DEPARTMENT OF INSURANCE
Affiliations
NameBradshaw & Weil IncDOIID398772NAIC NPN3394524
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth2/24/2000 3/31/2025
ActiveResidentAgentCasualty8/15/2000 3/31/2025
ActiveResidentAgentProperty8/15/2000 3/31/2025
ActiveResidentAgentLife2/24/2000 3/31/2025
InactiveResidentAgentGeneral Lines3/31/19828/15/2000 
InactiveResidentSurplus Lines BrokerNot Applicable6/8/201710/12/2018 
* 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
Inactive4 Ever Life Insurance Company301307Agent - Health10/23/20012/19/2007
Inactive4 Ever Life Insurance Company301307Agent - Life10/23/20012/19/2007
InactiveACE American Insurance Company300625Agent - Casualty3/3/200410/11/2004
InactiveACE American Insurance Company300625Agent - Property3/3/200410/11/2004
ActiveACE Property and Casualty Insurance Company300520Agent - Health12/15/2023 
InactiveAIG Assurance Company300897Agent - Casualty2/3/20043/3/2008
InactiveAIG Assurance Company300897Agent - Property2/3/20043/3/2008
ActiveAIG Property Casualty Company300621Agent - Casualty5/10/2013 
ActiveAIG Property Casualty Company300621Agent - Property5/10/2013 
InactiveAccendo Insurance Company300312Agent - Life6/10/20207/12/2024
ActiveAetna Health Inc. (PA)660717Agent - Health8/29/2022 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/29/2022 
ActiveAetna Life Insurance Company301140Agent - Health8/29/2022 
InactiveAetna Life Insurance Company301140Agent - Life8/22/20177/7/2022
InactiveAllianz Life Insurance Company of North America301791Agent - Health11/16/200112/18/2019
ActiveAllianz Life Insurance Company of North America301791Agent - Life2/4/2020 
ActiveAllstate Indemnity Company300778Agent - Casualty12/2/2020 
ActiveAllstate Indemnity Company300778Agent - Property12/2/2020 
ActiveAllstate Insurance Company300773Agent - Casualty12/2/2020 
ActiveAllstate Insurance Company300773Agent - Property12/2/2020 
InactiveAllstate Northbrook Indemnity Company301309Agent - Casualty12/15/20045/14/2009
InactiveAllstate Northbrook Indemnity Company301309Agent - Property12/15/20045/14/2009
ActiveAllstate Property and Casualty Insurance Company300593Agent - Casualty12/2/2020 
ActiveAllstate Property and Casualty Insurance Company300593Agent - Property12/2/2020 
ActiveAllstate Vehicle & Property Insurance Company301429Agent - Casualty12/2/2020 
ActiveAllstate Vehicle & Property Insurance Company301429Agent - Property12/2/2020 
InactiveAmerican Alternative Insurance Corporation301697Agent - Casualty3/3/20142/11/2021
InactiveAmerican Alternative Insurance Corporation301697Agent - Property3/3/20142/11/2021
InactiveAmerican Bankers Insurance Company of Florida300360Agent - Casualty1/16/20038/1/2006
InactiveAmerican Bankers Insurance Company of Florida300360Agent - Property1/16/20038/1/2006
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Casualty2/23/20044/28/2020
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Property2/23/20044/28/2020
InactiveAmerican Commerce Insurance Company301665Agent - Casualty6/22/20153/31/2018
InactiveAmerican Commerce Insurance Company301665Agent - Property6/22/20153/31/2018
ActiveAmerican Economy Insurance Company300315Agent - Casualty4/3/2024 
ActiveAmerican Economy Insurance Company300315Agent - Property4/3/2024 
ActiveAmerican Equity Investment Life Insurance Company300389Agent - Life1/29/2021 
ActiveAmerican Family Home Insurance Company301817Agent - Casualty12/31/2014 
ActiveAmerican Family Home Insurance Company301817Agent - Property12/31/2014 
InactiveAmerican Fire and Casualty Company300567Agent - Casualty10/16/20083/29/2024
InactiveAmerican Fire and Casualty Company300567Agent - Property10/16/20083/29/2024
InactiveAmerican General Life Insurance Company301585Agent - Health8/30/200411/9/2012
InactiveAmerican General Life Insurance Company301585Agent - Life8/30/200411/9/2012
