DEPARTMENT OF INSURANCE
Affiliations
NameFairchild, Jeffrey LynnDOIID328011NAIC NPN7175027
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentProperty8/15/2000 5/31/2025
ActiveResidentAgentLife7/25/1991 5/31/2025
ActiveResidentAgentCasualty8/15/2000 5/31/2025
ActiveResidentAgentHealth7/25/1991 5/31/2025
InactiveResidentAgentGeneral Lines7/25/19918/15/2000 
ActiveResidentProperty & Casualty ConsultantNot Applicable1/14/2008 5/31/2025
ActiveResidentSurplus Lines BrokerNot Applicable6/2/2005 5/31/2025
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACUITY, A Mutual Insurance Company300095Agent - Casualty10/23/2020 
ActiveACUITY, A Mutual Insurance Company300095Agent - Property10/23/2020 
ActiveAIG Property Casualty Company300621Agent - Casualty12/15/2010 
ActiveAIG Property Casualty Company300621Agent - Property12/15/2010 
InactiveAcadia Insurance Company557871Agent - Casualty8/24/20046/20/2012
InactiveAcadia Insurance Company557871Agent - Property8/24/20046/20/2012
ActiveAccident Fund General Insurance Company626282Agent - Casualty12/16/2021 
ActiveAccident Fund Insurance Company of America518734Agent - Casualty12/16/2021 
ActiveAccident Fund National Insurance Company626286Agent - Casualty12/16/2021 
ActiveAllstate Indemnity Company300778Agent - Casualty11/11/2022 
ActiveAllstate Indemnity Company300778Agent - Property11/11/2022 
ActiveAllstate Insurance Company300773Agent - Casualty11/11/2022 
ActiveAllstate Insurance Company300773Agent - Property11/11/2022 
ActiveAllstate Property and Casualty Insurance Company300593Agent - Casualty11/11/2022 
ActiveAllstate Property and Casualty Insurance Company300593Agent - Property11/11/2022 
ActiveAllstate Vehicle & Property Insurance Company301429Agent - Casualty11/11/2022 
InactiveAllstate Vehicle & Property Insurance Company301429Agent - General Lines10/11/19998/15/2000
ActiveAllstate Vehicle & Property Insurance Company301429Agent - Property11/11/2022 
InactiveAmTrust Insurance Company300179Agent - Casualty8/15/200012/26/2001
InactiveAmTrust Insurance Company300179Agent - General Lines5/17/19968/15/2000
InactiveAmTrust Insurance Company300179Agent - Property8/15/200012/26/2001
InactiveAmerican Automobile Insurance Company300953Agent - Casualty12/11/200712/29/2023
InactiveAmerican Automobile Insurance Company300953Agent - Property12/11/200712/29/2023
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Casualty11/25/20025/3/2004
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - General Lines2/5/19978/15/2000
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Property11/25/20025/3/2004
ActiveAmerican Contractors Indemnity Company536843Agent - Casualty9/22/2006 
InactiveAmerican Family Home Insurance Company301817Agent - Casualty10/15/200411/14/2021
InactiveAmerican Family Home Insurance Company301817Agent - Property10/15/200411/14/2021
InactiveAmerican Fire and Casualty Company300567Agent - Casualty10/7/20083/29/2024
InactiveAmerican Fire and Casualty Company300567Agent - Property10/7/20083/29/2024
InactiveAmerican Manufacturers Mutual Insurance Company301807Agent - Casualty8/15/20005/31/2003
InactiveAmerican Manufacturers Mutual Insurance Company301807Agent - General Lines4/21/19928/15/2000
InactiveAmerican Manufacturers Mutual Insurance Company301807Agent - Property8/15/20005/31/2003
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty10/15/200411/14/2021
InactiveAmerican Modern Home Insurance Company300791Agent - Property10/15/200411/14/2021
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty10/14/201611/14/2021
InactiveAmerican Modern Select Insurance Company581481Agent - Property10/14/201611/14/2021
