DEPARTMENT OF INSURANCE
Affiliations
NameE. N. Dornbusch Agency Inc.DOIID398456NAIC NPN4684110
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife8/24/1993 3/31/2025
ActiveResidentAgentProperty8/15/2000 3/31/2025
ActiveResidentAgentCasualty8/15/2000 3/31/2025
ActiveResidentAgentHealth8/24/1993 3/31/2025
InactiveResidentAgentHealth Maintenance Organization7/2/19973/1/2001 
InactiveResidentAgentGeneral Lines6/9/19938/15/2000 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAegis Security Insurance Company300492Agent - Casualty3/21/201711/7/2022
InactiveAegis Security Insurance Company300492Agent - Property3/21/201711/7/2022
InactiveAetna Health Inc.300694Agent - Health3/13/200112/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/20079/22/2010
InactiveAetna Life Insurance Company301140Agent - Health3/13/20019/22/2010
InactiveAetna Life Insurance Company301140Agent - Life3/13/20019/22/2010
InactiveAllianz Life Insurance Company of North America301791Agent - Health9/18/199611/22/2007
InactiveAllianz Life Insurance Company of North America301791Agent - Life9/18/199611/22/2007
InactiveAllstate Vehicle & Property Insurance Company301429Agent - Casualty7/28/20039/24/2010
InactiveAllstate Vehicle & Property Insurance Company301429Agent - Property7/28/20039/24/2010
InactiveAmerican Alternative Insurance Corporation301697Agent - Casualty4/14/20145/19/2021
InactiveAmerican Alternative Insurance Corporation301697Agent - General Lines5/28/19968/28/1997
InactiveAmerican Alternative Insurance Corporation301697Agent - Property4/14/20145/19/2021
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Casualty11/13/20071/27/2015
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - General Lines6/9/19938/15/2000
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Property11/13/20071/27/2015
InactiveAmerican Economy Insurance Company300315Agent - Casualty11/9/20193/29/2024
InactiveAmerican Economy Insurance Company300315Agent - Property11/9/20193/29/2024
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health4/11/20138/15/2016
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life4/11/20138/15/2016
ActiveAmerican Fire and Casualty Company300567Agent - Casualty6/18/2024 
InactiveAmerican Fire and Casualty Company300567Agent - General Lines1/15/19998/15/2000
ActiveAmerican Fire and Casualty Company300567Agent - Property6/18/2024 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty8/8/2019 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property8/8/2019 
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty6/6/201611/14/2021
InactiveAmerican Modern Select Insurance Company581481Agent - Property6/6/201611/14/2021
InactiveAmerican Reliable Insurance Company301889Agent - Casualty8/16/20067/17/2009
InactiveAmerican Reliable Insurance Company301889Agent - General Lines12/9/19986/28/1999
InactiveAmerican Reliable Insurance Company301889Agent - Property8/16/20067/17/2009
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty5/7/201811/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Property5/7/201811/14/2021
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health12/21/2001 
InactiveAnthem Insurance Companies, Inc.300941Agent - Health12/21/200110/16/2012
ActiveAnthem Life Insurance Company301209Agent - Health8/24/1993 
ActiveAnthem Life Insurance Company301209Agent - Life8/24/1993 
InactiveAssurance Company of America300432Agent - Casualty2/11/20023/2/2009
InactiveAssurance Company of America300432Agent - Property2/11/20023/2/2009
ActiveAuto-Owners Insurance Company301480Agent - Casualty8/15/2000 
InactiveAuto-Owners Insurance Company301480Agent - General Lines5/12/19958/15/2000
ActiveAuto-Owners Insurance Company301480Agent - Property8/15/2000 