InactiveAmerican Guarantee and Liability Insurance Company301216Agent - Casualty8/15/20028/20/2012
InactiveAmerican Guarantee and Liability Insurance Company301216Agent - Property8/15/20028/20/2012
InactiveAmerican Heritage Life Insurance Company300272Agent - Health7/28/20056/23/2008
InactiveAmerican Heritage Life Insurance Company300272Agent - Life7/28/20056/23/2008
ActiveAmerican Life & Security Corp1055058Agent - Life1/29/2024 
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty12/31/201412/13/2023
InactiveAmerican Modern Home Insurance Company300791Agent - Property12/31/201412/13/2023
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty11/2/2018 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property11/2/2018 
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty12/31/201411/14/2021
InactiveAmerican Modern Select Insurance Company581481Agent - Property12/31/201411/14/2021
InactiveAmerican National Insurance Company301861Agent - Health9/22/20035/26/2021
ActiveAmerican National Insurance Company301861Agent - Life9/22/2003 
InactiveAmerican Reliable Insurance Company301889Agent - Casualty1/16/20038/1/2006
InactiveAmerican Reliable Insurance Company301889Agent - Property1/16/20038/1/2006
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty12/31/201411/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Property12/31/201411/14/2021
InactiveAmerican States Insurance Company301230Agent - Casualty6/8/20073/29/2024
InactiveAmerican States Insurance Company301230Agent - Property6/8/20073/29/2024
InactiveAmerican Zurich Insurance Company300592Agent - Casualty8/15/20028/20/2012
InactiveAmerican Zurich Insurance Company300592Agent - Property8/15/20028/20/2012
ActiveAmerico Financial Life and Annuity Insurance Company300869Agent - Life3/27/2015 
InactiveAmericom Life & Annuity Insurance Company301843Agent - Life2/22/20079/30/2007
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/9/200410/20/2018
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health10/6/2021 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health10/6/2021 
InactiveAnthem Life Insurance Company301209Agent - Health3/9/200410/20/2018
InactiveAnthem Life Insurance Company301209Agent - Life3/9/200410/20/2018
InactiveArrowood Indemnity Company300144Agent - Casualty12/31/20047/27/2007
InactiveArrowood Indemnity Company300144Agent - Property12/31/20047/27/2007
ActiveAspida Life Insurance Company301934Agent - Life10/14/2022 
InactiveAssurance Company of America300432Agent - Casualty9/23/20091/20/2014
InactiveAssurance Company of America300432Agent - Property9/23/20091/20/2014
InactiveAssurity Life Insurance Company301099Agent - Health12/4/200811/4/2010
InactiveAssurity Life Insurance Company301099Agent - Life12/4/200811/4/2010
InactiveAthene Annuity & Life Assurance Company301798Agent - Health1/17/200311/12/2003
InactiveAthene Annuity & Life Assurance Company301798Agent - Life1/17/200311/12/2003
InactiveAthene Annuity & Life Assurance Company of New York300724Agent - Life1/14/20023/23/2012
InactiveAthene Annuity and Life Company301893Agent - Life7/24/20186/9/2022
InactiveAudubon Insurance Company301767Agent - Casualty8/15/200010/7/2010
InactiveAudubon Insurance Company301767Agent - General Lines3/17/20008/15/2000
InactiveAudubon Insurance Company301767Agent - Property8/15/200010/7/2010
InactiveAuto Club Property-Casualty Insurance Company650781Agent - Casualty7/12/20108/21/2023
InactiveAuto Club Property-Casualty Insurance Company650781Agent - Property7/12/20108/21/2023
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty1/15/2007 
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property1/15/2007 
InactiveBCS Insurance Company300294Agent - Health10/10/20014/27/2004
ActiveBankers Fidelity Assurance Company554627Agent - Health8/18/2020 
ActiveBankers Fidelity Assurance Company554627Agent - Life8/18/2020 
