DEPARTMENT OF INSURANCE

Affiliations

Name	Mccloud, Charles Daniel	DOIID	388407	NAIC NPN	7208237

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Adjuster	Independent	3/4/1994	10/27/2000
Inactive	Resident	Agent	Life	4/3/2014	1/31/2022
Inactive	Resident	Agent	Health	4/3/2014	1/31/2022
Inactive	Resident	Agent	General Lines	4/6/1999	8/15/2000
Inactive	Resident	Agent	Casualty	4/3/2014	1/31/2022
Inactive	Resident	Agent	Property	4/3/2014	1/31/2022
Withdrawn	Resident	Agent	Personal Lines
* 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	American Modern Home Insurance Company	300791	Agent - Casualty	7/23/2015	6/16/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	7/23/2015	6/16/2021
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	9/24/2018	1/31/2022
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	9/24/2018	1/31/2022
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/23/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/23/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	7/23/2015	6/16/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	7/23/2015	6/16/2021
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	8/11/2015	1/25/2022
Inactive	Bristol West Insurance Company	301655	Agent - Property	8/11/2015	1/25/2022
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	4/8/2014	7/19/2021
Inactive	Dairyland Insurance Company	301370	Agent - Property	4/8/2014	7/19/2021
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/11/2015	1/25/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/11/2015	1/25/2022
Denied	Mutual of Omaha Insurance Company	301012	Agent - Health
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	5/15/2014	5/3/2021
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	5/15/2014	5/3/2021
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	11/30/2005	2/1/2014
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	11/30/2005	2/1/2014
Inactive	Sagamore Insurance Company	300942	Agent - Casualty	4/16/2014	10/26/2016
Inactive	Sagamore Insurance Company	300942	Agent - Property	4/16/2014	10/26/2016
Inactive	Shelter General Insurance Company	301109	Agent - Casualty	4/4/2014	3/17/2021
Inactive	Shelter General Insurance Company	301109	Agent - General Lines	4/6/1999	8/15/2000
Inactive	Shelter General Insurance Company	301109	Agent - Property	4/4/2014	3/17/2021
Inactive	Shelter Life Insurance Company	300391	Agent - Health	4/4/2014	3/17/2021
Inactive	Shelter Life Insurance Company	300391	Agent - Life	4/4/2014	3/17/2021
Inactive	Shelter Mutual Insurance Company	301870	Agent - Casualty	4/4/2014	3/17/2021
Inactive	Shelter Mutual Insurance Company	301870	Agent - General Lines	4/6/1999	8/15/2000
Inactive	Shelter Mutual Insurance Company	301870	Agent - Property	4/4/2014	3/17/2021
Inactive	United Financial Casualty Company	301886	Agent - Casualty	5/14/2014	5/3/2021
Inactive	United Financial Casualty Company	301886	Agent - Property	5/14/2014	5/3/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dan McCloud Insurance Agency, Inc.	613426	Agent - Life	4/11/2014	1/31/2022
Inactive	Dan McCloud Insurance Agency, Inc.	613426	Agent - Health	4/11/2014	1/31/2022
Inactive	Dan McCloud Insurance Agency, Inc.	613426	Agent - Property	4/11/2014	1/31/2022
Inactive	Dan McCloud Insurance Agency, Inc.	613426	Agent - Casualty	4/11/2014	1/31/2022
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Life	4/11/2014	3/17/2021
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Health	4/11/2014	3/17/2021
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Property	4/11/2014	1/31/2022
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Casualty	4/11/2014	1/31/2022
Inactive	McCloud Claims Service Inc.	401260	Adjuster - Independent	3/4/1994	3/20/2000