ActiveAuto-Owners Life Insurance Company301368Agent - Health5/12/1995 
ActiveAuto-Owners Life Insurance Company301368Agent - Life5/12/1995 
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty2/9/2001 
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property2/9/2001 
ActiveBanner Life Insurance Company301696Agent - Life12/18/2009 
ActiveBrighthouse Life Insurance Company301829Agent - Life11/14/2014 
InactiveBuckeye Union Insurance Company (The)300597Agent - General Lines2/4/19973/31/1998
InactiveCatawba Insurance Company581090Agent - Casualty1/1/20049/2/2010
InactiveCatawba Insurance Company581090Agent - Property1/1/20049/2/2010
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty8/10/201012/5/2013
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property8/10/201012/5/2013
InactiveChase Insurance Life and Annuity Company300518Agent - Life6/26/20014/1/2007
ActiveClearPath Insurance Company979815Agent - Casualty1/1/2018 
InactiveColonial American Casualty & Surety Company300769Agent - Casualty10/18/20022/3/2011
InactiveColonial American Casualty & Surety Company300769Agent - Property10/18/20022/3/2011
InactiveColumbus Life Insurance Company301227Agent - Life5/17/20171/11/2021
InactiveCommercial Insurance Company of Newark, New Jersey300328Agent - General Lines4/24/19973/31/1998
InactiveCompBenefits Dental, Inc.591692Agent - Health7/7/20087/14/2014
InactiveCompBenefits Insurance Company301864Agent - Health7/7/20087/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life7/7/20087/2/2013
InactiveConseco Medical Insurance Company300719Agent - Health2/17/19954/27/1998
InactiveConseco Medical Insurance Company300719Agent - Life2/17/19954/27/1998
InactiveConsolidated Insurance Company300943Agent - Casualty8/27/200710/13/2022
InactiveConsolidated Insurance Company300943Agent - Property8/27/200710/13/2022
InactiveContinental Casualty Company301019Agent - Casualty11/13/20071/27/2015
InactiveContinental Casualty Company301019Agent - General Lines6/9/19938/15/2000
InactiveContinental Casualty Company301019Agent - Property11/13/20071/27/2015
InactiveContinental Insurance Company (The)301242Agent - Casualty11/13/20071/27/2015
InactiveContinental Insurance Company (The)301242Agent - General Lines2/4/19978/15/2000
InactiveContinental Insurance Company (The)301242Agent - Property11/13/20071/27/2015
ActiveDental Care Plus Inc.301495Agent - Health4/15/2007 
InactiveDental Concern Inc. (The)301641Agent - Health3/21/20097/14/2014
ActiveErie Family Life Insurance Company301400Agent - Health9/1/2020 
ActiveErie Family Life Insurance Company301400Agent - Life3/1/2018 
ActiveErie Insurance Company300230Agent - Casualty3/1/2018 
ActiveErie Insurance Company300230Agent - Property3/1/2018 
ActiveErie Insurance Company of New York789916Agent - Casualty3/1/2018 
ActiveErie Insurance Company of New York789916Agent - Property3/1/2018 
ActiveErie Insurance Exchange300789Agent - Casualty3/1/2018 
ActiveErie Insurance Exchange300789Agent - Property3/1/2018 
ActiveErie Insurance Property & Casualty Company789942Agent - Casualty3/1/2018 
ActiveErie Insurance Property & Casualty Company789942Agent - Property3/1/2018 
InactiveFalls Lake National Insurance Company301796Agent - Casualty8/15/200012/15/2003
InactiveFalls Lake National Insurance Company301796Agent - General Lines6/15/20008/15/2000
InactiveFarmers Property and Casualty Insurance Company301237Agent - Casualty8/15/20007/12/2001
InactiveFarmers Property and Casualty Insurance Company301237Agent - General Lines10/6/19938/15/2000
InactiveFarmers Property and Casualty Insurance Company301237Agent - Property8/15/20007/12/2001
InactiveFarmington Casualty Company301137Agent - Casualty8/10/201012/5/2013
InactiveFarmington Casualty Company301137Agent - Property8/10/201012/5/2013
