DEPARTMENT OF INSURANCE

Affiliations

Name	Willis Administrative Services Corporation DBA : Willis Services Corporation	DOIID	394874	NAIC NPN	686658

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	11/9/1998	4/30/2002
Inactive	Non Resident	Administrator	Not Applicable	4/4/1994	3/31/2008
Active	Non Resident	Agent	Casualty	10/1/2008		3/31/2026
Active	Non Resident	Agent	Property	10/1/2008		3/31/2026
Inactive	Non Resident	Agent	Health	6/7/2011	2/27/2019
Inactive	Non Resident	Agent	Life	6/7/2011	2/27/2019
Active	Non Resident	Reinsurance Intermediary Broker	Not Applicable	12/2/2021		3/31/2026
* 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
Active	Allied World Insurance Company	301336	Agent - Casualty	3/26/2014
Active	Allied World Insurance Company	301336	Agent - Property	3/26/2014
Active	Allied World Specialty Insurance Company	301088	Agent - Casualty	3/26/2014
Active	Allied World Specialty Insurance Company	301088	Agent - Property	3/26/2014
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	4/21/2011
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	4/21/2011
Active	American Zurich Insurance Company	300592	Agent - Casualty	4/21/2011
Active	American Zurich Insurance Company	300592	Agent - Property	4/21/2011
Inactive	Arch Insurance Company	300688	Agent - Casualty	2/19/2014	1/13/2020
Inactive	Arch Insurance Company	300688	Agent - Property	2/19/2014	1/13/2020
Inactive	Assurance Company of America	300432	Agent - Casualty	4/21/2011	1/2/2013
Inactive	Assurance Company of America	300432	Agent - Property	4/21/2011	1/2/2013
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	9/20/2019
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	9/20/2019
Active	Farmington Casualty Company	301137	Agent - Casualty	9/20/2019
Active	Farmington Casualty Company	301137	Agent - Property	9/20/2019
Active	Great American Insurance Company	301586	Agent - Casualty	5/29/2019
Active	Great American Insurance Company	301586	Agent - Property	5/29/2019
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	5/23/2019
Active	Hanover American Insurance Company (The)	300447	Agent - Property	5/23/2019
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	5/23/2019
Active	Hanover Insurance Company (The)	300508	Agent - Property	5/23/2019
Active	Manufacturers Alliance Insurance Company	519940	Agent - Casualty	7/18/2017
Active	Manufacturers Alliance Insurance Company	519940	Agent - Property	7/18/2017
Inactive	Maryland Casualty Company	301719	Agent - Casualty	4/21/2011	1/2/2013
Inactive	Maryland Casualty Company	301719	Agent - Property	4/21/2011	1/2/2013
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	5/23/2019
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	5/23/2019
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	4/21/2011	1/2/2013
Inactive	Northern Insurance Company of New York	301317	Agent - Property	4/21/2011	1/2/2013
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Casualty	7/18/2017
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Property	7/18/2017
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Casualty	7/18/2017
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Property	7/18/2017
Active	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	9/20/2019
Active	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	9/20/2019
Active	St. Paul Guardian Insurance Company	301372	Agent - Casualty	9/20/2019
Active	St. Paul Guardian Insurance Company	301372	Agent - Property	9/20/2019
Active	St. Paul Mercury Insurance Company	300783	Agent - Casualty	9/20/2019
Active	St. Paul Mercury Insurance Company	300783	Agent - Property	9/20/2019
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	9/20/2019
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	9/20/2019
Active	The Phoenix Insurance Company	301502	Agent - Casualty	9/20/2019
Active	The Phoenix Insurance Company	301502	Agent - Property	9/20/2019
Active	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	9/20/2019
Active	Travelers Casualty Insurance Company of America	300522	Agent - Property	9/20/2019
Active	Travelers Casualty and Surety Company	301067	Agent - Casualty	9/20/2019
Active	Travelers Casualty and Surety Company	301067	Agent - Property	9/20/2019
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	9/20/2019
Active	Travelers Indemnity Company (The)	301855	Agent - Property	9/20/2019
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	9/20/2019
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	9/20/2019
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	9/20/2019
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	9/20/2019
