DEPARTMENT OF INSURANCE

Affiliations

Name	Douglass III, Prentiss Porter	DOIID	390969	NAIC NPN	7209252

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	3/27/1969	8/15/2000
Inactive	Resident	Agent	Health	3/27/1969	1/31/2009
Inactive	Resident	Agent	Property	8/15/2000	1/31/2009
Inactive	Resident	Agent	Casualty	8/15/2000	1/31/2009
Inactive	Resident	Agent	Life	3/27/1969	1/31/2009
AFFIDAVIT ON FILE
* 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 Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/15/2000	10/11/2001
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	8/15/1994	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	10/11/2001
Inactive	American Economy Insurance Company	300315	Agent - General Lines	6/1/1990	6/28/2000
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	4/23/2004	1/31/2009
Inactive	American Fire and Casualty Company	300567	Agent - Property	4/23/2004	1/31/2009
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	7/29/2002	1/31/2009
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	7/29/2002	1/31/2009
Inactive	American States Insurance Company	301230	Agent - General Lines	6/1/1990	6/28/2000
Inactive	American States Life Insurance Company	301884	Agent - Health	6/1/1990	12/4/2001
Inactive	American States Life Insurance Company	301884	Agent - Life	6/1/1990	11/27/2001
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	7/29/2002	1/31/2009
Inactive	American Zurich Insurance Company	300592	Agent - Property	7/29/2002	1/31/2009
Inactive	Assurance Company of America	300432	Agent - Casualty	7/29/2002	1/31/2009
Inactive	Assurance Company of America	300432	Agent - General Lines	6/23/1994	3/31/1996
Inactive	Assurance Company of America	300432	Agent - Property	7/29/2002	1/31/2009
Inactive	Auto-Owners Insurance Company	301480	Agent - General Lines	3/20/1995	3/31/1996
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	8/15/2000	1/31/2009
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - General Lines	5/2/1997	8/15/2000
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	8/15/2000	1/31/2009
Inactive	BITCO General Insurance Corporation	301305	Agent - Casualty	3/18/2002	6/20/2006
Inactive	BITCO General Insurance Corporation	301305	Agent - Property	3/18/2002	6/20/2006
Denied	BITCO National Insurance Company	301366	Agent - Casualty
Denied	BITCO National Insurance Company	301366	Agent - Property
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	3/27/1969	12/17/1998
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	3/27/1969	12/17/1998
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	8/15/2000	1/31/2009
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - General Lines	3/27/1969	8/15/2000
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	8/15/2000	1/31/2009
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Casualty	7/29/2002	1/31/2009
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Property	7/29/2002	1/31/2009
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	1/31/2009
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	1/31/2009
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/15/2000	10/11/2001
Inactive	Continental Casualty Company	301019	Agent - General Lines	8/15/1994	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	8/15/2000	10/11/2001
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	7/29/2002	1/31/2009
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	7/29/2002	1/31/2009
Inactive	First National Insurance Company of America	301690	Agent - General Lines	11/1/1998	6/28/2000
Inactive	General Insurance Company of America	300261	Agent - General Lines	11/1/1998	6/28/2000
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	7/29/2002	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	7/29/2002	11/30/2007
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	3/1/1990	3/31/1997
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	3/1/1990	3/31/1997
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	6/12/1990	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	3/13/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	6/12/1990	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	3/13/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	6/12/1990	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	3/13/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	6/12/1990	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	3/13/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	6/12/1990	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	3/13/2006
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	1/31/2009
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	1/31/2009
Inactive	LMI Insurance Company	301402	Agent - General Lines	10/28/1992	3/31/1998
Inactive	Maryland Casualty Company	301719	Agent - Casualty	7/29/2002	1/31/2009
Inactive	Maryland Casualty Company	301719	Agent - General Lines	6/23/1994	3/31/1996
Inactive	Maryland Casualty Company	301719	Agent - Property	7/29/2002	1/31/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	4/17/1995	11/19/2008
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	4/17/1995	11/19/2008
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	10/11/2001
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	8/15/1994	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	10/11/2001
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	1/31/2009
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	1/31/2009
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	7/29/2002	1/31/2009
Inactive	Northern Insurance Company of New York	301317	Agent - Property	7/29/2002	1/31/2009
