DEPARTMENT OF INSURANCE

Affiliations

Name	Piper, Phillip S	DOIID	303229	NAIC NPN	2790809

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	4/24/2015		8/31/2025
Active	Non Resident	Agent	Casualty	8/15/2000		8/31/2025
Active	Non Resident	Agent	Life	4/24/2015		8/31/2025
Active	Non Resident	Agent	Property	8/15/2000		8/31/2025
Inactive	Non Resident	Agent	General Lines	10/24/1994	8/15/2000
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	10/20/2017	11/4/2019
* 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	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	8/26/2013
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	8/26/2013
Active	AIG Assurance Company	300897	Agent - Casualty	7/13/2009
Active	AIG Assurance Company	300897	Agent - Property	7/13/2009
Active	Accendo Insurance Company	300312	Agent - Life	11/19/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	4/9/2021
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	11/19/2020
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	10/19/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	4/9/2021
Inactive	American Continental Insurance Company	643130	Agent - Life	11/19/2020	12/6/2021
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/26/2021
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/26/2021
Inactive	American Interstate Insurance Company	301092	Agent - Casualty	5/5/2005	4/1/2013
Inactive	American Interstate Insurance Company	301092	Agent - Property	5/5/2005	4/1/2013
Active	Ansur America Insurance Company	520667	Agent - Casualty	2/2/2010
Active	Ansur America Insurance Company	520667	Agent - Property	2/2/2010
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/29/2015	11/3/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/29/2015	11/3/2016
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	12/10/2003
Active	Auto-Owners Insurance Company	301480	Agent - Property	12/10/2003
Active	Benchmark Insurance Company	300374	Agent - Casualty	6/23/2022
Active	Benchmark Insurance Company	300374	Agent - Property	6/23/2022
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	1/30/2020	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	1/30/2020	12/20/2024
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	8/15/2000
Inactive	Cincinnati Casualty Company (The)	300308	Agent - General Lines	3/21/1996	8/15/2000
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	8/15/2000
Active	Cincinnati Insurance Company	301298	Agent - Casualty	8/15/2000
Inactive	Cincinnati Insurance Company	301298	Agent - General Lines	10/24/1994	8/15/2000
Active	Cincinnati Insurance Company	301298	Agent - Property	8/15/2000
Active	Commerce and Industry Insurance Company	300881	Agent - Casualty	7/13/2009
Active	Commerce and Industry Insurance Company	300881	Agent - Property	7/13/2009
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	11/19/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/30/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/30/2020
Active	Frankenmuth Insurance Company	301481	Agent - Casualty	2/2/2010
Active	Frankenmuth Insurance Company	301481	Agent - Property	2/2/2010
Active	Granite State Insurance Company	300818	Agent - Casualty	7/13/2009
Active	Granite State Insurance Company	300818	Agent - Property	7/13/2009
Active	Illinois National Insurance Company	301367	Agent - Casualty	7/13/2009
Active	Illinois National Insurance Company	301367	Agent - Property	7/13/2009
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	7/13/2009
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	7/13/2009
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	7/13/2009
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	7/13/2009
Active	New Hampshire Insurance Company	301670	Agent - Casualty	7/13/2009
Active	New Hampshire Insurance Company	301670	Agent - Property	7/13/2009
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	8/15/2000	11/12/2002
Inactive	Ohio Farmers Insurance Company	301667	Agent - General Lines	2/27/1996	8/15/2000
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	8/15/2000	11/12/2002
Active	Owners Insurance Company	300796	Agent - Casualty	12/10/2003
Active	Owners Insurance Company	300796	Agent - Property	12/10/2003
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	9/11/2018
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	9/11/2018
Active	Selective Insurance Company of America	500018	Agent - Casualty	12/19/2017
Active	Selective Insurance Company of America	500018	Agent - Property	12/19/2017
Active	Selective Insurance Company of South Carolina	500012	Agent - Casualty	12/19/2017
Active	Selective Insurance Company of South Carolina	500012	Agent - Property	12/19/2017
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	12/19/2017
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	12/19/2017
Active	SilverScript Insurance Company	663526	Agent - Health	10/19/2020
Active	Southern Mutual Church Insurance Company	676676	Agent - Casualty	2/1/2018
Active	Southern Mutual Church Insurance Company	676676	Agent - Property	2/1/2018
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	12/10/2021
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	12/10/2021
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021
Active	UNUM Life Insurance Company of America	300817	Agent - Health	9/11/2018
Active	UNUM Life Insurance Company of America	300817	Agent - Life	9/11/2018
Active	USAble Life	564807	Agent - Health	10/5/2022
Active	USAble Life	564807	Agent - Life	10/5/2022
Active	West Bend Insurance Company	672974	Agent - Casualty	11/12/2019
Active	West Bend Insurance Company	672974	Agent - Property	11/12/2019
Inactive	Western Surety Company	300283	Agent - Casualty	12/29/2000	1/26/2012
Inactive	Westfield Insurance Company	301950	Agent - Casualty	8/15/2000	11/12/2002
Inactive	Westfield Insurance Company	301950	Agent - General Lines	2/27/1996	8/15/2000
Inactive	Westfield Insurance Company	301950	Agent - Property	8/15/2000	11/12/2002
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	8/15/2000	11/12/2002
Inactive	Westfield National Insurance Company	301036	Agent - General Lines	2/27/1996	8/15/2000
Inactive	Westfield National Insurance Company	301036	Agent - Property	8/15/2000	11/12/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	4/29/2015	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/29/2015	11/2/2016
Active	Powell & Meadows Ins Agency Inc	553173	Agent - Property	8/19/2002
Active	Powell & Meadows Ins Agency Inc	553173	Agent - Casualty	8/19/2002
Active	Powell & Meadows Ins Agency Inc	553173	Agent - Life	4/24/2015
Active	Powell & Meadows Ins Agency Inc	553173	Agent - Health	4/24/2015