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	Property	12/22/2020	4/30/2022
Inactive	Non Resident	Agent	Casualty	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.

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