DEPARTMENT OF INSURANCE
Affiliations
NameM & J Insurance Service Inc.DOIID399250NAIC NPN1995093
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentProperty8/15/2000 3/31/2026
ActiveResidentAgentCasualty8/15/2000 3/31/2026
InactiveResidentAgentGeneral Lines8/26/19948/15/2000 
ActiveResidentSurplus Lines BrokerNot Applicable4/4/2025 3/31/2028
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Alternative Insurance Corporation301697Agent - Casualty12/15/20152/2/2021
InactiveAmerican Alternative Insurance Corporation301697Agent - Property12/15/20152/2/2021
ActiveAmerican Bankers Insurance Company of Florida300360Agent - Casualty3/31/2017 
ActiveAmerican Bankers Insurance Company of Florida300360Agent - Property3/31/2017 
InactiveAmerican Family Home Insurance Company301817Agent - Casualty10/7/201511/14/2021
InactiveAmerican Family Home Insurance Company301817Agent - Property10/7/201511/14/2021
InactiveAmerican Interstate Insurance Company301092Agent - Casualty11/30/20107/1/2014
InactiveAmerican Interstate Insurance Company301092Agent - Property11/30/20107/1/2014
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty10/7/201511/14/2021
InactiveAmerican Modern Home Insurance Company300791Agent - Property10/7/201511/14/2021
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty2/24/2021 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property2/24/2021 
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty10/7/201511/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Property10/7/201511/14/2021
InactiveAssurance Company of America300432Agent - Casualty12/7/20004/17/2014
InactiveAssurance Company of America300432Agent - Property12/7/20004/17/2014
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty10/14/2009 
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property10/14/2009 
InactiveBristol West Insurance Company301655Agent - Casualty9/25/200912/23/2013
InactiveBristol West Insurance Company301655Agent - Property9/25/200912/23/2013
InactiveCelina Mutual Insurance Company (The)301908Agent - Casualty6/21/20108/22/2011
InactiveCelina Mutual Insurance Company (The)301908Agent - Property6/21/20108/22/2011
ActiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty9/8/2004 
ActiveCharter Oak Fire Insurance Company (The)301501Agent - Property9/8/2004 
InactiveClarendon National Insurance Company300843Agent - Casualty12/21/20003/31/2008
InactiveClarendon National Insurance Company300843Agent - Property12/21/20003/31/2008
InactiveClearPath Insurance Company979815Agent - Casualty1/1/20181/8/2025
InactiveEncompass Indemnity Company546376Agent - Casualty11/29/201710/3/2024
InactiveEncompass Indemnity Company546376Agent - Property11/29/201710/3/2024
InactiveEncompass Insurance Company of America556578Agent - Casualty11/29/201712/13/2018
InactiveEncompass Insurance Company of America556578Agent - Property11/29/201712/13/2018
InactiveFarmington Casualty Company301137Agent - Casualty6/30/201611/4/2022
InactiveFarmington Casualty Company301137Agent - Property6/30/201611/4/2022
ActiveFidelity and Guaranty Insurance Company301009Agent - Casualty3/7/2022 
ActiveFidelity and Guaranty Insurance Company301009Agent - Property3/7/2022 
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty12/9/200212/23/2013
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property12/9/200212/23/2013
InactiveForemost Property and Casualty Insurance Company300871Agent - Casualty11/19/20124/29/2013
InactiveForemost Property and Casualty Insurance Company300871Agent - Property11/19/20124/29/2013
InactiveForemost Signature Insurance Company300140Agent - Casualty11/19/20124/29/2013
InactiveForemost Signature Insurance Company300140Agent - Property11/19/20124/29/2013
InactiveGlatfelter Insurance Company301640Agent - Casualty12/7/200011/30/2007
InactiveGlatfelter Insurance Company301640Agent - Property12/7/200011/30/2007