InactiveAmerican Motorists Insurance Company301212Agent - Casualty8/15/20005/31/2003
InactiveAmerican Motorists Insurance Company301212Agent - General Lines4/21/19928/15/2000
InactiveAmerican Motorists Insurance Company301212Agent - Property8/15/20005/31/2003
InactiveAmerican Select Insurance Company301229Agent - Casualty3/7/20038/12/2009
InactiveAmerican Select Insurance Company301229Agent - Property3/7/20038/12/2009
InactiveAmerican and Foreign Insurance Company301124Agent - Casualty5/5/200312/31/2004
InactiveAmerican and Foreign Insurance Company301124Agent - Property5/5/200312/31/2004
InactiveArrowood Indemnity Company300144Agent - Casualty5/5/20037/25/2007
InactiveArrowood Indemnity Company300144Agent - Property5/5/20037/25/2007
InactiveAssurance Company of America300432Agent - Casualty8/15/200012/16/2014
InactiveAssurance Company of America300432Agent - General Lines6/22/19988/15/2000
InactiveAssurance Company of America300432Agent - Property8/15/200012/16/2014
InactiveAtlantic Specialty Insurance Company518595Agent - Casualty10/18/201110/12/2012
InactiveAtlantic Specialty Insurance Company518595Agent - Property10/18/201110/12/2012
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty8/15/20002/6/2007
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - General Lines5/2/19978/15/2000
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property8/15/20002/6/2007
InactiveBedivere Insurance Company300710Agent - Casualty1/31/20061/5/2010
InactiveBedivere Insurance Company300710Agent - Property1/31/20061/5/2010
ActiveBridgefield Casualty Insurance Company500013Agent - Casualty12/28/2004 
InactiveBrighthouse Life Insurance Company301829Agent - Health9/13/19914/15/2005
InactiveBrighthouse Life Insurance Company301829Agent - Life9/13/19914/15/2005
InactiveBuckeye Union Insurance Company (The)300597Agent - General Lines2/5/19973/31/1998
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty8/15/20002/6/2007
InactiveCharter Oak Fire Insurance Company (The)301501Agent - General Lines5/5/19978/15/2000
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property8/15/20002/6/2007
InactiveChubb National Insurance Company301392Agent - General Lines5/30/20008/15/2000
InactiveCommercial Insurance Company of Newark, New Jersey300328Agent - General Lines5/2/19973/31/1998
InactiveCompBenefits Dental, Inc.591692Agent - Health6/27/20089/8/2010
InactiveCompBenefits Insurance Company301864Agent - Health6/27/20089/8/2010
InactiveCompBenefits Insurance Company301864Agent - Life6/27/20089/8/2010
InactiveConnecticut Indemnity Company (The)301062Agent - Casualty5/5/200312/31/2004
InactiveConnecticut Indemnity Company (The)301062Agent - Property5/5/200312/31/2004
InactiveConsolidated Insurance Company300943Agent - Casualty10/7/20084/26/2024
InactiveConsolidated Insurance Company300943Agent - General Lines4/14/19988/15/2000
InactiveConsolidated Insurance Company300943Agent - Property10/7/20084/26/2024
InactiveContinental Casualty Company301019Agent - Casualty11/25/20025/3/2004
InactiveContinental Casualty Company301019Agent - General Lines2/4/19978/15/2000
InactiveContinental Casualty Company301019Agent - Property11/25/20025/3/2004
InactiveContinental Insurance Company (The)301242Agent - General Lines2/21/19973/31/1998
InactiveContinental Western Insurance Company300576Agent - Casualty12/10/20036/20/2012
InactiveContinental Western Insurance Company300576Agent - Property12/10/20036/20/2012
InactiveDairyland Insurance Company301370Agent - Casualty6/21/20011/12/2010
InactiveDental Concern Inc. (The)301641Agent - Health6/21/20109/8/2010
ActiveEncompass Indemnity Company546376Agent - Casualty9/8/2008 
