DEPARTMENT OF INSURANCE

Affiliations

Name	Elder, Jason L	DOIID	307099	NAIC NPN	3316241

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	9/22/2000	4/1/2017
Inactive	Resident	Agent	Casualty	8/15/2000	4/1/2017
Inactive	Resident	Agent	Life	9/22/2000	4/1/2017
Inactive	Resident	Agent	Property	8/15/2000	4/1/2017
Inactive	Resident	Agent	General Lines	11/13/1997	8/15/2000
* 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
Inactive	AF&L Insurance Company	301582	Agent - Health	10/10/2000	1/8/2003
Inactive	Aetna Health Inc.	300694	Agent - Health	6/28/2001	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	9/22/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/28/2001	9/22/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/28/2001	9/22/2010
Inactive	AmTrust Insurance Company	300179	Agent - Casualty	8/15/2000	8/13/2001
Inactive	AmTrust Insurance Company	300179	Agent - General Lines	9/12/1998	8/15/2000
Inactive	AmTrust Insurance Company	300179	Agent - Property	8/15/2000	8/13/2001
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	8/15/2000	4/1/2017
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	6/13/2000	8/15/2000
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/15/2000	4/1/2017
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	4/1/2017
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	4/1/2017
Inactive	American General Life Insurance Company	301585	Agent - Health	8/1/2009	11/20/2011
Inactive	American General Life Insurance Company	301585	Agent - Life	8/1/2009	11/20/2011
Inactive	American Manufacturers Mutual Insurance Company	301807	Agent - Casualty	8/15/2000	5/31/2003
Inactive	American Manufacturers Mutual Insurance Company	301807	Agent - General Lines	11/13/1997	8/15/2000
Inactive	American Manufacturers Mutual Insurance Company	301807	Agent - Property	8/15/2000	5/31/2003
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	12/10/2013	12/30/2016
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	12/10/2013	12/30/2016
Inactive	Association Casualty Insurance Company	650779	Agent - Casualty	11/10/2010	3/27/2015
Inactive	Association Casualty Insurance Company	650779	Agent - Property	11/10/2010	3/27/2015
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	12/12/2007	12/16/2015
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	12/12/2007	12/16/2015
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	9/19/2008	4/1/2017
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/6/2008	9/24/2015
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/6/2008	9/24/2015
Inactive	Builders Alliance Insurance Company	301780	Agent - Casualty	11/10/2010	4/1/2015
Inactive	Builders Alliance Insurance Company	301780	Agent - Property	11/10/2010	4/1/2015
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	9/22/2000	3/28/2006
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	9/22/2000	3/28/2006
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Casualty	11/17/2009	10/9/2015
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Property	11/17/2009	10/9/2015
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	11/17/2009	10/9/2015
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Property	11/17/2009	10/9/2015
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	11/17/2009	10/9/2015
Inactive	Cincinnati Insurance Company	301298	Agent - Property	11/17/2009	10/9/2015
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	1/17/2008	10/9/2015
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	1/17/2008	10/9/2015
Inactive	Columbia Mutual Insurance Company	301295	Agent - Casualty	11/1/2011	3/27/2015
Inactive	Columbia Mutual Insurance Company	301295	Agent - Property	11/1/2011	3/27/2015
Inactive	Companion Commercial Insurance Company	301969	Agent - Casualty	5/23/2007	2/3/2014
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	4/1/2017
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	4/1/2017
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	4/9/1999	8/15/2000
Inactive	Encova Life Insurance Company	301818	Agent - Health	9/22/2000	4/1/2017
Inactive	Encova Life Insurance Company	301818	Agent - Life	9/22/2000	4/1/2017
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	5/20/2005	8/20/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	5/20/2005	8/20/2012
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	9/22/2000	10/28/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/22/2011	9/24/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/8/2013	9/24/2015
Inactive	Genworth Life Insurance Company	300623	Agent - Health	1/5/2012	12/7/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	1/5/2012	12/7/2012
Inactive	Grange Life Insurance Company	300128	Agent - Health	9/22/2000	2/4/2016
Inactive	Grange Life Insurance Company	300128	Agent - Life	9/22/2000	2/4/2016
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	2/7/2008	2/4/2016
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	2/7/2008	2/4/2016
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	10/4/2006	11/15/2011
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	10/4/2006	11/15/2011
Inactive	Great American Insurance Company	301586	Agent - Casualty	10/4/2006	4/1/2017
Inactive	Great American Insurance Company	301586	Agent - Property	10/4/2006	4/1/2017
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	10/4/2006	11/15/2011
Inactive	Great American Insurance Company of New York	301897	Agent - Property	10/4/2006	11/15/2011
Inactive	GuideOne Insurance Company	301794	Agent - General Lines	5/15/2000	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	3/19/2014	11/25/2015
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	3/19/2014	11/25/2015
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	4/8/2013	12/17/2014
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	4/8/2013	12/17/2014
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	10/26/2014	11/25/2015
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	10/26/2014	11/25/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/15/2003	11/20/2009
Inactive	Humana Insurance Company	301104	Agent - Health	12/15/2003	11/20/2009
Inactive	Humana Insurance Company	301104	Agent - Life	12/15/2003	11/20/2009
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	2/2/2010	11/12/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	2/2/2010	11/12/2012
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	4/1/2017
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	4/1/2017
Inactive	John Alden Life Insurance Company	300573	Agent - Health	5/6/2004	12/29/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Life	5/6/2004	12/29/2010