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life6/26/200110/29/2008
InactiveFidelity and Casualty Company of New York (The)300160Agent - Casualty8/15/20009/3/2002
InactiveFidelity and Casualty Company of New York (The)300160Agent - General Lines2/1/19978/15/2000
InactiveFidelity and Casualty Company of New York (The)300160Agent - Property8/15/20009/3/2002
InactiveFidelity and Deposit Company of Maryland300976Agent - Casualty10/18/20022/3/2011
InactiveFidelity and Deposit Company of Maryland300976Agent - Property10/18/20022/3/2011
InactiveFiremen's Insurance Company of Newark, New Jersey300247Agent - General Lines1/31/19973/31/1998
InactiveFirst National Insurance Company of America301690Agent - Casualty10/16/200810/13/2022
InactiveFirst National Insurance Company of America301690Agent - Property10/16/200810/13/2022
ActiveFlagship City Insurance Company789965Agent - Casualty3/1/2018 
ActiveFlagship City Insurance Company789965Agent - Property3/1/2018 
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty4/8/200212/20/2023
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property4/8/200212/20/2023
InactiveGeneral Insurance Company of America300261Agent - Casualty10/16/20083/29/2024
InactiveGeneral Insurance Company of America300261Agent - Property10/16/20083/29/2024
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health3/9/201010/4/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life3/9/201010/4/2012
InactiveGlatfelter Insurance Company301640Agent - Casualty2/11/200211/30/2007
InactiveGlatfelter Insurance Company301640Agent - Property2/11/200211/30/2007
InactiveGlens Falls Insurance Company (The)301922Agent - Casualty2/23/200111/4/2002
InactiveGlens Falls Insurance Company (The)301922Agent - Property2/23/200111/4/2002
InactiveGolden Rule Insurance Company301943Agent - Health11/2/200511/10/2008
InactiveGolden Rule Insurance Company301943Agent - Life11/2/200511/10/2008
ActiveGreat American Alliance Insurance Company301247Agent - Casualty8/15/2000 
InactiveGreat American Alliance Insurance Company301247Agent - General Lines6/20/19978/15/2000
ActiveGreat American Alliance Insurance Company301247Agent - Property8/15/2000 
ActiveGreat American Assurance Company300327Agent - Casualty3/15/2002 
InactiveGreat American Assurance Company300327Agent - General Lines6/20/19978/15/2000
ActiveGreat American Assurance Company300327Agent - Property3/15/2002 
ActiveGreat American Insurance Company301586Agent - Casualty8/15/2000 
InactiveGreat American Insurance Company301586Agent - General Lines6/20/19978/15/2000
ActiveGreat American Insurance Company301586Agent - Property8/15/2000 
ActiveGreat American Insurance Company of New York301897Agent - Casualty8/15/2000 
InactiveGreat American Insurance Company of New York301897Agent - General Lines6/20/19978/15/2000
ActiveGreat American Insurance Company of New York301897Agent - Property8/15/2000 
InactiveHartford Life and Accident Insurance Company300878Agent - Health8/17/20046/8/2017
InactiveHartford Life and Accident Insurance Company300878Agent - Life8/17/20046/8/2017
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/20017/14/2014
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization7/2/19973/1/2001
InactiveHumana Insurance Company301104Agent - Health7/2/19977/14/2014
InactiveHumana Insurance Company301104Agent - Life7/2/19977/14/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Health7/7/20087/14/2014
InactiveHumana Insurance Company of Kentucky300826Agent - Life7/7/20087/14/2014
InactiveHumanaDental Insurance Company301457Agent - Health7/7/20082/23/2012
InactiveHumanaDental Insurance Company301457Agent - Life7/7/20082/23/2012
InactiveIllinois Mutual Life Insurance Company301479Agent - Health8/24/200711/9/2009
