DEPARTMENT OF INSURANCE

Affiliations

Name	Sisk, Dawn Marie	DOIID	336511	NAIC NPN	7185548

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	8/15/2000		10/31/2026
Active	Resident	Agent	Property	8/15/2000		10/31/2026
Active	Resident	Agent	Health	12/10/1996		10/31/2026
Active	Resident	Agent	Life	12/10/1996		10/31/2026
Inactive	Resident	Agent	General Lines	7/31/2000	8/15/2000
Inactive	Resident	Solicitor	General Lines	5/14/1997	7/14/2000
* 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	AIG Assurance Company	300897	Agent - Casualty	9/12/2008	8/3/2010
Inactive	AIG Assurance Company	300897	Agent - Property	9/12/2008	8/3/2010
Inactive	American Commerce Insurance Company	301665	Agent - Casualty	9/13/2016	3/31/2018
Inactive	American Commerce Insurance Company	301665	Agent - Property	9/13/2016	3/31/2018
Active	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/9/2019
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/11/2016	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/11/2016	11/14/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	8/2/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	8/2/2019
Inactive	American Select Insurance Company	301229	Agent - Casualty	12/1/2000	4/10/2007
Inactive	American Select Insurance Company	301229	Agent - Property	12/1/2000	4/10/2007
Active	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	3/27/2019
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	7/16/2010	12/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	7/16/2010	12/7/2017
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	7/16/2010	10/20/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	7/16/2010	10/20/2011
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	9/19/2008	9/29/2020
Inactive	Dairyland Insurance Company	301370	Agent - Property	9/19/2008	9/29/2020
Inactive	First National Insurance Company of America	301690	Agent - Casualty	7/16/2010	10/20/2011
Inactive	First National Insurance Company of America	301690	Agent - Property	7/16/2010	10/20/2011
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/30/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/30/2021
Inactive	General Insurance Company of America	300261	Agent - Casualty	7/16/2010	10/20/2011
Inactive	General Insurance Company of America	300261	Agent - Property	7/16/2010	10/20/2011
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	12/22/2016
Active	Grange Indemnity Insurance Company	300793	Agent - Property	12/22/2016
Active	Grange Insurance Company	300234	Agent - Casualty	8/15/2000
Inactive	Grange Insurance Company	300234	Agent - General Lines	7/31/2000	8/15/2000
Active	Grange Insurance Company	300234	Agent - Property	8/15/2000
Inactive	Grange Life Insurance Company	300128	Agent - Health	12/10/1996	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	12/10/1996	12/28/2020
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	1/11/2008
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	1/11/2008
Inactive	Indiana Insurance Company	301909	Agent - Casualty	7/16/2010	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	7/16/2010	2/3/2023
Active	MICO Insurance Company	301664	Agent - Casualty	10/23/2023
Active	MICO Insurance Company	301664	Agent - Property	10/23/2023
Active	Milbank Insurance Company	925185	Agent - Casualty	3/6/2020
Active	Milbank Insurance Company	925185	Agent - Property	3/6/2020
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	5/23/2019
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	5/23/2019
Active	Motorists Mutual Insurance Company	300963	Agent - Casualty	10/31/2011
Active	Motorists Mutual Insurance Company	300963	Agent - Property	10/31/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	7/16/2010	10/20/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	7/16/2010	10/20/2011
Active	NorthStone Insurance Company	818905	Agent - Casualty	3/27/2019
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	12/1/2000	4/10/2007
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	12/1/2000	4/10/2007
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	7/16/2010	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	7/16/2010	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	7/16/2010	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Property	7/16/2010	10/20/2011
Active	PinnaclePoint Insurance Company	819085	Agent - Casualty	3/27/2019
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/12/2008	8/3/2010
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/12/2008	8/3/2010
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	7/16/2010
Active	SAFECO Insurance Company of America	300159	Agent - Property	7/16/2010
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/16/2010
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/16/2010
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	3/6/2020
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	3/6/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/6/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	3/6/2020
Active	SummitPoint Insurance Company	819084	Agent - Casualty	3/27/2019
Active	Trustgard Insurance Company	300104	Agent - Casualty	12/22/2016
Active	Trustgard Insurance Company	300104	Agent - Property	12/22/2016
Inactive	Westfield Insurance Company	301950	Agent - Casualty	12/1/2000	4/10/2007
Inactive	Westfield Insurance Company	301950	Agent - Property	12/1/2000	4/10/2007
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	12/1/2000	4/10/2007
Inactive	Westfield National Insurance Company	301036	Agent - Property	12/1/2000	4/10/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Tatum Hester & Burkhead Insurance Inc.	399752	Agent - Life	11/16/2005	12/28/2020
Inactive	Tatum Hester & Burkhead Insurance Inc.	399752	Agent - Health	11/16/2005	3/31/2021
Active	Tatum Hester & Burkhead Insurance Inc.	399752	Agent - Property	11/16/2005
Active	Tatum Hester & Burkhead Insurance Inc.	399752	Agent - Casualty	11/16/2005