ActiveEncompass Indemnity Company546376Agent - Property9/8/2008 
InactiveEncompass Insurance Company of America556578Agent - Casualty5/19/201112/13/2018
InactiveEncompass Insurance Company of America556578Agent - Property5/19/201112/13/2018
InactiveExecutive Risk Indemnity Inc.301510Agent - General Lines6/7/20008/15/2000
InactiveFCCI Insurance Company557454Agent - Casualty10/5/200512/20/2011
InactiveFCCI Insurance Company557454Agent - Property10/5/200512/20/2011
InactiveFarmers Insurance Exchange300336Agent - Casualty8/15/200012/20/2002
InactiveFarmers Insurance Exchange300336Agent - General Lines3/17/20008/15/2000
InactiveFarmers Insurance Exchange300336Agent - Property8/15/200012/20/2002
InactiveFederal Insurance Company301144Agent - General Lines5/30/20008/15/2000
InactiveFidelity and Casualty Company of New York (The)300160Agent - General Lines2/4/19973/31/1998
InactiveFire and Casualty Insurance Company of Connecticut (The)301592Agent - Casualty5/5/200312/31/2004
InactiveFire and Casualty Insurance Company of Connecticut (The)301592Agent - Property5/5/200312/31/2004
InactiveFireman's Fund Insurance Company301423Agent - Casualty12/11/200712/29/2023
InactiveFireman's Fund Insurance Company301423Agent - Property12/11/200712/29/2023
InactiveFiremen's Insurance Company of Newark, New Jersey300247Agent - General Lines2/4/19973/31/1998
InactiveFiremen's Insurance Company of Washington, D.C.645553Agent - Casualty8/13/20086/20/2012
InactiveFiremen's Insurance Company of Washington, D.C.645553Agent - Property8/13/20086/20/2012
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty8/3/200410/2/2023
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property8/3/200410/2/2023
InactiveGlatfelter Insurance Company301640Agent - Casualty8/15/200011/30/2007
InactiveGlatfelter Insurance Company301640Agent - General Lines6/22/19988/15/2000
InactiveGlatfelter Insurance Company301640Agent - Property8/15/200011/30/2007
InactiveGlens Falls Insurance Company (The)301922Agent - Casualty10/1/200412/17/2004
InactiveGlens Falls Insurance Company (The)301922Agent - General Lines2/4/19973/31/1998
InactiveGlens Falls Insurance Company (The)301922Agent - Property10/1/200412/17/2004
InactiveGlobe Indemnity Company300507Agent - Casualty5/5/200312/31/2004
InactiveGlobe Indemnity Company300507Agent - Property5/5/200312/31/2004
ActiveGrange Indemnity Insurance Company300793Agent - Casualty9/14/2005 
ActiveGrange Indemnity Insurance Company300793Agent - Property9/14/2005 
ActiveGrange Insurance Company300234Agent - Casualty9/14/2005 
InactiveGrange Insurance Company300234Agent - General Lines5/27/19939/5/1996
ActiveGrange Insurance Company300234Agent - Property9/14/2005 
InactiveGrange Life Insurance Company300128Agent - Health9/14/20053/31/2021
InactiveGrange Life Insurance Company300128Agent - Life9/14/200512/28/2020
ActiveGrange Property & Casualty Insurance Company601680Agent - Casualty11/11/2007 
ActiveGrange Property & Casualty Insurance Company601680Agent - Property11/11/2007 
InactiveGreat American Insurance Company301586Agent - Casualty7/16/20095/31/2019
InactiveGreat American Insurance Company301586Agent - Property7/16/20095/31/2019
InactiveGreat Northern Insurance Company301107Agent - General Lines5/30/20008/15/2000
InactiveHartford Accident and Indemnity Company301917Agent - Casualty9/17/200711/7/2008
InactiveHartford Accident and Indemnity Company301917Agent - Property9/17/200711/7/2008
InactiveHartford Casualty Insurance Company301332Agent - Casualty9/17/200711/7/2008
InactiveHartford Casualty Insurance Company301332Agent - Property9/17/200711/7/2008
InactiveHartford Fire Insurance Company300628Agent - Casualty9/17/200711/7/2008
