DEPARTMENT OF INSURANCE

Affiliations

Name	Wallen, Teresa Ann	DOIID	375850	NAIC NPN	7202767

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	8/15/2000	4/1/2019
Inactive	Resident	Agent	Casualty	8/15/2000	4/1/2019
Inactive	Resident	Agent	General Lines	8/20/1984	8/15/2000
* 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	ACE American Insurance Company	300625	Agent - General Lines	9/8/1992	3/31/1998
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - General Lines	9/8/1992	3/31/1998
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - General Lines	9/8/1992	3/31/1998
Inactive	AIG Assurance Company	300897	Agent - Casualty	8/15/2007	3/10/2010
Inactive	AIG Assurance Company	300897	Agent - Property	8/15/2007	3/10/2010
Inactive	AXA XL Insurance Company Americas	300979	Agent - General Lines	7/18/1988	3/31/2000
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	4/13/2016	1/9/2019
Inactive	Allstate Indemnity Company	300778	Agent - Property	4/13/2016	1/9/2019
Inactive	Allstate Insurance Company	300773	Agent - Casualty	4/13/2016	1/9/2019
Inactive	Allstate Insurance Company	300773	Agent - Property	4/13/2016	1/9/2019
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	4/13/2016	1/9/2019
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	4/13/2016	1/9/2019
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	4/13/2016	1/9/2019
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	4/13/2016	1/9/2019
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	4/6/2018
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	4/6/2018
Inactive	Assurance Company of America	300432	Agent - Casualty	10/30/2002	1/22/2014
Inactive	Assurance Company of America	300432	Agent - Property	10/30/2002	1/22/2014
Inactive	Bankers Standard Insurance Company	301620	Agent - General Lines	9/8/1992	3/31/1998
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	7/18/2005	4/1/2019
Inactive	BusinessFirst Insurance Company	722488	Agent - Casualty	12/31/2013	12/19/2017
Inactive	Century Indemnity Company	301310	Agent - General Lines	9/8/1992	3/31/1998
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Casualty	10/30/2002	4/1/2019
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Property	10/30/2002	4/1/2019
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	10/20/2011
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	10/30/2002	4/1/2019
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	10/30/2002	4/1/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/12/2012	12/7/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/12/2012	12/7/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/12/2012	12/7/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/12/2012	12/7/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/12/2012	12/7/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/12/2012	12/7/2017
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	10/30/2002	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	10/30/2002	11/30/2007
Inactive	Grain Dealers Mutual Insurance Company	300867	Agent - General Lines	7/19/1994	11/13/1996
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	8/15/2000	3/7/2019
Inactive	Grange Indemnity Insurance Company	300793	Agent - General Lines	11/12/1997	8/15/2000
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	8/15/2000	3/7/2019
Inactive	Grange Insurance Company	300234	Agent - Casualty	8/15/2000	3/7/2019
Inactive	Grange Insurance Company	300234	Agent - General Lines	8/20/1984	8/15/2000
Inactive	Grange Insurance Company	300234	Agent - Property	8/15/2000	3/7/2019
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	11/11/2007	3/7/2019
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	11/11/2007	3/7/2019
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	9/2/2008	10/20/2009
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	9/2/2008	10/20/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	9/2/2008	10/20/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	9/2/2008	10/20/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	9/2/2008	10/20/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	9/2/2008	10/20/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	9/2/2008	10/20/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	9/2/2008	10/20/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	9/2/2008	10/20/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	9/2/2008	10/20/2009
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	8/15/2007	3/10/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	8/15/2007	3/10/2010
Inactive	Indemnity Insurance Company of North America	301760	Agent - General Lines	9/8/1992	3/31/1998
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	4/6/2018
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	4/6/2018
Inactive	Infinity Insurance Company	300416	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Infinity Insurance Company	300416	Agent - General Lines	3/25/1994	8/15/2000
Inactive	Insurance Company of North America	300226	Agent - General Lines	9/8/1992	3/31/1998
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	4/1/2019
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	6/12/1990	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	4/1/2019
Inactive	Maryland Casualty Company	301719	Agent - Casualty	10/30/2002	1/22/2014
Inactive	Maryland Casualty Company	301719	Agent - Property	10/30/2002	1/22/2014
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	2/14/2003	4/1/2019
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	2/14/2003	4/1/2019
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	10/20/2011
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	10/30/2002	1/22/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	10/30/2002	1/22/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	4/6/2018
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	4/6/2018
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	10/20/2011
Inactive	Old Republic Insurance Company	301225	Agent - Casualty	11/8/2008	9/16/2013
Inactive	Pacific Employers Insurance Company	301753	Agent - General Lines	9/8/1992	3/31/1998
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2008	10/20/2011
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	RLI Insurance Company	301217	Agent - Casualty	1/12/2015	4/1/2019
Inactive	RLI Insurance Company	301217	Agent - Property	1/12/2015	4/1/2019
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	9/2/2008	10/20/2009
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	9/2/2008	10/20/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	9/2/2008	10/20/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	9/2/2008	10/20/2009
Inactive	UFG Specialty Insurance Company	300347	Agent - General Lines	7/18/1988	3/31/2000
Inactive	United Fire and Indemnity Company	300736	Agent - General Lines	7/18/1988	3/31/2000
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	4/6/2018
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	4/6/2018
Inactive	West Bend Insurance Company	672974	Agent - Casualty	4/27/2012	4/1/2019
Inactive	West Bend Insurance Company	672974	Agent - Property	4/27/2012	4/1/2019
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	10/4/2018
Inactive	Western Surety Company	300283	Agent - General Lines	5/9/1997	8/15/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Crabtree-Wilson Ins Agcy Inc.	398383	Agent - General Lines	5/16/1995	8/15/2000
Inactive	Crabtree-Wilson Ins Agcy Inc.	398383	Agent - Property	8/15/2000	4/1/2019
Inactive	Crabtree-Wilson Ins Agcy Inc.	398383	Agent - Casualty	8/15/2000	4/1/2019