DEPARTMENT OF INSURANCE

Affiliations

Name	Stellhorn, Cindy H	DOIID	306042	NAIC NPN	246488

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/15/2000		10/31/2024
Active	Non Resident	Agent	Property	8/15/2000		10/31/2024
Active	Non Resident	Agent	Life	4/27/2009		10/31/2024
Active	Non Resident	Agent	Health	4/27/2009		10/31/2024
Inactive	Non Resident	Agent	General Lines	11/29/1994	8/15/2000
Active	Non Resident	Surplus Lines Broker	Not Applicable	2/12/2007		10/31/2024
* 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	08/15/2024	10/31/2024
Surplus Lines Broker	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	8/30/2006
Active	ACE American Insurance Company	300625	Agent - Property	8/30/2006
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	8/30/2006
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	8/30/2006
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	8/30/2006
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	8/30/2006
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	12/10/2002	12/20/2023
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	12/10/2002	12/20/2023
Active	AGCS Marine Insurance Company	300403	Agent - Casualty	10/18/2019
Active	AGCS Marine Insurance Company	300403	Agent - Property	10/18/2019
Inactive	Accident Fund General Insurance Company	626282	Agent - Casualty	3/19/2009	9/24/2009
Inactive	Accident Fund Insurance Company of America	518734	Agent - Casualty	3/19/2009	9/24/2009
Inactive	Accident Fund National Insurance Company	626286	Agent - Casualty	3/19/2009	9/24/2009
Inactive	Addison Insurance Company	874810	Agent - Casualty	11/23/2016	3/2/2017
Inactive	Addison Insurance Company	874810	Agent - Property	11/23/2016	3/2/2017
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	1/26/2011	1/6/2017
Inactive	Aegis Security Insurance Company	300492	Agent - Property	1/26/2011	1/6/2017
Active	All America Insurance Company	300078	Agent - Casualty	11/7/2022
Active	All America Insurance Company	300078	Agent - Property	11/7/2022
Inactive	American Economy Insurance Company	300315	Agent - Casualty	7/10/2003	10/15/2021
Inactive	American Economy Insurance Company	300315	Agent - General Lines	7/21/1997	7/14/2000
Inactive	American Economy Insurance Company	300315	Agent - Property	7/10/2003	10/15/2021
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/15/2022
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/15/2022
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	4/6/2011	10/15/2021
Inactive	American Fire and Casualty Company	300567	Agent - Property	4/6/2011	10/15/2021
Active	American Home Assurance Company	300246	Agent - Casualty	10/1/2003
Active	American Home Assurance Company	300246	Agent - Property	10/1/2003
Inactive	American Interstate Insurance Company	301092	Agent - Casualty	6/10/2004	6/1/2010
Inactive	American Interstate Insurance Company	301092	Agent - Property	6/10/2004	6/1/2010
Active	American Select Insurance Company	301229	Agent - Casualty	1/14/2023
Active	American Select Insurance Company	301229	Agent - Property	1/14/2023
Inactive	American States Insurance Company	301230	Agent - Casualty	7/10/2003	10/15/2021
Inactive	American States Insurance Company	301230	Agent - General Lines	7/21/1997	7/14/2000
Inactive	American States Insurance Company	301230	Agent - Property	7/10/2003	10/15/2021
Inactive	American States Preferred Insurance Company	300609	Agent - General Lines	7/21/1997	7/14/2000
Inactive	American and Foreign Insurance Company	301124	Agent - Casualty	9/10/2001	10/1/2001
Inactive	American and Foreign Insurance Company	301124	Agent - Property	9/10/2001	10/1/2001
Active	Arch Insurance Company	300688	Agent - Casualty	6/10/2009
Active	Arch Insurance Company	300688	Agent - Property	6/10/2009
Inactive	Argonaut Great Central Insurance Company	300850	Agent - Casualty	11/10/2004	11/30/2011
Inactive	Argonaut Great Central Insurance Company	300850	Agent - Property	11/10/2004	11/30/2011
Active	Argonaut Insurance Company	301422	Agent - Casualty	2/21/2018
Active	Argonaut Insurance Company	301422	Agent - Property	2/21/2018
Inactive	Arrowood Indemnity Company	300144	Agent - Casualty	9/10/2001	10/1/2001
Inactive	Arrowood Indemnity Company	300144	Agent - Property	9/10/2001	10/1/2001
Inactive	Assurance Company of America	300432	Agent - Casualty	10/7/2002	12/17/2014
Inactive	Assurance Company of America	300432	Agent - Property	10/7/2002	12/17/2014
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Casualty	6/11/2015	7/22/2019
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Property	6/11/2015	7/22/2019
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	8/15/2000
Inactive	Auto-Owners Insurance Company	301480	Agent - General Lines	2/4/2000	8/15/2000
Active	Auto-Owners Insurance Company	301480	Agent - Property	8/15/2000
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	8/30/2006
Active	Bankers Standard Insurance Company	301620	Agent - Property	8/30/2006
Active	Berkley Regional Insurance Company	300920	Agent - Casualty	9/16/2021
Active	Berkley Regional Insurance Company	300920	Agent - Property	9/16/2021