InactiveIllinois Mutual Life Insurance Company301479Agent - Life8/24/200711/9/2009
InactiveIndiana Insurance Company301909Agent - Casualty8/27/20072/3/2023
InactiveIndiana Insurance Company301909Agent - Property8/27/20072/3/2023
InactiveInfinity Casualty Insurance Company301280Agent - Casualty8/15/200012/15/2003
InactiveInfinity Casualty Insurance Company301280Agent - General Lines6/15/20008/15/2000
InactiveJohn Alden Life Insurance Company300573Agent - Health1/22/20018/20/2007
InactiveJohn Alden Life Insurance Company300573Agent - Life1/22/20018/20/2007
InactiveKanawha Insurance Company300127Agent - Health7/7/20084/25/2013
InactiveKanawha Insurance Company300127Agent - Life7/7/20084/25/2013
InactiveKansas City Fire and Marine Insurance Company301936Agent - General Lines2/4/199712/30/1999
InactiveKentucky National Insurance Company301625Agent - General Lines5/19/19953/31/1996
InactiveLifeUSA Insurance Company300386Agent - Health4/12/19998/2/2002
InactiveLifeUSA Insurance Company300386Agent - Life4/12/19998/2/2002
InactiveMaryland Casualty Company301719Agent - Casualty2/11/20023/2/2009
InactiveMaryland Casualty Company301719Agent - Property2/11/20023/2/2009
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life10/27/20003/16/2001
InactiveMeridian Mutual Insurance Company301303Agent - General Lines6/25/19933/31/1998
InactiveMetLife Investors USA Insurance Company300845Agent - Life1/15/201111/14/2014
InactiveMetropolitan General Insurance Company300709Agent - Casualty8/15/20007/12/2001
InactiveMetropolitan General Insurance Company300709Agent - General Lines10/6/19938/15/2000
InactiveMetropolitan General Insurance Company300709Agent - Property8/15/20007/12/2001
InactiveMutual of Omaha Insurance Company301012Agent - Health8/21/200912/22/2011
InactiveNational Fire Insurance Company of Hartford301063Agent - Casualty11/13/20071/27/2015
InactiveNational Fire Insurance Company of Hartford301063Agent - General Lines6/9/19938/15/2000
InactiveNational Fire Insurance Company of Hartford301063Agent - Property11/13/20071/27/2015
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty5/9/2006 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Health5/14/2014 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property5/9/2006 
InactiveNetherlands Insurance Company (The)300339Agent - Casualty8/27/20075/10/2024
InactiveNetherlands Insurance Company (The)300339Agent - Property8/27/20075/10/2024
InactiveNorth American Company for Life and Health Insurance300291Agent - Health2/12/199610/18/2005
InactiveNorth American Company for Life and Health Insurance300291Agent - Life2/12/19966/2/2000
InactiveNorthern Insurance Company of New York301317Agent - Casualty2/11/20023/2/2009
InactiveNorthern Insurance Company of New York301317Agent - Property2/11/20023/2/2009
ActiveOhio Casualty Insurance Company301492Agent - Casualty8/15/2000 
InactiveOhio Casualty Insurance Company301492Agent - General Lines1/15/19998/15/2000
ActiveOhio Casualty Insurance Company301492Agent - Property8/15/2000 
ActiveOhio Security Insurance Company300622Agent - Casualty4/15/2024 
InactiveOhio Security Insurance Company300622Agent - General Lines10/2/19998/15/2000
ActiveOhio Security Insurance Company300622Agent - Property4/15/2024 
InactiveOld Republic Life Insurance Company301214Agent - Health10/2/19981/20/2005
InactiveOld Republic Life Insurance Company301214Agent - Life10/2/19981/20/2005
ActiveOwners Insurance Company300796Agent - Casualty8/15/2000 
InactiveOwners Insurance Company300796Agent - General Lines5/12/19958/15/2000
ActiveOwners Insurance Company300796Agent - Property8/15/2000 
InactivePacifiCare Life Assurance Company301082Agent - Health6/18/19987/31/2001
InactivePacifiCare Life Assurance Company301082Agent - Life6/18/19987/31/2001
