DEPARTMENT OF INSURANCE

Affiliations

Name	Cheese, David Ray	DOIID	374047	NAIC NPN	1640351

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	8/15/2000		5/31/2026
Active	Resident	Agent	Health	7/30/1969		5/31/2026
Active	Resident	Agent	Property	8/15/2000		5/31/2026
Active	Resident	Agent	Variable Life and Variable Annuities	5/31/2001		5/31/2026
Active	Resident	Agent	Life	7/30/1969		5/31/2026
Inactive	Resident	Agent	General Lines	3/26/1982	8/15/2000
Inactive	Resident	Agent	Health Maintenance Organization	1/28/1998	3/1/2001
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	03/15/2024	05/31/2024	11/02/2023	11/02/2023	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	8/15/2000	7/10/2003
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - General Lines	4/24/2000	8/15/2000
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	8/15/2000	7/10/2003
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	12/27/1999	1/30/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	12/27/1999	1/30/2010
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	2/5/1997	3/31/1998
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	12/7/2011	10/20/2015
Inactive	American Fire and Casualty Company	300567	Agent - Property	12/7/2011	10/20/2015
Inactive	American General Life Insurance Company	301585	Agent - Health	12/1/2006	12/16/2008
Inactive	American General Life Insurance Company	301585	Agent - Life	12/1/2006	12/16/2008
Inactive	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	12/1/2006	12/16/2008
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	5/1/2000	5/28/2002
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	5/1/2000	5/28/2002
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	8/15/2000	10/13/2010
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - General Lines	9/15/1999	8/15/2000
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	8/15/2000	10/13/2010
Active	American Heritage Life Insurance Company	300272	Agent - Health	2/20/2002
Active	American Heritage Life Insurance Company	300272	Agent - Life	2/20/2002
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	8/31/1990	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	8/31/1990	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	1/10/2005	3/31/2010
Inactive	American Resources Insurance Company, Inc.	300454	Agent - Property	1/10/2005	3/31/2010
Inactive	American Select Insurance Company	301229	Agent - Casualty	5/2/2003	12/1/2009
Inactive	American Select Insurance Company	301229	Agent - Property	5/2/2003	12/1/2009
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	8/15/2000	10/13/2010
Inactive	American Zurich Insurance Company	300592	Agent - General Lines	9/15/1999	8/15/2000
Inactive	American Zurich Insurance Company	300592	Agent - Property	8/15/2000	10/13/2010
Inactive	Assurance Company of America	300432	Agent - Casualty	3/11/2002	10/13/2010
Inactive	Assurance Company of America	300432	Agent - General Lines	7/21/1982	3/31/1996
Inactive	Assurance Company of America	300432	Agent - Property	3/11/2002	10/13/2010
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	8/15/2000	12/4/2019
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - General Lines	1/18/2000	8/15/2000
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	8/15/2000	12/4/2019
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	3/1/2001	3/31/2019
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health Maintenance Organization	4/29/1998	3/1/2001
Inactive	Blackboard Insurance Company	301640	Agent - Casualty	3/11/2002	11/30/2007
Inactive	Blackboard Insurance Company	301640	Agent - General Lines	3/14/1983	3/31/1996
Inactive	Blackboard Insurance Company	301640	Agent - Property	3/11/2002	11/30/2007
Active	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	11/7/2005
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	12/7/2007	3/2/2010
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	12/7/2007	3/2/2010
Active	Bristol West Insurance Company	301655	Agent - Casualty	11/6/2008
Active	Bristol West Insurance Company	301655	Agent - Property	11/6/2008
Inactive	C.M. Life Insurance Company	301335	Agent - Health	12/2/1998	6/28/2006
Inactive	C.M. Life Insurance Company	301335	Agent - Life	12/2/1998	6/28/2006
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	6/10/2019	12/4/2019
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	6/10/2019	12/4/2019
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	1/14/1994	3/28/2006
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	1/14/1994	3/28/2006
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	2/15/2017
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	2/15/2017
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	2/15/2017
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	2/15/2017
Active	Cincinnati Insurance Company	301298	Agent - Casualty	2/15/2017
Active	Cincinnati Insurance Company	301298	Agent - Property	2/15/2017
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	2/15/2017	8/17/2018
