DEPARTMENT OF INSURANCE

Affiliations

Name	Ettenborough, Douglas Richard	DOIID	1014049	NAIC NPN	18481854

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/29/2022		4/30/2026
Inactive	Non Resident	Agent	Casualty	12/22/2020	4/30/2022
Inactive	Non Resident	Agent	Property	12/22/2020	4/30/2022
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2026	04/30/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/1/2022
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	9/1/2022
Active	Aetna Life Insurance Company	301140	Agent - Health	9/1/2022
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	10/15/2018	4/5/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/15/2018	4/5/2019
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	8/30/2022
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	11/26/2018	4/3/2019
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	11/26/2018	4/3/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/17/2018	4/5/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/17/2018	4/5/2019
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Casualty	1/24/2021	10/9/2021
Inactive	Garrison Property and Casualty Insurance Company	301957	Agent - Property	1/24/2021	10/9/2021
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	12/14/2018	4/2/2019
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	12/14/2018	4/2/2019
Inactive	Grange Insurance Company	300234	Agent - Casualty	12/14/2018	4/2/2019
Inactive	Grange Insurance Company	300234	Agent - Property	12/14/2018	4/2/2019
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	12/14/2018	4/2/2019
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	12/14/2018	4/2/2019
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	10/25/2018	3/26/2019
Inactive	QBE Insurance Corporation	300515	Agent - Property	10/25/2018	3/26/2019
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/17/2018	3/27/2019
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/17/2018	3/27/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/17/2018	3/27/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/17/2018	3/27/2019
Active	SilverScript Insurance Company	663526	Agent - Health	9/1/2022
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	12/14/2018	4/2/2019
Inactive	Trustgard Insurance Company	300104	Agent - Property	12/14/2018	4/2/2019
Inactive	USAA Casualty Insurance Company	300995	Agent - Casualty	1/24/2021	10/9/2021
Inactive	USAA Casualty Insurance Company	300995	Agent - Property	1/24/2021	10/9/2021
Inactive	USAA General Indemnity Company	300131	Agent - Casualty	1/24/2021	10/9/2021
Inactive	USAA General Indemnity Company	300131	Agent - Property	1/24/2021	10/9/2021
Inactive	United Services Automobile Association	300158	Agent - Casualty	1/24/2021	10/9/2021
Inactive	United Services Automobile Association	300158	Agent - Property	1/24/2021	10/9/2021
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	8/30/2022
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/30/2022	12/22/2022
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	8/30/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance Answer Center LLC	694353	Agent - Property	10/15/2018	3/27/2019
Inactive	Insurance Answer Center LLC	694353	Agent - Casualty	10/15/2018	3/27/2019