DEPARTMENT OF INSURANCE

Affiliations

Name	Berens, Cynthia A	DOIID	328034	NAIC NPN	7175055

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	3/1/2005	2/28/2025
Active	Resident	Agent	Property	3/1/2005	2/28/2025
Active	Resident	Agent	Health	10/17/2007	2/28/2025
* 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
Active	American Economy Insurance Company	300315	Agent - Casualty	5/23/2023
Active	American Economy Insurance Company	300315	Agent - Property	5/23/2023
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/11/2013	2/28/2014
Active	American Fire and Casualty Company	300567	Agent - Casualty	4/26/2005
Active	American Fire and Casualty Company	300567	Agent - Property	4/26/2005
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	8/8/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	8/8/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	4/24/2018	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	4/24/2018	11/14/2021
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	8/6/2020
Active	Auto-Owners Insurance Company	301480	Agent - Property	8/6/2020
Active	ClearPath Insurance Company	979815	Agent - Casualty	2/28/2024
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	2/13/2015	4/13/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	6/30/2008	5/5/2012
Active	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007
Active	Consolidated Insurance Company	300943	Agent - Property	9/8/2007
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/13/2015	4/13/2015
Active	Erie Insurance Company	300230	Agent - Casualty	3/1/2018
Active	Erie Insurance Company	300230	Agent - Property	3/1/2018
Active	Erie Insurance Company of New York	789916	Agent - Casualty	3/1/2018
Active	Erie Insurance Company of New York	789916	Agent - Property	3/1/2018
Active	Erie Insurance Exchange	300789	Agent - Casualty	3/1/2018
Active	Erie Insurance Exchange	300789	Agent - Property	3/1/2018
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	3/1/2018
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	3/1/2018
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	10/15/2021
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	10/15/2021
Active	Flagship City Insurance Company	789965	Agent - Casualty	3/1/2018
Active	Flagship City Insurance Company	789965	Agent - Property	3/1/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	5/28/2014	12/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	5/28/2014	12/20/2023
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	10/15/2021
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	10/15/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/5/2012	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Health	12/5/2012	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/30/2008	12/3/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/25/2012	12/3/2012
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	2/3/2023
Inactive	Kanawha Insurance Company	300127	Agent - Health	2/13/2015	4/13/2015
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/21/2009	4/16/2011
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	5/9/2006
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	5/14/2014
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	5/9/2006
Active	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007
Active	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	4/26/2005
Active	Ohio Casualty Insurance Company	301492	Agent - Property	4/26/2005
Active	Ohio Security Insurance Company	300622	Agent - Casualty	4/26/2005
Active	Ohio Security Insurance Company	300622	Agent - Property	4/26/2005
Active	Owners Insurance Company	300796	Agent - Casualty	8/6/2020
Active	Owners Insurance Company	300796	Agent - Property	8/6/2020
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007
Active	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007
Active	Peerless Insurance Company	301910	Agent - Property	9/8/2007
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008
Active	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	5/18/2023
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	5/18/2023
Inactive	Superior Dental Care Inc.	300418	Agent - Health	11/15/2011	1/9/2014
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	3/22/2005	12/5/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	3/22/2005	12/5/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/21/2009	4/16/2011
Active	West American Insurance Company	301112	Agent - Casualty	4/26/2005
Active	West American Insurance Company	301112	Agent - Property	4/26/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	E. N. Dornbusch Agency Inc.	398456	Agent - Property	4/28/2005
Active	E. N. Dornbusch Agency Inc.	398456	Agent - Casualty	4/28/2005
Active	E. N. Dornbusch Agency Inc.	398456	Agent - Health	5/14/2014
Denied	Medlink Inc	400721	Agent - Health
Active	Planchoice Inc.	400482	Agent - Health	5/14/2014