ActiveGreat American Alliance Insurance Company301247Agent - Casualty3/7/2016 
ActiveGreat American Alliance Insurance Company301247Agent - Property3/7/2016 
ActiveGreat American Assurance Company300327Agent - Casualty3/7/2016 
ActiveGreat American Assurance Company300327Agent - Property3/7/2016 
ActiveGreat American Insurance Company301586Agent - Casualty3/7/2016 
ActiveGreat American Insurance Company301586Agent - Property3/7/2016 
ActiveGreat American Insurance Company of New York301897Agent - Casualty3/7/2016 
ActiveGreat American Insurance Company of New York301897Agent - Property3/7/2016 
InactiveHallmark National Insurance Company300494Agent - Casualty4/2/201011/20/2017
InactiveHallmark National Insurance Company300494Agent - Property4/2/201011/20/2017
ActiveHartford Accident and Indemnity Company301917Agent - Casualty7/5/2010 
ActiveHartford Accident and Indemnity Company301917Agent - Property7/5/2010 
InactiveHartford Casualty Insurance Company301332Agent - Casualty10/8/20098/22/2017
InactiveHartford Casualty Insurance Company301332Agent - Property10/8/20098/22/2017
ActiveHartford Fire Insurance Company300628Agent - Casualty12/23/2009 
ActiveHartford Fire Insurance Company300628Agent - Property12/23/2009 
ActiveHartford Insurance Company of the Midwest301918Agent - Casualty1/6/2011 
ActiveHartford Insurance Company of the Midwest301918Agent - Property1/6/2011 
ActiveHartford Insurance Company of the Southeast1014204Agent - Casualty5/26/2021 
ActiveHartford Insurance Company of the Southeast1014204Agent - Property5/26/2021 
ActiveHartford Underwriters Insurance Company301064Agent - Casualty10/18/2020 
ActiveHartford Underwriters Insurance Company301064Agent - Property10/18/2020 
ActiveInsurance Company of the State of Pennsylvania300807Agent - Casualty10/20/2010 
ActiveInsurance Company of the State of Pennsylvania300807Agent - Property10/20/2010 
ActiveMarkel Insurance Company301475Agent - Casualty8/15/2000 
InactiveMarkel Insurance Company301475Agent - General Lines8/7/19958/15/2000
ActiveMarkel Insurance Company301475Agent - Property8/15/2000 
InactiveMaryland Casualty Company301719Agent - Casualty12/7/20004/17/2014
InactiveMaryland Casualty Company301719Agent - Property12/7/20004/17/2014
InactiveMeridian Citizens Mutual Insurance Company300935Agent - Casualty4/2/201312/1/2013
InactiveMeridian Citizens Mutual Insurance Company300935Agent - Property4/2/201312/1/2013
InactiveMeridian Mutual Insurance Company301303Agent - Casualty9/21/20006/1/2001
InactiveMeridian Mutual Insurance Company301303Agent - Property9/21/20006/1/2001
InactiveMeridian Security Insurance Company300423Agent - Casualty4/2/201012/1/2013
InactiveMeridian Security Insurance Company300423Agent - Property4/2/201012/1/2013
InactiveNorthern Insurance Company of New York301317Agent - Casualty12/7/20004/17/2014
InactiveNorthern Insurance Company of New York301317Agent - Property12/7/20004/17/2014
ActiveNutmeg Insurance Company751698Agent - Casualty9/19/2021 
ActiveNutmeg Insurance Company751698Agent - Property9/19/2021 
InactiveOmni Indemnity Company301456Agent - Casualty8/15/200010/20/2009
InactiveOmni Indemnity Company301456Agent - General Lines8/15/20008/15/2000
InactiveOmni Indemnity Company301456Agent - Property8/15/200010/20/2009
ActivePhiladelphia Indemnity Insurance Company301221Agent - Casualty12/24/2009 
ActivePhiladelphia Indemnity Insurance Company301221Agent - Property12/24/2009 
ActiveProgressive Casualty Insurance Company300696Agent - Casualty10/7/2010 
ActiveProgressive Casualty Insurance Company300696Agent - Property10/7/2010 
ActiveProgressive Northern Insurance Company301378Agent - Casualty10/7/2010 
ActiveProgressive Northern Insurance Company301378Agent - Property10/7/2010 
ActiveSentinel Insurance Company, Limited501696Agent - Casualty10/2/2009 
