DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Providence Insurance Agency LLC	DOIID	1178932	NAIC NPN	19996827

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	12/17/2021		3/31/2027
Active	Non Resident	Agent	Casualty	12/17/2021		3/31/2027
* 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	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	12/3/2024
Active	Celina Mutual Insurance Company (The)	301908	Agent - Property	12/3/2024
Inactive	National Specialty Insurance Company	300993	Agent - Casualty	7/22/2022	12/23/2025
Inactive	National Specialty Insurance Company	300993	Agent - Property	7/22/2022	12/23/2025
Inactive	Next Insurance US Company	1083825	Agent - Casualty	7/21/2022	4/29/2025
Inactive	Next Insurance US Company	1083825	Agent - Property	7/21/2022	4/29/2025
Active	RLI Insurance Company	301217	Agent - Casualty	2/14/2023
Active	RLI Insurance Company	301217	Agent - Property	2/14/2023
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	7/22/2022	12/23/2025
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	7/22/2022	12/23/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	White, Tina Lynn	989947	Agent - Casualty	12/17/2021
Active	White, Tina Lynn	989947	Agent - Property	12/17/2021