DEPARTMENT OF INSURANCE

Affiliations

Name	Pippen, Scott Douglas	DOIID	382963	NAIC NPN	549366

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	3/25/1982		2/28/2027
Active	Resident	Agent	Health	12/20/1982		2/28/2027
Active	Resident	Agent	Variable Life and Variable Annuities	10/28/2002		2/28/2027
Active	Resident	Agent	Property	8/15/2000		2/28/2027
Active	Resident	Agent	Casualty	8/15/2000		2/28/2027
Inactive	Resident	Agent	General Lines	6/8/1978	8/15/2000
Inactive	Resident	Agent	Health Maintenance Organization	6/14/1990	3/1/2001
Inactive	Resident	Surplus Lines Broker	Not Applicable	7/10/1996	7/19/2023
* 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	12/15/2024	02/28/2025	01/23/2025	01/23/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	21st Century Centennial Insurance Company	301840	Agent - Casualty	7/18/2007	10/4/2011
Inactive	21st Century Centennial Insurance Company	301840	Agent - Property	7/18/2007	10/4/2011
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	7/18/2007	10/4/2011
Inactive	21st Century North America Insurance Company	300884	Agent - Property	7/18/2007	10/4/2011
Active	ACE American Insurance Company	300625	Agent - Casualty	11/26/2012
Active	ACE American Insurance Company	300625	Agent - Property	11/26/2012
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	6/13/2014
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	6/13/2014
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	12/3/2012
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	12/3/2012
Active	AIG Property Casualty Company	300621	Agent - Casualty	12/31/2013
Active	AIG Property Casualty Company	300621	Agent - Property	12/31/2013
Inactive	American Automobile Insurance Company	300953	Agent - Casualty	8/15/2000	8/31/2011
Inactive	American Automobile Insurance Company	300953	Agent - General Lines	8/27/1999	8/15/2000
Inactive	American Automobile Insurance Company	300953	Agent - Property	8/15/2000	8/31/2011
Active	American Economy Insurance Company	300315	Agent - Casualty	10/31/2000
Active	American Economy Insurance Company	300315	Agent - Property	10/31/2000
Active	American Fire and Casualty Company	300567	Agent - Casualty	2/24/2006
Active	American Fire and Casualty Company	300567	Agent - Property	2/24/2006
Active	American Home Assurance Company	300246	Agent - Casualty	7/18/2007
Inactive	American Home Assurance Company	300246	Agent - General Lines	9/20/1996	8/15/2000
Active	American Home Assurance Company	300246	Agent - Property	7/18/2007
Inactive	American States Insurance Company	301230	Agent - Casualty	10/31/2000	10/15/2021
Inactive	American States Insurance Company	301230	Agent - Property	10/31/2000	10/15/2021
Inactive	American States Life Insurance Company	301884	Agent - Health	11/1/1998	12/6/2004
Inactive	American States Life Insurance Company	301884	Agent - Life	11/1/1998	12/6/2004
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/1/2001	5/18/2017
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health Maintenance Organization	6/14/1990	3/1/2001
Inactive	Assurance Company of America	300432	Agent - Casualty	10/28/2002	1/14/2014
Inactive	Assurance Company of America	300432	Agent - Property	10/28/2002	1/14/2014
Inactive	Atlas Assurance Company of America	300634	Agent - General Lines	9/19/1980	3/31/1998
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	4/3/2019
Active	Auto-Owners Insurance Company	301480	Agent - Property	4/3/2019
Active	Auto-Owners Life Insurance Company	301368	Agent - Health	4/3/2019
Active	Auto-Owners Life Insurance Company	301368	Agent - Life	4/3/2019
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	11/26/2012
Active	Bankers Standard Insurance Company	301620	Agent - Property	11/26/2012
Active	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	3/31/2019
Active	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	3/25/2024
Active	BusinessFirst Insurance Company	722488	Agent - Casualty	8/21/2023
Inactive	C.M. Life Insurance Company	301335	Agent - Health	1/27/2009	11/12/2012
Inactive	C.M. Life Insurance Company	301335	Agent - Life	1/27/2009	11/12/2012
Inactive	C.M. Life Insurance Company	301335	Agent - Variable Life and Variable Annuities	1/27/2009	11/12/2012
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	8/15/2000	12/13/2006
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - General Lines	9/29/1999	8/15/2000
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	8/15/2000	12/13/2006
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	11/26/1991	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	11/26/1991	3/31/1997
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	6/27/2023
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	6/27/2023
Active	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	6/27/2023
Active	Cincinnati Indemnity Company (The)	301566	Agent - Property	6/27/2023
Active	Cincinnati Insurance Company	301298	Agent - Casualty	6/27/2023
Active	Cincinnati Insurance Company	301298	Agent - Property	6/27/2023
Active	ClearPath Insurance Company	979815	Agent - Casualty	3/6/2024
Inactive	Commerce and Industry Insurance Company	300881	Agent - Casualty	8/15/2000	6/23/2004
Inactive	Commerce and Industry Insurance Company	300881	Agent - General Lines	8/21/1996	8/15/2000
Inactive	Commerce and Industry Insurance Company	300881	Agent - Property	8/15/2000	6/23/2004
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/15/2000	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	2/25/1998	8/15/2000