InactiveHartford Fire Insurance Company300628Agent - Property9/17/200711/7/2008
InactiveHartford Insurance Company of the Midwest301918Agent - Casualty9/17/200711/7/2008
InactiveHartford Insurance Company of the Midwest301918Agent - Property9/17/200711/7/2008
InactiveHartford Underwriters Insurance Company301064Agent - Casualty9/17/200711/7/2008
InactiveHartford Underwriters Insurance Company301064Agent - Property9/17/200711/7/2008
InactiveHumana Health Plan, Inc.300142Agent - Health12/19/20039/8/2010
InactiveHumana Insurance Company301104Agent - Health12/19/20039/8/2010
InactiveHumana Insurance Company301104Agent - Life12/19/20039/8/2010
ActiveIllinois Casualty Company1250052Agent - Casualty4/2/2024 
ActiveIllinois Casualty Company1250052Agent - Health1/4/2024 
ActiveIllinois Casualty Company1250052Agent - Property1/4/2024 
InactiveIndiana Insurance Company301909Agent - Casualty10/7/20082/3/2023
InactiveIndiana Insurance Company301909Agent - General Lines4/14/19988/15/2000
InactiveIndiana Insurance Company301909Agent - Property10/7/20082/3/2023
InactiveKansas City Fire and Marine Insurance Company301936Agent - Casualty10/1/200412/16/2004
InactiveKansas City Fire and Marine Insurance Company301936Agent - General Lines2/4/19973/31/1998
InactiveKansas City Fire and Marine Insurance Company301936Agent - Property10/1/200412/16/2004
ActiveKentucky League of Cities Insurance Services Association300026Agent - Casualty5/21/2007 
ActiveKentucky League of Cities Insurance Services Association300026Agent - Property5/21/2007 
InactiveKey Risk Insurance Company630687Agent - Casualty3/5/20081/14/2013
InactiveKey Risk Insurance Company630687Agent - Property3/5/20081/14/2013
InactiveLamorak Insurance Company301231Agent - Casualty1/31/20061/5/2010
InactiveLamorak Insurance Company301231Agent - Property1/31/20061/5/2010
ActiveLiberty Mutual Insurance Company301159Agent - Casualty3/23/2010 
InactiveLumbermens Mutual Casualty Company301119Agent - Casualty8/15/20005/31/2003
InactiveLumbermens Mutual Casualty Company301119Agent - General Lines4/21/19928/15/2000
InactiveLumbermens Mutual Casualty Company301119Agent - Property8/15/20005/31/2003
InactiveMaryland Casualty Company301719Agent - Casualty8/15/20003/10/2015
InactiveMaryland Casualty Company301719Agent - General Lines6/22/19988/15/2000
InactiveMaryland Casualty Company301719Agent - Property8/15/20003/10/2015
ActiveMeridian Security Insurance Company300423Agent - Casualty5/25/2021 
ActiveMeridian Security Insurance Company300423Agent - Property5/25/2021 
InactiveMiddlesex Mutual Assurance Company569442Agent - Casualty10/10/20086/22/2012
InactiveMiddlesex Mutual Assurance Company569442Agent - Property10/10/20086/22/2012
InactiveMonroe Guaranty Insurance Company300771Agent - Casualty10/5/200512/20/2011
InactiveMonroe Guaranty Insurance Company300771Agent - Property10/5/200512/20/2011
InactiveNational Fire Insurance Company of Hartford301063Agent - Casualty11/25/20025/3/2004
InactiveNational Fire Insurance Company of Hartford301063Agent - General Lines2/4/19978/15/2000
InactiveNational Fire Insurance Company of Hartford301063Agent - Property11/25/20025/3/2004
InactiveNational Surety Corporation300087Agent - Casualty7/12/201112/29/2023
InactiveNational Surety Corporation300087Agent - Property7/12/201112/29/2023
InactiveNational Trust Insurance Company300367Agent - Casualty10/5/200512/20/2011
InactiveNational Trust Insurance Company300367Agent - Property10/5/200512/20/2011
InactiveNetherlands Insurance Company (The)300339Agent - Casualty10/7/20084/26/2024
InactiveNetherlands Insurance Company (The)300339Agent - General Lines4/14/19988/15/2000
