DEPARTMENT OF INSURANCE

Affiliations

Name	Haverstock, Vandusen	DOIID	367627	NAIC NPN	519151

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Travel	6/16/1995		2/28/2025
Active	Resident	Agent	Health	1/31/1992		2/28/2025
Active	Resident	Agent	Life	1/31/1992		2/28/2025
Active	Resident	Agent	Property	8/15/2000		2/28/2025
Active	Resident	Agent	Casualty	8/15/2000		2/28/2025
Inactive	Resident	Agent	General Lines	1/29/1992	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	12/15/2024	02/28/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	7/31/2018
Active	ACUITY, A Mutual Insurance Company	300095	Agent - Property	7/31/2018
Inactive	AIG Assurance Company	300897	Agent - Casualty	12/20/2006	3/10/2010
Inactive	AIG Assurance Company	300897	Agent - Property	12/20/2006	3/10/2010
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	4/13/2012	11/4/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	4/13/2012	11/4/2022
Inactive	American Commerce Insurance Company	301665	Agent - Casualty	11/8/2016	3/31/2018
Inactive	American Commerce Insurance Company	301665	Agent - Property	11/8/2016	3/31/2018
Active	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019
Inactive	American Economy Insurance Company	300315	Agent - General Lines	1/31/1992	8/15/2000
Active	American Economy Insurance Company	300315	Agent - Property	11/9/2019
Active	American Family Home Insurance Company	301817	Agent - Casualty	6/19/2007
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	12/22/1993	3/31/1996
Active	American Family Home Insurance Company	301817	Agent - Property	6/19/2007
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	1/5/2009	3/10/2011
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	1/5/2009	3/10/2011
Inactive	American Growers Insurance Company	300841	Agent - General Lines	4/5/1994	3/31/1996
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	6/19/2007	4/6/2022
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	12/22/1993	3/31/1996
Inactive	American Modern Home Insurance Company	300791	Agent - Property	6/19/2007	4/6/2022
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	6/19/2007	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	6/19/2007	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	8/17/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	8/17/2015	11/14/2021
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	7/18/2024
Inactive	American States Insurance Company	301230	Agent - General Lines	1/31/1992	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	7/18/2024
Inactive	American States Life Insurance Company	301884	Agent - Health	1/31/1992	12/4/2001
Inactive	American States Life Insurance Company	301884	Agent - Life	1/31/1992	12/4/2001
Inactive	American States Preferred Insurance Company	300609	Agent - Casualty	8/15/2000	7/17/2001
Inactive	American States Preferred Insurance Company	300609	Agent - General Lines	1/31/1992	8/15/2000
Inactive	American States Preferred Insurance Company	300609	Agent - Property	8/15/2000	7/17/2001
Inactive	Banner Life Insurance Company	301696	Agent - Life	1/10/2000	10/14/2003
Inactive	Brighthouse Life Insurance Company	301829	Agent - Travel	4/11/1994	6/7/1999
Active	Bristol West Insurance Company	301655	Agent - Casualty	11/6/2008
Active	Bristol West Insurance Company	301655	Agent - Property	11/6/2008
Active	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	12/21/2018
Active	Celina Mutual Insurance Company (The)	301908	Agent - Property	12/21/2018
Active	ClearPath Insurance Company	979815	Agent - Casualty	2/29/2024
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	7/7/1992	4/27/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	7/7/1992	4/27/1998
Active	Dairyland Insurance Company	301370	Agent - Casualty	1/25/2007
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	11/1/2007	10/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	11/1/2007	10/3/2024
Active	Encompass Insurance Company	300188	Agent - Casualty	11/1/2023
Active	Encompass Insurance Company	300188	Agent - Property	11/1/2023
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	2/21/2011	12/13/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	2/21/2011	12/13/2018
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	4/10/2008	8/21/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	4/10/2008	8/21/2012
Inactive	First Colony Life Insurance Company	301179	Agent - Life	1/25/2000	7/14/2004
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/29/2004
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/29/2004
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	8/15/2000
Inactive	Grange Indemnity Insurance Company	300793	Agent - General Lines	10/31/1997	8/15/2000
Active	Grange Indemnity Insurance Company	300793	Agent - Property	8/15/2000
Active	Grange Insurance Company	300234	Agent - Casualty	8/15/2000
Inactive	Grange Insurance Company	300234	Agent - General Lines	4/3/1992	8/15/2000
Active	Grange Insurance Company	300234	Agent - Property	8/15/2000
Inactive	Grange Life Insurance Company	300128	Agent - Health	3/30/1992	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	3/30/1992	12/30/2020
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	11/11/2007
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	11/11/2007
Inactive	Granite State Insurance Company	300818	Agent - Casualty	12/20/2006	3/10/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	12/20/2006	3/10/2010
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	1/25/2007	3/3/2021
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	1/25/2007	3/3/2021
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	1/25/2007	3/3/2021
Inactive	GuideOne Insurance Company	301794	Agent - Property	1/25/2007	3/3/2021
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	1/25/2007	3/3/2021
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	1/25/2007	3/3/2021
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	3/10/2006
