DEPARTMENT OF INSURANCE

Affiliations

Name	Adcock, Timothy Allen	DOIID	338827	NAIC NPN	7186569

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	7/2/2015	1/1/2017
Inactive	Resident	Agent	Property	7/2/2015	1/1/2017
Inactive	Resident	Agent	Casualty	7/2/2015	1/1/2017
Inactive	Resident	Agent	Health	7/2/2015	1/1/2017
Inactive	Resident	Agent	General Lines	9/18/1997	8/15/2000
* 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
Denied	Bristol West Insurance Company	301655	Agent - Casualty
Denied	Bristol West Insurance Company	301655	Agent - Property
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	3/2/2006	3/27/2013
Inactive	Erie Family Life Insurance Company	301400	Agent - Life	7/13/2015	8/24/2016
Inactive	Erie Insurance Company	300230	Agent - Casualty	7/13/2015	8/24/2016
Inactive	Erie Insurance Company	300230	Agent - Property	7/13/2015	8/24/2016
Inactive	Erie Insurance Company of New York	789916	Agent - Casualty	9/25/2015	8/24/2016
Inactive	Erie Insurance Company of New York	789916	Agent - Property	9/25/2015	8/24/2016
Inactive	Erie Insurance Exchange	300789	Agent - Casualty	7/13/2015	8/24/2016
Inactive	Erie Insurance Exchange	300789	Agent - Property	7/13/2015	8/24/2016
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	9/25/2015	8/24/2016
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Property	9/25/2015	8/24/2016
Inactive	Flagship City Insurance Company	789965	Agent - Casualty	9/25/2015	8/24/2016
Inactive	Flagship City Insurance Company	789965	Agent - Property	9/25/2015	8/24/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/15/2006	3/11/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/15/2006	3/11/2013
Denied	Sagamore Insurance Company	300942	Agent - Casualty
Denied	Sagamore Insurance Company	300942	Agent - Property
Inactive	Shelter General Insurance Company	301109	Agent - Casualty	1/31/2001	2/7/2013
Inactive	Shelter General Insurance Company	301109	Agent - General Lines	9/18/1997	8/15/2000
Inactive	Shelter General Insurance Company	301109	Agent - Property	1/31/2001	2/7/2013
Inactive	Shelter Life Insurance Company	300391	Agent - Health	1/31/2001	2/7/2013
Inactive	Shelter Life Insurance Company	300391	Agent - Life	1/31/2001	2/7/2013
Inactive	Shelter Mutual Insurance Company	301870	Agent - Casualty	1/31/2001	2/7/2013
Inactive	Shelter Mutual Insurance Company	301870	Agent - General Lines	9/18/1997	8/15/2000
Inactive	Shelter Mutual Insurance Company	301870	Agent - Property	1/31/2001	2/7/2013

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Life	4/19/2001	2/7/2013
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Health	4/19/2001	2/7/2013
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Property	4/19/2001	2/13/2013
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Casualty	4/19/2001	2/13/2013
Inactive	Franklin Insurance Agency, Inc.	875827	Agent - Life	7/13/2015	8/16/2016
Inactive	Franklin Insurance Agency, Inc.	875827	Agent - Property	7/13/2015	8/16/2016
Inactive	Franklin Insurance Agency, Inc.	875827	Agent - Casualty	7/13/2015	8/16/2016