ActivePeerless Indemnity Insurance Company571682Agent - Casualty8/27/2007 
ActivePeerless Indemnity Insurance Company571682Agent - Property8/27/2007 
ActivePeerless Insurance Company301910Agent - Casualty8/27/2007 
ActivePeerless Insurance Company301910Agent - Property8/27/2007 
ActivePhiladelphia Indemnity Insurance Company301221Agent - Casualty1/19/2010 
ActivePhiladelphia Indemnity Insurance Company301221Agent - Property1/19/2010 
ActivePrincipal Life Insurance Company300129Agent - Health11/17/1993 
ActivePrincipal Life Insurance Company300129Agent - Life11/17/1993 
ActiveProgressive Casualty Insurance Company300696Agent - Casualty3/24/2004 
ActiveProgressive Casualty Insurance Company300696Agent - Property3/24/2004 
InactiveProgressive Max Insurance Company301034Agent - Casualty8/15/200011/27/2007
InactiveProgressive Max Insurance Company301034Agent - General Lines3/29/19998/15/2000
InactiveProgressive Max Insurance Company301034Agent - Property8/15/200011/27/2007
ActiveProgressive Northern Insurance Company301378Agent - Casualty8/15/2000 
InactiveProgressive Northern Insurance Company301378Agent - General Lines3/29/19998/15/2000
ActiveProgressive Northern Insurance Company301378Agent - Property8/15/2000 
InactiveProgressive Northwestern Insurance Company300441Agent - Casualty8/15/200012/28/2005
InactiveProgressive Northwestern Insurance Company300441Agent - General Lines3/29/19998/15/2000
InactiveProgressive Northwestern Insurance Company300441Agent - Property8/15/200012/28/2005
InactiveProgressive Specialty Insurance Company300797Agent - Casualty4/19/200111/27/2007
InactiveProgressive Specialty Insurance Company300797Agent - Property4/19/200111/27/2007
InactiveProtective Life Insurance Company300638Agent - Life4/1/200712/21/2010
InactivePruco Life Insurance Company300954Agent - Health9/15/200912/21/2022
InactivePruco Life Insurance Company300954Agent - Life9/15/200912/21/2022
InactiveReassure America Life Insurance Company301902Agent - Health7/30/19981/2/2003
InactiveReassure America Life Insurance Company301902Agent - Life7/30/19981/2/2003
InactiveReliaStar Life Insurance Company301712Agent - Health9/11/200910/5/2012
InactiveReliaStar Life Insurance Company301712Agent - Life9/11/200910/5/2012
InactiveSAFECO Insurance Company of America300159Agent - Casualty10/16/20083/29/2024
InactiveSAFECO Insurance Company of America300159Agent - Property10/16/20083/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty10/16/20083/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Property10/16/20083/29/2024
InactiveSecurity Life of Denver Insurance Company300648Agent - Health9/11/20099/29/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Life9/11/20099/29/2012
InactiveSouth Carolina Insurance Company300080Agent - Casualty8/7/20034/1/2005
InactiveSouth Carolina Insurance Company300080Agent - Property8/7/20034/1/2005
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty2/9/2001 
ActiveStandard Fire Insurance Company (The)301068Agent - Property2/9/2001 
InactiveStandard Insurance Company300185Agent - Health7/7/200612/31/2013
InactiveStandard Insurance Company300185Agent - Life7/7/200612/31/2013
InactiveSuperior Dental Care Inc.300418Agent - Health2/21/20121/9/2014
InactiveTIG Insurance Company301750Agent - Casualty8/15/200012/17/2002
InactiveTIG Insurance Company301750Agent - General Lines6/10/19968/15/2000
InactiveTIG Insurance Company301750Agent - Property8/15/200012/17/2002
InactiveTalcott Resolution Life Insurance Company301759Agent - Health8/17/20046/8/2017
InactiveTalcott Resolution Life Insurance Company301759Agent - Life8/17/20046/8/2017
ActiveThe Phoenix Insurance Company301502Agent - Casualty2/9/2001 
ActiveThe Phoenix Insurance Company301502Agent - Property2/9/2001 
