DEPARTMENT OF INSURANCE

Affiliations

Name	Rose, Donald Russell	DOIID	332851	NAIC NPN	7180895

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	8/15/2000	8/1/2018
Inactive	Resident	Agent	General Lines	10/21/1958	8/15/2000
Inactive	Resident	Agent	Life	9/18/1962	8/1/2018
Inactive	Resident	Agent	Casualty	8/15/2000	8/1/2018
* 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	American Fire and Casualty Company	300567	Agent - Casualty	2/13/2006	8/1/2018
Inactive	American Fire and Casualty Company	300567	Agent - Property	2/13/2006	8/1/2018
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/16/2007	11/1/2012
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/16/2007	11/1/2012
Inactive	Chase Life and Annuity Company	300145	Agent - Life	9/18/1962	12/11/1996
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Casualty	1/30/2018	8/1/2018
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Property	1/30/2018	8/1/2018
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	1/30/2018	8/1/2018
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Property	1/30/2018	8/1/2018
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	1/30/2018	8/1/2018
Inactive	Cincinnati Insurance Company	301298	Agent - Property	1/30/2018	8/1/2018
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	2/27/1997	2/12/2015
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	8/1/2018
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	8/1/2018
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	8/1/2018
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	8/1/2018
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	8/1/2018
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	8/1/2018
Inactive	Great Southern Life Insurance Company	301443	Agent - Life	2/10/1997	3/31/1997
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	8/1/2018
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	8/1/2018
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	8/1/2018
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	8/1/2018
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/15/2000	8/1/2018
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	10/21/1958	8/15/2000
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	8/15/2000	8/1/2018
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	2/13/2006	8/1/2018
Inactive	Ohio Security Insurance Company	300622	Agent - Property	2/13/2006	8/1/2018
Inactive	Old Republic Insurance Company	301225	Agent - Casualty	6/21/2007	3/16/2010
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007	8/1/2018
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007	8/1/2018
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007	8/1/2018
Inactive	Peerless Insurance Company	301910	Agent - Property	9/8/2007	8/1/2018
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008	8/1/2018
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008	8/1/2018
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008	8/1/2018
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008	8/1/2018
Inactive	West American Insurance Company	301112	Agent - Casualty	2/13/2006	8/1/2018
Inactive	West American Insurance Company	301112	Agent - Property	2/13/2006	8/1/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Carpenter-Warren Insurance Agency Inc.	400311	Agent - Life	2/14/1997	2/12/2015
Inactive	Carpenter-Warren Insurance Agency Inc.	400311	Agent - General Lines	2/14/1997	8/15/2000
Inactive	Carpenter-Warren Insurance Agency Inc.	400311	Agent - Property	8/5/2010	8/1/2018
Inactive	Carpenter-Warren Insurance Agency Inc.	400311	Agent - Casualty	8/15/2000	8/1/2018