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	2/15/2017	8/17/2018
Inactive	Combined Insurance Company of America	301472	Agent - Health	10/23/1997	2/21/2001
Inactive	Combined Insurance Company of America	301472	Agent - Life	10/23/1997	2/21/2001
Inactive	Commercial Insurance Company of Newark, New Jersey	300328	Agent - General Lines	2/21/1997	3/31/1998
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/12/2009	11/27/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Health	3/12/2009	11/27/2010
Inactive	CompBenefits Insurance Company	301864	Agent - Life	3/12/2009	11/27/2010
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	4/8/1996	3/31/1999
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	4/8/1996	3/31/1999
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/15/2000	10/20/2015
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	12/21/1983	8/15/2000
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/15/2000	10/20/2015
Inactive	Continental Casualty Company	301019	Agent - Health	1/31/2003	12/15/2004
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	2/21/1997	3/31/1998
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	10/30/2009	12/15/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	11/27/2010
Inactive	EMC National Life Company	300388	Agent - Health	6/2/2006	4/20/2011
Inactive	EMC National Life Company	300388	Agent - Life	6/30/2000	4/20/2011
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	4/30/2002	1/21/2011
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	4/30/2002	1/21/2011
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	7/25/1996	4/15/1999
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	3/11/2002	8/20/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	3/11/2002	8/20/2012
Inactive	Farmers New World Life Insurance Company	300536	Agent - Life	6/13/2002	11/12/2012
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	5/25/1995	10/18/1999
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	5/25/1995	10/18/1999
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	2/1/1997	8/15/2000
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Property	8/15/2000	12/27/2001
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	5/28/2002	12/5/2013
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Property	5/28/2002	12/5/2013
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Casualty	5/28/2002	12/5/2013
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Property	5/28/2002	12/5/2013
Inactive	Firemen's Insurance Company of Newark, New Jersey	300247	Agent - General Lines	2/4/1997	3/31/1998
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/13/2003
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/13/2003
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	7/14/1993	12/20/2004
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Variable Life and Variable Annuities	5/31/2001	12/20/2004
Inactive	Glens Falls Insurance Company (The)	301922	Agent - General Lines	2/4/1997	3/31/1998
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/19/1995	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/19/1995	3/31/1997
Inactive	Great American Assurance Company	300327	Agent - Casualty	10/5/2004	3/5/2018
Inactive	Great American Assurance Company	300327	Agent - Property	10/5/2004	3/5/2018
Inactive	Great American Insurance Company	301586	Agent - Casualty	10/5/2004	3/5/2018
Inactive	Great American Insurance Company	301586	Agent - Property	10/5/2004	3/5/2018
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	10/5/2004	3/5/2018
Inactive	Great American Insurance Company of New York	301897	Agent - Property	10/5/2004	3/5/2018
Inactive	HM Life Insurance Company	301408	Agent - Health	2/2/1995	3/25/2003
Inactive	HM Life Insurance Company	301408	Agent - Life	2/2/1995	3/25/2003
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	4/30/2002	1/21/2011
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	4/30/2002	1/21/2011
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	12/30/1998	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	3/13/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	12/30/1998	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	3/13/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	12/30/1998	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	3/13/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	12/30/1998	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	3/13/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	1/31/2003	12/31/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	1/31/2003	12/31/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/21/2004	12/11/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	4/21/2004	12/11/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	12/30/1998	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	3/13/2006
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	11/27/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	1/28/1998	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	1/28/1998	11/27/2010
