COMPANY	Health	Active	09/15/2022
151
Company Name	Appointment Type	Status	Active Date
COREPOINTE INSURANCE COMPANY	Casualty	Active	04/13/2020
	Property	Active	04/13/2020
300
Company Name	Appointment Type	Status	Active Date
GUARDIAN LIFE INSURANCE COMPANY OF AMERICA	Health	Active	12/02/2022
	Life	Active	12/02/2022
309
Company Name	Appointment Type	Status	Active Date
HARTFORD FIRE INSURANCE COMPANY	Casualty	Active	01/05/2023
	Property	Active	01/05/2023
1302
Company Name	Appointment Type	Status	Active Date
PROGRESSIVE NORTHERN INSURANCE COMPANY	Casualty	Active	11/01/2019
	Property	Active	11/01/2019
17636
Company Name	Appointment Type	Status	Active Date
TECHNOLOGY INSURANCE COMPANY INC	Casualty	Active	06/10/2022
	Property	Active	06/10/2022
1261
Company Name	Appointment Type	Status	Active Date
UNITED FINANCIAL CASUALTY COMPANY	Casualty	Active	11/01/2019
	Property	Active	11/01/2019

row(s) 1 - 17 of 17

Organization	Association Type	Type	Beg dte	End dte
ASTARA INSURANCE SOLUTIONS, LLC	Designated Resp Lic Prdcr	Agency	06/02/2021	-
JAMES P BENNETT & COMPANY	Designated Resp Lic Prdcr	Agency	08/17/2020	-

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