DEPARTMENT OF INSURANCE

Affiliations

Name	Hatfield, Terri Ann	DOIID	374391	NAIC NPN	7202128

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		7/31/2026
Active	Resident	Agent	Property	8/15/2000		7/31/2026
Inactive	Resident	Agent	General Lines	5/5/1992	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	05/15/2024	07/31/2024	05/17/2024	05/17/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	4/12/2010
Active	ACE American Insurance Company	300625	Agent - Property	4/12/2010
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	4/1/2020	12/19/2023
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	4/1/2020	12/19/2023
Active	AIG Assurance Company	300897	Agent - Casualty	5/11/2009
Active	AIG Assurance Company	300897	Agent - Property	5/11/2009
Inactive	AIG Property Casualty Company	300621	Agent - Casualty	5/10/2017	4/11/2018
Inactive	AIG Property Casualty Company	300621	Agent - Property	5/10/2017	4/11/2018
Inactive	American Automobile Insurance Company	300953	Agent - Casualty	6/23/2011	12/2/2021
Inactive	American Automobile Insurance Company	300953	Agent - Property	6/23/2011	12/2/2021
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Casualty	2/26/2018	12/29/2023
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	2/26/2018	12/29/2023
Active	American Family Home Insurance Company	301817	Agent - Casualty	7/28/2009
Active	American Family Home Insurance Company	301817	Agent - Property	7/28/2009
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	4/28/2004	1/29/2018
Inactive	American Fire and Casualty Company	300567	Agent - Property	4/28/2004	1/29/2018
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	7/28/2009	12/13/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	7/28/2009	12/13/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	5/23/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	5/23/2020
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/28/2009	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/28/2009	11/14/2021
Inactive	American Select Insurance Company	301229	Agent - Casualty	11/3/2000	10/8/2003
Inactive	American Select Insurance Company	301229	Agent - Property	11/3/2000	10/8/2003
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	7/28/2009	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	7/28/2009	11/14/2021
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	11/30/2006	11/27/2017
Inactive	American Zurich Insurance Company	300592	Agent - Property	11/30/2006	11/27/2017
Inactive	Assurance Company of America	300432	Agent - Casualty	11/30/2006	1/16/2014
Inactive	Assurance Company of America	300432	Agent - Property	11/30/2006	1/16/2014
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	1/10/2014	7/11/2018
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	1/10/2014	7/11/2018
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	6/15/2018
Active	Auto-Owners Insurance Company	301480	Agent - Property	6/15/2018
Active	BCS Insurance Company	300294	Agent - Casualty	6/5/2009
Active	BCS Insurance Company	300294	Agent - Property	6/5/2009
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	4/12/2010
Active	Bankers Standard Insurance Company	301620	Agent - Property	4/12/2010
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	7/18/2012	11/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	7/18/2012	11/7/2017
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	1/29/2018
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	1/29/2018
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	8/5/2003	12/30/2009
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	4/25/2007	8/21/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	4/25/2007	8/21/2012
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	12/12/2017
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	12/12/2017
Active	Federal Insurance Company	301144	Agent - Casualty	8/15/2000
Inactive	Federal Insurance Company	301144	Agent - General Lines	5/5/1992	8/15/2000
Active	Federal Insurance Company	301144	Agent - Property	8/15/2000
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	7/29/2002	12/2/2021
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	7/29/2002	12/2/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/17/2021	12/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/17/2021	12/20/2023
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	10/29/2009	9/1/2014
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	10/29/2009	9/1/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/21/2012	9/1/2014
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/21/2012	9/1/2014
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	2/8/2005	4/6/2018
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	2/8/2005	4/6/2018
Inactive	Grange Insurance Company	300234	Agent - Casualty	2/8/2005	4/6/2018
Inactive	Grange Insurance Company	300234	Agent - Property	2/8/2005	4/6/2018
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	2/7/2008	4/6/2018
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	2/7/2008	4/6/2018
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	3/25/2002	3/29/2005
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	3/25/2002	3/29/2005
Inactive	Great American Assurance Company	300327	Agent - Casualty	3/25/2002	3/29/2005
Inactive	Great American Assurance Company	300327	Agent - Property	3/25/2002	3/29/2005
Inactive	Great American Insurance Company	301586	Agent - Casualty	3/25/2002	3/29/2005
Inactive	Great American Insurance Company	301586	Agent - Property	3/25/2002	3/29/2005
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	3/25/2002	3/29/2005
Inactive	Great American Insurance Company of New York	301897	Agent - Property	3/25/2002	3/29/2005
Active	Hartford Accident and Indemnity Company	301917	Agent - Casualty	11/6/2013
Active	Hartford Accident and Indemnity Company	301917	Agent - Property	11/6/2013
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	4/12/2010
Active	Indemnity Insurance Company of North America	301760	Agent - Property	4/12/2010
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	1/29/2018
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	1/29/2018