Inactive	Humana Insurance Company	301104	Agent - Life	1/28/1998	11/27/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/10/2008	11/27/2010
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	6/28/1996	4/23/1998
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	6/28/1996	4/23/1998
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/15/2000	10/20/2015
Inactive	Indiana Insurance Company	301909	Agent - General Lines	12/21/1983	8/15/2000
Inactive	Indiana Insurance Company	301909	Agent - Property	8/15/2000	10/20/2015
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	7/18/1996	5/6/1998
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	7/18/1996	5/6/1998
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	2/26/2008	4/11/2012
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Variable Life and Variable Annuities	2/26/2008	4/11/2012
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - General Lines	2/4/1997	3/31/1998
Inactive	Kodiak Insurance Company	679060	Agent - Casualty	7/29/2008	3/8/2012
Inactive	Kodiak Insurance Company	679060	Agent - Property	7/29/2008	3/8/2012
Active	Life Insurance Company of North America	300711	Agent - Health	11/23/1993
Active	Life Insurance Company of North America	300711	Agent - Life	11/23/1993
Inactive	LifeUSA Insurance Company	300386	Agent - Health	12/27/1999	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	12/27/1999	8/2/2002
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - Casualty	8/15/2000	5/31/2003
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - General Lines	8/31/1990	8/15/2000
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - Property	8/15/2000	5/31/2003
Inactive	MONY Life Insurance Company	301141	Agent - Health	7/25/1996	4/15/1999
Inactive	MONY Life Insurance Company	301141	Agent - Life	7/25/1996	4/15/1999
Inactive	Manufacturers Life Insurance Company of North America	301899	Agent - Life	7/26/1999	1/22/2002
Inactive	Manufacturers Life Insurance Company of North America	301899	Agent - Variable Life and Variable Annuities	2/19/2001	1/22/2002
Inactive	Maryland Casualty Company	301719	Agent - Casualty	3/11/2002	10/13/2010
Inactive	Maryland Casualty Company	301719	Agent - General Lines	7/15/1982	3/31/1996
Inactive	Maryland Casualty Company	301719	Agent - Property	3/11/2002	10/13/2010
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	3/26/2001	12/31/2002
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	3/26/2001	12/31/2002
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	12/2/1998	6/28/2006
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	12/2/1998	6/28/2006
Inactive	MedAmerica Insurance Company	301568	Agent - Health	1/31/1994	3/31/1997
Inactive	MedAmerica Insurance Company	301568	Agent - Life	1/31/1994	3/31/1997
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	11/8/2005	11/14/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	1/4/2010	6/24/2014
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Variable Life and Variable Annuities	11/8/2005	11/14/2009
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Health	8/15/1994	12/7/2007
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	8/15/1994	12/7/2007
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	2/9/2009	12/14/2012
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	2/9/2009	12/14/2012
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/28/1997	11/20/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	2/21/1997	3/31/1998
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	2/5/2005	11/16/2006
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	2/5/2005	11/16/2006
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	2/5/2005	11/16/2006
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/15/2000	10/20/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	2/25/1998	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/15/2000	10/20/2015
Inactive	Nippon Life Insurance Company of America	300446	Agent - Health	2/10/1992	3/31/1997
Inactive	Nippon Life Insurance Company of America	300446	Agent - Life	2/10/1992	3/31/1997
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	3/11/2002	10/13/2010
Inactive	Northern Insurance Company of New York	301317	Agent - General Lines	7/15/1982	3/31/1996
Inactive	Northern Insurance Company of New York	301317	Agent - Property	3/11/2002	10/13/2010
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	11/26/2007	10/20/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	11/26/2007	10/20/2015
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	5/2/2003	12/1/2009
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	5/2/2003	12/1/2009
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	12/7/2011	10/20/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Property	12/7/2011	10/20/2015
Inactive	Pacific Life & Annuity Company	300443	Agent - Health	5/18/1993	12/31/1998
Inactive	Pacific Life & Annuity Company	300443	Agent - Life	5/18/1993	12/31/1998
