DEPARTMENT OF INSURANCE

Affiliations

Name	Culbertson, Ladonna Frances	DOIID	339206	NAIC NPN	7186727

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	7/12/2000	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	1/1/2018
Inactive	Resident	Agent	Health	8/30/2005	1/1/2018
Inactive	Resident	Agent	Life	8/30/2005	1/1/2018
Inactive	Resident	Agent	Casualty	8/15/2000	1/1/2018
Inactive	Resident	Solicitor	General Lines	11/24/1997	7/12/2000
* 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	10/13/2003	9/6/2010
Inactive	AIG Assurance Company	300897	Agent - Property	10/13/2003	9/6/2010
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	7/10/2003	3/24/2010
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	7/10/2003	3/24/2010
Inactive	AmTrust Insurance Company	300179	Agent - Casualty	5/29/2001	10/13/2009
Inactive	AmTrust Insurance Company	300179	Agent - Property	5/29/2001	10/13/2009
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	10/13/2015	1/1/2018
Inactive	American Family Home Insurance Company	301817	Agent - Property	10/13/2015	1/1/2018
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	12/7/2011	5/26/2016
Inactive	American Fire and Casualty Company	300567	Agent - Property	12/7/2011	5/26/2016
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/26/2004	1/1/2018
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/26/2004	1/1/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/29/2015	1/1/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/29/2015	1/1/2018
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	7/29/2015	1/1/2018
Inactive	American Southern Home Insurance Company	626276	Agent - Property	7/29/2015	1/1/2018
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	8/31/2005	1/21/2014
Inactive	American Zurich Insurance Company	300592	Agent - Property	8/31/2005	1/21/2014
Inactive	Assurance Company of America	300432	Agent - Casualty	8/31/2005	1/21/2014
Inactive	Assurance Company of America	300432	Agent - Property	8/31/2005	1/21/2014
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	12/26/2006	2/27/2016
Inactive	Bristol West Insurance Company	301655	Agent - Property	12/26/2006	2/27/2016
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	11/18/2005	7/27/2016
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	11/18/2005	7/27/2016
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	7/21/2005	5/26/2016
Inactive	Consolidated Insurance Company	300943	Agent - Property	7/21/2005	5/26/2016
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	6/15/2005	10/21/2016
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	11/19/2012	1/24/2018
Inactive	Encompass Indemnity Company	546376	Agent - Property	11/19/2012	1/24/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	11/19/2012	1/24/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	11/19/2012	1/24/2018
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	5/26/2016
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	5/26/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/9/2004	2/27/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/9/2004	2/27/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/21/2012	2/27/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/21/2012	2/27/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/21/2012	2/27/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/21/2012	2/27/2016
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	5/26/2016
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	5/26/2016
Inactive	Glens Falls Insurance Company (The)	301922	Agent - Casualty	8/6/2001	11/1/2002
Inactive	Glens Falls Insurance Company (The)	301922	Agent - Property	8/6/2001	11/1/2002
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/12/2005	3/31/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/12/2005	3/31/2008
Inactive	Granite State Insurance Company	300818	Agent - Casualty	7/30/2003	9/6/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	7/30/2003	9/6/2010
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	2/24/2005	12/10/2015
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	2/24/2005	12/10/2015
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	2/24/2005	12/10/2015
Inactive	GuideOne Insurance Company	301794	Agent - Property	2/24/2005	12/10/2015
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	2/24/2005	12/10/2015
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	2/24/2005	12/10/2015
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	12/6/2010	8/17/2017
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	12/6/2010	8/17/2017
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	9/2/2004	11/12/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	9/2/2004	11/12/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	9/2/2004	11/12/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	9/2/2004	11/12/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	9/2/2004	11/12/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	9/2/2004	11/12/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	9/2/2004	11/12/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	9/2/2004	11/12/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/13/2007	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Health	12/13/2007	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Life	12/13/2007	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/13/2007	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/13/2007	9/8/2010
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	7/30/2003	9/6/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	7/30/2003	9/6/2010
Inactive	Indiana Insurance Company	301909	Agent - Casualty	7/21/2005	5/26/2016
Inactive	Indiana Insurance Company	301909	Agent - Property	7/21/2005	5/26/2016
Inactive	Maryland Casualty Company	301719	Agent - Casualty	8/31/2005	1/21/2014
Inactive	Maryland Casualty Company	301719	Agent - Property	8/31/2005	1/21/2014
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	7/21/2005	5/26/2016
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	7/21/2005	5/26/2016
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	8/31/2005	1/21/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	8/31/2005	1/21/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	11/7/2007	5/26/2016
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	11/7/2007	5/26/2016
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	12/7/2011	5/26/2016
Inactive	Ohio Security Insurance Company	300622	Agent - Property	12/7/2011	5/26/2016
Inactive	Peerless Insurance Company	301910	Agent - Casualty	7/21/2005	5/26/2016
Inactive	Peerless Insurance Company	301910	Agent - Property	7/21/2005	5/26/2016
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	9/6/2010
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	9/6/2010
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Casualty	5/10/2005	12/22/2008
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Property	5/10/2005	12/22/2008
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008	5/26/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	7/12/2000	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008	5/26/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008	5/26/2016
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008	5/26/2016
Inactive	Security National Insurance Company	301151	Agent - Casualty	5/29/2001	10/13/2009
Inactive	Security National Insurance Company	301151	Agent - Property	5/29/2001	10/13/2009
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	9/2/2004	8/17/2017
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	9/2/2004	8/17/2017
Inactive	Trinity Universal Insurance Company	300911	Agent - Casualty	5/29/2001	5/11/2009
Inactive	Trinity Universal Insurance Company	300911	Agent - Property	5/29/2001	5/11/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	9/2/2004	11/12/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	9/2/2004	11/12/2009
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	4/13/2005	7/28/2017
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	4/13/2005	7/28/2017
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	4/13/2005	12/2/2013
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	4/13/2005	12/2/2013
Inactive	West American Insurance Company	301112	Agent - Casualty	12/7/2011	5/26/2016
Inactive	West American Insurance Company	301112	Agent - Property	12/7/2011	5/26/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arbuckle Insurance Agency Inc.	399903	Agent - Property	8/23/2004	2/1/2006
Inactive	Arbuckle Insurance Agency Inc.	399903	Agent - Casualty	8/23/2004	2/1/2006
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	8/3/2007	1/8/2014
Inactive	Muhlenberg County Insurance, Inc.	597284	Agent - Property	1/18/2005	1/1/2018
Inactive	Muhlenberg County Insurance, Inc.	597284	Agent - Casualty	1/18/2005	1/1/2018
Inactive	Muhlenberg County Insurance, Inc.	597284	Agent - Health	10/19/2006	7/27/2016
Inactive	Muhlenberg County Insurance, Inc.	597284	Agent - Life	10/19/2006	7/27/2016