DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Griffieth, Donna Jean	DOIID	318208	NAIC NPN	1007284

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Adjuster	Independent	5/26/1993	5/14/2000
Inactive	Resident	Agent	Casualty	8/14/2001	11/1/2014
Inactive	Resident	Agent	Property	8/14/2001	11/1/2014
* 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	Auto-Owners Insurance Company	301480	Agent - Casualty	2/1/2007	11/11/2011
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	2/1/2007	11/11/2011
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	5/4/2004	10/13/2006
Inactive	Consolidated Insurance Company	300943	Agent - Property	5/4/2004	10/13/2006
Inactive	Indiana Insurance Company	301909	Agent - Casualty	5/4/2004	10/13/2006
Inactive	Indiana Insurance Company	301909	Agent - Property	5/4/2004	10/13/2006
Inactive	MICO Insurance Company	301664	Agent - Casualty	9/7/2001	8/31/2003
Inactive	MICO Insurance Company	301664	Agent - Property	9/7/2001	8/31/2003
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	8/14/2001	8/31/2003
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	8/14/2001	8/31/2003
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	5/4/2004	10/13/2006
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	5/4/2004	10/13/2006
Inactive	Owners Insurance Company	300796	Agent - Casualty	2/1/2007	11/11/2011
Inactive	Owners Insurance Company	300796	Agent - Property	2/1/2007	11/11/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	5/4/2004	10/13/2006
Inactive	Peerless Insurance Company	301910	Agent - Property	5/4/2004	10/13/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	A-Mar Inc.	400857	Agent - Property	2/1/2007	11/11/2011
Inactive	A-Mar Inc.	400857	Agent - Casualty	2/1/2007	11/11/2011
Inactive	Equity Insurance Managers Inc.	401238	Adjuster - Independent	5/26/1993	1/13/1997
Inactive	Twenty First Century Claims Service	401310	Adjuster - Independent	1/13/1997	5/14/2000