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	Health	4/27/2009		10/31/2026
Active	Non Resident	Agent	Casualty	8/15/2000		10/31/2026
Active	Non Resident	Agent	Life	4/27/2009		10/31/2026
Active	Non Resident	Agent	Property	8/15/2000		10/31/2026
Inactive	Non Resident	Agent	General Lines	11/29/1994	8/15/2000
Active	Non Resident	Surplus Lines Broker	Not Applicable	2/12/2007		10/31/2026
* 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	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
Active	American Interstate Insurance Company	301092	Agent - Casualty	2/24/2025
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
Inactive	Argonaut Insurance Company	301422	Agent - Casualty	2/21/2018	8/22/2024
Inactive	Argonaut Insurance Company	301422	Agent - Property	2/21/2018	8/22/2024
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	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 Insurance Company	300965	Agent - Casualty	11/7/2022
Active	Central 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	Glatfelter Insurance Company	301640	Agent - Casualty	10/7/2002	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	10/7/2002	11/30/2007
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
Active	Great Midwest Insurance Company	301418	Agent - Casualty	3/11/2025
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
Inactive	Rockwood Casualty Insurance Company	585116	Agent - Property	3/5/2004	10/10/2024
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