DEPARTMENT OF INSURANCE

Affiliations

Name	Tailored Insurance Solutions, Inc.	DOIID	1086266	NAIC NPN	19465998

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	6/15/2020	3/31/2024
Inactive	Non Resident	Agent	Life	6/15/2020	3/31/2024
Inactive	Non Resident	Agent	Casualty	6/15/2020	3/31/2024
Inactive	Non Resident	Agent	Property	6/15/2020	3/31/2024
* 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
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	6/24/2020	3/31/2024
Inactive	Allstate Indemnity Company	300778	Agent - Property	6/24/2020	3/31/2024
Inactive	Allstate Insurance Company	300773	Agent - Casualty	6/24/2020	3/31/2024
Inactive	Allstate Insurance Company	300773	Agent - Property	6/24/2020	3/31/2024
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	6/24/2020	3/31/2024
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	6/24/2020	3/31/2024
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	6/24/2020	3/31/2024
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	6/24/2020	3/31/2024
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	2/26/2024	5/29/2024
Inactive	American Family Home Insurance Company	301817	Agent - Property	2/26/2024	5/29/2024
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	3/17/2021	3/31/2024
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	3/17/2021	3/31/2024
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	9/8/2020	5/29/2024
Inactive	American Modern Home Insurance Company	300791	Agent - Property	9/8/2020	5/29/2024
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	8/31/2020	5/29/2024
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	8/31/2020	5/29/2024
Inactive	Esurance Property and Casualty Insurance Company	613279	Agent - Casualty	7/16/2021	3/8/2023
Inactive	Esurance Property and Casualty Insurance Company	613279	Agent - Property	7/16/2021	3/8/2023
Inactive	Everlake Assurance Company	300203	Agent - Life	6/24/2020	3/31/2024
Inactive	Everlake Life Insurance Company	300873	Agent - Health	6/24/2020	3/31/2024
Inactive	Everlake Life Insurance Company	300873	Agent - Life	6/24/2020	3/31/2024
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	6/24/2020	3/31/2024
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	6/24/2020	3/31/2024
Inactive	Western Surety Company	300283	Agent - Casualty	7/27/2022	3/31/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Clonch, Keith Allen	585168	Agent - Casualty	6/15/2020	3/31/2024
Inactive	Clonch, Keith Allen	585168	Agent - Health	6/15/2020	3/31/2024
Inactive	Clonch, Keith Allen	585168	Agent - Life	6/15/2020	3/31/2024
Inactive	Clonch, Keith Allen	585168	Agent - Property	6/15/2020	3/31/2024