Active	Jefferson Insurance Company	301127	Agent - Casualty	7/1/2009
Active	Jefferson Insurance Company	301127	Agent - Property	7/1/2009
Inactive	Maryland Casualty Company	301719	Agent - Casualty	11/30/2006	1/16/2014
Inactive	Maryland Casualty Company	301719	Agent - Property	11/30/2006	1/16/2014
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	4/1/2009	12/30/2013
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	4/1/2009	12/30/2013
Inactive	National Surety Corporation	300087	Agent - Casualty	6/23/2011	12/2/2021
Inactive	National Surety Corporation	300087	Agent - Property	6/23/2011	12/2/2021
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	1/29/2018
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	1/29/2018
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	11/30/2006	1/16/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	11/30/2006	1/16/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	1/3/2001	1/29/2018
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	1/3/2001	1/29/2018
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	11/13/2000	10/8/2003
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	11/13/2000	10/8/2003
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	4/28/2004	1/29/2018
Inactive	Ohio Security Insurance Company	300622	Agent - Property	4/28/2004	1/29/2018
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/2/2021	6/11/2021
Active	Owners Insurance Company	300796	Agent - Casualty	6/15/2018
Active	Owners Insurance Company	300796	Agent - Property	6/15/2018
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	4/12/2010
Active	Pacific Employers Insurance Company	301753	Agent - Property	4/12/2010
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007	1/29/2018
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007	1/29/2018
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007	1/29/2018
Inactive	Peerless Insurance Company	301910	Agent - Property	9/8/2007	1/29/2018
Inactive	Pegasus Insurance Company	301528	Agent - Casualty	8/15/2000	10/18/2005
Inactive	Pegasus Insurance Company	301528	Agent - General Lines	7/7/1992	8/15/2000
Inactive	Pegasus Insurance Company	301528	Agent - Property	8/15/2000	10/18/2005
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	6/23/2011	12/2/2021
Inactive	Pie Insurance Company (The)	300514	Agent - Property	6/23/2011	12/2/2021
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	5/11/2009	7/20/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	5/11/2009	7/20/2011
Inactive	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	7/13/2017	11/13/2017
Inactive	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	7/13/2017	11/13/2017
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/24/2004	7/6/2006
Inactive	Progressive Casualty Insurance Company	300696	Agent - General Lines	6/13/1996	3/31/1998
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/24/2004	7/6/2006
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	8/15/2000	7/6/2006
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	6/13/1996	8/15/2000
Inactive	Progressive Max Insurance Company	301034	Agent - Property	8/15/2000	7/6/2006
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	8/15/2000	7/6/2006
Inactive	Progressive Northern Insurance Company	301378	Agent - General Lines	6/13/1996	8/15/2000
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	8/15/2000	7/6/2006
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	8/15/2000	12/28/2005
Inactive	Progressive Northwestern Insurance Company	300441	Agent - General Lines	6/14/1996	8/15/2000
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	8/15/2000	12/28/2005
Active	Sentinel Insurance Company, Limited	501696	Agent - Casualty	12/6/2009
Active	Sentinel Insurance Company, Limited	501696	Agent - Property	12/6/2009
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/15/2000	6/26/2003
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	4/18/1996	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/15/2000	6/26/2003
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	4/25/2007	8/21/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	4/25/2007	8/21/2012
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	2/8/2005	4/6/2018
Inactive	Trustgard Insurance Company	300104	Agent - Property	2/8/2005	4/6/2018
Inactive	WCF Select Insurance Company	301898	Agent - Casualty	6/23/2011	12/2/2021
Inactive	WCF Select Insurance Company	301898	Agent - Property	6/23/2011	12/2/2021
Inactive	West American Insurance Company	301112	Agent - Casualty	4/28/2004	1/29/2018
Inactive	West American Insurance Company	301112	Agent - Property	4/28/2004	1/29/2018
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/2/2021	6/11/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	6/17/2021
Active	Westfield Insurance Company	301950	Agent - Property	6/17/2021
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	11/13/2000	10/8/2003
Inactive	Westfield National Insurance Company	301036	Agent - Property	11/13/2000	10/8/2003
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/2/2021	6/11/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Property	12/12/2019
Active	Arthur J. Gallagher Risk Management Services, LLC	539806	Agent - Casualty	12/12/2019
Inactive	Assuredpartners Nl, Llc	762387	Agent - Property	9/22/2011	11/6/2017
Inactive	Assuredpartners Nl, Llc	762387	Agent - Casualty	9/22/2011	11/6/2017
Inactive	Garrett-Stotz Co	400616	Agent - Property	11/14/2017	5/1/2020
Inactive	Garrett-Stotz Co	400616	Agent - Casualty	11/14/2017	5/1/2020
Inactive	Hennessy-Church-McDevitt LLC	398626	Agent - General Lines	5/13/1996	8/15/2000
Inactive	Hennessy-Church-McDevitt LLC	398626	Agent - Property	8/15/2000	5/31/2004
Inactive	Hennessy-Church-McDevitt LLC	398626	Agent - Casualty	8/15/2000	5/31/2004
Inactive	James C Hennessy Inc.	400985	Agent - General Lines	12/11/1995	8/15/2000
Inactive	James C Hennessy Inc.	400985	Agent - Property	8/15/2000	3/31/2007
Inactive	James C Hennessy Inc.	400985	Agent - Casualty	8/15/2000	3/31/2007
Inactive	Neace Lukens, Inc.	398909	Agent - Property	10/12/2006	3/31/2014
Inactive	Neace Lukens, Inc.	398909	Agent - Casualty	10/12/2006	3/31/2014