ActiveBankers Fidelity Life Insurance Company300193Agent - Health8/18/2020 
ActiveBankers Fidelity Life Insurance Company300193Agent - Life8/18/2020 
DeniedBanner Life Insurance Company301696Agent - Life  
InactiveBoston Mutual Life Insurance Company300143Agent - Health1/25/200112/15/2005
InactiveBoston Mutual Life Insurance Company300143Agent - Life1/25/200112/15/2005
InactiveBridgefield Casualty Insurance Company500013Agent - Casualty7/31/200911/11/2013
ActiveBrighthouse Life Insurance Company301829Agent - Health1/21/2015 
ActiveBrighthouse Life Insurance Company301829Agent - Life1/21/2015 
InactiveBristol West Insurance Company301655Agent - Casualty11/22/200812/7/2017
InactiveBristol West Insurance Company301655Agent - Property11/22/200812/7/2017
InactiveBrotherhood Mutual Insurance Company300940Agent - Casualty5/25/20062/2/2016
InactiveBrotherhood Mutual Insurance Company300940Agent - Health5/25/20062/2/2016
InactiveBrotherhood Mutual Insurance Company300940Agent - Property5/25/20062/2/2016
InactiveCare Improvement Plus South Central Insurance Company799697Agent - Health7/20/20222/19/2024
InactiveCatawba Insurance Company581090Agent - Casualty1/1/20049/2/2010
InactiveCatawba Insurance Company581090Agent - Property1/1/20049/2/2010
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty5/11/201812/9/2019
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property5/11/201812/9/2019
InactiveChase Insurance Life Company301287Agent - Life6/7/20034/1/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Health8/15/20024/1/2007
InactiveChase Insurance Life and Annuity Company300518Agent - Life8/15/20024/1/2007
ActiveCincinnati Life Insurance Company (The)300601Agent - Health8/31/2015 
ActiveCincinnati Life Insurance Company (The)300601Agent - Life8/31/2015 
InactiveClarica Life Insurance Company - U.S.300207Agent - Life10/11/20024/26/2004
InactiveClear Spring Life and Annuity Company300919Agent - Life12/8/20165/14/2024
ActiveClearPath Insurance Company979815Agent - Casualty1/1/2018 
InactiveCombined Insurance Company of America301472Agent - Health7/27/20151/12/2022
InactiveCompBenefits Insurance Company301864Agent - Health5/4/20217/11/2024
InactiveCompanion Commercial Insurance Company301969Agent - Casualty10/11/20072/3/2014
InactiveCompanion Commercial Insurance Company301969Agent - Property10/11/20072/3/2014
ActiveCompcare Health Services Insurance Corporation948751Agent - Health10/6/2021 
InactiveConsolidated Insurance Company300943Agent - Casualty10/16/200810/13/2022
InactiveConsolidated Insurance Company300943Agent - Property10/16/200810/13/2022
InactiveContinental Casualty Company301019Agent - Casualty1/4/20014/28/2020
InactiveContinental Casualty Company301019Agent - Health8/31/200112/22/2005
InactiveContinental Casualty Company301019Agent - Property1/4/20014/28/2020
InactiveContinental General Insurance Company300691Agent - Health10/16/200012/6/2006
InactiveContinental General Insurance Company300691Agent - Life10/16/200012/6/2006
InactiveContinental Insurance Company (The)301242Agent - Casualty8/15/20009/3/2002
InactiveContinental Insurance Company (The)301242Agent - General Lines3/31/19828/15/2000
InactiveContinental Insurance Company (The)301242Agent - Property8/15/20009/3/2002
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health3/6/20187/12/2024
InactiveCoventry Health and Life Insurance Company301771Agent - Health8/22/20176/15/2022
InactiveDearborn Life Insurance Company300401Agent - Health9/29/20039/2/2011
InactiveDearborn Life Insurance Company300401Agent - Life9/29/20039/2/2011
ActiveDelaware Life Insurance Company301256Agent - Life1/29/2004 
ActiveDental Care Plus Inc.301495Agent - Health4/8/2010 
ActiveElips Life Insurance Company301087Agent - Health4/14/2022 
InactiveEmployers Assurance Company300120Agent - Casualty1/31/20125/24/2021
InactiveEmployers Compensation Insurance Company797885Agent - Casualty8/6/20185/24/2021
