DEPARTMENT OF INSURANCE

Affiliations

Name	Ford, Reyburn W	DOIID	360333	NAIC NPN	45547

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	8/15/2000	1/31/2005
Inactive	Resident	Agent	Credit Life & Health	10/3/1995	3/31/1997
Inactive	Resident	Agent	Workers' Compensation	3/29/2001	1/31/2005
Inactive	Resident	Agent	Health	11/30/1979	1/31/2005
Inactive	Resident	Agent	Life	11/30/1979	1/31/2005
Inactive	Resident	Agent	Property	8/15/2000	1/31/2005
Inactive	Resident	Agent	General Lines	8/6/1962	8/15/2000
Inactive	Resident	Surplus Lines Broker	Not Applicable	12/28/1976	3/5/2001
* 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	American Bankers Life Assurance Company of Florida	300171	Agent - Health	9/23/1993	10/2/2003
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	9/23/1993	10/2/2003
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/15/2000	10/11/2001
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	2/4/1997	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	10/11/2001
Denied	American Guarantee and Liability Insurance Company	301216	Agent - Casualty
Denied	American Guarantee and Liability Insurance Company	301216	Agent - Property
Inactive	American Home Assurance Company	300246	Agent - General Lines	1/23/1981	4/27/1998
Inactive	American Manufacturers Mutual Insurance Company	301807	Agent - Casualty	8/15/2000	5/31/2003
Inactive	American Manufacturers Mutual Insurance Company	301807	Agent - General Lines	3/13/1991	8/15/2000
Inactive	American Manufacturers Mutual Insurance Company	301807	Agent - Property	8/15/2000	5/31/2003
Inactive	American Motorists Insurance Company	301212	Agent - Casualty	8/15/2000	5/31/2003
Inactive	American Motorists Insurance Company	301212	Agent - General Lines	4/30/1991	8/15/2000
Inactive	American Motorists Insurance Company	301212	Agent - Property	8/15/2000	5/31/2003
Inactive	American Resources Insurance Company, Inc.	300454	Agent - Casualty	8/15/2000	1/31/2005
Inactive	American Resources Insurance Company, Inc.	300454	Agent - General Lines	8/24/1994	8/15/2000
Inactive	American Resources Insurance Company, Inc.	300454	Agent - Property	8/15/2000	1/31/2005
Denied	American Zurich Insurance Company	300592	Agent - Casualty
Denied	American Zurich Insurance Company	300592	Agent - Property
Inactive	Assurance Company of America	300432	Agent - Casualty	8/15/2000	1/31/2005
Inactive	Assurance Company of America	300432	Agent - General Lines	8/7/2000	8/15/2000
Inactive	Assurance Company of America	300432	Agent - Property	8/15/2000	1/31/2005
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	1/21/1982	4/8/2003
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	1/21/1982	4/8/2003
Denied	Colonial American Casualty & Surety Company	300769	Agent - Casualty
Denied	Colonial American Casualty & Surety Company	300769	Agent - Property
Inactive	Commercial Insurance Company of Newark, New Jersey	300328	Agent - General Lines	2/5/1997	3/31/1998
Inactive	Consolidated American Insurance Company	301701	Agent - General Lines	12/7/1989	3/31/1996
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/15/2000	1/31/2005
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	2/12/1982	8/15/2000
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/15/2000	1/31/2005
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/15/2000	10/11/2001
Inactive	Continental Casualty Company	301019	Agent - General Lines	2/3/1997	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	8/15/2000	10/11/2001
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	6/24/1965	8/15/2000
Inactive	Encova Life Insurance Company	301818	Agent - Health	11/9/1989	3/31/1997
Inactive	Encova Life Insurance Company	301818	Agent - Life	11/9/1989	3/31/1997
Inactive	Executive Risk Indemnity Inc.	301510	Agent - Casualty	8/15/2000	12/22/2004
Inactive	Executive Risk Indemnity Inc.	301510	Agent - General Lines	6/5/2000	8/15/2000
Inactive	Executive Risk Indemnity Inc.	301510	Agent - Property	8/15/2000	10/18/2004
Inactive	Federal Home Life Insurance Company	301302	Agent - Health	9/11/1991	3/26/2001
Inactive	Federal Home Life Insurance Company	301302	Agent - Life	9/11/1991	3/26/2001
Inactive	Federal Insurance Company	301144	Agent - Casualty	8/15/2000	12/22/2004
Inactive	Federal Insurance Company	301144	Agent - General Lines	3/5/1992	8/15/2000
Inactive	Federal Insurance Company	301144	Agent - Property	8/15/2000	12/22/2004
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - General Lines	2/4/1997	8/15/2000
