DEPARTMENT OF INSURANCE

Affiliations

Name	Trip Mate, Inc DBA : MH Ross Travel Insurance Services	DOIID	397551	NAIC NPN	1040637

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Administrator	Not Applicable	12/28/1990	2/28/2024
Inactive	Non Resident	Agent	Health	9/30/2016	2/28/2024
Inactive	Non Resident	Agent	Travel	9/30/2016	2/28/2024
Inactive	Non Resident	Agent	Casualty	3/2/2005	2/28/2024
Inactive	Non Resident	Agent	Property	3/2/2005	2/28/2024
Inactive	Non Resident	Agent	Life	9/30/2016	2/28/2024
Inactive	Non Resident	Independent Adjuster	Property & Casualty	7/28/2023	2/28/2024
Inactive	Non Resident	Managing General Agent	Not Applicable	11/6/2006	7/20/2010
* 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 Modern Home Insurance Company	300791	Agent - Casualty	9/28/2012	12/10/2019
Inactive	American Modern Home Insurance Company	300791	Agent - Property	9/28/2012	12/10/2019
Inactive	Arch Insurance Company	300688	Agent - Casualty	1/22/2013	2/28/2024
Inactive	Arch Insurance Company	300688	Agent - Health	10/11/2016	2/28/2024
Inactive	Arch Insurance Company	300688	Agent - Property	1/22/2013	2/28/2024
Inactive	Arch Insurance Company	300688	Agent - Travel	10/11/2016	2/28/2024
Inactive	Generali - U.S. Branch	301128	Agent - Casualty	12/18/2019	2/28/2024
Inactive	Generali - U.S. Branch	301128	Agent - Property	12/18/2019	2/28/2024
Inactive	Generali - U.S. Branch	301128	Agent - Travel	12/18/2019	2/28/2024
Inactive	National Casualty Company	301483	Agent - Casualty	7/3/2012	2/28/2024
Inactive	National Casualty Company	301483	Agent - Health	10/10/2016	2/28/2024
Inactive	National Casualty Company	301483	Agent - Property	7/3/2012	2/28/2024
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	10/10/2016	2/28/2024
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	10/10/2016	2/28/2024
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	1/3/2012	2/28/2024
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	1/3/2012	2/28/2024
Inactive	Old Republic Insurance Company	301225	Agent - Casualty	3/19/2009	7/26/2011
Inactive	Old Republic Insurance Company	301225	Agent - Property	3/19/2009	7/26/2011
Inactive	Transamerica Casualty Insurance Company	300311	Agent - Casualty	3/11/2005	5/24/2011
Inactive	Transamerica Casualty Insurance Company	300311	Agent - Property	3/11/2005	5/24/2011
Inactive	United States Fire Insurance Company	582240	Agent - Casualty	10/26/2009	2/28/2024
Inactive	United States Fire Insurance Company	582240	Agent - Property	10/26/2009	2/28/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Clay, Eric	958613	Agent - Casualty	10/25/2017	11/6/2018
Inactive	Clay, Eric	958613	Agent - Property	10/25/2017	11/6/2018
Inactive	Crist, Jennifer Michele	929080	Agent - Casualty	9/29/2016	2/24/2017
Inactive	Crist, Jennifer Michele	929080	Agent - Health	9/30/2016	2/24/2017
Inactive	Crist, Jennifer Michele	929080	Agent - Life	9/30/2016	2/24/2017
Inactive	Crist, Jennifer Michele	929080	Agent - Property	9/29/2016	2/24/2017