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	3/6/2006	1/31/2009
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	3/6/2006	1/31/2009
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	8/15/2000	1/31/2009
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	1/31/2009
Inactive	Owners Insurance Company	300796	Agent - General Lines	3/20/1995	3/31/1996
Inactive	Pacific Life Insurance Company	301848	Agent - Life	6/5/1998	1/31/2009
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007	1/31/2009
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007	1/31/2009
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007	1/31/2009
Inactive	Peerless Insurance Company	301910	Agent - Property	9/8/2007	1/31/2009
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	11/1/1998	6/28/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	11/1/1998	6/28/2000
Inactive	SAFECO National Insurance Company	300989	Agent - General Lines	2/13/1992	3/31/1996
Inactive	South Carolina Insurance Company	300080	Agent - General Lines	9/20/1993	3/31/1998
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/15/2000	1/31/2009
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	4/25/1997	8/15/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/15/2000	1/31/2009
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/15/2000	3/11/2004
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	8/10/1990	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/15/2000	3/11/2004
Inactive	Symetra Life Insurance Company	301691	Agent - Health	11/1/1998	12/4/2001
Inactive	Symetra Life Insurance Company	301691	Agent - Life	11/1/1998	12/4/2001
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/15/2000	1/31/2009
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	9/7/1973	8/15/2000
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/15/2000	1/31/2009
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	8/15/2000	10/11/2001
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	8/15/1994	8/15/2000
Inactive	Transcontinental Insurance Company	301731	Agent - Property	8/15/2000	10/11/2001
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/15/2000	10/11/2001
Inactive	Transportation Insurance Company	301575	Agent - General Lines	8/15/1994	8/15/2000
Inactive	Transportation Insurance Company	301575	Agent - Property	8/15/2000	10/11/2001
Inactive	TravCo Insurance Company	301828	Agent - Casualty	8/15/2000	1/31/2009
Inactive	TravCo Insurance Company	301828	Agent - General Lines	4/24/1997	8/15/2000
Inactive	TravCo Insurance Company	301828	Agent - Property	8/15/2000	1/31/2009
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	3/29/2001	1/31/2009
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	3/29/2001	1/31/2009
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/15/2000	1/31/2009
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	3/27/1969	8/15/2000
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/15/2000	1/31/2009
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	8/15/2000	1/31/2009
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - General Lines	11/4/1975	8/15/2000
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	8/15/2000	1/31/2009
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	8/15/2000	1/31/2009
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - General Lines	4/25/1997	8/15/2000
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	8/15/2000	1/31/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	3/13/2006
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	6/12/1990	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	3/13/2006
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/13/1995	11/21/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/13/1995	11/21/2005
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	8/15/2000	10/11/2001
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	8/15/1994	8/15/2000
Inactive	Valley Forge Insurance Company	301052	Agent - Property	8/15/2000	10/11/2001
Inactive	West American Insurance Company	301112	Agent - Casualty	4/23/2004	1/31/2009
Inactive	West American Insurance Company	301112	Agent - Property	4/23/2004	1/31/2009
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	7/29/2002	1/31/2009
Inactive	Zurich American Insurance Company	301121	Agent - Property	7/29/2002	1/31/2009
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	7/29/2002	1/31/2009
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	7/29/2002	1/31/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Douglass Scott Company Inc.	399442	Agent - General Lines	9/6/1988	8/15/2000
Inactive	Douglass Scott Company Inc.	399442	Agent - Life	6/4/2001	1/31/2009
Inactive	Douglass Scott Company Inc.	399442	Agent - Health	6/4/2001	11/19/2008
Inactive	Douglass Scott Company Inc.	399442	Agent - Property	8/15/2000	1/31/2009
Inactive	Douglass Scott Company Inc.	399442	Agent - Casualty	8/15/2000	1/31/2009
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Kentucky Insurance Agency Inc.	400620	Agent - General Lines	11/20/1995	8/15/2000
Inactive	Kentucky Insurance Agency Inc.	400620	Agent - Property	8/15/2000	1/31/2009
Inactive	Kentucky Insurance Agency Inc.	400620	Agent - Casualty	8/15/2000	1/31/2009
Inactive	Kentucky Insurance Group, LLC	622924	Agent - Property	1/11/2006	1/31/2009
Inactive	Kentucky Insurance Group, LLC	622924	Agent - Casualty	1/11/2006	1/31/2009
Inactive	Wombwell-Douglass Insurance	399533	Agent - Life	4/15/1991	4/2/2003
Inactive	Wombwell-Douglass Insurance	399533	Agent - Health	4/15/1991	4/2/2003