DEPARTMENT OF INSURANCE

Affiliations

Name	Affordable American INS	DOIID	1040584	NAIC NPN	8331232

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	12/5/2019	3/31/2027
Active	Non Resident	Agent	Casualty	12/5/2019	3/31/2027
Active	Non Resident	Agent	Life	12/5/2019	3/31/2027
Denied	Non Resident	Agent	Health
Denied	Non Resident	Managing General Agent	Not Applicable
* 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	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AMCO Insurance Company	300204	Agent - Casualty	2/28/2020
Active	AMCO Insurance Company	300204	Agent - Property	2/28/2020
Active	Allied Insurance Company of America	793586	Agent - Casualty	2/2/2022
Active	Allied Insurance Company of America	793586	Agent - Property	2/2/2022
Active	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	2/28/2020
Active	Allied Property and Casualty Insurance Company	300279	Agent - Property	2/28/2020
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Casualty	7/28/2025
Active	Allmerica Financial Alliance Insurance Company	300823	Agent - Property	7/28/2025
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	7/28/2025
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	7/28/2025
Active	American Economy Insurance Company	300315	Agent - Casualty	4/23/2024
Active	American Economy Insurance Company	300315	Agent - Property	4/23/2024
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/11/2021	7/7/2022
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	4/18/2022
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	4/18/2022
Active	American Strategic Insurance Corp	883540	Agent - Casualty	1/27/2023
Active	American Strategic Insurance Corp	883540	Agent - Property	1/27/2023
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	1/14/2025
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	1/14/2025
Active	Bristol West Insurance Company	301655	Agent - Casualty	9/2/2025
Active	Bristol West Insurance Company	301655	Agent - Property	9/2/2025
Active	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	5/9/2023
Active	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	5/9/2023
Active	CSAA General Insurance Company	606675	Agent - Casualty	5/9/2023
Active	CSAA General Insurance Company	606675	Agent - Property	5/9/2023
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	6/21/2024	11/12/2025
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	6/21/2024	11/12/2025
Active	Depositors Insurance Company	301634	Agent - Casualty	2/28/2020
Active	Depositors Insurance Company	301634	Agent - Property	2/28/2020
Active	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	2/12/2024
Active	Fidelity and Guaranty Insurance Company	301009	Agent - Property	2/12/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/5/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/5/2020
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	7/28/2025
Active	Hanover American Insurance Company (The)	300447	Agent - Property	7/28/2025
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	7/28/2025
Active	Hanover Insurance Company (The)	300508	Agent - Property	7/28/2025
Active	Hartford Accident and Indemnity Company	301917	Agent - Casualty	6/21/2023
Active	Hartford Accident and Indemnity Company	301917	Agent - Property	6/21/2023
Active	Markel Insurance Company	301475	Agent - Casualty	10/21/2024
Active	Markel Insurance Company	301475	Agent - Property	10/21/2024
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	7/28/2025
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	7/28/2025
Active	National Specialty Insurance Company	300993	Agent - Casualty	4/26/2022
Active	National Specialty Insurance Company	300993	Agent - Property	4/26/2022
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	2/28/2020
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	2/28/2020
Active	Nationwide Assurance Company	300166	Agent - Casualty	3/4/2020
Active	Nationwide Assurance Company	300166	Agent - Property	9/13/2022
Active	Nationwide General Insurance Company	300603	Agent - Casualty	2/28/2020
Active	Nationwide General Insurance Company	300603	Agent - Property	2/28/2020
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	2/28/2020
Active	Nationwide Insurance Company of America	300333	Agent - Property	2/28/2020
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	2/28/2020
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	2/28/2020
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	2/2/2022
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	2/2/2022
Active	Next Insurance US Company	1083825	Agent - Casualty	4/26/2022
Active	Next Insurance US Company	1083825	Agent - Property	4/26/2022
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	5/28/2025
Active	Ohio Casualty Insurance Company	301492	Agent - Property	5/28/2025
Active	Ohio Security Insurance Company	300622	Agent - Casualty	4/7/2024
Active	Ohio Security Insurance Company	300622	Agent - Property	4/7/2024
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	1/24/2023
Active	Progressive Casualty Insurance Company	300696	Agent - Property	1/24/2023
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	7/15/2024
Active	SAFECO Insurance Company of America	300159	Agent - Property	7/15/2024
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/16/2025
