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	Health	12/10/1996		10/31/2024
Active	Resident	Agent	Casualty	8/15/2000		10/31/2024
Active	Resident	Agent	Life	12/10/1996		10/31/2024
Active	Resident	Agent	Property	8/15/2000		10/31/2024
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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2024	10/31/2024

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