DEPARTMENT OF INSURANCE

Affiliations

Name	Gross, Douglas A	DOIID	370034	NAIC NPN	7200226

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	7/14/2021		4/30/2025
Active	Resident	Agent	Property	7/14/2021		4/30/2025
Denied	Resident	Agent	Personal Lines
Inactive	Resident	Agent	General Lines	6/13/1996	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	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	4/30/2021
Inactive	American Economy Insurance Company	300315	Agent - General Lines	7/17/2000	8/15/2000
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	4/30/2021
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	4/30/2021
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	4/30/2021
Inactive	American Select Insurance Company	301229	Agent - Casualty	3/9/2005	8/5/2009
Inactive	American Select Insurance Company	301229	Agent - Property	3/9/2005	8/5/2009
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	12/27/2001
Inactive	American States Insurance Company	301230	Agent - General Lines	7/17/2000	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	12/27/2001
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/4/2008	12/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/4/2008	12/7/2017
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	11/25/2002	4/30/2021
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	3/14/1998	8/15/2000
Inactive	Consolidated Insurance Company	300943	Agent - Property	11/25/2002	4/30/2021
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	8/15/2000	10/11/2001
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	6/26/1998	8/15/2000
Inactive	Continental Insurance Company (The)	301242	Agent - Property	8/15/2000	10/11/2001
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	2/12/2015	11/6/2020
Inactive	EMCASCO Insurance Company	842790	Agent - Property	2/12/2015	11/6/2020
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	7/1/2005	11/6/2020
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	7/1/2005	11/6/2020
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	8/14/2012	4/30/2021
Inactive	Encompass Indemnity Company	546376	Agent - Property	8/14/2012	4/30/2021
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	8/14/2012	4/30/2021
Inactive	Encompass Insurance Company of America	556578	Agent - Property	8/14/2012	4/30/2021
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	1/16/2004	8/21/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	1/16/2004	8/21/2012
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	4/30/2021
Inactive	First National Insurance Company of America	301690	Agent - General Lines	7/17/2000	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	4/30/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/30/2010	12/7/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/30/2010	12/7/2017
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	4/30/2021
Inactive	General Insurance Company of America	300261	Agent - General Lines	7/17/2000	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	4/30/2021
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	7/1/2005	12/15/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	7/1/2005	12/15/2017
Inactive	Indiana Insurance Company	301909	Agent - Casualty	11/25/2002	4/30/2021
Inactive	Indiana Insurance Company	301909	Agent - General Lines	3/14/1998	8/15/2000
Inactive	Indiana Insurance Company	301909	Agent - Property	11/25/2002	4/30/2021
Inactive	Meridian Mutual Insurance Company	301303	Agent - Casualty	8/15/2000	6/1/2001
Inactive	Meridian Mutual Insurance Company	301303	Agent - General Lines	5/22/2000	8/15/2000
Inactive	Meridian Mutual Insurance Company	301303	Agent - Property	8/15/2000	6/1/2001
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	11/25/2002	4/30/2021
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	3/14/1998	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	11/25/2002	4/30/2021
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	1/16/2004	12/16/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	1/16/2004	12/16/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	12/9/2002	4/30/2021
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	12/9/2002	4/30/2021
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	3/9/2005	8/5/2009
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	3/9/2005	8/5/2009
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	4/30/2021
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	4/30/2021
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007	4/30/2021
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007	4/30/2021
Inactive	Peerless Insurance Company	301910	Agent - Casualty	11/25/2002	4/30/2021
Inactive	Peerless Insurance Company	301910	Agent - General Lines	3/14/1998	8/15/2000
Inactive	Peerless Insurance Company	301910	Agent - Property	11/25/2002	4/30/2021
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Casualty	5/13/2005	2/8/2010
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Property	5/13/2005	2/8/2010
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008	4/30/2021
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	7/17/2000	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008	4/30/2021
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008	4/30/2021
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	7/17/2000	8/15/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008	4/30/2021
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	2/2/2021	4/30/2021
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	2/2/2021	4/30/2021
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	6/1/2001	7/1/2002
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	6/1/2001	7/1/2002
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/29/2007	8/21/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/29/2007	8/21/2012
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	2/12/2015	11/6/2020
Inactive	Union Insurance Company of Providence	842791	Agent - Property	2/12/2015	11/6/2020
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	8/15/2000	7/1/2002
Inactive	United States Fidelity and Guaranty Company	301449	Agent - General Lines	6/13/1996	8/15/2000
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	8/15/2000	7/1/2002
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	7/14/2005	7/28/2017
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	7/14/2005	7/28/2017
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	7/14/2005	12/2/2013
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	7/14/2005	12/2/2013
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	4/30/2021
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	4/30/2021
Inactive	Westfield Insurance Company	301950	Agent - Casualty	3/9/2005	4/30/2021
Inactive	Westfield Insurance Company	301950	Agent - Property	3/9/2005	4/30/2021
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	3/9/2005	8/5/2009
Inactive	Westfield National Insurance Company	301036	Agent - Property	3/9/2005	8/5/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Frank Gross Insurance Agency Inc.	398821	Agent - Property	2/21/2003	3/31/2007
Inactive	Frank Gross Insurance Agency Inc.	398821	Agent - Casualty	2/21/2003	3/31/2007
Inactive	Gross Insurance Agency, LLC	600690	Agent - Property	1/19/2005	4/30/2021
Inactive	Gross Insurance Agency, LLC	600690	Agent - Casualty	1/19/2005	4/30/2021