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	9/9/1999	12/11/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	9/9/1999	12/11/2002
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/15/2000	10/20/2015
Inactive	Peerless Insurance Company	301910	Agent - General Lines	6/11/1987	8/15/2000
Inactive	Peerless Insurance Company	301910	Agent - Property	8/15/2000	10/20/2015
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	11/29/1995	3/31/1997
Active	Principal Life Insurance Company	300129	Agent - Health	5/6/1989
Active	Principal Life Insurance Company	300129	Agent - Life	5/6/1989
Active	Principal Life Insurance Company	300129	Agent - Variable Life and Variable Annuities	5/2/2005
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/28/1992	11/4/1996
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/28/1992	11/4/1996
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	9/9/1999	11/10/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	9/9/1999	11/10/2004
Active	Prudential Insurance Company of America	300784	Agent - Health	5/21/1993
Active	Prudential Insurance Company of America	300784	Agent - Life	5/21/1993
Inactive	Reassure America Life Insurance Company	300678	Agent - Health	6/21/1993	3/31/1997
Inactive	Reassure America Life Insurance Company	300678	Agent - Life	6/21/1993	3/31/1997
Inactive	Seaboard Surety Company	300510	Agent - Casualty	5/28/2002	1/2/2009
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	7/12/1999	2/12/2007
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	7/12/1999	2/12/2007
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	5/28/2002	12/3/2014
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	5/28/2002	12/3/2014
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	5/28/2002	12/5/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	5/28/2002	12/5/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	5/28/2002	12/3/2014
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	5/28/2002	12/3/2014
Inactive	St. Paul Protective Insurance Company	301215	Agent - Casualty	5/28/2002	4/21/2003
Inactive	St. Paul Protective Insurance Company	301215	Agent - Property	5/28/2002	4/21/2003
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/15/2000	12/4/2019
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	1/18/2000	8/15/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/15/2000	12/4/2019
Active	Standard Insurance Company	300185	Agent - Health	9/29/1997
Active	Standard Insurance Company	300185	Agent - Life	9/29/1997
Inactive	Stonington Insurance Company	300746	Agent - General Lines	10/27/1997	8/15/2000
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	11/17/1997	11/16/2010
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	11/17/1997	11/3/2009
Inactive	Symetra Life Insurance Company	301691	Agent - Health	2/12/2003	12/16/2005
Inactive	Symetra Life Insurance Company	301691	Agent - Life	2/12/2003	12/16/2005
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	9/26/1995	8/10/2009
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	9/26/1995	8/10/2009
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Variable Life and Variable Annuities	10/11/2001	8/10/2009
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	4/28/1992	8/10/2009
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	4/28/1992	8/10/2009
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Variable Life and Variable Annuities	10/11/2001	8/10/2009
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	6/10/2019	12/4/2019
Inactive	The Phoenix Insurance Company	301502	Agent - Property	6/10/2019	12/4/2019
Inactive	Time Insurance Company	300683	Agent - Health	9/10/1993	3/31/2011
Inactive	Time Insurance Company	300683	Agent - Life	9/10/1993	3/31/2011
Inactive	Tower Insurance Company of New York	624823	Agent - Casualty	4/22/2011	6/8/2016
Inactive	Tower Insurance Company of New York	624823	Agent - Property	4/22/2011	6/8/2016
Inactive	Tower National Insurance Company	300972	Agent - Casualty	4/22/2011	6/6/2016
Inactive	Tower National Insurance Company	300972	Agent - Property	4/22/2011	6/6/2016
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	12/30/1996	4/13/1999
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	2/7/1996	4/13/1999
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	2/7/1996	4/13/1999
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	1/20/2003	3/7/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	1/20/2003	3/7/2005
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	2/5/1997	3/31/1998
Inactive	Transportation Insurance Company	301575	Agent - General Lines	2/1/1997	3/31/1998
Inactive	TravCo Insurance Company	301828	Agent - Casualty	8/15/2000	12/5/2013
Inactive	TravCo Insurance Company	301828	Agent - General Lines	1/18/2000	8/15/2000
Inactive	TravCo Insurance Company	301828	Agent - Property	8/15/2000	12/5/2013
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	9/3/2002	12/5/2013
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	9/3/2002	12/5/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	6/10/2019	12/4/2019