Inactive	Blackboard Insurance Company	301640	Agent - Casualty	10/7/2002	11/30/2007
Inactive	Blackboard Insurance Company	301640	Agent - Property	10/7/2002	11/30/2007
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Active	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	5/22/2023
Active	CIGNA Health & Life Insurance Company	301783	Agent - Health	5/22/2023
Active	Central Mutual Insurance Company	300965	Agent - Casualty	11/7/2022
Active	Central Mutual Insurance Company	300965	Agent - Property	11/7/2022
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	8/3/2022
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	8/3/2022
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	8/3/2022
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	8/3/2022
Active	Cincinnati Insurance Company	301298	Agent - Casualty	8/3/2022
Active	Cincinnati Insurance Company	301298	Agent - Property	8/3/2022
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	5/8/2015	9/30/2015
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	5/8/2015	9/30/2015
Active	Commerce and Industry Insurance Company	300881	Agent - Casualty	10/1/2003
Active	Commerce and Industry Insurance Company	300881	Agent - Property	10/1/2003
Inactive	Connecticut Indemnity Company (The)	301062	Agent - Casualty	9/10/2001	12/31/2004
Inactive	Connecticut Indemnity Company (The)	301062	Agent - Property	9/10/2001	12/31/2004
Active	Continental American Insurance Company	301700	Agent - Health	1/5/2023
Active	Continental American Insurance Company	301700	Agent - Life	1/5/2023
Inactive	Employers Assurance Company	300120	Agent - Casualty	5/2/2001	10/8/2012
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	11/30/2009
Active	Employers Insurance Company of Wausau	301813	Agent - Property	11/30/2009
Inactive	Everest National Insurance Company	301319	Agent - Casualty	3/22/2004	11/14/2006
Inactive	Everest National Insurance Company	301319	Agent - Property	3/22/2004	11/14/2006
Active	FCCI Insurance Company	557454	Agent - Casualty	9/20/2006
Active	FCCI Insurance Company	557454	Agent - Property	9/20/2006
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	10/3/2005	12/27/2013
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	10/3/2005	12/27/2013
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	10/3/2005	12/27/2013
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	10/3/2005	12/27/2013
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	10/3/2005
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	10/3/2005
Inactive	Farmington Casualty Company	301137	Agent - Casualty	5/9/2006	12/3/2014
Inactive	Farmington Casualty Company	301137	Agent - Property	5/9/2006	12/3/2014
Inactive	Federal Insurance Company	301144	Agent - General Lines	11/29/1994	8/15/2000
Inactive	Fire and Casualty Insurance Company of Connecticut (The)	301592	Agent - Casualty	9/10/2001	10/1/2001
Inactive	Fire and Casualty Insurance Company of Connecticut (The)	301592	Agent - Property	9/10/2001	10/1/2001
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	11/30/2009
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	11/30/2009
Inactive	First National Insurance Company of America	301690	Agent - Casualty	7/10/2003	10/15/2021
Inactive	First National Insurance Company of America	301690	Agent - General Lines	11/1/1998	7/14/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	7/10/2003	10/15/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/13/2012	10/2/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/13/2012	10/2/2014
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/13/2012	10/2/2014
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/13/2012	10/2/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/13/2012	10/2/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/13/2012	10/2/2014
Inactive	General Insurance Company of America	300261	Agent - Casualty	7/10/2003	10/15/2021
Inactive	General Insurance Company of America	300261	Agent - General Lines	11/1/1998	7/14/2000
Inactive	General Insurance Company of America	300261	Agent - Property	7/10/2003	10/15/2021
Inactive	Globe Indemnity Company	300507	Agent - Casualty	9/10/2001	10/1/2001
Inactive	Globe Indemnity Company	300507	Agent - Property	9/10/2001	10/1/2001
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	9/23/2009	3/22/2017
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	9/23/2009	3/22/2017
Inactive	Grange Insurance Company	300234	Agent - Casualty	9/23/2009	3/23/2017
Inactive	Grange Insurance Company	300234	Agent - Property	9/23/2009	3/23/2017
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	5/22/2013	8/2/2019
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	5/22/2013	8/2/2019
Inactive	Great American Assurance Company	300327	Agent - Casualty	5/22/2013	8/2/2019
Inactive	Great American Assurance Company	300327	Agent - Property	5/22/2013	8/2/2019
Inactive	Great American Insurance Company	301586	Agent - Casualty	5/22/2013	8/2/2019
Inactive	Great American Insurance Company	301586	Agent - Property	5/22/2013	8/2/2019
