DEPARTMENT OF INSURANCE

Affiliations

Name	Fields, Dawson	DOIID	1112485	NAIC NPN	19727207

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	11/14/2022	10/31/2024
Active	Resident	Agent	Property	11/14/2022	10/31/2024
Active	Resident	Agent	Health	11/14/2022	10/31/2024
Active	Resident	Agent	Life	11/14/2022	10/31/2024
* 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	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Economy Insurance Company	300315	Agent - Casualty	1/29/2024
Active	American Economy Insurance Company	300315	Agent - Property	1/29/2024
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	6/2/2022	11/1/2022
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	6/2/2022	11/1/2022
Inactive	American-Amicable Life Insurance Co. of Texas	300257	Agent - Life	3/22/2021	11/1/2022
Inactive	Combined Insurance Company of America	301472	Agent - Health	11/28/2023	3/25/2024
Inactive	Combined Insurance Company of America	301472	Agent - Life	11/28/2023	3/25/2024
Active	Erie Family Life Insurance Company	301400	Agent - Health	11/15/2022
Active	Erie Family Life Insurance Company	301400	Agent - Life	11/15/2022
Active	Erie Insurance Company	300230	Agent - Casualty	11/15/2022
Active	Erie Insurance Company	300230	Agent - Property	11/15/2022
Active	Erie Insurance Company of New York	789916	Agent - Casualty	11/15/2022
Active	Erie Insurance Company of New York	789916	Agent - Property	11/15/2022
Active	Erie Insurance Exchange	300789	Agent - Casualty	11/15/2022
Active	Erie Insurance Exchange	300789	Agent - Property	11/15/2022
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	11/15/2022
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	11/15/2022
Active	Flagship City Insurance Company	789965	Agent - Casualty	11/15/2022
Active	Flagship City Insurance Company	789965	Agent - Property	11/15/2022
Inactive	Independent Order of Foresters	300743	Agent - Life	1/11/2022	11/1/2022
Active	Ohio Security Insurance Company	300622	Agent - Casualty	6/4/2024
Active	Ohio Security Insurance Company	300622	Agent - Property	6/4/2024
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	7/18/2024
Active	SAFECO Insurance Company of America	300159	Agent - Property	7/18/2024
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	1/18/2023
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	1/18/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/9/2021	1/14/2022
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/9/2021	1/14/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Nova Insurance Group	1036132	Agent - Life	11/21/2023
Active	Nova Insurance Group	1036132	Agent - Health	11/21/2023
Active	Nova Insurance Group	1036132	Agent - Casualty	11/21/2023
Active	Nova Insurance Group	1036132	Agent - Property	11/21/2023