DEPARTMENT OF INSURANCE

Affiliations

Name	Universal Insurance Services Inc.	DOIID	396250	NAIC NPN	960325

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Administrator	Not Applicable	6/29/1995	12/1/2008
Inactive	Non Resident	Agent	Health	5/11/2001	3/31/2009
Inactive	Non Resident	Agent	Casualty	11/6/2002	3/31/2009
Inactive	Non Resident	Agent	Property	11/6/2002	3/31/2009
Inactive	Non Resident	Agent	Life	5/10/2001	3/31/2009
* 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	5/23/2005	3/28/2008
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	5/23/2005	3/28/2008
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/25/2008	6/30/2008
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/25/2008	6/30/2008
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/25/2008	6/30/2008
Inactive	Continental Casualty Company	301019	Agent - Casualty	7/15/2004	3/28/2008
Inactive	Continental Casualty Company	301019	Agent - Property	7/15/2004	3/28/2008
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	2/24/2006	3/28/2008
Inactive	Continental Insurance Company (The)	301242	Agent - Property	2/24/2006	3/28/2008
Inactive	Farmington Casualty Company	301137	Agent - Casualty	5/9/2006	5/1/2008
Inactive	Farmington Casualty Company	301137	Agent - Property	5/9/2006	5/1/2008
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	11/6/2002	3/25/2009
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	11/6/2002	3/25/2009
Inactive	Hanover Insurance Company (The)	300508	Agent - Casualty	3/15/2005	4/7/2008
Inactive	Hanover Insurance Company (The)	300508	Agent - Property	3/15/2005	4/7/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	4/8/2003	4/24/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	4/8/2003	4/24/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	4/8/2003	4/24/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	4/8/2003	4/24/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	4/8/2003	4/24/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	4/8/2003	4/24/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	4/8/2003	4/24/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	4/8/2003	4/24/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	4/8/2003	4/24/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	4/8/2003	4/24/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/29/2001	6/30/2008
Inactive	Humana Insurance Company	301104	Agent - Health	10/29/2001	6/30/2008
Inactive	Humana Insurance Company	301104	Agent - Life	10/29/2001	6/30/2008
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/10/2008	6/30/2008
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/10/2008	6/30/2008
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Casualty	3/15/2005	4/7/2008
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Property	3/15/2005	4/7/2008
Inactive	Merchants Bonding Company (Mutual)	300170	Agent - Casualty	12/9/2005	11/20/2008
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	5/23/2005	3/28/2008
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	5/23/2005	3/28/2008
Inactive	National Surety Corporation	300087	Agent - Casualty	12/23/2002	3/25/2009
Inactive	National Surety Corporation	300087	Agent - Property	12/23/2002	3/25/2009
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	3/7/2005	4/24/2008
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	3/7/2005	4/24/2008
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	5/9/2006	5/1/2008
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	5/9/2006	5/1/2008
Inactive	Time Insurance Company	300683	Agent - Health	5/11/2001	4/4/2008
Inactive	Time Insurance Company	300683	Agent - Life	5/10/2001	4/4/2008
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	5/23/2005	9/27/2007
Inactive	Transcontinental Insurance Company	301731	Agent - Property	5/23/2005	9/27/2007
Inactive	Transportation Insurance Company	301575	Agent - Casualty	5/23/2005	3/28/2008
Inactive	Transportation Insurance Company	301575	Agent - Property	5/23/2005	3/28/2008
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	5/9/2006	5/1/2008
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	5/9/2006	5/1/2008
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	12/16/2004	5/1/2008
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	12/16/2004	5/1/2008
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	5/9/2006	5/1/2008
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	5/9/2006	5/1/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	4/8/2003	4/24/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	4/8/2003	4/24/2008
Inactive	Union Security Insurance Company	301844	Agent - Health	2/19/2004	3/31/2009
Inactive	Union Security Insurance Company	301844	Agent - Life	2/19/2004	3/31/2009
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	5/23/2005	3/28/2008
Inactive	Valley Forge Insurance Company	301052	Agent - Property	5/23/2005	3/28/2008
Inactive	Western Surety Company	300283	Agent - Casualty	6/13/2005	4/8/2008

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cheesman, Gary Dean	316580	Administrator - Not Applicable	6/29/1995	11/30/2004
Inactive	Rothwell, William	305222	Administrator - Not Applicable	6/29/1995	9/30/2008
Inactive	Rothwell, William	305222	Agent - Casualty	11/6/2002	3/31/2009
Inactive	Rothwell, William	305222	Agent - Health	5/10/2001	3/31/2009
Inactive	Rothwell, William	305222	Agent - Life	5/11/2001	3/31/2009
Inactive	Rothwell, William	305222	Agent - Property	11/6/2002	3/31/2009