DEPARTMENT OF INSURANCE

Affiliations

Name	Gorman Jr, William D	DOIID	390843	NAIC NPN	1890538

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	8/15/2000	6/1/2017
Inactive	Resident	Agent	Property	8/15/2000	6/1/2017
Inactive	Resident	Agent	Limited Line Credit	2/17/2011	5/31/2017
Inactive	Resident	Agent	General Lines	9/11/1978	8/15/2000
Inactive	Resident	Agent	Life	10/16/1990	6/1/2017
Inactive	Resident	Agent	Health	10/16/1990	6/1/2017
* 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	AIG Assurance Company	300897	Agent - Casualty	8/24/2004	8/18/2008
Inactive	AIG Assurance Company	300897	Agent - Property	8/24/2004	8/18/2008
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	8/10/2004	5/18/2006
Inactive	Allstate Indemnity Company	300778	Agent - Property	8/10/2004	5/18/2006
Inactive	Allstate Insurance Company	300773	Agent - Casualty	8/10/2004	5/18/2006
Inactive	Allstate Insurance Company	300773	Agent - Property	8/10/2004	5/18/2006
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005	5/18/2006
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005	5/18/2006
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	6/1/2017
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	6/1/2017
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/11/2014	6/1/2017
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/11/2014	6/1/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	8/11/2014	6/1/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/11/2014	6/1/2017
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	8/15/2007	7/17/2009
Inactive	American Reliable Insurance Company	301889	Agent - Property	8/15/2007	7/17/2009
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	8/11/2014	6/1/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Property	8/11/2014	6/1/2017
Inactive	Assurance Company of America	300432	Agent - Casualty	2/5/2001	10/21/2010
Inactive	Assurance Company of America	300432	Agent - Property	2/5/2001	10/21/2010
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - General Lines	10/9/1978	3/31/1996
Inactive	BancInsure, Inc.	301707	Agent - Casualty	11/25/2008	7/18/2013
Inactive	BancInsure, Inc.	301707	Agent - Property	11/25/2008	7/18/2013
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	4/8/2013	6/1/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	4/8/2013	6/1/2017
Inactive	Catawba Insurance Company	581090	Agent - Casualty	12/1/2007	12/5/2011
Inactive	Catawba Insurance Company	581090	Agent - Property	5/10/2007	12/5/2011
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	12/22/1992	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	12/22/1992	3/31/1997
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	6/1/2017
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	6/1/2017
Inactive	Everlake Life Insurance Company	300873	Agent - Health	8/10/2004	5/18/2006
Inactive	Everlake Life Insurance Company	300873	Agent - Life	8/10/2004	5/18/2006
Inactive	Farmington Casualty Company	301137	Agent - General Lines	3/7/1990	3/31/1996
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	6/8/1995	10/18/1999
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	6/8/1995	10/18/1999
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	6/1/2017
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	6/1/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/8/2013	6/1/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/8/2013	6/1/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	4/8/2013	6/1/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	4/8/2013	6/1/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	4/8/2013	6/1/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	4/8/2013	6/1/2017
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	6/1/2017
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	6/1/2017
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	2/5/2001	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	2/5/2001	11/30/2007
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/9/1992	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/9/1992	3/31/1997
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	12/22/2016	6/1/2017
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	12/22/2016	6/1/2017
Inactive	Grange Insurance Company	300234	Agent - Casualty	12/22/2016	6/1/2017
Inactive	Grange Insurance Company	300234	Agent - Property	12/22/2016	6/1/2017
Inactive	Grange Life Insurance Company	300128	Agent - Health	7/6/2007	9/1/2016
Inactive	Grange Life Insurance Company	300128	Agent - Life	7/6/2007	9/1/2016
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	12/22/2016	6/1/2017
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	12/22/2016	6/1/2017
Inactive	Granite State Insurance Company	300818	Agent - Casualty	6/21/2005	8/18/2008
Inactive	Granite State Insurance Company	300818	Agent - Property	6/21/2005	8/18/2008
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/15/2000	5/17/2002
Inactive	Great American Insurance Company	301586	Agent - General Lines	8/26/1999	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	8/15/2000	5/17/2002
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	9/26/1978	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	12/23/2015
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	9/26/1978	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	12/23/2015
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	3/14/2016
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	9/11/1978	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	3/14/2016
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	12/23/2015
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	10/9/1986	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	12/23/2015
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	10/16/1990	12/11/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	10/16/1990	12/11/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	12/17/2014
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	9/22/1989	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	12/17/2014
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/12/2007	8/18/2008
