DEPARTMENT OF INSURANCE

Affiliations

Name	Green, Nicole	DOIID	1240703	NAIC NPN	18512106

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	11/4/2022	10/31/2026
Active	Non Resident	Agent	Casualty	11/4/2022	10/31/2026
* 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
Active	Arch Insurance Company	300688	Agent - Casualty	11/16/2022
Active	Arch Insurance Company	300688	Agent - Property	11/16/2022
Active	Atlantic Specialty Insurance Company	518595	Agent - Casualty	11/17/2022
Active	Atlantic Specialty Insurance Company	518595	Agent - Property	11/17/2022
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	11/10/2022
Active	Liberty Mutual Insurance Company	301159	Agent - Property	11/10/2022
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	11/10/2022
Active	Ohio Casualty Insurance Company	301492	Agent - Property	11/10/2022
Active	Ohio Farmers Insurance Company	301667	Agent - Casualty	12/15/2022
Active	Ohio Farmers Insurance Company	301667	Agent - Property	12/15/2022
Active	Pennsylvania National Mutual Casualty Insurance Company	301395	Agent - Casualty	11/16/2022
Active	Pennsylvania National Mutual Casualty Insurance Company	301395	Agent - Property	11/16/2022
Active	RLI Insurance Company	301217	Agent - Casualty	12/9/2022
Active	RLI Insurance Company	301217	Agent - Property	12/9/2022
Active	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	12/2/2022
Active	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	12/2/2022
Active	The Phoenix Insurance Company	301502	Agent - Casualty	12/2/2022
Active	The Phoenix Insurance Company	301502	Agent - Property	12/2/2022
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	12/2/2022
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	12/2/2022
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	12/2/2022
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	12/2/2022
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	12/2/2022
Active	Travelers Property Casualty Company of America	301649	Agent - Property	12/2/2022
Active	Valley Forge Insurance Company	301052	Agent - Casualty	3/6/2023
Active	Valley Forge Insurance Company	301052	Agent - Property	3/6/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Assuredpartners Of Ohio LLC	779892	Agent - Casualty	4/17/2023
Active	Assuredpartners Of Ohio LLC	779892	Agent - Property	4/17/2023