DEPARTMENT OF INSURANCE

Affiliations

Name	Relation Insurance Services, Inc. DBA : PAN AMERICAN INSURANCE SERVICES, Premier Consulting Partners, Premier Consulting Partners, Pan American Insurance Services	DOIID	1057710	NAIC NPN	9964363

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	10/9/2019	3/31/2025
Active	Non Resident	Agent	Property	10/9/2019	3/31/2025
Active	Non Resident	Agent	Health	2/14/2022	3/31/2025
Active	Non Resident	Agent	Life	2/14/2022	3/31/2025
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	5/25/2022
Active	ACE American Insurance Company	300625	Agent - Property	5/25/2022
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	5/25/2022
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	5/25/2022
Active	AIG Assurance Company	300897	Agent - Health	8/1/2023
Active	AIG Property Casualty Company	300621	Agent - Casualty	6/28/2023
Active	AIG Property Casualty Company	300621	Agent - Health	8/1/2023
Active	AIG Property Casualty Company	300621	Agent - Property	6/28/2023
Active	AMCO Insurance Company	300204	Agent - Casualty	11/28/2022
Active	AMCO Insurance Company	300204	Agent - Property	11/28/2022
Active	Aetna Health Inc. (PA)	660717	Agent - Health	1/30/2023
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	1/30/2023
Active	Aetna Life Insurance Company	301140	Agent - Health	1/30/2023
Active	Allied Insurance Company of America	793586	Agent - Casualty	11/28/2022
Active	Allied Insurance Company of America	793586	Agent - Property	11/28/2022
Active	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	11/28/2022
Active	Allied Property and Casualty Insurance Company	300279	Agent - Property	11/28/2022
Active	American Contractors Indemnity Company	536843	Agent - Casualty	2/10/2023
Active	American Family Home Insurance Company	301817	Agent - Casualty	9/6/2022
Active	American Family Home Insurance Company	301817	Agent - Property	9/6/2022
Active	American Home Assurance Company	300246	Agent - Health	8/1/2023
Active	American Reliable Insurance Company	301889	Agent - Casualty	11/17/2022
Active	American Reliable Insurance Company	301889	Agent - Property	11/17/2022
Active	Arch Insurance Company	300688	Agent - Casualty	2/27/2023
Active	Arch Insurance Company	300688	Agent - Property	2/27/2023
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	1/2/2020	10/5/2021
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	1/2/2020	10/5/2021
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	10/31/2023
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	10/31/2023
Active	Cincinnati Insurance Company	301298	Agent - Casualty	10/31/2023
Active	Cincinnati Insurance Company	301298	Agent - Property	10/31/2023
Active	Commerce and Industry Insurance Company	300881	Agent - Health	8/1/2023
Active	Depositors Insurance Company	301634	Agent - Casualty	11/28/2022
Active	Depositors Insurance Company	301634	Agent - Property	11/28/2022
Active	Farmington Casualty Company	301137	Agent - Casualty	1/2/2020
Active	Farmington Casualty Company	301137	Agent - Property	1/2/2020
Active	Federal Insurance Company	301144	Agent - Casualty	5/25/2022
Active	Federal Insurance Company	301144	Agent - Property	5/25/2022
Active	Granite State Insurance Company	300818	Agent - Health	8/1/2023
Active	Great American Assurance Company	300327	Agent - Casualty	9/30/2022
Active	Great American Assurance Company	300327	Agent - Property	9/30/2022
Active	Great American Insurance Company	301586	Agent - Casualty	9/30/2022
Active	Great American Insurance Company	301586	Agent - Property	9/30/2022
Active	Great Northern Insurance Company	301107	Agent - Casualty	11/10/2023
Active	Great Northern Insurance Company	301107	Agent - Property	11/10/2023
Active	HDI Global Insurance Company	676678	Agent - Casualty	4/3/2023
Active	HDI Global Insurance Company	676678	Agent - Property	4/3/2023
Active	Illinois National Insurance Company	301367	Agent - Health	8/1/2023
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	1/25/2023
Active	Indemnity Insurance Company of North America	301760	Agent - Property	1/25/2023
Active	Independence American Insurance Company	524747	Agent - Casualty	3/10/2023
Active	Independence American Insurance Company	524747	Agent - Property	3/10/2023
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Health	8/1/2023
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	12/7/2022
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	12/7/2022
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	8/1/2023
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	11/28/2022
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	11/28/2022
Active	Nationwide Assurance Company	300166	Agent - Casualty	11/28/2022