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	12/27/1999	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	3/10/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	3/10/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	12/27/1999	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	3/10/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	3/10/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	12/27/1999	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	3/10/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	3/10/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	12/27/1999	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	3/10/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	3/10/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	12/27/1999	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	3/10/2006
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/12/2007	3/10/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/12/2007	3/10/2010
Inactive	Infinity Insurance Company	300416	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Infinity Insurance Company	300416	Agent - General Lines	5/10/1994	8/15/2000
Inactive	Infinity Standard Insurance Company	301643	Agent - General Lines	3/10/1992	3/25/1996
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Health	2/3/1992	7/11/1999
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	2/3/1992	7/11/1999
Active	Kansas City Life Insurance Company	301444	Agent - Life	5/1/2019
Active	Kentucky Home Life Insurance Company	300477	Agent - Health	9/19/2012
Active	Kentucky Home Life Insurance Company	300477	Agent - Life	9/19/2012
Active	Kentucky National Insurance Company	301625	Agent - Casualty	9/20/2012
Active	Kentucky National Insurance Company	301625	Agent - Property	9/20/2012
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	7/30/1999	2/9/2006
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	7/30/1999	2/9/2006
Inactive	MedAmerica Insurance Company	301568	Agent - Health	4/5/2004	3/6/2009
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	1/18/2000	3/31/2001
Active	Milbank Insurance Company	925185	Agent - Casualty	2/5/2020
Active	Milbank Insurance Company	925185	Agent - Property	2/5/2020
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	1/13/2000	12/20/2007
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	9/5/2019
Active	Ohio Casualty Insurance Company	301492	Agent - Property	9/5/2019
Inactive	Omni Insurance Company	301545	Agent - General Lines	1/29/1992	3/31/2000
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	3/10/2010
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	3/10/2010
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	5/25/2003	3/10/2006
Inactive	Praetorian Insurance Company	301021	Agent - Property	5/25/2003	3/10/2006
Inactive	Protective Life Insurance Company	300638	Agent - Health	1/25/2000	3/7/2005
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/25/2000	3/7/2005
Inactive	Redland Insurance Company	300687	Agent - General Lines	2/4/1992	8/12/1996
Inactive	Reserve National Insurance Company	301073	Agent - Health	11/11/2005	12/18/2006
Inactive	Reserve National Insurance Company	301073	Agent - Life	11/11/2005	12/18/2006
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	3/28/2018
Active	SAFECO Insurance Company of America	300159	Agent - Property	3/28/2018
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	3/28/2018
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	3/28/2018
Inactive	Shelby Casualty Insurance Company	301806	Agent - General Lines	2/11/1992	3/31/1998
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	3/6/2020
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	3/6/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/6/2020
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	2/3/1992	8/15/2000
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	3/6/2020
Inactive	Symetra Life Insurance Company	301691	Agent - Health	7/29/1999	12/4/2001
Inactive	Symetra Life Insurance Company	301691	Agent - Life	7/29/1999	12/4/2001
Inactive	Travelers Indemnity Company (The)	301855	Agent - Travel	6/16/1995	6/18/2007
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	4/10/2008	8/21/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	4/10/2008	8/21/2012
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	8/15/2000	3/10/2006
Inactive	Trumbull Insurance Company	300242	Agent - General Lines	7/3/1998	8/15/2000
Inactive	Trumbull Insurance Company	300242	Agent - Property	8/15/2000	3/10/2006
Active	Trustgard Insurance Company	300104	Agent - Casualty	8/6/2004
Active	Trustgard Insurance Company	300104	Agent - Property	8/6/2004
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	3/10/2006
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	12/27/1999	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	3/10/2006
Inactive	United Home Insurance Company	736677	Agent - Casualty	4/3/2018	9/18/2023
Inactive	United Home Insurance Company	736677	Agent - Property	4/3/2018	9/18/2023
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	9/11/2014
Inactive	Western Surety Company	300283	Agent - General Lines	8/18/1992	8/15/2000
Inactive		300277	Agent - Life	2/28/2000	3/17/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Life	12/9/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/9/2013
Inactive	Holton, Melugin, & Haverstock Insurance Agency, Inc	399756	Agent - General Lines	2/3/1992	8/15/2000
Active	Holton, Melugin, & Haverstock Insurance Agency, Inc	399756	Agent - Life	2/3/1992
Active	Holton, Melugin, & Haverstock Insurance Agency, Inc	399756	Agent - Health	2/3/1992
Active	Holton, Melugin, & Haverstock Insurance Agency, Inc	399756	Agent - Property	8/15/2000
Active	Holton, Melugin, & Haverstock Insurance Agency, Inc	399756	Agent - Casualty	8/15/2000
Active	McConnell Insurance Agency Inc.	400140	Agent - Life	4/8/2004
Active	McConnell Insurance Agency Inc.	400140	Agent - Health	3/2/2015
Inactive	Medlink Inc	400721	Agent - Life	11/15/2007	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	3/2/2015	3/31/2024
Active	Risk and Technology Advisors Inc.	580500	Agent - Life	3/5/2007
Active	Risk and Technology Advisors Inc.	580500	Agent - Health	3/2/2015