DEPARTMENT OF INSURANCE

Affiliations

Name	Champion, Marland Andrew	DOIID	314598	NAIC NPN	549023

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	8/15/2000	7/1/2002
Inactive	Resident	Agent	Property	8/15/2000	7/1/2002
Inactive	Resident	Agent	Life	5/31/2001	7/1/2002
Inactive	Resident	Agent	Health	5/31/2001	7/1/2002
Inactive	Resident	Agent	General Lines	6/15/1987	8/15/2000
Inactive	Resident	Agent	Health Maintenance Organization	6/6/1991	3/31/1997
Active	Resident	Independent Adjuster	Property & Casualty	4/25/2006		6/30/2025
* 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
Independent Adjuster	04/15/2025	06/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - General Lines	9/9/1992	5/7/1996
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - General Lines	9/9/1992	5/7/1996
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - General Lines	9/9/1992	5/7/1996
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - General Lines	7/27/1998	12/17/1999
Inactive	AmTrust Insurance Company	300179	Agent - General Lines	6/26/1998	6/5/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/15/2000	12/27/2001
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	5/29/1996	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	12/27/2001
Inactive	American Economy Insurance Company	300315	Agent - Casualty	8/15/2000	7/1/2002
Inactive	American Economy Insurance Company	300315	Agent - General Lines	6/11/1998	8/15/2000
Inactive	American Economy Insurance Company	300315	Agent - Property	8/15/2000	7/1/2002
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	8/15/2000	7/1/2002
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - General Lines	4/13/1995	8/15/2000
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	8/15/2000	7/1/2002
Inactive	American Income Life Insurance Company	300256	Agent - Health	5/3/2001	7/24/2001
Inactive	American Income Life Insurance Company	300256	Agent - Life	5/3/2001	7/24/2001
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	7/1/2002
Inactive	American States Insurance Company	301230	Agent - General Lines	6/12/1998	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	7/1/2002
Inactive	American States Life Insurance Company	301884	Agent - Health	6/11/1998	11/26/2001
Inactive	American States Life Insurance Company	301884	Agent - Life	6/11/1998	11/26/2001
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	8/15/2000	7/1/2002
Inactive	American Zurich Insurance Company	300592	Agent - General Lines	4/13/1995	8/15/2000
Inactive	American Zurich Insurance Company	300592	Agent - Property	8/15/2000	7/1/2002
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	6/6/1991	3/31/1997
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/10/1993	7/1/2002
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/10/1993	7/1/2002
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - General Lines	7/22/1987	3/31/1996
Inactive	Bankers Standard Insurance Company	301620	Agent - General Lines	9/9/1992	5/7/1996
Inactive	Century Indemnity Company	301310	Agent - General Lines	9/9/1992	5/7/1996
Inactive	Commercial Insurance Company of Newark, New Jersey	300328	Agent - General Lines	5/29/1996	3/31/1998
Inactive	Continental Casualty Company	301019	Agent - General Lines	5/29/1996	12/30/1999
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	6/15/1987	3/31/1998
Inactive	Countryway Insurance Company	300809	Agent - General Lines	3/29/1995	6/4/1996
Inactive	Falls Lake National Insurance Company	301796	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Falls Lake National Insurance Company	301796	Agent - General Lines	4/14/1998	8/15/2000
Inactive	Farmington Casualty Company	301137	Agent - General Lines	12/13/1989	3/31/1996
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Casualty	8/15/2000	12/27/2001
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - General Lines	5/29/1996	8/15/2000
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Property	8/15/2000	12/27/2001
Inactive	Fireman's Fund Insurance Company	301423	Agent - General Lines	2/1/1991	8/15/2000
Inactive	Firemen's Insurance Company of Newark, New Jersey	300247	Agent - General Lines	5/29/1996	3/31/1998
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/15/2000	7/1/2002
Inactive	First National Insurance Company of America	301690	Agent - General Lines	11/1/1998	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	8/15/2000	7/1/2002
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/15/2000	7/1/2002
Inactive	General Insurance Company of America	300261	Agent - General Lines	11/1/1998	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	8/15/2000	7/1/2002
Inactive	General Security National Insurance Company	301484	Agent - Casualty	8/15/2000	7/1/2002
Inactive	General Security National Insurance Company	301484	Agent - General Lines	10/31/1995	8/15/2000
Inactive	General Security National Insurance Company	301484	Agent - Property	8/15/2000	7/1/2002
Inactive	Glens Falls Insurance Company (The)	301922	Agent - General Lines	5/29/1996	3/31/1998
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	11/10/1998	7/1/2002
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	11/10/1998	7/1/2002
Inactive	Home Insurance Company (The)	301851	Agent - General Lines	8/11/1987	3/31/1996
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Indemnity Insurance Company of North America	301760	Agent - General Lines	9/9/1992	8/15/2000
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	8/15/2000	7/1/2002