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/12/2007	8/18/2008
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	6/1/2017
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	6/1/2017
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	6/1/2010	6/1/2017
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	6/1/2010	6/1/2017
Inactive	Kentucky League of Cities Insurance Services Association	300026	Agent - Casualty	12/3/2001	6/1/2017
Inactive	Kentucky League of Cities Insurance Services Association	300026	Agent - Property	12/3/2001	6/1/2017
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	12/28/2000	6/1/2017
Inactive	Kentucky National Insurance Company	301625	Agent - Property	12/28/2000	6/1/2017
Inactive	Maryland Casualty Company	301719	Agent - Casualty	2/5/2001	10/21/2010
Inactive	Maryland Casualty Company	301719	Agent - Property	2/5/2001	10/21/2010
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	6/1/2017
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	6/1/2017
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	2/5/2001	10/21/2010
Inactive	Northern Insurance Company of New York	301317	Agent - Property	2/5/2001	10/21/2010
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/15/2000	6/1/2017
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	6/21/1999	8/15/2000
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	8/15/2000	6/1/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	8/15/2000	6/1/2017
Inactive	Ohio Security Insurance Company	300622	Agent - General Lines	10/4/1999	8/15/2000
Inactive	Ohio Security Insurance Company	300622	Agent - Property	8/15/2000	6/1/2017
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007	6/1/2017
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007	6/1/2017
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007	6/1/2017
Inactive	Peerless Insurance Company	301910	Agent - Property	9/8/2007	6/1/2017
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	8/18/2008
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	8/18/2008
Inactive	Realm National Insurance Company	301315	Agent - General Lines	4/21/1998	3/31/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008	6/1/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008	6/1/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008	6/1/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008	6/1/2017
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	1/25/2005	12/23/2015
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	1/25/2005	12/23/2015
Inactive	South Carolina Insurance Company	300080	Agent - Casualty	8/15/2000	4/1/2005
Inactive	South Carolina Insurance Company	300080	Agent - Property	1/3/2001	4/1/2005
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	10/9/1978	3/31/1996
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	Travelers Casualty Company of Connecticut	301505	Agent - General Lines	1/29/1991	3/31/1996
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - General Lines	2/24/1984	3/31/1996
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	8/15/2000	12/11/2006
Inactive	Travelers Casualty and Surety Company	301067	Agent - General Lines	10/9/1978	8/15/2000
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	8/15/2000	12/11/2006
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - General Lines	1/28/1991	3/31/1996
Inactive	Travelers Commercial Insurance Company	301506	Agent - General Lines	1/24/1991	3/31/1996
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	12/22/2016	6/1/2017
Inactive	Trustgard Insurance Company	300104	Agent - Property	12/22/2016	6/1/2017
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	9/26/1978	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	11/5/2008
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	8/15/2000	12/5/2013
Inactive	United States Fidelity and Guaranty Company	301449	Agent - General Lines	10/26/1978	8/15/2000
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	8/15/2000	12/5/2013
Inactive	Universal Insurance Company	686754	Agent - Casualty	10/27/2008	11/13/2013
Inactive	Universal Insurance Company	686754	Agent - Property	10/27/2008	11/13/2013
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	3/4/2013	6/23/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	3/4/2013	6/23/2017
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	6/1/2017
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	6/1/2017
Inactive	West Bend Insurance Company	672974	Agent - Casualty	5/18/2012	12/1/2016
Inactive	West Bend Insurance Company	672974	Agent - Property	5/18/2012	12/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/25/1996	2/28/2003
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	2/28/2003
Inactive	Assuredpartners NL, LLC	762387	Agent - Life	5/27/2014	6/1/2017
Inactive	Assuredpartners NL, LLC	762387	Agent - Health	5/27/2014	6/1/2017
Inactive	Assuredpartners NL, LLC	762387	Agent - Property	5/27/2014	6/1/2017
Inactive	Assuredpartners NL, LLC	762387	Agent - Casualty	5/27/2014	6/1/2017
Inactive	Gorman Clark Insurance LLC	636381	Agent - Life	7/27/2006	3/31/2014
Inactive	Gorman Clark Insurance LLC	636381	Agent - Health	7/27/2006	3/31/2014
Inactive	Gorman Clark Insurance LLC	636381	Agent - Property	7/27/2006	3/31/2014
Inactive	Gorman Clark Insurance LLC	636381	Agent - Casualty	7/27/2006	3/31/2014
Inactive	Hazard Insurance Agency	399398	Agent - Life	6/17/2008	1/18/2016
Inactive	Hazard Insurance Agency	399398	Agent - Health	6/17/2008	1/18/2016
Inactive	Hazard Insurance Agency	399398	Agent - General Lines	3/15/1996	8/15/2000
Inactive	Hazard Insurance Agency	399398	Agent - Property	6/17/2008	1/18/2016
Inactive	Hazard Insurance Agency	399398	Agent - Casualty	6/17/2008	1/18/2016
Inactive	Hazard Insurance Group, LLC	769368	Agent - Life	11/22/2011	3/31/2017
Inactive	Hazard Insurance Group, LLC	769368	Agent - Health	11/22/2011	3/31/2017
Inactive	Hazard Insurance Group, LLC	769368	Agent - Property	11/22/2011	3/31/2017
Inactive	Hazard Insurance Group, LLC	769368	Agent - Casualty	11/22/2011	3/31/2017
Inactive	United Agency Of Kentucky Llc	401115	Agent - Property	3/28/2003	4/15/2016
Inactive	United Agency Of Kentucky Llc	401115	Agent - Casualty	3/28/2003	4/15/2016