DEPARTMENT OF INSURANCE

Affiliations

Name	Kiser, Dan R	DOIID	350228	NAIC NPN	7191524

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		7/31/2025
Active	Resident	Agent	Health	6/29/1990		7/31/2025
Active	Resident	Agent	Life	6/29/1990		7/31/2025
Active	Resident	Agent	Property	8/15/2000		7/31/2025
Inactive	Resident	Agent	General Lines	6/22/1998	8/15/2000
* 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	05/15/2025	07/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	8/15/2000	6/27/2003
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - General Lines	10/11/1999	8/15/2000
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	8/15/2000	6/27/2003
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	3/29/2024
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	3/9/2006	10/15/2021
Inactive	American Fire and Casualty Company	300567	Agent - Property	3/9/2006	10/15/2021
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	8/6/2007	3/12/2010
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	8/6/2007	3/12/2010
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	6/22/1993	6/26/2000
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	6/22/1993	6/26/2000
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	8/6/2007	3/12/2010
Inactive	American Zurich Insurance Company	300592	Agent - Property	8/6/2007	3/12/2010
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Casualty	8/4/2004	3/12/2010
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Property	8/4/2004	3/12/2010
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	4/26/2024
Inactive	Crown Life Insurance Company	300151	Agent - Health	6/29/1993	3/31/1999
Inactive	Crown Life Insurance Company	300151	Agent - Life	6/29/1993	3/31/1999
Active	Dairyland Insurance Company	301370	Agent - Casualty	6/30/2016
Active	Dairyland Insurance Company	301370	Agent - Property	6/30/2016
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	8/4/2004	3/12/2010
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	8/4/2004	3/12/2010
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	10/15/2021
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	10/15/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/15/2000	3/20/2006
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - General Lines	7/30/1998	8/15/2000
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/15/2000	3/20/2006
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	8/15/2000	12/1/2003
Inactive	Foremost Signature Insurance Company	300140	Agent - General Lines	7/30/1998	8/15/2000
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	8/15/2000	12/1/2003
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Health	11/18/1994	3/31/1997
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Life	11/18/1994	3/31/1997
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	10/15/2021
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	10/15/2021
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	5/24/1993	1/18/2011
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	5/24/1993	1/18/2011
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	2/3/2023
Active	Investors Heritage Life Insurance Company	300363	Agent - Health	6/25/1993
Active	Investors Heritage Life Insurance Company	300363	Agent - Life	6/25/1993
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Health	6/29/1990	4/9/2001
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	6/29/1990	4/9/2001
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	5/16/1994	5/12/1997
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	5/16/1994	5/12/1997
Inactive	Midland National Life Insurance Company	300923	Agent - Health	4/8/1994	3/31/1997
Inactive	Midland National Life Insurance Company	300923	Agent - Life	4/8/1994	3/31/1997
Inactive	Milbank Insurance Company	925185	Agent - Casualty	3/20/2020	3/20/2025
Inactive	Milbank Insurance Company	925185	Agent - Property	3/20/2020	3/20/2025
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/24/1996	3/8/2004
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	4/26/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	3/9/2006
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	6/22/1998	8/15/2000
Active	Ohio Casualty Insurance Company	301492	Agent - Property	3/9/2006
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	3/9/2006	10/15/2021
Inactive	Ohio Security Insurance Company	300622	Agent - Property	3/9/2006	10/15/2021
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007	5/8/2025
Inactive	Peerless Insurance Company	301910	Agent - Property	9/8/2007	5/8/2025
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/12/1990	11/10/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/12/1990	11/10/2004
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008	3/29/2024
Inactive	Security Life of Denver Insurance Company	300648	Agent - Health	9/15/2004	9/27/2008
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	9/15/2004	9/27/2008
Inactive	Southland Life Insurance Company	301175	Agent - Life	6/1/1995	10/1/2004
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	5/10/2021	3/20/2025
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	5/10/2021	3/20/2025
Inactive	Time Insurance Company	300683	Agent - Health	11/8/1994	11/25/1998
Inactive	Time Insurance Company	300683	Agent - Life	11/8/1994	11/25/1998
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2008	8/3/2011
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Health	12/11/1998	8/22/2005
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	12/11/1998	8/22/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	12/11/1998	8/22/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	10/7/2005	10/1/2008
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	12/8/2005	2/6/2006
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	11/15/1995	12/14/2005
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	11/15/1995	12/14/2005
Inactive	West American Insurance Company	301112	Agent - Casualty	3/9/2006	3/29/2024
Inactive	West American Insurance Company	301112	Agent - Property	3/9/2006	3/29/2024
Inactive	Woodmen Accident and Life Company	300147	Agent - Health	7/30/1996	6/28/2000
Inactive	Woodmen Accident and Life Company	300147	Agent - Life	7/30/1996	6/28/2000
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	8/6/2007	3/12/2010
Inactive	Zurich American Insurance Company	301121	Agent - Property	8/6/2007	3/12/2010
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	8/6/2007	3/12/2010
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	8/6/2007	3/12/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Creech And Stafford Insurance Agency Inc.	400968	Agent - General Lines	8/23/1999	8/15/2000
Inactive	Creech And Stafford Insurance Agency Inc.	400968	Agent - Life	8/23/1999	12/30/2003
Inactive	Creech And Stafford Insurance Agency Inc.	400968	Agent - Health	8/23/1999	12/30/2003
Inactive	Creech And Stafford Insurance Agency Inc.	400968	Agent - Property	8/15/2000	12/30/2003
Inactive	Creech And Stafford Insurance Agency Inc.	400968	Agent - Casualty	8/15/2000	12/30/2003
Active	Omnibanc Insurance Inc.	398550	Agent - Life	8/25/1994
Active	Omnibanc Insurance Inc.	398550	Agent - Health	8/25/1994
Inactive	Richard B Vance & Company	399961	Agent - Life	11/13/1998	2/10/2004
Active	Trademark Insurance Inc.	400454	Agent - Life	10/8/2003
Active	Trademark Insurance Inc.	400454	Agent - Health	10/8/2003
Active	Trademark Insurance Inc.	400454	Agent - Property	10/8/2003
Active	Trademark Insurance Inc.	400454	Agent - Casualty	10/8/2003