InactiveTime Insurance Company300683Agent - Health2/9/200111/15/2002
InactiveTime Insurance Company300683Agent - Life2/9/200111/15/2002
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health9/10/19966/26/2003
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life9/10/19966/26/2003
InactiveTranscontinental Insurance Company301731Agent - Casualty8/15/200010/7/2002
InactiveTranscontinental Insurance Company301731Agent - General Lines6/9/19938/15/2000
InactiveTranscontinental Insurance Company301731Agent - Property8/15/200010/7/2002
InactiveTransportation Insurance Company301575Agent - Casualty11/13/20071/27/2015
InactiveTransportation Insurance Company301575Agent - General Lines6/9/19938/15/2000
InactiveTransportation Insurance Company301575Agent - Property11/13/20071/27/2015
InactiveTravCo Insurance Company301828Agent - Casualty2/9/200112/5/2013
InactiveTravCo Insurance Company301828Agent - Property2/9/200112/5/2013
InactiveTravelers Casualty Company of Connecticut301505Agent - Casualty9/3/200212/9/2009
InactiveTravelers Casualty Company of Connecticut301505Agent - Property9/3/200212/9/2009
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty8/10/20106/16/2014
InactiveTravelers Casualty Insurance Company of America300522Agent - Property8/10/20106/16/2014
InactiveTravelers Casualty and Surety Company301067Agent - Casualty8/10/201012/5/2013
InactiveTravelers Casualty and Surety Company301067Agent - Property8/10/201012/5/2013
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty7/19/2005 
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Property7/19/2005 
InactiveTravelers Indemnity Company (The)301855Agent - Casualty8/10/201012/5/2013
InactiveTravelers Indemnity Company (The)301855Agent - Property8/10/201012/5/2013
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty8/10/201012/5/2013
InactiveTravelers Indemnity Company of America (The)301093Agent - Property8/10/201012/5/2013
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty8/10/201012/5/2013
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property8/10/201012/5/2013
ActiveTravelers Personal Insurance Company705785Agent - Casualty3/18/2019 
ActiveTravelers Personal Insurance Company705785Agent - Property3/18/2019 
InactiveTravelers Property Casualty Company of America301649Agent - Casualty8/10/201012/5/2013
InactiveTravelers Property Casualty Company of America301649Agent - Property8/10/201012/5/2013
InactiveTravelers Property Casualty Insurance Company301508Agent - Casualty12/21/200912/5/2013
InactiveTravelers Property Casualty Insurance Company301508Agent - Property12/21/200912/5/2013
ActiveTrexis Insurance Corporation599902Agent - Casualty12/20/2010 
ActiveTrexis One Insurance Corporation684197Agent - Casualty3/14/2011 
InactiveU.S. Financial Life Insurance Company301812Agent - Health9/24/19999/12/2007
InactiveU.S. Financial Life Insurance Company301812Agent - Life9/24/19999/12/2007
ActiveUnited Financial Casualty Company301886Agent - Casualty12/2/2005 
ActiveUnited Financial Casualty Company301886Agent - Property12/2/2005 
InactiveUnited of Omaha Life Insurance Company300156Agent - Health8/21/200912/22/2011
InactiveUnited of Omaha Life Insurance Company300156Agent - Life8/21/200912/22/2011
InactiveUnitedHealthcare Insurance Company300946Agent - Health9/29/200311/30/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Life9/29/200311/30/2016
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health10/17/19953/31/1997
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life10/17/19953/31/1997
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health9/29/200311/30/2016
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health5/18/200111/30/2016
ActiveUnitrin Auto and Home Insurance Company301538Agent - Casualty9/18/2012 
