DEPARTMENT OF INSURANCE

Affiliations

Name	Bushnell, Fara G	DOIID	368578	NAIC NPN	1434459

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	8/15/2000	10/31/2020
Inactive	Resident	Agent	General Lines	10/15/1987	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	10/31/2020
Inactive	Resident	Surplus Lines Broker	Not Applicable	4/30/1998	10/31/2020
* 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	AXA XL Insurance Company Americas	300979	Agent - Casualty	1/23/2008	10/8/2020
Inactive	AXA XL Insurance Company Americas	300979	Agent - Property	1/23/2008	10/8/2020
Inactive	Equitania Insurance Company	300365	Agent - General Lines	5/19/1993	3/31/1996
Inactive	Great American Alliance Insurance Company	301247	Agent - General Lines	2/7/1997	3/31/1998
Inactive	Great American Assurance Company	300327	Agent - Casualty	1/22/2009	4/25/2019
Inactive	Great American Assurance Company	300327	Agent - General Lines	2/7/1997	8/15/2000
Inactive	Great American Assurance Company	300327	Agent - Property	1/22/2009	4/25/2019
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/15/2000	10/19/2005
Inactive	Great American Insurance Company	301586	Agent - General Lines	7/7/1993	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	8/15/2000	10/19/2005
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	8/15/2000	10/19/2005
Inactive	Great American Insurance Company of New York	301897	Agent - General Lines	2/7/1997	8/15/2000
Inactive	Great American Insurance Company of New York	301897	Agent - Property	8/15/2000	10/19/2005
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	9/21/2011	8/17/2017
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	9/21/2011	8/17/2017
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	7/22/2003
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	4/6/1994	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	7/22/2003
Inactive	Markel Insurance Company	301475	Agent - Casualty	8/15/2000	11/15/2004
Inactive	Markel Insurance Company	301475	Agent - General Lines	6/24/1998	8/15/2000
Inactive	Markel Insurance Company	301475	Agent - Property	8/15/2000	11/15/2004
Inactive	Root Property & Casualty Insurance Company	301016	Agent - Casualty	5/12/2016	4/13/2020
Inactive	Root Property & Casualty Insurance Company	301016	Agent - Property	5/12/2016	4/13/2020
Inactive	Underwriters at Lloyd's, London	300658	Agent - Casualty	8/15/2000	10/31/2020
Inactive	Underwriters at Lloyd's, London	300658	Agent - General Lines	2/5/1999	8/15/2000
Inactive	Underwriters at Lloyd's, London	300658	Agent - Property	8/15/2000	10/31/2020
Inactive	XL Specialty Insurance Company	301605	Agent - Casualty	10/27/2003	10/8/2020
Inactive	XL Specialty Insurance Company	301605	Agent - Property	10/27/2003	10/8/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Fasig-Tipton Insurance Inc.	399740	Agent - General Lines	10/15/1987	8/15/2000
Inactive	Fasig-Tipton Insurance Inc.	399740	Agent - Property	8/15/2000	5/31/2003
Inactive	Fasig-Tipton Insurance Inc.	399740	Agent - Casualty	8/15/2000	5/31/2003
Denied	Fortuna Insurance Services LLC	618183	Surplus Lines Broker - Not Applicable
Inactive	Fortuna Insurance Services LLC	618183	Agent - Property	11/3/2008	10/31/2020
Inactive	Fortuna Insurance Services LLC	618183	Agent - Casualty	11/3/2008	10/31/2020
Inactive	M & J Insurance Service Inc.	399250	Agent - Property	7/29/2009	10/31/2020
Inactive	M & J Insurance Service Inc.	399250	Agent - Casualty	7/29/2009	10/31/2020
Inactive	Muirfield Insurance Inc.	398931	Agent - General Lines	6/16/1994	8/15/2000
Inactive	Muirfield Insurance Inc.	398931	Agent - Property	8/15/2000	6/21/2006
Inactive	Muirfield Insurance Inc.	398931	Agent - Casualty	8/15/2000	6/21/2006