DEPARTMENT OF INSURANCE

Affiliations

Name	Mercedes-Benz Insurance Agency, LLC	DOIID	660058	NAIC NPN	9465417

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/21/2007		3/31/2027
Active	Non Resident	Agent	Property	7/21/2007		3/31/2027
Inactive	Non Resident	Agent	Life	10/17/2008	4/1/2009
Inactive	Non Resident	Agent	Health	10/17/2008	4/1/2009
* 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	Inactive Date
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	11/3/2016
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	11/3/2016
Inactive	American States Insurance Company	301230	Agent - Casualty	7/10/2008	2/4/2011
Inactive	American States Insurance Company	301230	Agent - Property	7/10/2008	2/4/2011
Active	American Zurich Insurance Company	300592	Agent - Casualty	11/3/2016
Active	American Zurich Insurance Company	300592	Agent - Property	11/3/2016
Active	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	10/14/2016
Active	Empire Fire and Marine Insurance Company	300666	Agent - Property	10/14/2016
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	8/15/2011
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	8/15/2011
Inactive	First National Insurance Company of America	301690	Agent - Casualty	7/10/2008	2/4/2011
Inactive	First National Insurance Company of America	301690	Agent - Property	7/10/2008	2/4/2011
Inactive	General Insurance Company of America	300261	Agent - Casualty	7/10/2008	2/4/2011
Inactive	General Insurance Company of America	300261	Agent - Property	7/10/2008	2/4/2011
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	11/18/2008	1/6/2011
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	11/18/2008	1/6/2011
Inactive	Intrepid Insurance Company	567182	Agent - Casualty	3/20/2009	11/21/2024
Inactive	Intrepid Insurance Company	567182	Agent - Property	3/20/2009	11/21/2024
Active	LM General Insurance Company	300133	Agent - Casualty	8/15/2011
Active	LM General Insurance Company	300133	Agent - Property	8/15/2011
Active	LM Insurance Corporation	301061	Agent - Casualty	8/15/2011
Active	LM Insurance Corporation	301061	Agent - Property	8/15/2011
Active	Liberty Insurance Corporation	300444	Agent - Casualty	8/15/2011
Active	Liberty Insurance Corporation	300444	Agent - Property	8/15/2011
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	8/15/2011
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	8/15/2011
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	8/15/2011
Active	Liberty Mutual Insurance Company	301159	Agent - Property	8/15/2011
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/10/2008	2/4/2011
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/10/2008	2/4/2011
Active	Universal Underwriters Insurance Company	301558	Agent - Casualty	10/7/2016
Active	Universal Underwriters Insurance Company	301558	Agent - Property	10/7/2016
Active	Universal Underwriters of Texas Insurance Company	639543	Agent - Casualty	10/7/2016
Active	Universal Underwriters of Texas Insurance Company	639543	Agent - Property	10/7/2016
Active	Zurich American Insurance Company	301121	Agent - Casualty	10/14/2016
Active	Zurich American Insurance Company	301121	Agent - Property	10/14/2016
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	10/14/2016
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	10/14/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Adams, Jon	698395	Agent - Casualty
Denied	Adams, Jon	698395	Agent - Property
Inactive	Clark, Derek William	984709	Agent - Casualty	3/7/2018	4/30/2022
Inactive	Clark, Derek William	984709	Agent - Property	3/7/2018	4/30/2022
Inactive	Comaianni-Martin, Dana Marise	676512	Agent - Casualty	7/31/2008	2/28/2015
Denied	Comaianni-Martin, Dana Marise	676512	Agent - Health
Denied	Comaianni-Martin, Dana Marise	676512	Agent - Life
Inactive	Comaianni-Martin, Dana Marise	676512	Agent - Property	7/31/2008	2/28/2015
Inactive	Condon, Vincent Patrick	569032	Agent - Casualty	10/17/2008	3/31/2009
Inactive	Condon, Vincent Patrick	569032	Agent - Health	10/17/2008	3/31/2009
Inactive	Condon, Vincent Patrick	569032	Agent - Life	10/17/2008	3/31/2009
Inactive	Condon, Vincent Patrick	569032	Agent - Property	10/17/2008	3/31/2009
Denied	Reid, Anthony S	943752	Agent - Casualty
Denied	Reid, Anthony S	943752	Agent - Property
Active	Richardson, Lisa Lynn	731407	Agent - Casualty	4/11/2014
Active	Richardson, Lisa Lynn	731407	Agent - Property	4/11/2014
Denied	Wuebben, Anthony James	698398	Agent - Casualty
Denied	Wuebben, Anthony James	698398	Agent - Property