InactiveEmployers Preferred Insurance Company520656Agent - Casualty1/31/20125/24/2021
ActiveEncompass Indemnity Company546376Agent - Casualty12/4/2003 
ActiveEncompass Indemnity Company546376Agent - Property12/4/2003 
ActiveEncompass Insurance Company of America556578Agent - Casualty1/23/2004 
ActiveEncompass Insurance Company of America556578Agent - Property1/23/2004 
InactiveEquiTrust Life Insurance Company502870Agent - Life2/5/20245/24/2024
InactiveFarmers Insurance Exchange300336Agent - Casualty11/9/20058/23/2012
InactiveFarmers Insurance Exchange300336Agent - Property11/9/20058/23/2012
InactiveFarmington Casualty Company301137Agent - Casualty1/15/200712/5/2013
InactiveFarmington Casualty Company301137Agent - Property1/15/200712/5/2013
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life10/25/2018 
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Health8/15/200210/29/2008
InactiveFidelity Life Association, A Legal Reserve Life Insurance Company300774Agent - Life8/15/200210/29/2008
InactiveFirst Colony Life Insurance Company301179Agent - Health8/28/20001/1/2007
InactiveFirst Colony Life Insurance Company301179Agent - Life8/28/20001/1/2007
InactiveFirst National Insurance Company of America301690Agent - Casualty6/8/200710/13/2022
InactiveFirst National Insurance Company of America301690Agent - Property6/8/200710/13/2022
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty8/3/2004 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property8/3/2004 
InactiveForemost Property and Casualty Insurance Company300871Agent - Casualty11/21/20128/29/2018
InactiveForemost Property and Casualty Insurance Company300871Agent - Property11/21/20128/29/2018
InactiveForemost Signature Insurance Company300140Agent - Casualty11/21/20128/29/2018
InactiveForemost Signature Insurance Company300140Agent - Property11/21/20128/29/2018
ActiveForethought Life Insurance Company301407Agent - Health4/19/2021 
ActiveForethought Life Insurance Company301407Agent - Life4/19/2021 
InactiveGeneral Insurance Company of America300261Agent - Casualty6/8/20073/29/2024
InactiveGeneral Insurance Company of America300261Agent - Property6/8/20073/29/2024
InactiveGenworth Life Insurance Company300623Agent - Health9/16/200910/4/2012
InactiveGenworth Life Insurance Company300623Agent - Life3/7/200110/4/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health7/8/200812/7/2012
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life7/8/200812/7/2012
InactiveGlobe Indemnity Company300507Agent - Casualty7/21/200312/31/2004
InactiveGlobe Indemnity Company300507Agent - Property7/21/200312/31/2004
InactiveGolden Rule Insurance Company301943Agent - Health10/21/200512/13/2012
InactiveGolden Rule Insurance Company301943Agent - Life10/21/200512/13/2012
ActiveGrange Indemnity Insurance Company300793Agent - Casualty8/15/2000 
InactiveGrange Indemnity Insurance Company300793Agent - General Lines6/8/20008/15/2000
ActiveGrange Indemnity Insurance Company300793Agent - Property8/15/2000 
ActiveGrange Insurance Company300234Agent - Casualty8/15/2000 
InactiveGrange Insurance Company300234Agent - General Lines6/8/20008/15/2000
ActiveGrange Insurance Company300234Agent - Property8/15/2000 
InactiveGrange Life Insurance Company300128Agent - Health2/24/20003/31/2021
InactiveGrange Life Insurance Company300128Agent - Life2/24/20003/31/2021
InactiveGranite State Insurance Company300818Agent - Casualty3/24/20083/10/2010
InactiveGranite State Insurance Company300818Agent - Property3/24/20083/10/2010
ActiveGuaranty Income Life Insurance Company552451Agent - Health1/14/2019 
ActiveGuaranty Income Life Insurance Company552451Agent - Life1/14/2019 
InactiveGuardian Life Insurance Company of America301316Agent - Health4/10/201510/5/2021
InactiveGuardian Life Insurance Company of America301316Agent - Life4/10/201510/5/2021
