DEPARTMENT OF INSURANCE

Affiliations

Name	Stuckey, Theodore Scott	DOIID	1182077	NAIC NPN	15849348

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	5/18/2022	9/30/2026
Active	Non Resident	Agent	Health	5/18/2022	9/30/2026
Active	Non Resident	Agent	Property	1/10/2022	9/30/2026
Active	Non Resident	Agent	Casualty	1/10/2022	9/30/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/10/2022	9/30/2026
* 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	07/15/2024	09/30/2024	07/03/2024	07/03/2024	Yes
Surplus Lines Broker	07/15/2024	09/30/2024	07/03/2024	07/03/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AIG Property Casualty Company	300621	Agent - Casualty	10/18/2022
Active	AIG Property Casualty Company	300621	Agent - Property	10/18/2022
Active	Allianz Global Risks US Insurance Company	301250	Agent - Casualty	6/24/2022
Active	Allianz Global Risks US Insurance Company	301250	Agent - Property	6/24/2022
Active	Allstate Indemnity Company	300778	Agent - Casualty	7/26/2022
Active	Allstate Indemnity Company	300778	Agent - Property	7/26/2022
Active	Allstate Insurance Company	300773	Agent - Casualty	7/26/2022
Active	Allstate Insurance Company	300773	Agent - Property	7/26/2022
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	7/26/2022
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Property	7/26/2022
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	7/26/2022
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	7/26/2022
Active	AmGUARD Insurance Company	500010	Agent - Casualty	3/7/2023
Active	AmGUARD Insurance Company	500010	Agent - Property	3/7/2023
Active	American Automobile Insurance Company	300953	Agent - Casualty	6/24/2022
Active	American Automobile Insurance Company	300953	Agent - Property	6/24/2022
Active	American National Life Insurance Company of Texas	300912	Agent - Health	7/24/2023
Active	Berkshire Hathaway Direct Insurance Company	300925	Agent - Casualty	7/21/2022
Active	Berkshire Hathaway Direct Insurance Company	300925	Agent - Property	7/21/2022
Active	Bristol West Insurance Company	301655	Agent - Casualty	7/13/2022
Active	Bristol West Insurance Company	301655	Agent - Property	7/13/2022
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	7/29/2022	8/4/2022
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	7/29/2022	8/4/2022
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	7/29/2022	8/4/2022
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	7/29/2022	8/4/2022
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	7/13/2022
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	7/13/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/13/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/13/2022
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	9/28/2022
Active	Grange Indemnity Insurance Company	300793	Agent - Property	9/28/2022
Active	Grange Insurance Company	300234	Agent - Casualty	9/28/2022
Active	Grange Insurance Company	300234	Agent - Property	9/28/2022
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	9/28/2022
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	9/28/2022
Active	Hartford Accident and Indemnity Company	301917	Agent - Casualty	2/12/2023
Active	Hartford Accident and Indemnity Company	301917	Agent - Property	2/12/2023
Active	Hartford Fire Insurance Company	300628	Agent - Casualty	1/8/2023
Active	Hartford Fire Insurance Company	300628	Agent - Property	1/8/2023
Active	Hartford Insurance Company of Illinois	1014405	Agent - Casualty	10/5/2022
Active	Hartford Insurance Company of Illinois	1014405	Agent - Property	10/5/2022
Active	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	5/14/2024
Active	Hartford Insurance Company of the Midwest	301918	Agent - Property	5/14/2024
Active	Hartford Underwriters Insurance Company	301064	Agent - Casualty	12/8/2022
Active	Hartford Underwriters Insurance Company	301064	Agent - Property	12/8/2022
Active	Jewelers Mutual Insurance Company, SI	301935	Agent - Casualty	10/20/2022
Active	Jewelers Mutual Insurance Company, SI	301935	Agent - Property	10/20/2022
Active	National Fire Insurance Company of Hartford	301063	Agent - Casualty	5/8/2024
Active	National Fire Insurance Company of Hartford	301063	Agent - Property	5/8/2024
Active	National Guardian Life Insurance Company	300596	Agent - Health	11/13/2023
Active	National Liability & Fire Insurance Company	300213	Agent - Casualty	7/21/2022
Active	National Liability & Fire Insurance Company	300213	Agent - Property	7/21/2022
Active	National Specialty Insurance Company	300993	Agent - Casualty	8/31/2022
Active	National Specialty Insurance Company	300993	Agent - Property	8/31/2022
Active	Nationwide Life Insurance Company	300495	Agent - Health	9/22/2022
Active	Nationwide Life Insurance Company	300495	Agent - Life	9/22/2022
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	2/8/2022
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	2/8/2022
Active	Next Insurance US Company	1083825	Agent - Casualty	8/29/2022
Active	Next Insurance US Company	1083825	Agent - Property	8/29/2022
Active	NorGUARD Insurance Company	500015	Agent - Casualty	3/7/2023
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	5/10/2023
Active	Ohio Casualty Insurance Company	301492	Agent - Property	5/10/2023
Active	Ohio Security Insurance Company	300622	Agent - Casualty	4/25/2023
Active	Ohio Security Insurance Company	300622	Agent - Property	4/25/2023
Active	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	1/9/2023
Active	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	1/9/2023
Active	RLI Insurance Company	301217	Agent - Casualty	9/26/2022
Active	RLI Insurance Company	301217	Agent - Property	9/26/2022
Active	Sentinel Insurance Company, Limited	501696	Agent - Casualty	1/10/2023
Active	Sentinel Insurance Company, Limited	501696	Agent - Property	1/10/2023
Active	State National Insurance Company, Inc.	300888	Agent - Casualty	8/31/2022
Active	State National Insurance Company, Inc.	300888	Agent - Property	8/31/2022
Active	Trexis One Insurance Corporation	684197	Agent - Casualty	7/14/2022
Active	Trexis One Insurance Corporation	684197	Agent - Health	7/14/2022
Active	Trustgard Insurance Company	300104	Agent - Casualty	9/28/2022
Active	Trustgard Insurance Company	300104	Agent - Property	9/28/2022
Active	Wellfleet Insurance Company	300542	Agent - Casualty	7/26/2022
Active	Wellfleet New York Insurance Company	300245	Agent - Casualty	7/26/2022
Active	Wellfleet New York Insurance Company	300245	Agent - Property	7/26/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	NBS Insurance Agency Inc	515576	Agent - Casualty	8/17/2022
Active	NBS Insurance Agency Inc	515576	Agent - Property	8/17/2022
Active	NBS Insurance Agency Inc	515576	Surplus Lines Broker - Not Applicable	8/17/2022
Active	NBS Insurance Agency Inc	515576	Agent - Life	9/22/2022
Active	NBS Insurance Agency Inc	515576	Agent - Health	1/24/2023