InactiveNetherlands Insurance Company (The)300339Agent - Property10/7/20084/26/2024
InactiveNorthern Insurance Company of New York301317Agent - Casualty8/15/200012/16/2014
InactiveNorthern Insurance Company of New York301317Agent - General Lines6/22/19988/15/2000
InactiveNorthern Insurance Company of New York301317Agent - Property8/15/200012/16/2014
InactiveOhio Casualty Insurance Company301492Agent - Casualty10/7/20083/29/2024
InactiveOhio Casualty Insurance Company301492Agent - Property10/7/20083/29/2024
InactiveOhio Farmers Insurance Company301667Agent - Casualty3/7/20038/12/2009
InactiveOhio Farmers Insurance Company301667Agent - Property3/7/20038/12/2009
ActiveOhio Security Insurance Company300622Agent - Casualty6/27/2024 
ActiveOhio Security Insurance Company300622Agent - Property6/27/2024 
InactiveOld Guard Insurance Company533854Agent - Casualty6/2/20216/11/2021
InactiveOld Guard Insurance Company533854Agent - Property6/2/20216/11/2021
InactiveOld Republic Insurance Company301225Agent - Casualty2/3/20053/30/2010
InactiveOld Republic Insurance Company301225Agent - Property2/3/20053/30/2010
InactivePacific Indemnity Company301610Agent - General Lines5/30/20008/15/2000
ActivePeerless Indemnity Insurance Company571682Agent - Casualty10/7/2008 
ActivePeerless Indemnity Insurance Company571682Agent - Property10/7/2008 
ActivePeerless Insurance Company301910Agent - Casualty10/7/2008 
InactivePeerless Insurance Company301910Agent - General Lines4/14/19988/15/2000
ActivePeerless Insurance Company301910Agent - Property10/7/2008 
InactivePennsylvania Insurance Company301219Agent - Casualty1/31/200612/6/2010
InactivePennsylvania Insurance Company301219Agent - Property1/31/200612/6/2010
InactivePie Insurance Company (The)300514Agent - Casualty7/12/20119/2/2022
InactivePie Insurance Company (The)300514Agent - Property7/12/20119/2/2022
ActiveQBE Insurance Corporation300515Agent - Casualty4/29/2009 
ActiveQBE Insurance Corporation300515Agent - Property4/29/2009 
InactiveReassure America Life Insurance Company301902Agent - Health2/21/20039/3/2004
InactiveReassure America Life Insurance Company301902Agent - Life2/21/20039/3/2004
InactiveRoyal Insurance Company of America301120Agent - Casualty5/5/200312/31/2004
InactiveRoyal Insurance Company of America301120Agent - Property5/5/200312/31/2004
InactiveSafeguard Insurance Company300800Agent - Casualty5/5/200312/31/2004
InactiveSafeguard Insurance Company300800Agent - Property5/5/200312/31/2004
InactiveSecurity Insurance Company of Hartford300973Agent - Casualty5/5/20037/25/2007
InactiveSecurity Insurance Company of Hartford300973Agent - Property5/5/20037/25/2007
InactiveSecurity National Insurance Company301151Agent - Casualty8/15/200012/26/2001
InactiveSecurity National Insurance Company301151Agent - General Lines5/17/19968/15/2000
InactiveSecurity National Insurance Company301151Agent - Property8/15/200012/26/2001
ActiveSelective Insurance Company of the Southeast300381Agent - Casualty1/10/2022 
InactiveSentinel Insurance Company, Limited501696Agent - Casualty11/30/20097/20/2023
InactiveSentinel Insurance Company, Limited501696Agent - Property11/30/20097/20/2023
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty8/15/20002/6/2007
InactiveStandard Fire Insurance Company (The)301068Agent - General Lines4/25/19978/15/2000
InactiveStandard Fire Insurance Company (The)301068Agent - Property8/15/20002/6/2007
InactiveStarNet Insurance Company502746Agent - Casualty5/17/20121/14/2013
InactiveStarNet Insurance Company502746Agent - Property5/17/20121/14/2013
ActiveState Auto Property & Casualty Insurance Company301953Agent - Casualty3/6/2020 
