DEPARTMENT OF INSURANCE
Affiliations
NameE. N. Dornbusch Agency Inc.DOIID398456NAIC NPN4684110
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentCasualty8/15/2000 3/31/2027
ActiveResidentAgentProperty8/15/2000 3/31/2027
ActiveResidentAgentHealth8/24/1993 3/31/2027
ActiveResidentAgentLife8/24/1993 3/31/2027
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.
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
ActiveAmerican Economy Insurance Company300315Agent - Casualty4/3/2025 
ActiveAmerican Economy Insurance Company300315Agent - Property4/3/2025 
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
InactiveAnthem Life Insurance Company301209Agent - Health8/24/19934/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life8/24/19934/15/2025
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
InactiveClearPath Insurance Company979815Agent - Casualty1/1/201812/27/2024
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
Pending ReplacementDental 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
InactivePeerless Indemnity Insurance Company571682Agent - Casualty8/27/20079/26/2024
InactivePeerless Indemnity Insurance Company571682Agent - Property8/27/20079/26/2024
InactivePeerless Insurance Company301910Agent - Casualty8/27/20075/8/2025
InactivePeerless Insurance Company301910Agent - Property8/27/20075/8/2025
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
ActiveSAFECO Insurance Company of America300159Agent - Casualty7/18/2024 
ActiveSAFECO Insurance Company of America300159Agent - Property7/18/2024 
ActiveSAFECO Insurance Company of Illinois301350Agent - Casualty5/9/2025 
ActiveSAFECO Insurance Company of Illinois301350Agent - Property5/9/2025 
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
ActiveTravCo Insurance Company301828Agent - Casualty5/6/2025 
ActiveTravCo Insurance Company301828Agent - Property5/6/2025 
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
InactiveUnitrin Auto and Home Insurance Company301538Agent - Casualty9/18/201210/23/2024
InactiveUnitrin Auto and Home Insurance Company301538Agent - Property9/18/201210/23/2024
InactiveUnitrin Preferred Insurance Company502869Agent - Casualty9/18/201212/2/2013
InactiveUnitrin Preferred Insurance Company502869Agent - Property9/18/201212/2/2013
InactiveUnitrin Safeguard Insurance Company301371Agent - Casualty10/11/201810/23/2024
InactiveUnitrin Safeguard Insurance Company301371Agent - Property10/11/201810/23/2024
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
ActiveWest American Insurance Company301112Agent - Casualty9/23/2024 
InactiveWest American Insurance Company301112Agent - General Lines1/15/19998/15/2000
ActiveWest American Insurance Company301112Agent - Property9/23/2024 
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
InactiveBerens, Cynthia A 328034Agent - Casualty4/28/20053/1/2025
InactiveBerens, Cynthia A 328034Agent - Health5/14/20143/1/2025
InactiveBerens, Cynthia A 328034Agent - Property4/28/20053/1/2025
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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