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	9/12/2006	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	9/12/2006	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	6/8/2011
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	6/8/2011
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	12/1/2003	12/14/2010
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	12/1/2003	12/14/2010
Inactive	MICO Insurance Company	301664	Agent - Casualty	9/1/2006	12/13/2011
Inactive	MICO Insurance Company	301664	Agent - Property	9/1/2006	12/13/2011
Inactive	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	6/23/2011	4/1/2017
Inactive	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	6/23/2011	4/1/2017
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	6/16/2003	9/23/2015
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	6/16/2003	9/23/2015
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	9/22/2000	1/24/2005
Inactive	National Summit Insurance Company	300348	Agent - Casualty	8/15/2000	6/18/2001
Inactive	National Summit Insurance Company	300348	Agent - General Lines	3/12/1998	8/15/2000
Inactive	National Summit Insurance Company	300348	Agent - Property	8/15/2000	6/18/2001
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	4/1/2017
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	4/1/2017
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	4/1/2017
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	4/1/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	4/1/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	4/1/2017
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008	4/1/2017
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008	4/1/2017
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008	4/1/2017
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2008	4/1/2017
Inactive	Principal Life Insurance Company	300129	Agent - Health	9/22/2000	12/10/2008
Inactive	Principal Life Insurance Company	300129	Agent - Life	9/22/2000	12/10/2008
Inactive	Pruco Life Insurance Company	300954	Agent - Health	7/6/2007	12/22/2008
Inactive	Pruco Life Insurance Company	300954	Agent - Life	7/6/2007	12/22/2008
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	9/22/2000	9/3/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	9/22/2000	9/3/2004
Inactive	Reserve National Insurance Company	301073	Agent - Health	2/6/2006	12/14/2006
Inactive	Reserve National Insurance Company	301073	Agent - Life	2/6/2006	12/14/2006
Inactive	Security National Insurance Company	301151	Agent - Casualty	8/15/2000	8/13/2001
Inactive	Security National Insurance Company	301151	Agent - General Lines	9/12/1998	8/15/2000
Inactive	Security National Insurance Company	301151	Agent - Property	8/15/2000	8/13/2001
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	7/23/2013	11/25/2015
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	7/23/2013	11/25/2015
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	9/22/2000	1/4/2011
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	9/22/2000	1/4/2011
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/15/2000	3/11/2004
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	5/15/2000	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/15/2000	3/11/2004
Inactive	State Life Insurance Company	301497	Agent - Health	7/15/2003	6/30/2005
Inactive	State Life Insurance Company	301497	Agent - Life	7/15/2003	6/30/2005
Inactive	Sussex Insurance Company	301970	Agent - Casualty	5/23/2007	2/3/2014
Inactive	Time Insurance Company	300683	Agent - Health	2/19/2001	12/29/2008
Inactive	Time Insurance Company	300683	Agent - Life	2/19/2001	12/29/2008
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2005	11/7/2008
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	9/17/2003	10/1/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	9/17/2003	12/28/2006
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	9/17/2003	12/28/2006
Inactive	Trinity Universal Insurance Company	300911	Agent - Casualty	8/15/2000	8/13/2001
Inactive	Trinity Universal Insurance Company	300911	Agent - General Lines	9/12/1998	8/15/2000
Inactive	Trinity Universal Insurance Company	300911	Agent - Property	8/15/2000	8/13/2001
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/29/2007	8/20/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/29/2007	8/20/2012
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	8/1/2013	12/17/2014
Inactive	Trumbull Insurance Company	300242	Agent - Property	8/1/2013	12/17/2014
Inactive	Union Central Life Insurance Company	300307	Agent - Health	1/14/2010	7/1/2014
Inactive	Union Central Life Insurance Company	300307	Agent - Life	1/14/2010	7/1/2014
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	10/16/2000	2/20/2001
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	10/16/2000	2/20/2001
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	12/1/2003	12/19/2008
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	12/1/2003	12/19/2008
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/3/2002	10/17/2005
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	4/1/2017
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	4/1/2017
Inactive	West Bend Insurance Company	672974	Agent - Casualty	3/3/2011	9/4/2015
Inactive	West Bend Insurance Company	672974	Agent - Property	3/3/2011	9/4/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Broad Street Brokerage Insurance Agency, LLC	540067	Agent - Life	1/19/2005	4/1/2017
Inactive	Broad Street Brokerage Insurance Agency, LLC	540067	Agent - Health	1/19/2005	4/1/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013	4/1/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013	4/1/2017
Inactive	E M Ford & Co LLC	399301	Agent - Life	12/8/1999	2/27/2003
Inactive	E M Ford & Co LLC	399301	Agent - Health	12/8/1999	2/27/2003
Inactive	E M Ford & Co LLC	399301	Agent - General Lines	8/30/1999	8/15/2000
Inactive	E M Ford & Co LLC	399301	Agent - Property	8/15/2000	2/27/2003
Inactive	E M Ford & Co LLC	399301	Agent - Casualty	8/15/2000	2/27/2003
Inactive	E M Ford & Co.	400313	Agent - Life	11/2/1998	2/25/2003
Inactive	E M Ford & Co.	400313	Agent - Health	11/2/1998	2/25/2003
Inactive	E M Ford & Co.	400313	Agent - General Lines	12/3/1997	8/15/2000
Inactive	E M Ford & Co.	400313	Agent - Property	8/15/2000	2/25/2003
Inactive	E M Ford & Co.	400313	Agent - Casualty	8/15/2000	2/25/2003
Inactive	Horn & France Insurance, Inc.	398228	Agent - Life	4/22/2002	12/31/2015
Inactive	Horn & France Insurance, Inc.	398228	Agent - Health	4/22/2002	12/31/2015
Inactive	Horn & France Insurance, Inc.	398228	Agent - Property	8/15/2000	12/31/2015
Inactive	Horn & France Insurance, Inc.	398228	Agent - Casualty	8/15/2000	12/31/2015