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	5/22/2013	8/2/2019
Inactive	Great American Insurance Company of New York	301897	Agent - Property	5/22/2013	8/2/2019
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Casualty	9/17/2008	5/1/2012
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Property	9/17/2008	5/1/2012
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	12/23/2015
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	11/8/1995	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	12/23/2015
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	12/23/2015
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	11/8/1995	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	12/23/2015
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	12/11/2012
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	11/9/1995	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	12/11/2012
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	11/8/1995	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	12/11/2012
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	11/8/1995	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	12/11/2012
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	9/21/2011
Active	Indemnity Insurance Company of North America	301760	Agent - Property	9/21/2011
Active	LM Insurance Corporation	301061	Agent - Casualty	11/30/2009
Active	LM Insurance Corporation	301061	Agent - Property	11/30/2009
Active	Liberty Insurance Corporation	300444	Agent - Casualty	11/30/2009
Active	Liberty Insurance Corporation	300444	Agent - Property	11/30/2009
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	11/30/2009
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	11/30/2009
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	11/30/2009
Active	Liberty Mutual Insurance Company	301159	Agent - Property	11/30/2009
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	11/30/2022
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	11/30/2022
Inactive	Markel American Insurance Company	300377	Agent - Casualty	4/24/2003	8/1/2012
Inactive	Markel American Insurance Company	300377	Agent - Property	4/24/2003	8/1/2012
Inactive	Markel Insurance Company	301475	Agent - Casualty	1/27/2003	8/1/2012
Inactive	Markel Insurance Company	301475	Agent - Property	1/27/2003	8/1/2012
Inactive	Maryland Casualty Company	301719	Agent - Casualty	10/7/2002	12/17/2014
Inactive	Maryland Casualty Company	301719	Agent - Property	10/7/2002	12/17/2014
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	5/30/2012	12/4/2020
Inactive	Meridian Security Insurance Company	300423	Agent - Property	5/30/2012	12/4/2020
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	10/3/2005	12/27/2013
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	10/3/2005	12/27/2013
Active	Monroe Guaranty Insurance Company	300771	Agent - Casualty	9/20/2006
Active	Monroe Guaranty Insurance Company	300771	Agent - Property	9/20/2006
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	9/1/2021
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	9/1/2021
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	10/9/2019
Active	National Trust Insurance Company	300367	Agent - Casualty	9/20/2006
Active	National Trust Insurance Company	300367	Agent - Property	9/20/2006
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	5/1/2012
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	5/1/2012
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	10/7/2002	12/17/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	10/7/2002	12/17/2014
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	4/6/2011
Active	Ohio Casualty Insurance Company	301492	Agent - Property	4/6/2011
Inactive	Ohio Farmers Insurance Company	301667	Agent - General Lines	12/29/1997	3/1/1999
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	4/6/2011	10/15/2021
Inactive	Ohio Security Insurance Company	300622	Agent - Property	4/6/2011	10/15/2021
Active	Owners Insurance Company	300796	Agent - Casualty	8/15/2000
Inactive	Owners Insurance Company	300796	Agent - General Lines	3/15/2000	8/15/2000
Active	Owners Insurance Company	300796	Agent - Property	8/15/2000
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	8/30/2006
Active	Pacific Employers Insurance Company	301753	Agent - Property	8/30/2006
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	10/8/2018
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	10/8/2018
Active	RLI Insurance Company	301217	Agent - Casualty	3/27/2007
Inactive	RLI Insurance Company	301217	Agent - General Lines	1/26/1999	8/15/2000
Active	RLI Insurance Company	301217	Agent - Property	3/27/2007
Inactive	Reliance Insurance Company	300785	Agent - Casualty	8/15/2000	6/5/2001
Inactive	Reliance Insurance Company	300785	Agent - General Lines	2/9/2000	8/15/2000
Inactive	Reliance Insurance Company	300785	Agent - Property	8/15/2000	6/5/2001
Inactive	Reliance National Indemnity Company	301939	Agent - General Lines	2/9/2000	8/15/2000
Inactive	Reliance National Insurance Company	301675	Agent - General Lines	2/9/2000	8/15/2000