Denied	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty
Denied	Fidelity and Deposit Company of Maryland	300976	Agent - Property
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	8/15/2000	1/31/2005
Inactive	Fireman's Fund Insurance Company	301423	Agent - General Lines	12/23/1970	8/15/2000
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	8/15/2000	1/31/2005
Inactive	Firemen's Insurance Company of Newark, New Jersey	300247	Agent - General Lines	2/4/1997	3/31/1998
Inactive	Generali - U.S. Branch	301128	Agent - General Lines	5/18/1993	3/31/1998
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	8/15/2000	1/31/2005
Inactive	Glatfelter Insurance Company	301640	Agent - General Lines	8/7/2000	8/15/2000
Inactive	Glatfelter Insurance Company	301640	Agent - Property	8/15/2000	1/31/2005
Inactive	Glens Falls Insurance Company (The)	301922	Agent - General Lines	2/4/1997	12/30/1999
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	8/15/2000	12/22/2004
Inactive	Great Northern Insurance Company	301107	Agent - General Lines	6/5/2000	8/15/2000
Inactive	Great Northern Insurance Company	301107	Agent - Property	8/15/2000	12/22/2004
Inactive	Heritage Life Insurance Company	300081	Agent - Credit Life & Health	10/3/1995	3/31/1997
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/15/2000	1/31/2005
Inactive	Indiana Insurance Company	301909	Agent - General Lines	2/12/1982	8/15/2000
Inactive	Indiana Insurance Company	301909	Agent - Property	8/15/2000	1/31/2005
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	3/29/1994	7/11/1999
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - General Lines	9/9/1975	12/30/1999
Inactive	Liberty Life Insurance Company	301542	Agent - Health	6/15/1989	1/31/2005
Inactive	Liberty Life Insurance Company	301542	Agent - Life	6/15/1989	1/31/2005
Inactive	Life Insurance Company of North America	300711	Agent - Health	12/29/1982	1/31/2005
Inactive	Life Insurance Company of North America	300711	Agent - Life	12/29/1982	1/31/2005
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - Casualty	8/15/2000	5/31/2003
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - General Lines	4/30/1991	8/15/2000
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - Property	8/15/2000	5/31/2003
Inactive	MICO Insurance Company	301664	Agent - Casualty	8/15/2000	1/31/2005
Inactive	MICO Insurance Company	301664	Agent - General Lines	11/9/1989	8/15/2000
Inactive	MICO Insurance Company	301664	Agent - Property	8/15/2000	1/31/2005
Inactive	Maryland Casualty Company	301719	Agent - Casualty	8/15/2000	1/31/2005
Inactive	Maryland Casualty Company	301719	Agent - General Lines	8/7/2000	8/15/2000
Inactive	Maryland Casualty Company	301719	Agent - Property	8/15/2000	1/31/2005
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	4/11/1995	1/31/2005
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	4/11/1995	1/31/2005
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	8/15/2000	1/31/2005
Inactive	Motorists Mutual Insurance Company	300963	Agent - General Lines	11/9/1989	8/15/2000
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	8/15/2000	1/31/2005
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	10/11/2001
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	2/4/1997	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	10/11/2001
Inactive	National Surety Corporation	300087	Agent - General Lines	4/1/1973	3/31/1996
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - General Lines	1/23/1981	3/31/1996
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/15/2000	1/31/2005
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	1/19/2000	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/15/2000	1/31/2005
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	8/15/2000	1/31/2005
Inactive	Northern Insurance Company of New York	301317	Agent - General Lines	8/7/2000	8/15/2000
Inactive	Northern Insurance Company of New York	301317	Agent - Property	8/15/2000	1/31/2005
Inactive	Old American Indemnity Company	301882	Agent - General Lines	2/22/1985	3/31/1998
Inactive	Pacific Indemnity Company	301610	Agent - Casualty	8/15/2000	12/22/2004
Inactive	Pacific Indemnity Company	301610	Agent - General Lines	6/5/2000	8/15/2000
Inactive	Pacific Indemnity Company	301610	Agent - Property	8/15/2000	12/22/2004
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/15/2000	1/31/2005