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/15/2000	10/13/2022
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	1/14/2020
Active	Employers Insurance Company of Wausau	301813	Agent - Property	1/14/2020
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	10/24/2018	10/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	10/24/2018	10/3/2024
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	11/29/2001	9/23/2004
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Variable Life and Variable Annuities	10/28/2002	9/23/2004
Inactive	Fireman's Fund Insurance Company	301423	Agent - General Lines	8/27/1999	8/15/2000
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	1/14/2020
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	1/14/2020
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	10/15/2021
Inactive	First National Insurance Company of America	301690	Agent - General Lines	6/25/1979	3/31/1996
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	10/15/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/6/2004
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/6/2004
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/21/2012	12/7/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/21/2012	12/7/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/21/2012	12/7/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/21/2012	12/7/2017
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	10/15/2021
Inactive	General Insurance Company of America	300261	Agent - General Lines	6/25/1979	3/31/1996
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	10/15/2021
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	10/28/2002	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	10/28/2002	11/30/2007
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/30/1984	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/30/1984	3/31/1997
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	5/13/2005	8/23/2010
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	5/13/2005	8/23/2010
Inactive	Grange Insurance Company	300234	Agent - Casualty	5/13/2005	8/23/2010
Inactive	Grange Insurance Company	300234	Agent - Property	5/13/2005	8/23/2010
Inactive	Grange Life Insurance Company	300128	Agent - Health	5/13/2005	8/23/2010
Inactive	Grange Life Insurance Company	300128	Agent - Life	5/13/2005	8/23/2010
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	2/7/2008	8/23/2010
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	2/7/2008	8/23/2010
Inactive	Great American Assurance Company	300327	Agent - Casualty	12/1/2000	1/11/2008
Inactive	Great American Assurance Company	300327	Agent - Property	12/1/2000	1/11/2008
Inactive	Great American Insurance Company	301586	Agent - Casualty	12/1/2000	7/23/2019
Inactive	Great American Insurance Company	301586	Agent - Property	12/1/2000	7/23/2019
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	10/3/2008	11/16/2011
Inactive	Great American Insurance Company of New York	301897	Agent - Property	10/3/2008	11/16/2011
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	3/20/1997	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	11/5/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	3/20/1997	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	3/20/1997	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	11/5/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	1/29/1996	12/31/1998
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	1/29/1996	12/31/1998
Inactive	Hartford Steam Boiler Inspection and Insurance Company	300799	Agent - General Lines	5/18/1979	3/31/1996
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	3/20/1997	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	11/5/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/23/2008	9/8/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	8/25/1997	11/1/2000
Inactive	Humana Insurance Company	301104	Agent - Health	10/23/2008	9/8/2010
Inactive	Humana Insurance Company	301104	Agent - Life	10/23/2008	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/23/2008	9/8/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/23/2008	9/8/2010
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	11/26/2012
Active	Indemnity Insurance Company of North America	301760	Agent - Property	11/26/2012
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/15/2000	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - General Lines	2/25/1998	8/15/2000
Inactive	Indiana Insurance Company	301909	Agent - Property	8/15/2000	2/3/2023
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Health	12/14/1992	4/9/2001
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	12/14/1992	4/9/2001
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	8/12/1999	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	8/12/1999	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Variable Life and Variable Annuities	1/27/2006	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	1/27/2006	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	1/27/2006	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Variable Life and Variable Annuities	1/27/2006	4/2/2007
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/23/2008	9/8/2010
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/23/2008	9/8/2010
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	11/20/2001	11/20/2003
Inactive	Kentucky National Insurance Company	301625	Agent - Property	11/20/2001	11/20/2003
