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DEPARTMENT OF INSURANCE
Affiliations
Name
Insurtech Groups LLC
DOIID
1209103
NAIC NPN
20350022
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Non Resident
Agent
Life
6/6/2022
3/31/2026
Active
Non Resident
Agent
Property
6/6/2022
3/31/2026
Active
Non Resident
Agent
Health
6/6/2022
3/31/2026
Active
Non Resident
Agent
Casualty
6/6/2022
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
3/8/2023
Active
AMCO Insurance Company
300204
Agent - Property
3/8/2023
Active
Allied Insurance Company of America
793586
Agent - Casualty
3/8/2023
Active
Allied Insurance Company of America
793586
Agent - Property
3/8/2023
Active
Allied Property and Casualty Insurance Company
300279
Agent - Casualty
3/8/2023
Active
Allied Property and Casualty Insurance Company
300279
Agent - Property
3/8/2023
Active
American Strategic Insurance Corp
883540
Agent - Casualty
9/7/2022
Active
American Strategic Insurance Corp
883540
Agent - Property
9/7/2022
Active
Amica Life Insurance Company
301676
Agent - Life
10/18/2023
Inactive
Bristol West Insurance Company
301655
Agent - Casualty
9/9/2022
7/16/2024
Inactive
Bristol West Insurance Company
301655
Agent - Property
9/9/2022
7/16/2024
Active
Continental Insurance Company (The)
301242
Agent - Casualty
7/7/2023
Active
Continental Insurance Company (The)
301242
Agent - Property
7/7/2023
Active
Depositors Insurance Company
301634
Agent - Casualty
3/8/2023
Active
Depositors Insurance Company
301634
Agent - Property
3/8/2023
Inactive
Farmers Property and Casualty Insurance Company
301237
Agent - Casualty
8/12/2022
7/16/2024
Inactive
Farmers Property and Casualty Insurance Company
301237
Agent - Property
8/12/2022
7/16/2024
Active
Fidelity Security Life Insurance Company
300466
Agent - Life
12/22/2022
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Casualty
8/12/2022
7/16/2024
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Property
8/12/2022
7/16/2024
Active
Great American Alliance Insurance Company
301247
Agent - Casualty
11/8/2022
Active
Great American Alliance Insurance Company
301247
Agent - Property
11/8/2022
Active
Great American Insurance Company
301586
Agent - Casualty
11/8/2022
Active
Great American Insurance Company
301586
Agent - Property
11/8/2022
Active
Great American Spirit Insurance Company
300233
Agent - Casualty
11/8/2022
Active
Great American Spirit Insurance Company
300233
Agent - Property
11/8/2022
Inactive
Integon Indemnity Corporation
300674
Agent - Casualty
8/30/2022
6/11/2024
Inactive
Integon Indemnity Corporation
300674
Agent - Property
8/30/2022
6/11/2024
Inactive
National Specialty Insurance Company
300993
Agent - Casualty
7/20/2023
6/25/2024
Inactive
National Specialty Insurance Company
300993
Agent - Property
7/20/2023
6/25/2024
Active
Nationwide Agribusiness Insurance Company
301008
Agent - Casualty
3/8/2023
Active
Nationwide Agribusiness Insurance Company
301008
Agent - Property
3/8/2023
Active
Nationwide Assurance Company
300166
Agent - Casualty
3/8/2023
Active
Nationwide Assurance Company
300166
Agent - Property
3/8/2023
Active
Nationwide General Insurance Company
300603
Agent - Casualty
3/8/2023
Active
Nationwide General Insurance Company
300603
Agent - Property
3/8/2023
Active
Nationwide Insurance Company of America
300333
Agent - Casualty
3/8/2023
Active
Nationwide Insurance Company of America
300333
Agent - Property
3/8/2023
Active
Nationwide Mutual Insurance Company
301749
Agent - Casualty
3/8/2023
Active
Nationwide Mutual Insurance Company
301749
Agent - Property
3/8/2023
Active
Nationwide Property and Casualty Insurance Company
300599
Agent - Casualty
3/8/2023
Active
Nationwide Property and Casualty Insurance Company
300599
Agent - Property
3/8/2023
Inactive
Next Insurance US Company
1083825
Agent - Casualty
7/13/2023
6/25/2024
Inactive
Next Insurance US Company
1083825
Agent - Property
7/13/2023
6/25/2024
Active
Progressive Casualty Insurance Company
300696
Agent - Casualty
9/7/2022
Active
Progressive Casualty Insurance Company
300696
Agent - Property
9/7/2022
Inactive
State National Insurance Company, Inc.
300888
Agent - Casualty
7/20/2023
6/25/2024
Inactive
State National Insurance Company, Inc.
