DEPARTMENT OF INSURANCE

Affiliations

Name	Grooms, Teresa Jean	DOIID	324152	NAIC NPN	7169800

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	8/15/2000	7/31/2022
Inactive	Non Resident	Agent	Life	6/26/2018	7/31/2022
Inactive	Non Resident	Agent	General Lines	11/20/1998	8/15/2000
Inactive	Non Resident	Agent	Casualty	8/15/2000	7/31/2022
* 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	Allstate Indemnity Company	300778	Agent - Casualty	1/15/2004	8/1/2016
Inactive	Allstate Indemnity Company	300778	Agent - Property	1/15/2004	8/1/2016
Inactive	Allstate Insurance Company	300773	Agent - Casualty	1/15/2004	8/1/2016
Inactive	Allstate Insurance Company	300773	Agent - Property	1/15/2004	8/1/2016
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005	8/1/2016
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005	8/1/2016
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	2/18/2014	8/1/2016
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	2/18/2014	8/1/2016
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	12/7/2011	8/18/2016
Inactive	American Fire and Casualty Company	300567	Agent - Property	12/7/2011	8/18/2016
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/11/2016	11/19/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/11/2016	11/19/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/22/2015	8/8/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/22/2015	8/8/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	10/11/2016	11/19/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	10/11/2016	11/19/2021
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Casualty	9/3/2002	8/5/2016
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Property	9/3/2002	8/5/2016
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/15/2000	8/18/2016
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	11/20/1998	8/15/2000
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/15/2000	8/18/2016
Inactive	Countryway Insurance Company	300809	Agent - Casualty	5/23/2005	7/28/2016
Inactive	Countryway Insurance Company	300809	Agent - Property	5/23/2005	7/28/2016
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	5/29/2009	6/4/2015
Inactive	Dairyland Insurance Company	301370	Agent - Property	5/29/2009	6/4/2015
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	9/3/2002	8/5/2016
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	9/3/2002	8/5/2016
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	8/18/2016
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	8/18/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/11/2003	7/5/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/11/2003	7/5/2016
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	8/18/2016
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	8/18/2016
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/15/2000	8/18/2016
Inactive	Indiana Insurance Company	301909	Agent - General Lines	11/20/1998	8/15/2000
Inactive	Indiana Insurance Company	301909	Agent - Property	8/15/2000	8/18/2016
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	9/10/2019	9/30/2019
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	9/10/2019	9/23/2019
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	5/24/1999	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	9/10/2019	9/23/2019
Inactive	Meridian Citizens Mutual Insurance Company	300935	Agent - Casualty	2/14/2014	6/30/2014
Inactive	Meridian Citizens Mutual Insurance Company	300935	Agent - Property	2/14/2014	6/30/2014
Inactive	Meridian Mutual Insurance Company	301303	Agent - Casualty	8/15/2000	6/1/2001
Inactive	Meridian Mutual Insurance Company	301303	Agent - General Lines	5/5/1999	8/15/2000
Inactive	Meridian Mutual Insurance Company	301303	Agent - Property	8/15/2000	6/1/2001
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/15/2000	8/18/2016
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	11/20/1998	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/15/2000	8/18/2016
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	12/24/2007	8/18/2016
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	12/24/2007	8/18/2016
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	12/7/2011	8/18/2016
Inactive	Ohio Security Insurance Company	300622	Agent - Property	12/7/2011	8/18/2016
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/15/2000	8/18/2016
Inactive	Peerless Insurance Company	301910	Agent - General Lines	11/20/1998	8/15/2000
Inactive	Peerless Insurance Company	301910	Agent - Property	8/15/2000	8/18/2016
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	1/4/2014	6/13/2016
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	1/4/2014	6/13/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008	8/18/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008	8/18/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008	8/18/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008	8/18/2016
Inactive	Shelter General Insurance Company	301109	Agent - Casualty	8/31/2016	8/2/2019
Inactive	Shelter General Insurance Company	301109	Agent - Property	8/31/2016	8/2/2019
Inactive	Shelter Life Insurance Company	300391	Agent - Life	7/23/2018	8/2/2019
Inactive	Shelter Mutual Insurance Company	301870	Agent - Casualty	8/31/2016	8/2/2019
Inactive	Shelter Mutual Insurance Company	301870	Agent - Property	8/31/2016	8/2/2019
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	6/30/2014	8/19/2016
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	6/30/2014	8/19/2016
Inactive	United Financial Casualty Company	301886	Agent - Casualty	1/4/2014	6/13/2016
Inactive	United Financial Casualty Company	301886	Agent - Property	1/4/2014	6/13/2016
Inactive	West American Insurance Company	301112	Agent - Casualty	12/7/2011	8/18/2016
Inactive	West American Insurance Company	301112	Agent - Property	12/7/2011	8/18/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fall & Fall Insurance, Inc.	400854	Agent - Property	2/20/2003	3/31/2014
Inactive	Fall & Fall Insurance, Inc.	400854	Agent - Casualty	2/20/2003	3/31/2014