DEPARTMENT OF INSURANCE

Affiliations

Name	Polin, Charles Maurice	DOIID	366021	NAIC NPN	7198487

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	12/11/2020		9/30/2024
Active	Resident	Agent	Casualty	12/11/2020		9/30/2024
Inactive	Resident	Agent	General Lines	5/8/1978	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	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	8/15/2000	6/27/2012
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - General Lines	5/11/1988	8/15/2000
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	8/15/2000	6/27/2012
Inactive	AIG Assurance Company	300897	Agent - Casualty	8/15/2000	9/28/2010
Inactive	AIG Assurance Company	300897	Agent - General Lines	9/2/1998	8/15/2000
Inactive	AIG Assurance Company	300897	Agent - Property	8/15/2000	9/28/2010
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	2/3/1997	12/30/1999
Active	American Economy Insurance Company	300315	Agent - Casualty	3/23/2021
Active	American Economy Insurance Company	300315	Agent - Property	3/23/2021
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	9/30/2020
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	9/30/2020
Inactive	Auto-Owners Insurance Company	301480	Agent - General Lines	1/13/1995	3/31/1996
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/6/2008	12/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/6/2008	12/7/2017
Active	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	12/22/2020
Active	Celina Mutual Insurance Company (The)	301908	Agent - Property	12/22/2020
Active	ClearPath Insurance Company	979815	Agent - Casualty	3/6/2024
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	9/30/2020
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	12/3/1997	8/15/2000
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	9/30/2020
Inactive	Continental Casualty Company	301019	Agent - General Lines	2/3/1997	12/30/1999
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	8/15/2000	12/27/2001
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	5/8/1978	8/15/2000
Inactive	Continental Insurance Company (The)	301242	Agent - Property	8/15/2000	12/27/2001
Inactive	Countryway Insurance Company	300809	Agent - Casualty	3/27/2003	9/30/2020
Inactive	Countryway Insurance Company	300809	Agent - Property	3/27/2003	9/30/2020
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	12/20/2005	8/22/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	12/20/2005	8/22/2012
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Casualty	8/15/2000	12/27/2001
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - General Lines	2/3/1997	8/15/2000
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Property	8/15/2000	12/27/2001
Inactive	Firemen's Insurance Company of Newark, New Jersey	300247	Agent - General Lines	5/2/1997	3/31/1998
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/19/2004	9/30/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/19/2004	9/30/2020
Inactive	Glens Falls Insurance Company (The)	301922	Agent - General Lines	2/4/1997	12/30/1999
Inactive	Granite State Insurance Company	300818	Agent - Casualty	5/27/2005	9/28/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	5/27/2005	9/28/2010
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	2/27/1984	2/11/2000
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/19/2007	9/28/2010
Inactive	Illinois National Insurance Company	301367	Agent - General Lines	9/2/1998	8/15/2000
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/19/2007	9/28/2010
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	9/30/2020
Inactive	Indiana Insurance Company	301909	Agent - General Lines	12/3/1997	8/15/2000
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	9/30/2020
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	9/27/1993	7/28/2000
Inactive	Infinity Insurance Company	300416	Agent - Casualty	5/23/2017	9/30/2020
Inactive	Infinity Insurance Company	300416	Agent - General Lines	4/4/1996	8/15/2000
Inactive	Infinity Select Insurance Company	300169	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Infinity Select Insurance Company	300169	Agent - General Lines	4/8/1996	8/15/2000
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - General Lines	2/4/1997	12/30/1999
Inactive	Kentucky League of Cities Insurance Services Association	300026	Agent - Casualty	12/3/2001	9/30/2020
Inactive	Kentucky League of Cities Insurance Services Association	300026	Agent - Property	12/3/2001	9/30/2020
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	2/20/2002	9/30/2020
Inactive	Kentucky National Insurance Company	301625	Agent - Property	2/20/2002	9/30/2020
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	2/4/1997	12/30/1999
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	9/30/2020
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	12/3/1997	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	9/30/2020
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	9/30/2020
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	9/30/2020
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	9/30/2020
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	9/30/2020
Inactive	Owners Insurance Company	300796	Agent - General Lines	1/13/1995	3/31/1996
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008	9/30/2020
Inactive	Peerless Insurance Company	301910	Agent - General Lines	12/3/1997	8/15/2000
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2008	9/30/2020
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	1/25/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	1/25/2011
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	1/25/2024
Active	SAFECO Insurance Company of America	300159	Agent - Property	1/25/2024
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	3/18/2021
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	3/18/2021
Inactive	Titan Indemnity Company	300556	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Titan Indemnity Company	300556	Agent - General Lines	4/27/1992	8/15/2000
Inactive	Titan Indemnity Company	300556	Agent - Property	8/15/2000	3/31/2002
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	2/5/1997	12/30/1999
Inactive	Transportation Insurance Company	301575	Agent - General Lines	2/1/1997	12/30/1999
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	6/1/2007	8/22/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	6/1/2007	8/22/2012
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	2/3/1997	12/30/1999
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	9/30/2020
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	9/30/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance Associates Inc.	398312	Agent - Casualty	3/20/2006	9/30/2020
Inactive	Insurance Associates Inc.	398312	Agent - Property	3/20/2006	9/30/2020
Inactive	Simms & Montgomery Inc.	399719	Agent - General Lines	3/29/1982	8/15/2000
Inactive	Simms & Montgomery Inc.	399719	Agent - Casualty	8/4/2000	9/30/2020
Inactive	Simms & Montgomery Inc.	399719	Agent - Property	8/15/2000	9/30/2020