Active	LM Insurance Corporation	301061	Agent - Casualty	1/14/2020
Active	LM Insurance Corporation	301061	Agent - Property	1/14/2020
Active	Liberty Insurance Corporation	300444	Agent - Casualty	1/14/2020
Active	Liberty Insurance Corporation	300444	Agent - Property	1/14/2020
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	1/14/2020
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	1/14/2020
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	4/20/2016
Active	Liberty Mutual Insurance Company	301159	Agent - Property	4/20/2016
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/22/2007	11/9/2018
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/22/2007	11/9/2018
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	3/22/2007	11/9/2018
Inactive	MICO Insurance Company	301664	Agent - Casualty	6/1/2009	12/13/2011
Inactive	MICO Insurance Company	301664	Agent - Property	6/1/2009	12/13/2011
Inactive	MONY Life Insurance Company	301141	Agent - Life	11/29/2001	9/23/2004
Inactive	Maryland Casualty Company	301719	Agent - Casualty	10/28/2002	1/14/2014
Inactive	Maryland Casualty Company	301719	Agent - Property	10/28/2002	1/14/2014
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	1/27/2009	11/12/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	1/27/2009	11/12/2012
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Variable Life and Variable Annuities	1/27/2009	11/12/2012
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	4/4/2019
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	4/4/2019
Active	Motorists Mutual Insurance Company	300963	Agent - Casualty	6/1/2009
Active	Motorists Mutual Insurance Company	300963	Agent - Property	6/1/2009
Inactive	National Surety Corporation	300087	Agent - Casualty	8/15/2000	3/11/2002
Inactive	National Surety Corporation	300087	Agent - General Lines	8/27/1999	8/15/2000
Inactive	National Surety Corporation	300087	Agent - Property	8/15/2000	3/11/2002
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	8/15/2000	6/23/2004
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - General Lines	9/20/1996	8/15/2000
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	8/15/2000	6/23/2004
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/15/2000	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	7/25/1994	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/15/2000	4/26/2024
Active	NorthStone Insurance Company	818905	Agent - Casualty	3/31/2019
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	10/28/2002	1/14/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	10/28/2002	1/14/2014
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	2/24/2006
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	6/8/1978	3/31/1996
Active	Ohio Casualty Insurance Company	301492	Agent - Property	2/24/2006
Active	Ohio Security Insurance Company	300622	Agent - Casualty	2/24/2006
Active	Ohio Security Insurance Company	300622	Agent - Property	2/24/2006
Inactive	Old Republic Insurance Company	301225	Agent - Casualty	9/4/2007	3/15/2010
Active	Owners Insurance Company	300796	Agent - Casualty	4/3/2019
Active	Owners Insurance Company	300796	Agent - Property	4/3/2019
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	11/26/2012
Active	Pacific Employers Insurance Company	301753	Agent - Property	11/26/2012
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008
Active	Peerless Insurance Company	301910	Agent - Casualty	8/15/2000
Inactive	Peerless Insurance Company	301910	Agent - General Lines	5/6/1994	8/15/2000
Active	Peerless Insurance Company	301910	Agent - Property	8/15/2000
Inactive	Pegasus Insurance Company	301528	Agent - Casualty	8/15/2000	3/11/2002
Inactive	Pegasus Insurance Company	301528	Agent - General Lines	8/27/1999	8/15/2000
Inactive	Pegasus Insurance Company	301528	Agent - Property	8/15/2000	3/11/2002
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	6/12/2017
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	6/12/2017
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	8/15/2000	3/11/2002
Inactive	Pie Insurance Company (The)	300514	Agent - General Lines	8/27/1999	8/15/2000
Inactive	Pie Insurance Company (The)	300514	Agent - Property	8/15/2000	3/11/2002
Active	PinnaclePoint Insurance Company	819085	Agent - Casualty	3/31/2019
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - General Lines	3/20/1997	8/15/2000
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	8/15/2000	11/5/2008
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/1/2007	12/20/2010
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	12/12/2002	9/20/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	12/12/2002	9/20/2004
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	6/30/2022
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	6/30/2022
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	6/25/1979	3/31/1996
Active	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	1/24/1986	3/31/1996
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008
Inactive	SAFECO National Insurance Company	300989	Agent - General Lines	2/7/1992	3/31/1996
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	11/4/1999	3/13/2003
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	11/4/1999	3/13/2003
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/15/2000	5/5/2003
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	1/26/1983	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/15/2000	5/5/2003