InactiveGuideOne Elite Insurance Company300490Agent - Casualty8/15/200012/6/2004
InactiveGuideOne Elite Insurance Company300490Agent - General Lines4/7/20008/15/2000
InactiveGuideOne Elite Insurance Company300490Agent - Property8/15/200012/6/2004
InactiveGuideOne Insurance Company301794Agent - Casualty8/15/200012/6/2004
InactiveGuideOne Insurance Company301794Agent - General Lines4/7/20008/15/2000
InactiveGuideOne Insurance Company301794Agent - Property8/15/200012/6/2004
InactiveGuideOne Specialty Insurance Company300278Agent - Casualty8/15/200012/6/2004
InactiveGuideOne Specialty Insurance Company300278Agent - General Lines4/7/20008/15/2000
InactiveGuideOne Specialty Insurance Company300278Agent - Property8/15/200012/6/2004
ActiveHartford Accident and Indemnity Company301917Agent - Casualty2/6/2018 
ActiveHartford Accident and Indemnity Company301917Agent - Property2/6/2018 
ActiveHartford Casualty Insurance Company301332Agent - Casualty7/29/2018 
ActiveHartford Casualty Insurance Company301332Agent - Property7/29/2018 
ActiveHartford Fire Insurance Company300628Agent - Casualty5/13/2020 
ActiveHartford Fire Insurance Company300628Agent - Property5/13/2020 
ActiveHartford Insurance Company of Illinois1014405Agent - Casualty2/16/2022 
ActiveHartford Insurance Company of Illinois1014405Agent - Property2/16/2022 
InactiveHartford Insurance Company of the Midwest301918Agent - Casualty12/12/200311/7/2008
InactiveHartford Insurance Company of the Midwest301918Agent - Property12/12/200311/7/2008
ActiveHartford Insurance Company of the Southeast1014204Agent - Casualty12/27/2020 
ActiveHartford Insurance Company of the Southeast1014204Agent - Property12/27/2020 
ActiveHartford Life and Accident Insurance Company300878Agent - Health8/4/2017 
ActiveHartford Life and Accident Insurance Company300878Agent - Life8/4/2017 
ActiveHartford Underwriters Insurance Company301064Agent - Casualty1/29/2019 
ActiveHartford Underwriters Insurance Company301064Agent - Property1/29/2019 
InactiveHome Insurance Company (The)301851Agent - General Lines3/31/19823/31/1996
InactiveHumana Health Plan, Inc.300142Agent - Health10/10/200111/20/2009
InactiveHumana Insurance Company301104Agent - Health2/8/20217/11/2024
InactiveHumana Insurance Company301104Agent - Life10/11/200111/20/2009
InactiveIllinois Mutual Life Insurance Company301479Agent - Health2/26/200811/9/2010
InactiveIllinois Mutual Life Insurance Company301479Agent - Life2/26/200811/9/2010
InactiveIllinois National Insurance Company301367Agent - Casualty1/5/20073/3/2008
InactiveIllinois National Insurance Company301367Agent - Property1/5/20073/3/2008
InactiveIndependent Order of Foresters300743Agent - Life2/11/201012/20/2012
InactiveIndiana Insurance Company301909Agent - Casualty10/16/20082/3/2023
InactiveIndiana Insurance Company301909Agent - Property10/16/20082/3/2023
ActiveIntegon Indemnity Corporation300674Agent - Casualty6/28/2022 
ActiveIntegon Indemnity Corporation300674Agent - Property6/28/2022 
ActiveIntegrity Life Insurance Company301687Agent - Life5/1/2009 
InactiveInvestors Heritage Life Insurance Company300363Agent - Life10/3/20215/20/2024
InactiveJackson National Life Insurance Company300486Agent - Life2/8/20123/10/2020
InactiveJefferson Pilot Financial Insurance Company300756Agent - Life1/20/20037/2/2007
InactiveJefferson-Pilot Life Insurance Company300379Agent - Life1/20/20034/2/2007
InactiveJewelers Mutual Insurance Company, SI301935Agent - Casualty2/21/20075/13/2019
InactiveJewelers Mutual Insurance Company, SI301935Agent - Property2/21/20075/13/2019
InactiveJohn Alden Life Insurance Company300573Agent - Health1/5/200411/14/2006
InactiveJohn Alden Life Insurance Company300573Agent - Life1/5/200411/14/2006
InactiveJohn Hancock Life Insurance Company300821Agent - Health1/10/200712/30/2009
InactiveJohn Hancock Life Insurance Company300821Agent - Life1/10/200712/30/2009