Inactive	Reliance Universal Insurance Company	301083	Agent - Casualty	8/15/2000	6/1/2001
Inactive	Reliance Universal Insurance Company	301083	Agent - General Lines	2/9/2000	8/15/2000
Inactive	Reliance Universal Insurance Company	301083	Agent - Property	8/15/2000	6/1/2001
Active	Rockwood Casualty Insurance Company	585116	Agent - Casualty	3/5/2004
Active	Rockwood Casualty Insurance Company	585116	Agent - Property	3/5/2004
Inactive	Royal Insurance Company of America	301120	Agent - Casualty	9/10/2001	10/1/2001
Inactive	Royal Insurance Company of America	301120	Agent - Property	9/10/2001	10/1/2001
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	11/1/1998	7/14/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	11/1/1998	7/14/2000
Inactive	Safeguard Insurance Company	300800	Agent - Casualty	9/10/2001	10/1/2001
Inactive	Safeguard Insurance Company	300800	Agent - Property	9/10/2001	10/1/2001
Inactive	Security Insurance Company of Hartford	300973	Agent - Casualty	9/10/2001	10/1/2001
Inactive	Security Insurance Company of Hartford	300973	Agent - Property	9/10/2001	10/1/2001
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	8/17/2021
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	8/17/2021
Inactive	Sentry Select Insurance Company	301648	Agent - Casualty	9/7/2004	7/6/2011
Inactive	Sentry Select Insurance Company	301648	Agent - Property	9/7/2004	7/6/2011
Inactive	Sompo America Insurance Company	300149	Agent - Casualty	10/6/2016	12/20/2018
Inactive	Sompo America Insurance Company	300149	Agent - Property	10/6/2016	12/20/2018
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	5/9/2006	12/5/2013
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	5/9/2006	12/5/2013
Active	Starr Indemnity and Liability Company	301685	Agent - Casualty	11/1/2013
Active	Starr Indemnity and Liability Company	301685	Agent - Property	11/1/2013
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	5/30/2012	12/4/2020
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	5/30/2012	12/4/2020
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	5/30/2012	12/4/2020
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	5/30/2012	12/4/2020
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	5/9/2006	12/5/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	5/9/2006	12/5/2013
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	5/9/2006	8/2/2013
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	5/9/2006	8/2/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	5/23/2007	12/5/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	5/23/2007	12/5/2013
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	4/1/2002	10/16/2015
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	4/1/2002	10/16/2015
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	9/23/2009	3/22/2017
Inactive	Trustgard Insurance Company	300104	Agent - Property	9/23/2009	3/22/2017
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	11/6/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	11/8/1995	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	11/6/2009
Inactive	United Fire & Casualty Company	301374	Agent - Casualty	11/23/2016	3/2/2017
Inactive	United Fire & Casualty Company	301374	Agent - Property	11/23/2016	3/2/2017
Inactive	United Pacific Insurance Company	300538	Agent - General Lines	2/9/2000	8/15/2000
Inactive	United Wisconsin Insurance Company	301103	Agent - Casualty	3/19/2009	9/24/2009
Active	United of Omaha Life Insurance Company	300156	Agent - Health	9/25/2019
Active	United of Omaha Life Insurance Company	300156	Agent - Life	9/25/2019
Active	Voya Retirement Insurance and Annuity Company	300643	Agent - Health	7/19/2011
Active	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	7/19/2011
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	11/30/2009	3/31/2015
Inactive	Wausau Business Insurance Company	301476	Agent - Property	11/30/2009	3/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	11/30/2009	8/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	11/30/2009	8/31/2015
Active	West American Insurance Company	301112	Agent - Casualty	4/6/2011
Active	West American Insurance Company	301112	Agent - Property	4/6/2011
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	8/30/2006	1/23/2009
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	8/30/2006	1/23/2009
Active	Westfield Insurance Company	301950	Agent - Casualty	11/13/2023
Active	Westfield Insurance Company	301950	Agent - Property	11/13/2023
Inactive	Westfield National Insurance Company	301036	Agent - General Lines	1/31/1997	3/1/1999
Inactive	XL Specialty Insurance Company	301605	Agent - Casualty	9/24/2010	9/16/2013
Inactive	XL Specialty Insurance Company	301605	Agent - Property	9/24/2010	9/16/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	MJ Insurance Inc	518163	Agent - Property	8/15/2000
Active	MJ Insurance Inc	518163	Agent - Casualty	8/15/2000
Active	MJ Insurance Inc	518163	Surplus Lines Broker - Not Applicable	2/14/2007
Active	MJ Insurance Inc	518163	Agent - Life	6/10/2009
Active	MJ Insurance Inc	518163	Agent - Health	6/10/2009