DEPARTMENT OF INSURANCE

Affiliations

Name	Evertree Mid-Atlantic Insurance Services, LLC	DOIID	1181590	NAIC NPN	20183798

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	7/13/2022	3/31/2026
Active	Non Resident	Agent	Property	1/6/2022	3/31/2026
Active	Non Resident	Agent	Health	7/13/2022	3/31/2026
Active	Non Resident	Agent	Casualty	1/6/2022	3/31/2026
* 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
Active	AMCO Insurance Company	300204	Agent - Casualty	4/3/2023
Active	AMCO Insurance Company	300204	Agent - Property	4/3/2023
Active	Allied Insurance Company of America	793586	Agent - Casualty	4/3/2023
Active	Allied Insurance Company of America	793586	Agent - Property	4/3/2023
Active	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	4/3/2023
Active	Allied Property and Casualty Insurance Company	300279	Agent - Property	4/3/2023
Active	Allstate Indemnity Company	300778	Agent - Casualty	1/11/2023
Active	Allstate Indemnity Company	300778	Agent - Property	1/11/2023
Active	Allstate Insurance Company	300773	Agent - Casualty	1/11/2023
Active	Allstate Insurance Company	300773	Agent - Property	1/11/2023
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	1/11/2023
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Property	1/11/2023
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	1/11/2023
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	1/11/2023
Active	American Economy Insurance Company	300315	Agent - Casualty	3/25/2025
Active	American Economy Insurance Company	300315	Agent - Property	3/25/2025
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	3/15/2024
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	3/15/2024
Active	American Strategic Insurance Corp	883540	Agent - Casualty	5/19/2023
Active	American Strategic Insurance Corp	883540	Agent - Property	5/19/2023
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	1/18/2023	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	1/18/2023	12/20/2024
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	4/10/2023	11/26/2024
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	4/10/2023	11/26/2024
Active	Crestbrook Insurance Company	805354	Agent - Casualty	1/25/2023
Active	Crestbrook Insurance Company	805354	Agent - Property	1/25/2023
Active	Depositors Insurance Company	301634	Agent - Casualty	4/3/2023
Active	Depositors Insurance Company	301634	Agent - Property	4/3/2023
Active	Encompass Insurance Company	300188	Agent - Casualty	9/11/2024
Active	Encompass Insurance Company	300188	Agent - Property	9/11/2024
Active	Fidelity Security Life Insurance Company	300466	Agent - Life	2/27/2023
Active	First Benefits Insurance Mutual, Inc.	1090183	Agent - Casualty	4/20/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/18/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/18/2023
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	10/3/2023
Active	Grange Indemnity Insurance Company	300793	Agent - Property	10/3/2023
Active	Grange Insurance Company	300234	Agent - Casualty	10/3/2023
Active	Grange Insurance Company	300234	Agent - Property	10/3/2023
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	10/3/2023
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	10/3/2023
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	4/3/2023
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	4/3/2023
Active	Nationwide Assurance Company	300166	Agent - Casualty	4/3/2023
Active	Nationwide Assurance Company	300166	Agent - Property	4/3/2023
Active	Nationwide General Insurance Company	300603	Agent - Casualty	4/3/2023
Active	Nationwide General Insurance Company	300603	Agent - Property	4/3/2023
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	4/3/2023
Active	Nationwide Insurance Company of America	300333	Agent - Property	4/3/2023
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	1/25/2023
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	1/25/2023
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	4/3/2023
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	4/3/2023
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	4/25/2023
Active	Progressive Casualty Insurance Company	300696	Agent - Property	4/25/2023
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	4/10/2023	11/26/2024