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health9/19/2008 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life9/19/2008 
InactiveKansas City Fire and Marine Insurance Company301936Agent - Casualty11/11/200212/15/2004
InactiveKansas City Fire and Marine Insurance Company301936Agent - Property11/11/200212/15/2004
InactiveKentucky Health Cooperative, Inc.798780Agent - Health1/3/201410/29/2015
ActiveKentucky Home Life Insurance Company300477Agent - Health1/25/2010 
ActiveKentucky Home Life Insurance Company300477Agent - Life1/25/2010 
ActiveKentucky National Insurance Company301625Agent - Casualty11/2/2007 
ActiveKentucky National Insurance Company301625Agent - Property11/2/2007 
InactiveLafayette Life Insurance Company (The)301039Agent - Health5/28/200210/5/2003
InactiveLafayette Life Insurance Company (The)301039Agent - Life5/28/200210/5/2003
InactiveLiberty Bankers Life Insurance Company542461Agent - Life2/7/20084/18/2011
InactiveLife Investors Insurance Company of America301793Agent - Life9/19/20008/26/2002
InactiveLincoln Benefit Life Company301110Agent - Health2/24/20008/14/2009
InactiveLincoln Benefit Life Company301110Agent - Life2/24/20008/14/2009
InactiveLincoln National Life Insurance Company (The)301382Agent - Health1/28/202110/19/2022
InactiveLincoln National Life Insurance Company (The)301382Agent - Life1/28/202110/19/2022
InactiveLoyal American Life Insurance Company301172Agent - Health8/29/20021/2/2004
InactiveLoyal American Life Insurance Company301172Agent - Life8/29/20021/2/2004
InactiveLumico Life Insurance Company300354Agent - Health9/6/20202/17/2023
ActiveManhattanLife Insurance and Annuity Company301795Agent - Health4/6/2021 
InactiveMarkel Insurance Company301475Agent - Casualty9/4/20153/13/2018
InactiveMarkel Insurance Company301475Agent - Health9/4/20153/13/2018
InactiveMarkel Insurance Company301475Agent - Property9/4/20153/13/2018
InactiveMaryland Casualty Company301719Agent - Casualty9/23/20091/20/2014
InactiveMaryland Casualty Company301719Agent - Property9/23/20091/20/2014
InactiveMassMutual Ascend Life Insurance Company300320Agent - Life9/7/20006/9/2003
ActiveMeridian Security Insurance Company300423Agent - Casualty8/25/2016 
ActiveMeridian Security Insurance Company300423Agent - Property8/25/2016 
InactiveMidland National Life Insurance Company300923Agent - Health2/24/20002/17/2005
InactiveMidland National Life Insurance Company300923Agent - Life2/24/20002/17/2005
ActiveMilbank Insurance Company925185Agent - Casualty11/8/2017 
ActiveMilbank Insurance Company925185Agent - Property11/8/2017 
InactiveMotorists Mutual Insurance Company300963Agent - Casualty1/1/20172/15/2018
InactiveMotorists Mutual Insurance Company300963Agent - Property1/1/20172/15/2018
InactiveNassau Life and Annuity Company513671Agent - Life3/6/20245/20/2024
InactiveNational Fire Insurance Company of Hartford301063Agent - Casualty2/23/20044/28/2020
InactiveNational Fire Insurance Company of Hartford301063Agent - Property2/23/20044/28/2020
InactiveNational Trust Insurance Company300367Agent - Casualty3/14/200112/19/2005
InactiveNational Trust Insurance Company300367Agent - Property3/14/200112/19/2005
InactiveNational Union Fire Insurance Company of Louisiana301132Agent - Casualty8/15/200010/7/2010
InactiveNational Union Fire Insurance Company of Louisiana301132Agent - General Lines3/17/20008/15/2000
InactiveNational Union Fire Insurance Company of Louisiana301132Agent - Property8/15/200010/7/2010
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty9/25/2000 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Health8/29/2013 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property9/25/2000 
InactiveNational Western Life Insurance Company301515Agent - Life8/21/200310/31/2006
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health8/31/20156/6/2024
