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	License Expiration Date
Active	Non Resident	Agent	Casualty	6/6/2022	3/31/2026
Active	Non Resident	Agent	Health	6/6/2022	3/31/2026
Active	Non Resident	Agent	Property	6/6/2022	3/31/2026
Active	Non Resident	Agent	Life	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
Inactive	American Strategic Insurance Corp	883540	Agent - Casualty	9/7/2022	8/15/2024
Inactive	American Strategic Insurance Corp	883540	Agent - Property	9/7/2022	8/15/2024
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
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	7/7/2023	7/22/2024
Inactive	Continental Insurance Company (The)	301242	Agent - Property	7/7/2023	7/22/2024
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
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	12/22/2022	12/13/2024
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
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	9/7/2022	7/22/2024
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	9/7/2022	7/22/2024
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
Inactive	United Financial Casualty Company	301886	Agent - Casualty	3/16/2023	7/22/2024
Inactive	United Financial Casualty Company	301886	Agent - Property	3/16/2023	7/22/2024
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	7/7/2023	7/22/2024
Inactive	Valley Forge Insurance Company	301052	Agent - Property	7/7/2023	7/22/2024

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
Inactive	Kanwal, Leeza	1255734	Agent - Casualty	5/15/2023	12/5/2024
Inactive	Kanwal, Leeza	1255734	Agent - Property	5/15/2023	12/5/2024
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
Inactive	Ortiz, Jose Fernando	1208484	Agent - Casualty	7/6/2023	9/16/2024
Denied	Ortiz, Jose Fernando	1208484	Agent - Health
Denied	Ortiz, Jose Fernando	1208484	Agent - Life
Inactive	Ortiz, Jose Fernando	1208484	Agent - Property	7/6/2023	9/16/2024
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
Inactive	Rigdon, Melissa Rose	676117	Agent - Casualty	4/7/2023	12/5/2024
Inactive	Rigdon, Melissa Rose	676117	Agent - Property	4/7/2023	12/5/2024
Inactive	Sarathy, Adithya	1150728	Agent - Casualty	8/18/2022	11/11/2024
Inactive	Sarathy, Adithya	1150728	Agent - Property	8/18/2022	11/11/2024
Inactive	Scott, Kesheira Shavon	764479	Agent - Casualty	8/18/2022	12/5/2024
Inactive	Scott, Kesheira Shavon	764479	Agent - Property	8/18/2022	12/5/2024
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
Inactive	Smith, Julia Delores	1184972	Agent - Casualty	5/22/2023	12/5/2024
Inactive	Smith, Julia Delores	1184972	Agent - Property	5/22/2023	12/5/2024