Individual Information

MICHELE S MCCROHAN

FAIRFIELD, NJ 07004-3563

Active

michelem@synergy-ins.com

01/26/2009

License Type	License Number	Original Issue Date	Status	Effective Date	Expiration Date
Non-Res Producer/Producer Firm	635235	01/26/2009	Active	01/26/2009	01/31/2024
Non-Res. Surplus Lines Broker	3288398	11/01/2017	Active	11/01/2017	11/30/2023

Qualification Type	Original Issue Date	Status	Effective Date
Casualty	01/26/2009	Active	01/26/2009
Health	01/26/2009	Active	01/26/2009
Property	01/26/2009	Active	01/26/2009
Surplus Lines	11/01/2017	Active	11/01/2017

Company Name	Appointment Type	Status	Active Date
100311
AMTRUST INSURANCE COMPANY	Casualty	Active	03/23/2022
	Property	Active	03/23/2022
1342
Company Name	Appointment Type	Status	Active Date
ARCH INSURANCE COMPANY	Casualty	Active	02/15/2022
	Property	Active	02/15/2022
151
Company Name	Appointment Type	Status	Active Date
COREPOINTE INSURANCE COMPANY	Casualty	Active	01/19/2022
	Property	Active	01/19/2022
304
Company Name	Appointment Type	Status	Active Date
HANOVER INSURANCE COMPANY, THE	Casualty	Active	11/14/2018
	Property	Active	11/14/2018
100334
Company Name	Appointment Type	Status	Active Date
MILFORD CASUALTY INSURANCE COMPANY	Casualty	Active	03/23/2022
	Property	Active	03/23/2022
100333
Company Name	Appointment Type	Status	Active Date
SECURITY NATIONAL INSURANCE COMPANY	Casualty	Active	03/23/2022
	Property	Active	03/23/2022
1702
Company Name	Appointment Type	Status	Active Date
SEQUOIA INSURANCE COMPANY	Casualty	Active	03/23/2022
	Property	Active	03/23/2022
17636
Company Name	Appointment Type	Status	Active Date
TECHNOLOGY INSURANCE COMPANY INC	Casualty	Active	03/23/2022
	Property	Active	03/23/2022
693
Company Name	Appointment Type	Status	Active Date
UNITED STATES LIABILITY INSURANCE COMPANY	Casualty	Active	09/17/2021
	Property	Active	09/17/2021
1614
Company Name	Appointment Type	Status	Active Date
WESCO INSURANCE COMPANY	Casualty	Active	03/23/2022
	Property	Active	03/23/2022

row(s) 1 - 20 of 20

Organization	Association Type	Type	Beg dte	End dte
SYNERGY PROFESSIONAL ASSOC INC	Designated Resp Lic Prdcr	Agency	03/23/2020	-

1 - 1