Active	SummitPoint Insurance Company	819084	Agent - Casualty	3/31/2019
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	9/4/2003	12/13/2006
Inactive	Symetra Life Insurance Company	301691	Agent - Health	12/20/1982	11/29/2015
Inactive	Symetra Life Insurance Company	301691	Agent - Life	12/20/1982	11/29/2015
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	5/27/1997	12/11/2009
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	5/27/1997	12/11/2009
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/15/2000	12/13/2006
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	9/29/1999	8/15/2000
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/15/2000	12/13/2006
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	10/28/2002	12/13/2006
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	1/28/2002	12/13/2006
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	8/15/2000	12/13/2006
Inactive	Travelers Casualty and Surety Company	301067	Agent - General Lines	9/29/1999	8/15/2000
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	8/15/2000	12/13/2006
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/15/2000	12/13/2006
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	9/29/1999	8/15/2000
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/15/2000	12/13/2006
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	8/15/2000	12/13/2006
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - General Lines	9/29/1999	8/15/2000
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	8/15/2000	12/13/2006
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	8/15/2000	12/13/2006
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - General Lines	9/29/1999	8/15/2000
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	8/15/2000	12/13/2006
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	8/15/2000	12/13/2006
Inactive	Travelers Property Casualty Company of America	301649	Agent - General Lines	9/29/1999	8/15/2000
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	8/15/2000	12/13/2006
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	10/28/2002	12/13/2006
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	10/28/2002	12/13/2006
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	5/13/2005	8/23/2010
Inactive	Trustgard Insurance Company	300104	Agent - Property	5/13/2005	8/23/2010
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	3/20/1997	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	11/5/2008
Inactive	Underwriters at Lloyd's, London	300658	Agent - Casualty	3/7/2006	12/20/2023
Inactive	Underwriters at Lloyd's, London	300658	Agent - Property	3/7/2006	12/20/2023
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	4/17/2012	10/23/2024
Inactive	Unitrin Auto and Home Insurance Company	301538	Agent - Property	4/17/2012	10/23/2024
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	4/17/2012	12/2/2013
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	4/17/2012	12/2/2013
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Casualty	10/11/2018	10/23/2024
Inactive	Unitrin Safeguard Insurance Company	301371	Agent - Property	10/11/2018	10/23/2024
Inactive	WCF Select Insurance Company	301898	Agent - Casualty	8/15/2000	3/11/2002
Inactive	WCF Select Insurance Company	301898	Agent - General Lines	8/27/1999	8/15/2000
Inactive	WCF Select Insurance Company	301898	Agent - Property	8/15/2000	3/11/2002
Active	West American Insurance Company	301112	Agent - Casualty	2/24/2006
Active	West American Insurance Company	301112	Agent - Property	2/24/2006
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	9/20/2013
Active	Westchester Fire Insurance Company	300990	Agent - Property	9/20/2013
Inactive	XL Specialty Insurance Company	301605	Agent - Casualty	2/19/2008	9/16/2013
Inactive	XL Specialty Insurance Company	301605	Agent - Property	2/19/2008	9/16/2013
Inactive		300277	Agent - Life	1/22/2003	1/1/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Blue Grass & Cromwell Insurance Group LLC	400202	Agent - Life	8/10/1999	10/16/2000
Inactive	Blue Grass & Cromwell Insurance Group LLC	400202	Agent - General Lines	6/28/1999	8/15/2000
Inactive	Blue Grass & Cromwell Insurance Group LLC	400202	Agent - Health	8/10/1999	10/16/2000
Inactive	Blue Grass & Cromwell Insurance Group LLC	400202	Agent - Property	8/15/2000	10/16/2000
Inactive	Blue Grass & Cromwell Insurance Group LLC	400202	Agent - Casualty	8/15/2000	10/16/2000
Active	Blue Grass Insurance Agency Inc.	398208	Agent - Life	4/3/2019
Inactive	Blue Grass Insurance Agency Inc.	398208	Agent - General Lines	3/25/1982	8/15/2000
Active	Blue Grass Insurance Agency Inc.	398208	Agent - Health	4/15/2022
Active	Blue Grass Insurance Agency Inc.	398208	Agent - Property	8/15/2000
Active	Blue Grass Insurance Agency Inc.	398208	Agent - Casualty	8/15/2000
Inactive	Insurance One Inc.	399840	Agent - Life	10/21/1991	5/31/2004
Inactive	Insurance One Inc.	399840	Agent - Health	10/21/1991	5/31/2004
Inactive	Medlink Inc	400721	Agent - Life	3/2/2015	11/9/2018
Inactive	Medlink Inc	400721	Agent - Health	9/3/2008	11/9/2018
Active	Sterling Thompson Company	935239	Agent - Life	11/8/2022
Active	Sterling Thompson Company	935239	Agent - Health	11/8/2022
Active	Sterling Thompson Company	935239	Agent - Property	11/8/2022
Active	Sterling Thompson Company	935239	Agent - Casualty	11/8/2022
Inactive	Warman Insurance, LLC	578291	Agent - Property	12/19/2003	3/31/2019
Inactive	Warman Insurance, LLC	578291	Agent - Casualty	12/19/2003	3/31/2019