ActiveState Auto Property & Casualty Insurance Company301953Agent - Property3/6/2020 
ActiveState Automobile Mutual Insurance Company301824Agent - Casualty9/16/2023 
ActiveState Automobile Mutual Insurance Company301824Agent - Property9/16/2023 
InactiveThe Phoenix Insurance Company301502Agent - Casualty8/15/20002/6/2007
InactiveThe Phoenix Insurance Company301502Agent - General Lines4/28/19978/15/2000
InactiveThe Phoenix Insurance Company301502Agent - Property8/15/20002/6/2007
InactiveTranscontinental Insurance Company301731Agent - Casualty11/25/20025/3/2004
InactiveTranscontinental Insurance Company301731Agent - General Lines2/5/19973/31/1998
InactiveTranscontinental Insurance Company301731Agent - Property11/25/20025/3/2004
InactiveTransportation Insurance Company301575Agent - Casualty11/25/20025/3/2004
InactiveTransportation Insurance Company301575Agent - General Lines2/1/19973/31/1998
InactiveTransportation Insurance Company301575Agent - Property11/25/20025/3/2004
InactiveTravCo Insurance Company301828Agent - Casualty8/15/20002/6/2007
InactiveTravCo Insurance Company301828Agent - General Lines4/24/19978/15/2000
InactiveTravCo Insurance Company301828Agent - Property8/15/20002/6/2007
InactiveTravelers Casualty Company of Connecticut301505Agent - Casualty9/3/20022/6/2007
InactiveTravelers Casualty Company of Connecticut301505Agent - Property9/3/20022/6/2007
InactiveTravelers Indemnity Company (The)301855Agent - Casualty8/15/20002/6/2007
InactiveTravelers Indemnity Company (The)301855Agent - General Lines5/2/19978/15/2000
InactiveTravelers Indemnity Company (The)301855Agent - Property8/15/20002/6/2007
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty8/15/20002/6/2007
InactiveTravelers Indemnity Company of America (The)301093Agent - General Lines4/28/19978/15/2000
InactiveTravelers Indemnity Company of America (The)301093Agent - Property8/15/20002/6/2007
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty8/15/20002/6/2007
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - General Lines4/25/19978/15/2000
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property8/15/20002/6/2007
InactiveTravelers Property Casualty Insurance Company301508Agent - Casualty9/3/20022/6/2007
InactiveTravelers Property Casualty Insurance Company301508Agent - Property9/3/20022/6/2007
InactiveTrinity Universal Insurance Company300911Agent - Casualty8/15/200012/26/2001
InactiveTrinity Universal Insurance Company300911Agent - General Lines5/17/19968/15/2000
InactiveTrinity Universal Insurance Company300911Agent - Property8/15/200012/26/2001
ActiveTrustgard Insurance Company300104Agent - Casualty9/14/2005 
ActiveTrustgard Insurance Company300104Agent - Property9/14/2005 
InactiveTwin City Fire Insurance Company300721Agent - Casualty9/17/200711/7/2008
InactiveTwin City Fire Insurance Company300721Agent - Property9/17/200711/7/2008
ActiveU.S. Specialty Insurance Company300186Agent - Casualty9/27/2005 
ActiveU.S. Specialty Insurance Company300186Agent - Property9/27/2005 
InactiveUnderwriters at Lloyd's, London300658Agent - Casualty3/20/200311/18/2020
InactiveUnderwriters at Lloyd's, London300658Agent - Property3/20/200311/18/2020
InactiveUnion Insurance Company547433Agent - Casualty12/10/20036/20/2012
InactiveUnion Insurance Company547433Agent - Property12/10/20036/20/2012
ActiveUnited Wisconsin Insurance Company301103Agent - Casualty12/16/2021 
InactiveUnitrin Auto and Home Insurance Company301538Agent - Casualty3/31/20037/28/2017
InactiveUnitrin Auto and Home Insurance Company301538Agent - Property3/31/20037/28/2017
InactiveUnitrin Preferred Insurance Company502869Agent - Casualty4/28/200312/2/2013
