DEPARTMENT OF INSURANCE

Affiliations

Name	Rivian Insurance Services, LLC	DOIID	1122349	NAIC NPN	19709384

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	2/26/2021	3/31/2027
Active	Non Resident	Agent	Casualty	2/26/2021	3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	AMCO Insurance Company	300204	Agent - Casualty	3/16/2021
Active	AMCO Insurance Company	300204	Agent - Property	3/16/2021
Active	Allied Insurance Company of America	793586	Agent - Casualty	3/16/2021
Active	Allied Insurance Company of America	793586	Agent - Property	3/16/2021
Active	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	3/16/2021
Active	Allied Property and Casualty Insurance Company	300279	Agent - Property	3/16/2021
Active	Depositors Insurance Company	301634	Agent - Casualty	3/16/2021
Active	Depositors Insurance Company	301634	Agent - Property	3/16/2021
Active	Mobilitas General Insurance Company	1080441	Agent - Casualty	6/30/2022
Active	Mobilitas General Insurance Company	1080441	Agent - Property	6/30/2022
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	3/16/2021
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	3/16/2021
Active	Nationwide Assurance Company	300166	Agent - Casualty	3/16/2021
Active	Nationwide Assurance Company	300166	Agent - Property	3/16/2021
Active	Nationwide General Insurance Company	300603	Agent - Casualty	3/16/2021
Active	Nationwide General Insurance Company	300603	Agent - Property	3/16/2021
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	3/16/2021
Active	Nationwide Insurance Company of America	300333	Agent - Property	3/16/2021
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	3/16/2021
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	3/16/2021
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	3/16/2021
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	3/16/2021
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/18/2024
Active	Progressive Casualty Insurance Company	300696	Agent - Property	7/18/2024
Active	United Financial Casualty Company	301886	Agent - Casualty	7/18/2024
Active	United Financial Casualty Company	301886	Agent - Property	7/18/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Ashby, Kimberly J	1145652	Agent - Casualty
Denied	Ashby, Kimberly J	1145652	Agent - Property
Active	Conklin, Tara L	1193351	Agent - Casualty	9/12/2022
Active	Conklin, Tara L	1193351	Agent - Property	9/12/2022
Active	Eldredge, Mark A	1279583	Agent - Casualty	6/20/2023
Active	Eldredge, Mark A	1279583	Agent - Property	6/20/2023
Denied	Flaherty, Shawn P	1138785	Agent - Casualty
Denied	Flaherty, Shawn P	1138785	Agent - Property
Inactive	Green, Matthew	1277184	Agent - Casualty	6/15/2023	11/8/2023
Inactive	Green, Matthew	1277184	Agent - Property	6/15/2023	11/8/2023
Active	Haugaard, Timothy James	1115369	Agent - Casualty	8/25/2022
Active	Haugaard, Timothy James	1115369	Agent - Property	8/25/2022
Inactive	Lauer, Jarett	1116620	Agent - Casualty	2/26/2021	8/25/2022
Inactive	Lauer, Jarett	1116620	Agent - Property	2/26/2021	8/25/2022
Denied	Neal, Hilary	1233685	Agent - Casualty
Denied	Neal, Hilary	1233685	Agent - Property
Denied	Rich, Shylo D	1129320	Agent - Casualty
Denied	Rich, Shylo D	1129320	Agent - Property
Inactive	Rosenbeck, Christian	1276720	Agent - Casualty	6/15/2023	6/30/2024
Inactive	Rosenbeck, Christian	1276720	Agent - Property	6/15/2023	6/30/2024
Active	Sorensen, Brandon D	1215813	Agent - Casualty	8/16/2023
Active	Sorensen, Brandon D	1215813	Agent - Property	8/16/2023
Denied	Sovey, Angela Kaye	1307350	Agent - Casualty
Denied	Sovey, Angela Kaye	1307350	Agent - Property
Active	Spader, Jeffrey J	1158965	Agent - Casualty	8/25/2023
Active	Spader, Jeffrey J	1158965	Agent - Property	8/25/2023
Denied	Stevens, Lynette M	1242380	Agent - Casualty
Denied	Stevens, Lynette M	1242380	Agent - Property
Inactive	Wade, Allison S	1260361	Agent - Casualty	6/15/2023	6/20/2023
Inactive	Wade, Allison S	1260361	Agent - Property	6/15/2023	6/20/2023
Inactive	Wheet, Matthew W	1060804	Agent - Casualty	11/30/2023	1/10/2024
Inactive	Wheet, Matthew W	1060804	Agent - Property	11/30/2023	1/10/2024