ActiveSentinel Insurance Company, Limited501696Agent - Property10/2/2009 
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty10/22/201412/14/2016
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Property10/22/201412/14/2016
InactiveSt. Paul Guardian Insurance Company301372Agent - Casualty1/21/201012/5/2013
InactiveSt. Paul Guardian Insurance Company301372Agent - Property1/21/201012/5/2013
InactiveSt. Paul Mercury Insurance Company300783Agent - Casualty1/21/201012/5/2013
InactiveSt. Paul Mercury Insurance Company300783Agent - Property1/21/201012/5/2013
InactiveSt. Paul Protective Insurance Company301215Agent - Casualty11/2/202111/4/2022
InactiveSt. Paul Protective Insurance Company301215Agent - Property11/2/202111/4/2022
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty5/9/2006 
ActiveStandard Fire Insurance Company (The)301068Agent - Property5/9/2006 
InactiveState Auto Property & Casualty Insurance Company301953Agent - Casualty4/2/201012/1/2013
InactiveState Auto Property & Casualty Insurance Company301953Agent - Property4/2/201012/1/2013
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty4/2/201012/1/2013
InactiveState Automobile Mutual Insurance Company301824Agent - Property4/2/201012/1/2013
ActiveThe Phoenix Insurance Company301502Agent - Casualty9/8/2004 
ActiveThe Phoenix Insurance Company301502Agent - Property9/8/2004 
InactiveTravCo Insurance Company301828Agent - Casualty9/1/20004/16/2004
InactiveTravCo Insurance Company301828Agent - Property9/1/20004/16/2004
InactiveTravelers Casualty Company of Connecticut301505Agent - Casualty9/3/20024/16/2004
InactiveTravelers Casualty Company of Connecticut301505Agent - Property9/3/20024/16/2004
ActiveTravelers Casualty Insurance Company of America300522Agent - Casualty5/9/2006 
ActiveTravelers Casualty Insurance Company of America300522Agent - Property5/9/2006 
InactiveTravelers Casualty and Surety Company301067Agent - Casualty9/8/200411/30/2017
InactiveTravelers Casualty and Surety Company301067Agent - Property9/8/200411/30/2017
ActiveTravelers Casualty and Surety Company of America301334Agent - Casualty3/3/2010 
ActiveTravelers Casualty and Surety Company of America301334Agent - Property3/3/2010 
InactiveTravelers Commercial Casualty Company301695Agent - Casualty5/9/20068/2/2013
InactiveTravelers Commercial Casualty Company301695Agent - Property5/9/20068/2/2013
InactiveTravelers Commercial Insurance Company301506Agent - Casualty10/14/200912/5/2013
InactiveTravelers Commercial Insurance Company301506Agent - Property10/14/200912/5/2013
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty7/19/2005 
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Property7/19/2005 
ActiveTravelers Indemnity Company (The)301855Agent - Casualty9/8/2004 
ActiveTravelers Indemnity Company (The)301855Agent - Property9/8/2004 
ActiveTravelers Indemnity Company of America (The)301093Agent - Casualty9/8/2004 
ActiveTravelers Indemnity Company of America (The)301093Agent - Property9/8/2004 
ActiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty9/8/2004 
ActiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property9/8/2004 
ActiveTravelers Personal Insurance Company705785Agent - Casualty2/27/2019 
ActiveTravelers Personal Insurance Company705785Agent - Property2/27/2019 
ActiveTravelers Property Casualty Company of America301649Agent - Casualty9/8/2004 
ActiveTravelers Property Casualty Company of America301649Agent - Property9/8/2004 
InactiveTravelers Property Casualty Insurance Company301508Agent - Casualty9/3/20024/16/2004
InactiveTravelers Property Casualty Insurance Company301508Agent - Property9/3/20024/16/2004
ActiveTrumbull Insurance Company300242Agent - Casualty8/21/2000 
ActiveTrumbull Insurance Company300242Agent - Property8/21/2000 
ActiveTwin City Fire Insurance Company300721Agent - Casualty7/26/2012 
ActiveTwin City Fire Insurance Company300721Agent - Property7/26/2012 
