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 Maintenance Organization	6/6/1991	3/31/1997
Inactive	Resident	Agent	Health	5/31/2001	7/1/2002
Inactive	Resident	Agent	General Lines	6/15/1987	8/15/2000
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.

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