DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Darouse, Richard Samuel	DOIID	343710	NAIC NPN	832871

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	General Lines	10/26/1993	7/19/1999
Inactive	Non Resident	Agent	Casualty	4/25/2001	8/31/2016
Inactive	Non Resident	Agent	Property	4/25/2001	8/31/2016
* 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	AmTrust Insurance Company	300179	Agent - Casualty	7/11/2002	8/31/2016
Inactive	AmTrust Insurance Company	300179	Agent - Property	7/11/2002	8/31/2016
Inactive	Milford Casualty Insurance Company	301460	Agent - Casualty	2/10/2009	8/31/2016
Inactive	Milford Casualty Insurance Company	301460	Agent - Property	2/10/2009	8/31/2016
Inactive	Northwestern National Casualty Company	301928	Agent - Casualty	4/25/2001	9/30/2002
Inactive	Northwestern National Casualty Company	301928	Agent - Property	4/25/2001	9/30/2002
Inactive	Security National Insurance Company	301151	Agent - Casualty	7/11/2002	8/31/2016
Inactive	Security National Insurance Company	301151	Agent - Property	7/11/2002	8/31/2016
Inactive	St. Paul Protective Insurance Company	301215	Agent - General Lines	10/26/1993	7/19/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Stephens Ins LLC	638272	Agent - Casualty	12/30/2014	8/31/2016
Inactive	Stephens Ins LLC	638272	Agent - Property	12/30/2014	8/31/2016