Inactive	Infinity Casualty Insurance Company	301280	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	4/14/1998	8/15/2000
Inactive	Insurance Company of North America	300226	Agent - Casualty	8/15/2000	5/30/2001
Inactive	Insurance Company of North America	300226	Agent - General Lines	8/11/1987	8/15/2000
Inactive	Insurance Company of North America	300226	Agent - Property	8/15/2000	5/30/2001
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - General Lines	6/2/1994	4/29/1996
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - General Lines	5/29/1996	3/31/1998
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	4/7/1998	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	7/1/2002
Inactive	Meridian Mutual Insurance Company	301303	Agent - Casualty	8/15/2000	6/1/2001
Inactive	Meridian Mutual Insurance Company	301303	Agent - General Lines	4/24/1998	8/15/2000
Inactive	Meridian Mutual Insurance Company	301303	Agent - Property	8/15/2000	6/1/2001
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Meridian Security Insurance Company	300423	Agent - General Lines	4/23/1998	8/15/2000
Inactive	Meridian Security Insurance Company	300423	Agent - Property	8/15/2000	7/1/2002
Inactive	National Casualty Company	301483	Agent - Health	3/24/1988	5/28/1996
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	12/27/2001
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	5/29/1996	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	12/27/2001
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - General Lines	2/12/1993	5/16/2000
Inactive	Pacific Employers Insurance Company	301753	Agent - General Lines	9/9/1992	5/7/1996
Inactive	Principal Life Insurance Company	300129	Agent - Health	1/5/1989	7/1/2002
Inactive	Principal Life Insurance Company	300129	Agent - Life	1/5/1989	7/1/2002
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	5/5/1998	7/1/2002
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	5/5/1998	7/1/2002
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2000	7/1/2002
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	11/1/1998	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2000	7/1/2002
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/15/2000	7/1/2002
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	11/1/1998	8/15/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/15/2000	7/1/2002
Inactive	Security National Insurance Company	301151	Agent - General Lines	6/26/1998	6/5/2000
Inactive	Shelby Casualty Insurance Company	301806	Agent - General Lines	3/19/1991	3/31/1996
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	7/22/1987	3/31/1996
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	6/1/2001	7/1/2002
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	6/1/2001	7/1/2002
Inactive	Stonington Insurance Company	300746	Agent - General Lines	7/12/1995	5/3/1996
Inactive	Symetra Life Insurance Company	301691	Agent - Health	11/1/1998	11/26/2001
Inactive	Symetra Life Insurance Company	301691	Agent - Life	11/1/1998	11/26/2001
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	11/10/1998	7/1/2002
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	11/10/1998	7/1/2002
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	5/29/1996	3/31/1998
Inactive	Transportation Insurance Company	301575	Agent - General Lines	5/29/1996	3/31/1998
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - General Lines	1/29/1991	3/31/1996
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - General Lines	7/22/1987	3/31/1996
Inactive	Travelers Casualty and Surety Company	301067	Agent - General Lines	7/22/1987	5/15/2000
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - General Lines	1/28/1991	3/31/1996
Inactive	Travelers Commercial Insurance Company	301506	Agent - General Lines	1/24/1991	3/31/1996
Inactive	Trinity Universal Insurance Company	300911	Agent - General Lines	6/26/1998	6/15/2000
Inactive	Trustmark Insurance Company	300317	Agent - Health	12/29/1993	3/31/1997
Inactive	Trustmark Insurance Company	300317	Agent - Life	12/29/1993	3/31/1997
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	5/29/1996	3/31/1998
Inactive	Windhaven National Insurance Company	300094	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Windhaven National Insurance Company	300094	Agent - General Lines	4/14/1998	8/15/2000
Inactive	Zurich American Insurance Company	301121	Agent - General Lines	4/13/1995	5/2/1996
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - General Lines	4/13/1995	1/24/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bradshaw & Weil Inc	398772	Agent - General Lines	8/11/1994	8/15/2000
Inactive	Bradshaw & Weil Inc	398772	Agent - Property	8/15/2000	7/1/2002
Inactive	Bradshaw & Weil Inc	398772	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Bradshaw & Weil Inc.	399982	Agent - Life	1/4/1988	4/30/1998
Inactive	Bradshaw & Weil Inc.	399982	Agent - Health	1/4/1988	4/30/1998
Inactive	Bradshaw & Weil Inc.	399982	Agent - General Lines	1/4/1988	4/30/1998
Active	Crawford & Company	401229	Independent Adjuster - Property & Casualty	7/3/2013
Inactive	Hibbs Insurance Agency Inc.	401113	Agent - General Lines	8/19/1998	12/28/1998
Inactive	Old Colony Insurance Agency (West) Inc.	401073	Agent - Life	5/22/1996	9/11/1998
Inactive	Old Colony Insurance Agency (West) Inc.	401073	Agent - Health	5/22/1996	9/11/1998
Inactive	Old Colony Insurance Agency (West) Inc.	401073	Agent - General Lines	5/22/1996	9/11/1998