300888
Agent - Property
7/20/2023
6/25/2024
Active
United Financial Casualty Company
301886
Agent - Casualty
3/16/2023
Active
United Financial Casualty Company
301886
Agent - Property
3/16/2023
Active
Valley Forge Insurance Company
301052
Agent - Casualty
7/7/2023
Active
Valley Forge Insurance Company
301052
Agent - Property
7/7/2023
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Bayard, Shaundre T
1003479
Agent - Casualty
1/4/2023
5/24/2023
Inactive
Bayard, Shaundre T
1003479
Agent - Property
1/4/2023
5/24/2023
Inactive
Brookshire, James Adam
1210861
Agent - Casualty
8/18/2022
12/10/2022
Denied
Brookshire, James Adam
1210861
Agent - Health
Denied
Brookshire, James Adam
1210861
Agent - Life
Inactive
Brookshire, James Adam
1210861
Agent - Property
8/18/2022
12/10/2022
Inactive
Burns, Bridget J
1246310
Agent - Casualty
12/15/2022
5/24/2023
Inactive
Burns, Bridget J
1246310
Agent - Property
12/15/2022
5/24/2023
Inactive
Cano, Brenda
940249
Agent - Casualty
10/4/2022
11/8/2022
Inactive
Cano, Brenda
940249
Agent - Property
10/4/2022
11/8/2022
Denied
Gaymes, Devanand D
1222256
Agent - Life
Inactive
Hackett, Tonia Darice
555415
Agent - Casualty
9/7/2022
7/26/2023
Inactive
Hackett, Tonia Darice
555415
Agent - Property
9/7/2022
7/26/2023
Inactive
Jordan, Jerenetta Nicole
1246575
Agent - Casualty
1/4/2023
5/1/2023
Inactive
Jordan, Jerenetta Nicole
1246575
Agent - Property
1/4/2023
5/1/2023
Active
Kanwal, Leeza
1255734
Agent - Casualty
5/15/2023
Active
Kanwal, Leeza
1255734
Agent - Property
5/15/2023
Inactive
Krupp, Derek William
1210776
Agent - Casualty
11/18/2022
11/29/2022
Inactive
Krupp, Derek William
1210776
Agent - Property
11/18/2022
11/29/2022
Inactive
Lybbert, Brant
777113
Agent - Casualty
3/13/2023
3/31/2023
Inactive
Lybbert, Brant
777113
Agent - Property
3/13/2023
3/31/2023
Inactive
Mahnke, Petra Marie
711127
Agent - Casualty
9/14/2022
11/8/2022
Inactive
Mahnke, Petra Marie
711127
Agent - Property
9/14/2022
11/8/2022
Inactive
Mcclure, Jeremy William
1159308
Agent - Casualty
2/10/2023
7/26/2023
Inactive
Mcclure, Jeremy William
1159308
Agent - Property
2/10/2023
7/26/2023
Active
Ortiz, Jose Fernando
1208484
Agent - Casualty
7/6/2023
Denied
Ortiz, Jose Fernando
1208484
Agent - Health
Denied
Ortiz, Jose Fernando
1208484
Agent - Life
Active
Ortiz, Jose Fernando
1208484
Agent - Property
7/6/2023
Inactive
Padilla, Erik
1214147
Agent - Casualty
9/14/2022
11/8/2022
Inactive
Padilla, Erik
1214147
Agent - Property
9/14/2022
11/8/2022
Inactive
Poynter, Gregory Allen
1025198
Agent - Casualty
8/18/2022
9/29/2022
Denied
Poynter, Gregory Allen
1025198
Agent - Health
Denied
Poynter, Gregory Allen
1025198
Agent - Life
Inactive
Poynter, Gregory Allen
1025198
Agent - Property
8/18/2022
9/29/2022
Active
Rigdon, Melissa Rose
676117
Agent - Casualty
4/7/2023
Active
Rigdon, Melissa Rose
676117
Agent - Property
4/7/2023
Active
Sarathy, Adithya
1150728
Agent - Casualty
8/18/2022
Active
Sarathy, Adithya
1150728
Agent - Property
8/18/2022
Active
Scott, Kesheira Shavon
764479
Agent - Casualty
8/18/2022
Active
Scott, Kesheira Shavon
764479
Agent - Property
8/18/2022
Active
Shi, Yolanda Elizabeth
1203739
Agent - Casualty
6/6/2022
Active
Shi, Yolanda Elizabeth
1203739
Agent - Health
6/6/2022
Active
Shi, Yolanda Elizabeth
1203739
Agent - Life
6/6/2022
Active
Shi, Yolanda Elizabeth
1203739
Agent - Property
6/6/2022
Inactive
Smiley, Joann L
1238853
Agent - Casualty
11/3/2022
4/19/2023
Inactive
Smiley, Joann L
1238853
Agent - Property
11/3/2022
4/19/2023
Active
Smith, Julia Delores
1184972
Agent - Casualty
5/22/2023
Active
Smith, Julia Delores
1184972
Agent - Property
5/22/2023
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