DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Woltemath, Stephanie L	DOIID	350421	NAIC NPN	230051

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/23/2018		11/30/2024
Active	Non Resident	Agent	Property	1/23/2018		11/30/2024
Inactive	Non Resident	Agent	General Lines	6/8/1993	3/31/1996
Inactive	Non Resident	Agent	Health	3/18/2002	11/30/2008
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/23/2018		11/30/2024
* 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	09/15/2024	11/30/2024
Surplus Lines Broker	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	8/22/2002	4/17/2003
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	8/22/2002	4/17/2003
Inactive	Great American Assurance Company	300327	Agent - Casualty	10/29/2001	4/17/2003
Inactive	Great American Assurance Company	300327	Agent - Property	10/29/2001	4/17/2003
Inactive	Great American Insurance Company	301586	Agent - Health	3/18/2002	4/18/2003
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	8/22/2002	4/17/2003
Inactive	Great American Insurance Company of New York	301897	Agent - Property	8/22/2002	4/17/2003
Inactive	Gulf Insurance Company	300761	Agent - General Lines	6/8/1993	3/31/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending	Risk Placement Services Inc	509419	Agent - Property
Pending	Risk Placement Services Inc	509419	Agent - Casualty
Active	Risk Placement Services Inc	509419	Surplus Lines Broker - Not Applicable	8/2/2018
Inactive	Tas Ins Group Inc	533298	Agent - Property	11/13/2001	3/10/2003
Inactive	Tas Ins Group Inc	533298	Agent - Casualty	11/13/2001	3/10/2003