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/16/2025
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	8/4/2021
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	8/4/2021
Active	Sentinel Insurance Company, Limited	501696	Agent - Casualty	1/11/2026
Active	Sentinel Insurance Company, Limited	501696	Agent - Property	1/11/2026
Inactive	Spinnaker Insurance Company	300099	Agent - Property	3/22/2021	12/9/2023
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	6/21/2024	11/12/2025
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	6/21/2024	11/12/2025
Active	St. Paul Guardian Insurance Company	301372	Agent - Casualty	6/12/2026
Active	St. Paul Guardian Insurance Company	301372	Agent - Property	6/12/2026
Active	St. Paul Mercury Insurance Company	300783	Agent - Casualty	6/12/2026
Active	St. Paul Mercury Insurance Company	300783	Agent - Property	6/12/2026
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	7/16/2020
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	7/16/2020
Active	State National Insurance Company, Inc.	300888	Agent - Casualty	4/26/2022
Active	State National Insurance Company, Inc.	300888	Agent - Property	4/26/2022
Active	The Phoenix Insurance Company	301502	Agent - Casualty	2/26/2026
Active	The Phoenix Insurance Company	301502	Agent - Property	2/26/2026
Active	TravCo Insurance Company	301828	Agent - Casualty	2/7/2025
Active	TravCo Insurance Company	301828	Agent - Property	2/7/2025
Active	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	1/8/2024
Active	Travelers Casualty Insurance Company of America	300522	Agent - Property	1/8/2024
Active	Travelers Casualty and Surety Company	301067	Agent - Casualty	11/17/2025
Active	Travelers Casualty and Surety Company	301067	Agent - Property	11/17/2025
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	5/25/2022
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	5/25/2022
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	2/22/2021	11/4/2022
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	2/22/2021	11/4/2022
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	6/21/2024
Active	Travelers Indemnity Company (The)	301855	Agent - Property	6/21/2024
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	6/21/2024
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	6/21/2024
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	12/9/2025
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	12/9/2025
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	3/18/2021
Active	Travelers Personal Insurance Company	705785	Agent - Property	3/18/2021
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	6/21/2024
Active	Travelers Property Casualty Company of America	301649	Agent - Property	6/21/2024
Active	United Financial Casualty Company	301886	Agent - Casualty	1/24/2023
Active	United Financial Casualty Company	301886	Agent - Property	1/24/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chandler, Steven L	1229152	Agent - Casualty	11/22/2022	12/18/2025
Denied	Chandler, Steven L	1229152	Agent - Life
Inactive	Chandler, Steven L	1229152	Agent - Property	11/22/2022	12/18/2025
Inactive	Conner, Jason Matthew	972408	Agent - Casualty	4/12/2022	4/28/2022
Inactive	Conner, Jason Matthew	972408	Agent - Life	4/12/2022	11/17/2022
Inactive	Conner, Jason Matthew	972408	Agent - Property	4/12/2022	4/28/2022
Active	Contreras, Andrea	1116733	Agent - Casualty	9/3/2024
Active	Contreras, Andrea	1116733	Agent - Property	2/22/2021
Active	Contreras, Edwin Alfredo	1052526	Agent - Casualty	2/10/2021
Active	Contreras, Edwin Alfredo	1052526	Agent - Life	3/30/2021
Active	Contreras, Edwin Alfredo	1052526	Agent - Property	2/10/2021
Denied	Diyali, Shaan Ti	1048014	Agent - Casualty
Inactive	Diyali, Shaan Ti	1048014	Agent - Life	6/4/2020	4/30/2021
Denied	Diyali, Shaan Ti	1048014	Agent - Property
Inactive	Fernandez, Anthony D	1039319	Agent - Casualty	12/5/2019	7/14/2025
Inactive	Fernandez, Anthony D	1039319	Agent - Life	12/5/2019	7/7/2022
Inactive	Fernandez, Anthony D	1039319	Agent - Property	12/5/2019	7/14/2025
Active	Fernandez, Christopher David	1259821	Agent - Casualty	11/3/2025
Active	Fernandez, Christopher David	1259821	Agent - Property	11/3/2025
Active	Genuis, Samuel	1182102	Agent - Casualty	6/4/2025
Active	Genuis, Samuel	1182102	Agent - Property	6/4/2025
Active	Gilley, Ronald Regan	339388	Agent - Casualty	10/29/2025
Active	Gilley, Ronald Regan	339388	Agent - Life	10/29/2025
Active	Gilley, Ronald Regan	339388	Agent - Property	10/29/2025
Active	Henzgen, Nicholas Michael	1397136	Agent - Casualty	6/11/2025
Active	Henzgen, Nicholas Michael	1397136	Agent - Property	6/11/2025
Denied	Patel, Manish Ratibhai	1229440	Agent - Casualty
Denied	Patel, Manish Ratibhai	1229440	Agent - Life
Denied	Patel, Manish Ratibhai	1229440	Agent - Property
Active	Rutabara, Honor Mandela	1100978	Agent - Casualty	9/22/2025
Active	Rutabara, Honor Mandela	1100978	Agent - Life	9/22/2025
Active	Rutabara, Honor Mandela	1100978	Agent - Property	9/22/2025
Active	Souliotes, Denise Jean	1370812	Agent - Casualty	7/29/2025
Active	Souliotes, Denise Jean	1370812	Agent - Property	7/29/2025
Active	Tunstall, Shandale Mari	1455101	Agent - Casualty	6/14/2026
Active	Tunstall, Shandale Mari	1455101	Agent - Property	6/14/2026