DEPARTMENT OF INSURANCE

Affiliations

Name	American Specialty Ins Services Inc	DOIID	396095	NAIC NPN	654342

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Adjuster	Independent	9/14/2004	3/31/2007
Inactive	Non Resident	Administrator	Not Applicable	5/24/1993	1/3/2006
Inactive	Non Resident	Agent	Health	11/4/2004	3/31/2007
Inactive	Non Resident	Agent	Property	11/4/2004	3/31/2007
Inactive	Non Resident	Agent	Life	11/4/2004	3/31/2007
Inactive	Non Resident	Agent	Casualty	11/4/2004	3/31/2007
* 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	Federal Insurance Company	301144	Agent - Casualty	4/4/2005	3/14/2006
Inactive	Federal Insurance Company	301144	Agent - Property	4/4/2005	3/14/2006
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	3/30/2005	7/18/2006
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	3/30/2005	7/18/2006
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	1/19/2006	3/31/2007
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/6/2005	3/31/2007
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/6/2005	3/31/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Closson, Benjamin Ryan	562698	Agent - Casualty	4/21/2005	5/15/2007
Denied	Closson, Benjamin Ryan	562698	Agent - Health
Denied	Closson, Benjamin Ryan	562698	Agent - Life
Inactive	Closson, Benjamin Ryan	562698	Agent - Property	4/21/2005	5/15/2007
Inactive	Eshelman, Peter Thomas	370240	Administrator - Not Applicable	5/24/1993	1/3/2006
Inactive	Eshelman, Peter Thomas	370240	Agent - Casualty	11/4/2004	3/31/2007
Inactive	Eshelman, Peter Thomas	370240	Agent - Health	11/4/2004	3/31/2007
Inactive	Eshelman, Peter Thomas	370240	Agent - Life	11/4/2004	3/31/2007
Inactive	Eshelman, Peter Thomas	370240	Agent - Property	11/4/2004	3/31/2007
Inactive	Eshelman, Timothy J	327513	Agent - Casualty	11/4/2004	3/31/2007
Inactive	Eshelman, Timothy J	327513	Agent - Health	11/4/2004	3/31/2007
Inactive	Eshelman, Timothy J	327513	Agent - Property	11/4/2004	3/31/2007
Inactive	Goetz, Jonathan C	596091	Agent - Casualty	4/21/2005	3/31/2007
Denied	Goetz, Jonathan C	596091	Agent - Health
Denied	Goetz, Jonathan C	596091	Agent - Life
Inactive	Goetz, Jonathan C	596091	Agent - Property	4/21/2005	3/31/2007
Inactive	Harris, David A	364917	Agent - Casualty	11/4/2004	3/31/2007
Inactive	Harris, David A	364917	Agent - Property	11/4/2004	3/31/2007
Inactive	Schall, Brandon	586851	Agent - Casualty	4/21/2005	3/31/2007
Denied	Schall, Brandon	586851	Agent - Health
Denied	Schall, Brandon	586851	Agent - Life
Inactive	Schall, Brandon	586851	Agent - Property	4/21/2005	3/31/2007
Inactive	Smith, Drew A	562697	Agent - Casualty	4/21/2005	3/31/2007
Inactive	Smith, Drew A	562697	Agent - Health	4/21/2005	3/31/2007
Inactive	Smith, Drew A	562697	Agent - Life	4/21/2005	3/31/2007
Inactive	Smith, Drew A	562697	Agent - Property	4/21/2005	3/31/2007
Inactive	Thompson, Mark John	595408	Independent Adjuster - Property & Casualty	9/14/2004	3/31/2007