DEPARTMENT OF INSURANCE

Affiliations

Name	Rivian Insurance Services, LLC	DOIID	1122349	NAIC NPN	19709384

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	2/26/2021	3/31/2025
Active	Non Resident	Agent	Casualty	2/26/2021	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
Active	AMCO Insurance Company	300204	Agent - Casualty	3/16/2021
Active	AMCO Insurance Company	300204	Agent - Property	3/16/2021
Active	Allied Insurance Company of America	793586	Agent - Casualty	3/16/2021
Active	Allied Insurance Company of America	793586	Agent - Property	3/16/2021
Active	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	3/16/2021
Active	Allied Property and Casualty Insurance Company	300279	Agent - Property	3/16/2021
Active	Depositors Insurance Company	301634	Agent - Casualty	3/16/2021
Active	Depositors Insurance Company	301634	Agent - Property	3/16/2021
Active	Mobilitas General Insurance Company	1080441	Agent - Casualty	6/30/2022
Active	Mobilitas General Insurance Company	1080441	Agent - Property	6/30/2022
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	3/16/2021
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	3/16/2021
Active	Nationwide Assurance Company	300166	Agent - Casualty	3/16/2021
Active	Nationwide Assurance Company	300166	Agent - Property	3/16/2021
Active	Nationwide General Insurance Company	300603	Agent - Casualty	3/16/2021
Active	Nationwide General Insurance Company	300603	Agent - Property	3/16/2021
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	3/16/2021
Active	Nationwide Insurance Company of America	300333	Agent - Property	3/16/2021
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	3/16/2021
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	3/16/2021
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	3/16/2021
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	3/16/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Ashby, Kimberly J	1145652	Agent - Casualty
Denied	Ashby, Kimberly J	1145652	Agent - Property
Active	Conklin, Tara L	1193351	Agent - Casualty	9/12/2022
Active	Conklin, Tara L	1193351	Agent - Property	9/12/2022
Active	Eldredge, Mark A	1279583	Agent - Casualty	6/20/2023
Active	Eldredge, Mark A	1279583	Agent - Property	6/20/2023
Denied	Flaherty, Shawn P	1138785	Agent - Casualty
Denied	Flaherty, Shawn P	1138785	Agent - Property
Inactive	Green, Matthew	1277184	Agent - Casualty	6/15/2023	11/8/2023
Inactive	Green, Matthew	1277184	Agent - Property	6/15/2023	11/8/2023
Active	Haugaard, Timothy James	1115369	Agent - Casualty	8/25/2022
Active	Haugaard, Timothy James	1115369	Agent - Property	8/25/2022
Inactive	Lauer, Jarett	1116620	Agent - Casualty	2/26/2021	8/25/2022
Inactive	Lauer, Jarett	1116620	Agent - Property	2/26/2021	8/25/2022
Denied	Neal, Hilary	1233685	Agent - Casualty
Denied	Neal, Hilary	1233685	Agent - Property
Denied	Rich, Shylo D	1129320	Agent - Casualty
Denied	Rich, Shylo D	1129320	Agent - Property
Pending Replacement	Rosenbeck, Christian	1276720	Agent - Casualty	6/15/2023
Pending Replacement	Rosenbeck, Christian	1276720	Agent - Property	6/15/2023
Active	Sorensen, Brandon D	1215813	Agent - Casualty	8/16/2023
Active	Sorensen, Brandon D	1215813	Agent - Property	8/16/2023
Denied	Sovey, Angela Kaye	1307350	Agent - Casualty
Denied	Sovey, Angela Kaye	1307350	Agent - Property
Active	Spader, Jeffrey J	1158965	Agent - Casualty	8/25/2023
Active	Spader, Jeffrey J	1158965	Agent - Property	8/25/2023
Denied	Stevens, Lynette M	1242380	Agent - Casualty
Denied	Stevens, Lynette M	1242380	Agent - Property
Inactive	Wade, Allison S	1260361	Agent - Casualty	6/15/2023	6/20/2023
Inactive	Wade, Allison S	1260361	Agent - Property	6/15/2023	6/20/2023
Inactive	Wheet, Matthew W	1060804	Agent - Casualty	11/30/2023	1/10/2024
Inactive	Wheet, Matthew W	1060804	Agent - Property	11/30/2023	1/10/2024