ActiveUnitrin Auto and Home Insurance Company301538Agent - Property9/18/2012 
InactiveUnitrin Preferred Insurance Company502869Agent - Casualty9/18/201212/2/2013
InactiveUnitrin Preferred Insurance Company502869Agent - Property9/18/201212/2/2013
ActiveUnitrin Safeguard Insurance Company301371Agent - Casualty10/11/2018 
ActiveUnitrin Safeguard Insurance Company301371Agent - Property10/11/2018 
InactiveValley Forge Insurance Company301052Agent - Casualty11/13/20071/27/2015
InactiveValley Forge Insurance Company301052Agent - General Lines6/9/19938/15/2000
InactiveValley Forge Insurance Company301052Agent - Property11/13/20071/27/2015
InactiveWest American Insurance Company301112Agent - Casualty8/15/20003/29/2024
InactiveWest American Insurance Company301112Agent - General Lines1/15/19998/15/2000
InactiveWest American Insurance Company301112Agent - Property8/15/20003/29/2024
ActiveWest Bend Insurance Company672974Agent - Casualty3/25/2015 
ActiveWest Bend Insurance Company672974Agent - Property3/25/2015 
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Health9/19/20073/13/2010
InactiveWestern Reserve Life Assurance Company of Ohio300760Agent - Life9/19/20073/13/2010
ActiveWestern Surety Company300283Agent - Casualty8/15/2000 
InactiveWestern Surety Company300283Agent - General Lines6/23/20008/15/2000
InactiveWindhaven National Insurance Company300094Agent - Casualty8/15/200012/15/2003
InactiveWindhaven National Insurance Company300094Agent - General Lines10/4/19938/15/2000
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Health8/30/199912/31/2001
InactiveArison Insurance Services, Inc.401001Agent - Life8/30/199912/31/2001
ActiveBerens, Cynthia A 328034Agent - Casualty4/28/2005 
ActiveBerens, Cynthia A 328034Agent - Health5/14/2014 
ActiveBerens, Cynthia A 328034Agent - Property4/28/2005 
InactiveCampbell, Crystal Lynn 652967Agent - Casualty11/14/20079/30/2009
InactiveCampbell, Crystal Lynn 652967Agent - Property11/14/20079/30/2009
InactiveDental Choice Agency Inc.398085Agent - Health3/1/200112/31/2001
InactiveDental Choice Agency Inc.398085Agent - Prepaid Dental Plan8/9/19993/1/2001
ActiveDornbusch, Douglas Roger 324125Agent - Casualty8/15/2000 
InactiveDornbusch, Douglas Roger 324125Agent - General Lines6/9/19938/15/2000
ActiveDornbusch, Douglas Roger 324125Agent - Health6/9/1993 
ActiveDornbusch, Douglas Roger 324125Agent - Life6/9/1993 
ActiveDornbusch, Douglas Roger 324125Agent - Property8/15/2000 
InactiveDornbusch, Edward Nicholas 349696Agent - Casualty8/15/20006/30/2008
InactiveDornbusch, Edward Nicholas 349696Agent - General Lines6/9/19938/15/2000
InactiveDornbusch, Edward Nicholas 349696Agent - Health6/9/19936/30/2008
InactiveDornbusch, Edward Nicholas 349696Agent - Life6/9/19936/30/2008
InactiveDornbusch, Edward Nicholas 349696Agent - Property8/15/20006/30/2008
InactiveHilligoss, Linda Lee 542202Agent - Casualty7/17/20129/30/2013
InactiveHilligoss, Linda Lee 542202Agent - Property6/26/20129/30/2013
InactiveLeland, Kathy Lynn 715556Agent - Casualty12/28/20099/30/2011
InactiveLeland, Kathy Lynn 715556Agent - Property12/28/20099/30/2011
InactiveMedlink Inc400721Agent - Health7/29/199312/31/2001
InactiveMedlink Inc400721Agent - Life7/29/199312/31/2001
InactiveStarosciak, Debora Mary 379394Agent - General Lines6/9/19938/15/2000
InactiveStarosciak, Walter Allen 367634Agent - Casualty8/15/200012/1/2022
InactiveStarosciak, Walter Allen 367634Agent - General Lines6/9/19938/15/2000
InactiveStarosciak, Walter Allen 367634Agent - Health6/9/199312/23/2014
InactiveStarosciak, Walter Allen 367634Agent - Life6/9/199312/1/2022
InactiveStarosciak, Walter Allen 367634Agent - Property8/15/200012/1/2022

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