DEPARTMENT OF INSURANCE

Affiliations

Name	Holt, Daryl Ray	DOIID	383837	NAIC NPN	550260

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/9/2017		8/31/2024
Active	Non Resident	Agent	Property	11/20/2016		8/31/2024
Active	Non Resident	Agent	Casualty	11/20/2016		8/31/2024
Active	Non Resident	Agent	Life	5/9/2017		8/31/2024
Inactive	Non Resident	Agent	General Lines	4/14/1998	8/15/2000
Active	Non Resident	Surplus Lines Broker	Not Applicable	7/13/2018		8/31/2024
* 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	06/15/2024	08/31/2024
Surplus Lines Broker	06/15/2024	08/31/2024

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	5/27/2022
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	5/27/2022
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	11/21/2011	8/31/2016
Inactive	American Fire and Casualty Company	300567	Agent - Property	11/21/2011	8/31/2016
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	8/31/2016
Inactive	American States Insurance Company	301230	Agent - General Lines	4/14/1998	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	8/31/2016
Active	Ansur America Insurance Company	520667	Agent - Casualty	1/17/2018
Active	Ansur America Insurance Company	520667	Agent - Property	1/17/2018
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	6/9/2011	8/31/2016
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	6/9/2011	8/31/2016
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	2/29/2012	8/31/2016
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	11/21/2011	8/31/2016
Inactive	Consolidated Insurance Company	300943	Agent - Property	11/21/2011	8/31/2016
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	4/9/2019
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	4/9/2019
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/15/2000	8/31/2016
Inactive	First National Insurance Company of America	301690	Agent - General Lines	11/1/1998	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	8/15/2000	8/31/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/6/2019
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/6/2019
Active	Frankenmuth Insurance Company	301481	Agent - Casualty	1/17/2018
Active	Frankenmuth Insurance Company	301481	Agent - Property	1/17/2018
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/15/2000	8/31/2016
Inactive	General Insurance Company of America	300261	Agent - General Lines	11/1/1998	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	8/15/2000	8/31/2016
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	12/18/2020
Active	Grange Indemnity Insurance Company	300793	Agent - Property	12/18/2020
Active	Grange Insurance Company	300234	Agent - Casualty	12/18/2020
Active	Grange Insurance Company	300234	Agent - Property	12/18/2020
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	12/18/2020
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	12/18/2020
Inactive	Hallmark National Insurance Company	300494	Agent - Casualty	8/15/2000	8/23/2005
Inactive	Hallmark National Insurance Company	300494	Agent - General Lines	2/3/1999	8/15/2000
Inactive	Hallmark National Insurance Company	300494	Agent - Property	8/15/2000	8/23/2005
Active	Hartford Underwriters Insurance Company	301064	Agent - Casualty	9/16/2020
Active	Hartford Underwriters Insurance Company	301064	Agent - Property	9/16/2020
Inactive	Indiana Insurance Company	301909	Agent - Casualty	11/21/2011	8/31/2016
Inactive	Indiana Insurance Company	301909	Agent - Property	11/21/2011	8/31/2016
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	4/8/2020
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	4/8/2020
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	11/21/2011	8/31/2016
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	11/21/2011	8/31/2016
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	2/26/2018
Active	Ohio Casualty Insurance Company	301492	Agent - Property	2/26/2018
Active	Ohio Security Insurance Company	300622	Agent - Casualty	4/25/2018
Active	Ohio Security Insurance Company	300622	Agent - Property	4/25/2018
Inactive	Omni Insurance Company	301545	Agent - General Lines	12/31/1998	3/31/2000
Inactive	Owners Insurance Company	300796	Agent - Casualty	9/16/2011	8/31/2016
Inactive	Owners Insurance Company	300796	Agent - Property	9/16/2011	8/31/2016
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	11/21/2011	8/31/2016
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	11/21/2011	8/31/2016
Inactive	Peerless Insurance Company	301910	Agent - Casualty	11/21/2011	8/31/2016
Inactive	Peerless Insurance Company	301910	Agent - Property	11/21/2011	8/31/2016
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	3/6/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	11/1/1998	8/15/2000
Active	SAFECO Insurance Company of America	300159	Agent - Property	3/6/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	3/6/2017	5/27/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	11/1/1998	8/15/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	3/6/2017	5/27/2022
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	8/15/2000	8/23/2005
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - General Lines	2/3/1999	8/15/2000
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	8/15/2000	8/23/2005
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/15/2000	8/23/2005
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	2/3/1999	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/15/2000	8/23/2005
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021
Active	Trustgard Insurance Company	300104	Agent - Casualty	12/18/2020
Active	Trustgard Insurance Company	300104	Agent - Property	12/18/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/15/2012	8/31/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/15/2012	8/31/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/15/2012	8/31/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/15/2012	8/31/2016
Inactive	West American Insurance Company	301112	Agent - Casualty	11/21/2011	8/31/2016
Inactive	West American Insurance Company	301112	Agent - Property	11/21/2011	8/31/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Capital Benefits Group LLC	670142	Agent - Life	3/15/2012	3/31/2013
Inactive	Capital Benefits Group LLC	670142	Agent - Health	3/1/2012	3/31/2013
Active	Capital Risk Management Group LLC	757259	Agent - Property	6/6/2017
Active	Capital Risk Management Group LLC	757259	Agent - Casualty	6/6/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/13/2013	8/31/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/13/2013	8/31/2016
Inactive	Donoho Holt And Legge Ins Agency Inc	721251	Agent - Property	1/15/2010	3/31/2012
Inactive	Donoho Holt And Legge Ins Agency Inc	721251	Agent - Casualty	1/15/2010	3/31/2012
Inactive	Rios Rohrs And Holt, LLC	969180	Agent - Property	9/23/2017	3/31/2019
Inactive	Rios Rohrs And Holt, LLC	969180	Agent - Casualty	9/23/2017	3/31/2019
Denied	Rios Rohrs And Holt, LLC	969180	Agent - Life
Denied	Rios Rohrs And Holt, LLC	969180	Agent - Health