Inactive	Crist, Jennifer Michele	929080	Agent - Travel	9/30/2016	2/24/2017
Inactive	Downes, Teresa Lynn	349582	Administrator - Not Applicable	12/28/1990	12/31/2003
Inactive	Finkle, Bradley G	303755	Administrator - Not Applicable	4/7/2017	10/31/2022
Inactive	Finkle, Bradley G	303755	Agent - Casualty	3/2/2005	10/31/2022
Inactive	Finkle, Bradley G	303755	Agent - Health	9/30/2016	10/31/2022
Inactive	Finkle, Bradley G	303755	Agent - Life	9/30/2016	3/14/2019
Inactive	Finkle, Bradley G	303755	Agent - Property	3/2/2005	10/31/2022
Inactive	Finkle, Bradley G	303755	Agent - Travel	9/30/2016	10/31/2022
Inactive	Finkle, Bradley G	303755	Managing General Agent - Not Applicable	11/6/2006	10/31/2022
Inactive	Finkle, Linda Marilyn	526229	Administrator - Not Applicable	5/2/2001	1/31/2017
Inactive	Gore, Amber C	878865	Agent - Casualty	10/23/2017	8/9/2018
Inactive	Gore, Amber C	878865	Agent - Property	10/23/2017	8/9/2018
Inactive	Johnson, Gregory Paul	566502	Agent - Casualty	5/15/2015	2/23/2017
Inactive	Johnson, Gregory Paul	566502	Agent - Property	5/15/2015	2/23/2017
Active	Jones, Debra Ann	735114	Administrator - Not Applicable	1/13/2021
Inactive	Jones, Debra Ann	735114	Agent - Casualty	9/2/2015	2/28/2024
Inactive	Jones, Debra Ann	735114	Agent - Health	9/30/2016	2/28/2024
Inactive	Jones, Debra Ann	735114	Agent - Life	9/30/2016	2/28/2024
Inactive	Jones, Debra Ann	735114	Agent - Property	9/2/2015	2/28/2024
Inactive	Jones, Debra Ann	735114	Agent - Travel	9/30/2016	2/28/2024
Active	Kay, Brandon Ames	998254	Independent Adjuster - Property & Casualty	7/28/2023
Inactive	Machat, Sheri Ann	741467	Agent - Casualty	8/11/2016	2/28/2024
Inactive	Machat, Sheri Ann	741467	Agent - Property	8/11/2016	2/28/2024
Inactive	Moreland, Cara	728582	Agent - Health	9/30/2016	2/28/2024
Inactive	Moreland, Cara	728582	Agent - Travel	9/30/2016	2/28/2024
Denied	Sahner, Kelly	1068193	Agent - Casualty
Inactive	Sahner, Kelly	1068193	Agent - Health	4/12/2022	2/28/2024
Inactive	Sahner, Kelly	1068193	Agent - Life	4/12/2022	2/28/2024
Denied	Sahner, Kelly	1068193	Agent - Property
Inactive	Sahner, Kelly	1068193	Agent - Travel	4/12/2022	2/28/2024
Inactive	Shirley, Timothy	886129	Agent - Casualty	8/31/2015	2/28/2024
Inactive	Shirley, Timothy	886129	Agent - Property	8/31/2015	2/28/2024
Inactive	Spriggs, William	894494	Agent - Casualty	5/3/2017	8/30/2022
Inactive	Spriggs, William	894494	Agent - Health	5/3/2017	8/30/2022
Inactive	Spriggs, William	894494	Agent - Property	5/3/2017	8/30/2022
Inactive	Takehara, Greg	589262	Agent - Casualty	7/11/2018	4/12/2022
Inactive	Takehara, Greg	589262	Agent - Health	7/11/2018	4/12/2022
Inactive	Takehara, Greg	589262	Agent - Life	7/11/2018	4/12/2022
Inactive	Takehara, Greg	589262	Agent - Property	7/11/2018	4/12/2022
Inactive	Takehara, Greg	589262	Agent - Travel	7/11/2018	7/19/2019
Inactive	Westlin, Mary Elizabeth	582754	Agent - Casualty	5/13/2015	1/31/2022
Inactive	Westlin, Mary Elizabeth	582754	Agent - Property	5/13/2015	1/31/2022