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DEPARTMENT OF INSURANCE
Affiliations
Name
Mainland Group Marketing Services Inc.
DOIID
398490
NAIC NPN
7220937
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Health
8/25/1993
3/31/1997
Inactive
Resident
Agent
Life
8/25/1993
3/31/1997
Inactive
Resident
Agent
General Lines
5/16/1988
8/15/2000
Inactive
Resident
Agent
Property
8/15/2000
3/31/2008
Inactive
Resident
Agent
Casualty
8/15/2000
3/31/2008
Inactive
Resident
Managing General Agent
Not Applicable
1/24/1990
3/31/2002
* 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
Cotton States Mutual Insurance Company
300269
Agent - General Lines
5/16/1988
3/31/1996
Inactive
Countryway Insurance Company
300809
Agent - General Lines
7/1/1994
3/31/1998
Inactive
Generali - U.S. Branch
301128
Agent - Casualty
8/15/2000
3/31/2002
Inactive
Generali - U.S. Branch
301128
Agent - General Lines
8/10/1992
8/15/2000
Inactive
Generali - U.S. Branch
301128
Agent - Property
8/15/2000
3/31/2002
Inactive
Illinois National Insurance Company
301367
Agent - Casualty
8/15/2000
3/31/2002
Inactive
Illinois National Insurance Company
301367
Agent - General Lines
8/11/1992
8/15/2000
Inactive
Illinois National Insurance Company
301367
Agent - Property
8/15/2000
3/31/2002
Inactive
Infinity Standard Insurance Company
301643
Agent - General Lines
10/9/1992
3/25/1996
Inactive
Redland Insurance Company
300687
Agent - General Lines
1/16/1990
3/31/1998
Inactive
State National Insurance Company, Inc.
300888
Agent - Casualty
4/15/2002
2/4/2008
Inactive
State National Insurance Company, Inc.
300888
Agent - Property
4/15/2002
2/4/2008
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Health
8/25/1993
3/31/1997
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Life
8/25/1993
3/31/1997
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Abbott, Kandace Nichole
597281
Agent - Property
3/2/2005
9/19/2005
Inactive
Bailey, April Dawn
595351
Agent - Casualty
1/31/2005
3/31/2008
Inactive
Bailey, April Dawn
595351
Agent - Property
1/31/2005
3/31/2008
Inactive
Barker, Daniel Ray
302724
Agent - Casualty
3/3/2003
3/31/2008
Inactive
Barker, Daniel Ray
302724
Agent - Property
3/3/2003
3/31/2008
Inactive
Barker, Daniel Ray
302724
Managing General Agent - Not Applicable
1/24/1990
3/31/2000
Inactive
Barker, Frances I
306996
Agent - Casualty
11/7/2005
9/30/2007
Inactive
Barker, Frances I
306996
Agent - Property
11/7/2005
9/30/2007
Inactive
Bell, Mary Jo
505352
Agent - Casualty
1/31/2005
3/31/2008
Inactive
Bell, Mary Jo
505352
Agent - Property
1/31/2005
3/31/2008
Inactive
Chapman, Melissa Ann
578469
Agent - Casualty
1/31/2005
3/28/2005
Inactive
Chapman, Melissa Ann
578469
Agent - Property
1/31/2005
3/28/2005
Inactive
Compton, Louise A
536891
Agent - Casualty
1/15/2004
7/29/2005
Inactive
Compton, Louise A
536891
Agent - Property
1/15/2004
7/29/2005
Inactive
DeYoung, Andrea Sloan
540436
Agent - Casualty
6/28/2006
6/21/2007
Inactive
DeYoung, Andrea Sloan
540436
Agent - Property
6/28/2006
6/21/2007
Inactive
Evans, Eric Michael
579838
Agent - Casualty
1/31/2005
3/31/2005
Inactive
Evans, Eric Michael
579838
Agent - Property
1/31/2005
3/31/2005
Inactive
Farley, Laura M
556848
Agent - Casualty
1/31/2005
11/7/2005
Inactive
Farley, Laura M
556848
Agent - Property
1/31/2005
11/7/2005
Inactive
Fylstra, Ronald John
333623
Agent - General Lines
3/31/1995
12/9/1997
Inactive
Gentry, Sue Wight
384171
Agent - Casualty
3/31/2005
9/15/2005
Inactive
Gentry, Sue Wight
384171
Agent - Property
3/31/2005
9/15/2005
Inactive
Good, Tracy Diana
558912
Agent - Casualty
1/31/2005
11/7/2005
Denied
Good, Tracy Diana
558912
Agent - Property
Inactive
Hays, Vicky J
563035
Agent - Casualty
8/18/2003
3/31/2008
Inactive
Hays, Vicky J
563035
Agent - Property
8/18/2003
3/31/2008
Inactive
Kincaid, Timothy Galen
575523
Agent - Casualty
1/31/2005
7/13/2005
Inactive
Kincaid, Timothy Galen
575523
Agent - Property
1/31/2005
7/13/2005
Denied
Mosquera, Yeilen
597279
Agent - Casualty
Denied
Mosquera, Yeilen
597279
Agent - Property
Inactive
Polston, Billy Dale
330819
Agent - General Lines
11/14/1996
8/15/2000
Inactive
Polston, Billy Dale
330819
Agent - Health
7/31/1989
3/31/1997
Inactive
Polston, Billy Dale
330819
Agent - Life
11/14/1996
1/16/2001
Denied
Robson, Hannah Christian
567261
Agent - Casualty
Denied
Robson, Hannah Christian
567261
Agent - Property
Denied
Schuck, Danielle Yvette
366202
Agent - Casualty
Denied
Schuck, Danielle Yvette
366202
Agent - Property
Inactive
See, Alisha Danielle
355470
Agent - Casualty
11/7/2005
3/31/2008
Inactive
See, Alisha Danielle
355470
Agent - Property
11/7/2005
3/31/2008
Inactive
Snodgrass, Debbrah Kay
360832
Agent - Casualty
1/15/2004
8/16/2004
Inactive
Snodgrass, Debbrah Kay
360832
Agent - Property
1/15/2004
8/16/2004
Inactive
Taylor, William Paul
335623
Agent - Casualty
8/15/2000
3/3/2003
Inactive
Taylor, William Paul
335623
Agent - General Lines
12/11/1996
8/15/2000
Inactive
Taylor, William Paul
335623
Agent - Health
7/31/1989
3/31/1997
Inactive
Taylor, William Paul
335623
Agent - Life
7/31/1989
3/31/1997
Inactive
Taylor, William Paul
335623
Agent - Property
8/15/2000
3/3/2003
Inactive
Taylor, William Paul
335623
Managing General Agent - Not Applicable
1/24/1990
8/16/2004
Inactive
Trippy, Laura Lynn
542652
Agent - Casualty
1/15/2004
1/31/2005
Inactive
Trippy, Laura Lynn
542652
Agent - Property
1/15/2004
1/31/2005
Inactive
White, Connie S
385175
Agent - Casualty
3/3/2003
8/16/2004
Inactive
White, Connie S
385175
Agent - Property
3/3/2003
8/16/2004
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