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	4/10/2023	11/26/2024
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	4/10/2023
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	4/10/2023
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	4/10/2023	11/26/2024
Inactive	The Phoenix Insurance Company	301502	Agent - Property	4/10/2023	11/26/2024
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	4/10/2023
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	4/10/2023
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	4/10/2023
Active	Travelers Indemnity Company (The)	301855	Agent - Property	4/10/2023
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	4/10/2023	11/26/2024
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	4/10/2023	11/26/2024
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	4/10/2023	11/26/2024
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	4/10/2023	11/26/2024
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	4/10/2023
Active	Travelers Personal Insurance Company	705785	Agent - Property	4/10/2023
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	4/10/2023
Active	Travelers Property Casualty Company of America	301649	Agent - Property	4/10/2023
Active	Trustgard Insurance Company	300104	Agent - Casualty	10/3/2023
Active	Trustgard Insurance Company	300104	Agent - Property	10/3/2023
Active	United Financial Casualty Company	301886	Agent - Casualty	4/25/2023
Active	United Financial Casualty Company	301886	Agent - Property	4/25/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allen, Kristen Gomez	1113664	Agent - Casualty	12/29/2022
Active	Allen, Kristen Gomez	1113664	Agent - Property	12/29/2022
Active	Balkus, Megan	1116621	Agent - Casualty	12/29/2022
Active	Balkus, Megan	1116621	Agent - Property	12/29/2022
Inactive	Buskey, Collin	1179231	Agent - Casualty	6/16/2023	9/4/2024
Inactive	Buskey, Collin	1179231	Agent - Property	6/16/2023	9/4/2024
Inactive	Campos, Kristie Deann	1137735	Agent - Casualty	12/29/2022	2/14/2023
Inactive	Campos, Kristie Deann	1137735	Agent - Property	12/29/2022	2/14/2023
Active	Choate, Shawn D	1133107	Agent - Casualty	1/6/2022
Active	Choate, Shawn D	1133107	Agent - Health	7/13/2022
Active	Choate, Shawn D	1133107	Agent - Life	7/13/2022
Active	Choate, Shawn D	1133107	Agent - Property	1/6/2022
Denied	Collins, Samuel Marcus	1234327	Agent - Casualty
Denied	Collins, Samuel Marcus	1234327	Agent - Property
Active	De Valdes, Joseph Keatley	1081011	Agent - Casualty	12/29/2022
Active	De Valdes, Joseph Keatley	1081011	Agent - Property	12/29/2022
Inactive	Edwards, Brandon	1186638	Agent - Casualty	12/29/2022	9/26/2024
Inactive	Edwards, Brandon	1186638	Agent - Property	12/29/2022	9/26/2024
Denied	Gray, Kathleen M	1213241	Agent - Casualty
Denied	Gray, Kathleen M	1213241	Agent - Property
Active	Hoover, Kodey M	1214223	Agent - Casualty	2/14/2025
Pending	Hoover, Kodey M	1214223	Agent - Life
Active	Hoover, Kodey M	1214223	Agent - Property	2/14/2025
Denied	Howarth, Adam	1203056	Agent - Casualty
Denied	Howarth, Adam	1203056	Agent - Property
Inactive	Kalisik, Jacqueline Caprice	1081013	Agent - Casualty	12/29/2022	2/14/2023
Inactive	Kalisik, Jacqueline Caprice	1081013	Agent - Property	12/29/2022	2/14/2023
Active	Kennedy, Christopher Michael	1080978	Agent - Casualty	12/29/2022
Active	Kennedy, Christopher Michael	1080978	Agent - Property	12/29/2022
Active	Latimer, Christina Bridget	903162	Agent - Casualty	12/29/2022
Active	Latimer, Christina Bridget	903162	Agent - Property	12/29/2022
Inactive	Manivannan, Vivekanand	1093600	Agent - Casualty	2/14/2023	12/31/2024
Denied	Manivannan, Vivekanand	1093600	Agent - Health
Denied	Manivannan, Vivekanand	1093600	Agent - Life
Inactive	Manivannan, Vivekanand	1093600	Agent - Property	2/14/2023	12/31/2024
Active	Sawyer, Paul Henry	872588	Agent - Casualty	1/28/2025
Pending	Sawyer, Paul Henry	872588	Agent - Life
Active	Sawyer, Paul Henry	872588	Agent - Property	1/28/2025
Inactive	Scoville, Amanda Michelle	1178750	Agent - Casualty	12/29/2022	6/10/2024
Inactive	Scoville, Amanda Michelle	1178750	Agent - Property	12/29/2022	6/10/2024
Active	Stoy, Joel	1092739	Agent - Casualty	12/29/2022
Active	Stoy, Joel	1092739	Agent - Property	12/29/2022