InactiveUnderwriters at Lloyd's, London300658Agent - Casualty8/15/20001/28/2016
InactiveUnderwriters at Lloyd's, London300658Agent - General Lines8/26/19948/15/2000
InactiveUnderwriters at Lloyd's, London300658Agent - Property8/15/20001/28/2016
ActiveUnited Financial Casualty Company301886Agent - Casualty10/7/2010 
ActiveUnited Financial Casualty Company301886Agent - Property10/7/2010 
ActiveWestern Surety Company300283Agent - Casualty5/6/2010 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBaldwin, Tanner M. 836469Agent - Casualty6/26/2019 
ActiveBaldwin, Tanner M. 836469Agent - Property6/26/2019 
InactiveBushnell, Fara G 368578Agent - Casualty7/29/200910/31/2020
InactiveBushnell, Fara G 368578Agent - Property7/29/200910/31/2020
InactiveChristman, John 685245Agent - Casualty9/19/20222/16/2023
InactiveChristman, John 685245Agent - Property9/19/20222/16/2023
InactiveDean, Brandy Shilah 568381Agent - Casualty11/8/201112/31/2015
InactiveDean, Brandy Shilah 568381Agent - Property11/8/201112/31/2015
InactiveEasley, Erin Elizabeth 345380Agent - Casualty8/22/20116/12/2013
InactiveEasley, Erin Elizabeth 345380Agent - Property8/22/20116/12/2013
InactiveFries, John Patrick 546817Agent - Casualty10/1/20098/9/2011
InactiveFries, John Patrick 546817Agent - Property10/1/20098/9/2011
DeniedGibson, Nicole Christine 655046Agent - Casualty  
DeniedGibson, Nicole Christine 655046Agent - Property  
InactiveGott, Ashley Dean 574177Agent - Casualty7/29/20092/1/2016
InactiveGott, Ashley Dean 574177Agent - Property7/29/20092/1/2016
InactiveHills, George W 702061Agent - Casualty7/29/20095/31/2013
InactiveHills, George W 702061Agent - Property7/29/20095/31/2013
DeniedHuguenin, Farrington L 1112971Agent - Casualty  
DeniedHuguenin, Farrington L 1112971Agent - Property  
InactiveJones, Bobby G 313668Agent - Casualty8/14/20066/26/2019
InactiveJones, Bobby G 313668Agent - Property8/14/20066/26/2019
ActiveJones, Kathy Lundy 320752Agent - Casualty7/29/2009 
ActiveJones, Kathy Lundy 320752Agent - Property7/29/2009 
ActiveJones, Kathy Lundy 320752Surplus Lines Broker - Not Applicable4/4/2025 
InactiveJones, Kenneth Ray 314580Agent - Casualty2/10/20037/1/2004
InactiveJones, Kenneth Ray 314580Agent - Property2/10/20037/1/2004
ActiveJones, William Lynn 378928Agent - Casualty7/29/2009 
InactiveJones, William Lynn 378928Agent - General Lines8/26/19948/15/2000
ActiveJones, William Lynn 378928Agent - Property7/29/2009 
InactiveKearns, Michael Douglas 714881Agent - Casualty9/6/201110/1/2011
InactiveKearns, Michael Douglas 714881Agent - Property9/6/201110/1/2011
InactiveKiper, Chad Aaron 621625Agent - Casualty1/20/20104/30/2018
InactiveKiper, Chad Aaron 621625Agent - Property1/20/20104/30/2018
InactiveMiller, Robert Terry 389718Agent - Casualty2/16/20111/27/2025
InactiveMiller, Robert Terry 389718Agent - General Lines8/26/19948/15/2000
InactiveMiller, Robert Terry 389718Agent - Property2/16/20111/27/2025
InactivePearson, Delmar Loran 337122Agent - Casualty7/29/20096/26/2019
InactivePearson, Delmar Loran 337122Agent - Property7/29/20096/26/2019
ActivePinczewski, Elizabeth King 545516Agent - Casualty4/27/2010 
ActivePinczewski, Elizabeth King 545516Agent - Property5/24/2010 
InactiveRoss, Mary Jarvis 389334Agent - Casualty8/15/20002/10/2003
InactiveRoss, Mary Jarvis 389334Agent - General Lines8/26/19948/15/2000
InactiveRoss, Mary Jarvis 389334Agent - Property8/15/20002/10/2003
InactiveStanczak, William Lawrence 664786Agent - Casualty7/2/20188/1/2019
InactiveStanczak, William Lawrence 664786Agent - Property7/29/20098/1/2019
InactiveWade, Judy 688156Agent - Casualty7/29/20092/1/2010
InactiveWade, Judy 688156Agent - Property7/29/20092/1/2010
DeniedWalden, Mackenzie Elliott 922540Agent - Casualty  
DeniedWalden, Mackenzie Elliott 922540Agent - Property  

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