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	6/10/2019	12/4/2019
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	8/15/2000	12/3/2014
Inactive	Travelers Casualty and Surety Company	301067	Agent - General Lines	6/30/1997	8/15/2000
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	8/15/2000	12/3/2014
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	8/15/2000	12/4/2019
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - General Lines	6/30/1997	8/15/2000
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	8/15/2000	12/4/2019
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	6/10/2019	12/4/2019
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	6/10/2019	12/4/2019
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	6/10/2019	12/4/2019
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	6/10/2019	12/4/2019
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	6/10/2019	12/4/2019
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	6/10/2019	12/4/2019
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	8/15/2000	12/4/2019
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - General Lines	1/18/2000	8/15/2000
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	8/15/2000	12/4/2019
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	8/15/2000	12/4/2019
Inactive	Travelers Property Casualty Company of America	301649	Agent - General Lines	1/18/2000	8/15/2000
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	8/15/2000	12/4/2019
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	9/3/2002	12/5/2013
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	9/3/2002	12/5/2013
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/29/2007	8/20/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/29/2007	8/20/2012
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	12/30/1998	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	3/13/2006
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	5/1/1997	11/10/2004
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	5/1/1997	11/10/2004
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	10/23/1997	10/17/2002
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	10/23/1997	10/17/2002
Inactive	Union Security Insurance Company	301844	Agent - Life	12/15/1998	12/17/2001
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	5/28/2002	12/5/2013
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	5/28/2002	12/5/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	9/22/1995	10/17/2005
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	9/22/1995	10/17/2005
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	9/8/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	9/8/1995	3/31/1997
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	2/3/1997	3/31/1998
Inactive	West American Insurance Company	301112	Agent - Casualty	12/7/2011	10/20/2015
Inactive	West American Insurance Company	301112	Agent - Property	12/7/2011	10/20/2015
Inactive	Westfield Insurance Company	301950	Agent - Casualty	5/2/2003	12/1/2009
Inactive	Westfield Insurance Company	301950	Agent - Property	5/2/2003	12/1/2009
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	5/2/2003	12/1/2009
Inactive	Westfield National Insurance Company	301036	Agent - Property	5/2/2003	12/1/2009
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	1/31/2003	12/15/2004
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	1/31/2003	12/15/2004
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	8/15/2000	10/13/2010
Inactive	Zurich American Insurance Company	301121	Agent - General Lines	9/15/1999	8/15/2000
Inactive	Zurich American Insurance Company	301121	Agent - Property	8/15/2000	10/13/2010
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	8/15/2000	10/13/2010
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - General Lines	9/15/1999	8/15/2000
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	8/15/2000	10/13/2010
Inactive		301729	Agent - Casualty	8/15/2000	5/31/2003
Inactive		301729	Agent - General Lines	8/31/1990	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
Active	Dental Choice Agency Inc.	398085	Agent - Health	12/13/2001
Active	Designated Agent Company Inc.	681257	Agent - Life	12/16/2013
Active	Designated Agent Company Inc.	681257	Agent - Health	12/16/2013
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Active	Johnson-Pohlmann Inc.	399739	Agent - Life	3/26/1982
Active	Johnson-Pohlmann Inc.	399739	Agent - Health	3/26/1982
Inactive	Johnson-Pohlmann Inc.	399739	Agent - General Lines	3/26/1982	8/15/2000
Active	Johnson-Pohlmann Inc.	399739	Agent - Property	8/15/2000
Active	Johnson-Pohlmann Inc.	399739	Agent - Casualty	8/15/2000
Active	Keystone Ins & Benefits Group LLC	716920	Agent - Life	9/14/2011
Active	Keystone Ins & Benefits Group LLC	716920	Agent - Health	9/14/2011
Active	Money Concepts International Inc	656354	Agent - Life	9/4/2007
Active	Money Concepts International Inc	656354	Agent - Health	9/4/2007