Inactive	Peerless Insurance Company	301910	Agent - General Lines	1/19/2000	8/15/2000
Inactive	Peerless Insurance Company	301910	Agent - Property	8/15/2000	1/31/2005
Inactive	Pie Insurance Company (The)	300514	Agent - General Lines	12/23/1970	3/31/1996
Inactive	Protective Property & Casualty Insurance Company	300393	Agent - Casualty	8/15/2000	1/31/2005
Inactive	Protective Property & Casualty Insurance Company	300393	Agent - General Lines	5/11/1994	8/15/2000
Inactive	Protective Property & Casualty Insurance Company	300393	Agent - Property	8/15/2000	1/31/2005
Inactive	Seaboard Surety Company	300510	Agent - General Lines	9/14/1971	3/31/1998
Inactive	South Carolina Insurance Company	300080	Agent - General Lines	11/2/1989	3/31/1998
Inactive	Southern Financial Life Insurance Company	300664	Agent - Health	2/16/1999	1/31/2005
Inactive	Southern Financial Life Insurance Company	300664	Agent - Life	2/16/1999	1/31/2005
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/15/2000	3/12/2004
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	3/29/1994	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/15/2000	3/12/2004
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	8/15/2000	10/11/2001
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	2/4/1997	8/15/2000
Inactive	Transcontinental Insurance Company	301731	Agent - Property	8/15/2000	10/11/2001
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/15/2000	10/11/2001
Inactive	Transportation Insurance Company	301575	Agent - General Lines	2/1/1997	8/15/2000
Inactive	Transportation Insurance Company	301575	Agent - Property	8/15/2000	10/11/2001
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	8/15/2000	1/31/2005
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	8/15/2000	1/31/2005
Inactive	Travelers Property Casualty Company of America	301649	Agent - General Lines	2/14/2000	8/15/2000
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	8/15/2000	1/31/2005
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	9/11/1991	1/4/1998
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	9/11/1991	1/4/1998
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	8/15/2000	10/11/2001
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	2/3/1997	8/15/2000
Inactive	Valley Forge Insurance Company	301052	Agent - Property	8/15/2000	10/11/2001
Inactive	Vigilant Insurance Company	301143	Agent - Casualty	8/15/2000	12/22/2004
Inactive	Vigilant Insurance Company	301143	Agent - General Lines	6/5/2000	8/15/2000
Inactive	Vigilant Insurance Company	301143	Agent - Property	8/15/2000	12/22/2004
Inactive	WCF Select Insurance Company	301898	Agent - General Lines	12/23/1970	3/31/1996
Inactive	Western Surety Company	300283	Agent - General Lines	8/6/1962	7/23/1998
Denied	Zurich American Insurance Company	301121	Agent - Casualty
Denied	Zurich American Insurance Company	301121	Agent - Property
Denied	Zurich American Insurance Company of Illinois	301805	Agent - Casualty
Denied	Zurich American Insurance Company of Illinois	301805	Agent - Property
Inactive		301729	Agent - Casualty	8/15/2000	5/31/2003
Inactive		301729	Agent - General Lines	4/30/1991	8/15/2000
Inactive		301729	Agent - Property	8/15/2000	5/31/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	E M Ford & Co LLC	399301	Agent - General Lines	8/30/1999	8/15/2000
Inactive	E M Ford & Co LLC	399301	Agent - Life	12/8/1999	1/31/2005
Inactive	E M Ford & Co LLC	399301	Agent - Health	12/8/1999	1/31/2005
Inactive	E M Ford & Co LLC	399301	Agent - Property	8/15/2000	1/31/2005
Inactive	E M Ford & Co LLC	399301	Agent - Casualty	8/15/2000	1/31/2005
Inactive	E M Ford & Co.	400313	Agent - General Lines	11/30/1979	8/15/2000
Inactive	E M Ford & Co.	400313	Agent - Life	11/30/1979	2/25/2003
Inactive	E M Ford & Co.	400313	Agent - Health	11/30/1979	2/25/2003
Inactive	E M Ford & Co.	400313	Agent - Property	8/15/2000	2/25/2003
Inactive	E M Ford & Co.	400313	Agent - Casualty	8/15/2000	2/25/2003
Inactive	Southern Financial Insurance	400359	Agent - General Lines	11/10/1981	8/15/2000
Inactive	Southern Financial Insurance	400359	Agent - Life	11/10/1981	12/29/2003
Inactive	Southern Financial Insurance	400359	Agent - Health	11/10/1981	12/29/2003
Inactive	Southern Financial Insurance	400359	Agent - Property	8/15/2000	12/29/2003
Inactive	Southern Financial Insurance	400359	Agent - Casualty	8/15/2000	12/29/2003

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ogle, Robert Kelly	346251	Solicitor - General Lines	3/6/1992	3/6/1992