InactiveUnitrin Preferred Insurance Company502869Agent - Property4/28/200312/2/2013
InactiveValley Forge Insurance Company301052Agent - Casualty11/25/20025/3/2004
InactiveValley Forge Insurance Company301052Agent - General Lines2/5/19973/31/1998
InactiveValley Forge Insurance Company301052Agent - Property11/25/20025/3/2004
InactiveVigilant Insurance Company301143Agent - General Lines5/30/20008/15/2000
InactiveWCF Select Insurance Company301898Agent - Casualty12/11/20072/8/2022
InactiveWCF Select Insurance Company301898Agent - Property12/11/20072/8/2022
InactiveWest American Insurance Company301112Agent - Casualty10/7/20083/29/2024
InactiveWest American Insurance Company301112Agent - Property10/7/20083/29/2024
ActiveWest Bend Insurance Company672974Agent - Casualty8/19/2021 
ActiveWest Bend Insurance Company672974Agent - Property8/19/2021 
InactiveWestfield Champion Insurance Company1054839Agent - Casualty6/2/20216/11/2021
InactiveWestfield Champion Insurance Company1054839Agent - Property6/2/20216/11/2021
ActiveWestfield Insurance Company301950Agent - Casualty3/7/2003 
ActiveWestfield Insurance Company301950Agent - Property3/7/2003 
InactiveWestfield National Insurance Company301036Agent - Casualty3/7/20038/12/2009
InactiveWestfield National Insurance Company301036Agent - Property3/7/20038/12/2009
InactiveWestfield Premier Insurance Company1055055Agent - Casualty6/2/20216/11/2021
InactiveWestfield Premier Insurance Company1055055Agent - Property6/2/20216/11/2021
InactiveWestfield Superior Insurance Company1054978Agent - Casualty6/2/20216/11/2021
InactiveWestfield Superior Insurance Company1054978Agent - Property6/2/20216/11/2021
InactiveWestfield Touchstone Insurance Company1055057Agent - Casualty6/2/20216/11/2021
InactiveWestfield Touchstone Insurance Company1055057Agent - Property6/2/20216/11/2021
Inactive301729Agent - Casualty8/15/20005/31/2003
Inactive301729Agent - General Lines4/21/19928/15/2000
Inactive301729Agent - Property8/15/20005/31/2003
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAcrisure LLC696181Agent - Life8/3/202012/28/2020
InactiveAcrisure LLC696181Agent - Health8/3/20203/31/2021
ActiveAcrisure LLC696181Agent - Property8/3/2020 
ActiveAcrisure LLC696181Agent - Casualty8/3/2020 
ActiveAcrisure LLC696181Surplus Lines Broker - Not Applicable8/3/2020 
InactiveCromwell Insurance Agency, LLC516056Agent - Property1/15/20039/29/2003
InactiveCromwell Insurance Agency, LLC516056Agent - Casualty1/15/20039/29/2003
InactiveMcgriff Insurance Services, LLC400877Agent - Life6/23/200312/23/2020
InactiveMcgriff Insurance Services, LLC400877Agent - Health6/23/200312/23/2020
InactiveMcgriff Insurance Services, LLC400877Agent - Property6/23/200312/23/2020
InactiveMcgriff Insurance Services, LLC400877Agent - Casualty6/23/200312/23/2020
InactivePalmer & Cay of Kentucky Inc.400878Agent - Property9/19/20012/25/2003
InactivePalmer & Cay of Kentucky Inc.400878Agent - Casualty9/19/20012/25/2003
InactivePalmer & Cay of Kentucky, LLC554283Agent - Life12/26/20022/26/2003
InactivePalmer & Cay of Kentucky, LLC554283Agent - Health12/26/20022/26/2003
InactivePalmer & Cay of Kentucky, LLC554283Agent - Property10/1/200210/15/2002
InactivePalmer & Cay of Kentucky, LLC554283Agent - Casualty10/1/200210/15/2002
InactivePowell Walton Milward400948Agent - General Lines7/25/19918/15/2000
InactivePowell Walton Milward400948Agent - Life7/25/19915/31/2003
InactivePowell Walton Milward400948Agent - Health7/25/19915/31/2003
InactivePowell Walton Milward400948Agent - Property8/15/20005/31/2003
InactivePowell Walton Milward400948Agent - Casualty8/15/20005/31/2003

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