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	9/20/2019
Active	Travelers Property Casualty Company of America	301649	Agent - Property	9/20/2019
Active	Zurich American Insurance Company	301121	Agent - Casualty	4/21/2011
Active	Zurich American Insurance Company	301121	Agent - Property	4/21/2011
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	4/21/2011
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	4/21/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alexander, Carol Jean	371149	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Anderson, Jennifer Lynn	372585	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Baker, Barbara A	318858	Adjuster - Independent	12/28/2001	4/30/2002
Inactive	Bordner, Vicki Elaine	337416	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Breazeale, Joyce Ann	676136	Agent - Casualty	10/1/2008	1/31/2012
Inactive	Breazeale, Joyce Ann	676136	Agent - Property	10/1/2008	1/31/2012
Inactive	Brown, Kristi Jane	367394	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Cammack, Kathleen D	368152	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Cook, David Ray	362225	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Costello, Tiffany	1162914	Agent - Casualty	10/20/2021	7/8/2022
Inactive	Costello, Tiffany	1162914	Agent - Property	10/20/2021	7/8/2022
Inactive	Costello, Tiffany	1162914	Reinsurance Intermediary Broker - Not Applicable	12/2/2021	8/29/2022
Inactive	Cottner, Kathleen W	342659	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Coulter, Jackie Renae'	306165	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Cunningham, Susan Menendez	368447	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Dalton, Bonnie A	310456	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Active	Erickson, Kevin	1213764	Agent - Casualty	7/8/2022
Active	Erickson, Kevin	1213764	Agent - Property	7/8/2022
Active	Erickson, Kevin	1213764	Reinsurance Intermediary Broker - Not Applicable	8/29/2022
Denied	Gwinn, Crissy Jo	506880	Agent - Casualty
Inactive	Gwinn, Crissy Jo	506880	Agent - Health	7/25/2016	2/27/2019
Inactive	Gwinn, Crissy Jo	506880	Agent - Life	7/25/2016	2/27/2019
Denied	Gwinn, Crissy Jo	506880	Agent - Property
Inactive	Holloway, Thomas Henry	392552	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Keiffner, Connie Jo	514533	Adjuster - Independent	12/28/2001	4/30/2002
Denied	Lombard, Robert J	750147	Agent - Casualty
Denied	Lombard, Robert J	750147	Agent - Property
Active	Lynam, Christopher	1146016	Agent - Casualty	2/7/2024
Active	Lynam, Christopher	1146016	Agent - Property	2/7/2024
Active	Lynam, Christopher	1146016	Reinsurance Intermediary Broker - Not Applicable	1/8/2025
Inactive	Mahaffey, Kim Elizabeth	308358	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	McKay, Waynette	357247	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Midgett, Kari	924043	Agent - Casualty	7/22/2019	10/20/2021
Inactive	Midgett, Kari	924043	Agent - Property	7/22/2019	10/20/2021
Inactive	Milburn, Roy Anita	315448	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Murray, Andrew Ian	1214058	Agent - Casualty	7/11/2022	5/15/2024
Inactive	Murray, Andrew Ian	1214058	Agent - Property	7/11/2022	5/15/2024
Inactive	Murray, Andrew Ian	1214058	Reinsurance Intermediary Broker - Not Applicable	8/29/2022	5/15/2024
Inactive	Peveler, William R	360448	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Pritchard, Gayla Lynn	347600	Adjuster - Independent	12/28/2001	4/30/2002
Inactive	Ramsey, Garry Rodney	362431	Administrator - Not Applicable	12/21/2001	5/31/2021
Inactive	Riley, Patrick C	343214	Adjuster - Independent	12/28/2001	4/30/2002
Inactive	Rose, Thomas H	325029	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Senger, Madonna Ann	373374	Adjuster - Independent	12/28/2001	4/30/2002
Inactive	Smith, Kelly Sue	342877	Adjuster - Independent	6/14/1996	11/9/1998
Inactive	Squires, Annette J	379818	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Truax, Cathy Marie	311798	Independent Adjuster - Property & Casualty	12/28/2001	4/30/2002
Inactive	Venturino, Mark	1173394	Agent - Casualty	1/10/2022	7/19/2022
Inactive	Venturino, Mark	1173394	Agent - Property	1/10/2022	7/19/2022
Inactive	Woodside, James Ellis	749703	Agent - Casualty	3/6/2017	10/20/2021
Inactive	Woodside, James Ellis	749703	Agent - Health	6/7/2011	7/25/2016
Inactive	Woodside, James Ellis	749703	Agent - Life	6/7/2011	7/25/2016
Inactive	Woodside, James Ellis	749703	Agent - Property	3/6/2017	10/20/2021
Inactive	Wray, Mary	751691	Agent - Casualty	5/18/2011	9/28/2021
Inactive	Wray, Mary	751691	Agent - Property	5/18/2011	9/28/2021