Active	Nationwide Assurance Company	300166	Agent - Property	11/28/2022
Active	Nationwide General Insurance Company	300603	Agent - Casualty	11/28/2022
Active	Nationwide General Insurance Company	300603	Agent - Property	11/28/2022
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	11/28/2022
Active	Nationwide Insurance Company of America	300333	Agent - Property	11/28/2022
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	11/28/2022
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	11/28/2022
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	11/28/2022
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	11/28/2022
Active	New Hampshire Insurance Company	301670	Agent - Health	8/1/2023
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	11/10/2023
Active	Pacific Employers Insurance Company	301753	Agent - Property	11/10/2023
Active	Pacific Indemnity Company	301610	Agent - Casualty	11/10/2023
Active	Pacific Indemnity Company	301610	Agent - Property	11/10/2023
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	1/25/2022
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Health	8/9/2023
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	8/9/2023
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/6/2022
Active	Progressive Casualty Insurance Company	300696	Agent - Property	11/6/2022
Active	Service American Indemnity Company	301191	Agent - Casualty	11/2/2022
Active	SilverScript Insurance Company	663526	Agent - Health	1/30/2023
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	1/2/2020	10/5/2021
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	1/2/2020	10/5/2021
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	1/2/2020	10/5/2021
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	1/2/2020	10/5/2021
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	1/2/2020	10/5/2021
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	1/2/2020	10/5/2021
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	1/2/2020
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	1/2/2020
Active	Star Insurance Company	301553	Agent - Casualty	8/10/2022
Active	Star Insurance Company	301553	Agent - Property	8/10/2022
Active	Starr Indemnity and Liability Company	301685	Agent - Casualty	11/20/2019
Active	Starr Indemnity and Liability Company	301685	Agent - Property	11/20/2019
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	1/2/2020	10/5/2021
Inactive	The Phoenix Insurance Company	301502	Agent - Property	1/2/2020	10/5/2021
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	1/2/2020	10/5/2021
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	1/2/2020	10/5/2021
Active	Travelers Casualty and Surety Company	301067	Agent - Casualty	1/2/2020
Active	Travelers Casualty and Surety Company	301067	Agent - Property	1/2/2020
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	1/2/2020
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	1/2/2020
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	1/2/2020
Active	Travelers Indemnity Company (The)	301855	Agent - Property	1/2/2020
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	1/2/2020	10/5/2021
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	1/2/2020	10/5/2021
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	1/2/2020
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	1/2/2020
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	1/2/2020	10/5/2021
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	1/2/2020	10/5/2021
Active	U.S. Specialty Insurance Company	300186	Agent - Casualty	2/10/2023
Active	United Financial Casualty Company	301886	Agent - Casualty	11/6/2022
Active	United Financial Casualty Company	301886	Agent - Property	11/6/2022
Active	Vigilant Insurance Company	301143	Agent - Casualty	11/10/2023
Active	Vigilant Insurance Company	301143	Agent - Property	11/10/2023
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	5/25/2022
Active	Westchester Fire Insurance Company	300990	Agent - Property	5/25/2022
Active	Western Surety Company	300283	Agent - Casualty	4/16/2022
Active	Williamsburg National Insurance Company	301825	Agent - Casualty	8/10/2022
Active	Williamsburg National Insurance Company	301825	Agent - Property	8/10/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Beardsley, Jeanette Linia	990540	Agent - Casualty	3/18/2022
Denied	Beardsley, Jeanette Linia	990540	Agent - Health
Denied	Beardsley, Jeanette Linia	990540	Agent - Life
Active	Beardsley, Jeanette Linia	990540	Agent - Property	3/18/2022
Active	Martin, Stephen Douglas	859805	Agent - Casualty	10/9/2019
Active	Martin, Stephen Douglas	859805	Agent - Property	10/9/2019
Active	Varni, Keri Ann	865527	Agent - Health	2/14/2022
Active	Varni, Keri Ann	865527	Agent - Life	2/14/2022