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life8/31/20156/6/2024
InactiveNetherlands Insurance Company (The)300339Agent - Casualty10/16/20085/10/2024
InactiveNetherlands Insurance Company (The)300339Agent - Property10/16/20085/10/2024
ActiveNorth American Company for Life and Health Insurance300291Agent - Life3/11/2021 
InactiveNorthern Insurance Company of New York301317Agent - Casualty9/23/20091/20/2014
InactiveNorthern Insurance Company of New York301317Agent - Property9/23/20091/20/2014
ActiveNutmeg Insurance Company751698Agent - Casualty8/3/2023 
ActiveNutmeg Insurance Company751698Agent - Property8/3/2023 
InactiveOhio Casualty Insurance Company301492Agent - Casualty10/16/20083/29/2024
InactiveOhio Casualty Insurance Company301492Agent - Property10/16/20083/29/2024
InactiveOhio Security Insurance Company300622Agent - Casualty10/16/20083/29/2024
InactiveOhio Security Insurance Company300622Agent - Property10/16/20083/29/2024
ActiveOld Republic Insurance Company301225Agent - Casualty4/2/2007 
InactiveOld United Casualty Company301086Agent - Casualty2/13/200412/31/2006
InactiveOld United Casualty Company301086Agent - Property2/13/200412/31/2006
InactivePan-American Assurance Company301533Agent - Health9/23/20031/24/2011
InactivePan-American Assurance Company301533Agent - Life9/23/20031/24/2011
InactivePan-American Life Insurance Company301530Agent - Health9/23/20031/24/2011
InactivePan-American Life Insurance Company301530Agent - Life9/23/20031/24/2011
ActivePeerless Indemnity Insurance Company571682Agent - Casualty10/16/2008 
ActivePeerless Indemnity Insurance Company571682Agent - Property10/16/2008 
ActivePeerless Insurance Company301910Agent - Casualty10/16/2008 
ActivePeerless Insurance Company301910Agent - Property10/16/2008 
ActivePhiladelphia Indemnity Insurance Company301221Agent - Casualty5/1/2007 
ActivePhiladelphia Indemnity Insurance Company301221Agent - Property5/1/2007 
InactivePhysicians Life Insurance Company300924Agent - Health8/21/200412/14/2006
InactivePhysicians Life Insurance Company300924Agent - Life8/21/200412/14/2006
InactivePhysicians Mutual Insurance Company301084Agent - Health8/21/20045/9/2007
InactivePlymouth Rock Assurance Preferred Corporation301834Agent - Casualty9/11/20073/3/2008
InactivePlymouth Rock Assurance Preferred Corporation301834Agent - Property9/11/20073/3/2008
ActivePrincipal Life Insurance Company300129Agent - Health2/24/2000 
ActivePrincipal Life Insurance Company300129Agent - Life2/24/2000 
ActiveProgressive Casualty Insurance Company300696Agent - Casualty3/24/2004 
ActiveProgressive Casualty Insurance Company300696Agent - Property3/24/2004 
InactiveProgressive Max Insurance Company301034Agent - Casualty4/25/200111/27/2007
InactiveProgressive Max Insurance Company301034Agent - Property4/25/200111/27/2007
ActiveProgressive Northern Insurance Company301378Agent - Casualty4/25/2001 
ActiveProgressive Northern Insurance Company301378Agent - Property4/25/2001 
InactiveProgressive Northwestern Insurance Company300441Agent - Casualty4/25/200111/27/2007
InactiveProgressive Northwestern Insurance Company300441Agent - Property4/25/200111/27/2007
InactiveProtective Life Insurance Company300638Agent - Health4/1/200712/21/2010
InactiveProtective Life Insurance Company300638Agent - Life1/1/200712/21/2010
InactiveProvident Life and Accident Insurance Company301525Agent - Health8/1/200210/24/2003
InactiveProvident Life and Accident Insurance Company301525Agent - Life8/1/200210/24/2003
InactivePruco Life Insurance Company300954Agent - Health5/2/200612/23/2014
InactivePruco Life Insurance Company300954Agent - Life6/22/202111/3/2022
ActiveRLI Insurance Company301217Agent - Casualty2/27/2018 
ActiveRLI Insurance Company301217Agent - Property2/27/2018 
InactiveReliaStar Life Insurance Company301712Agent - Health10/1/20031/6/2006
InactiveReliaStar Life Insurance Company301712Agent - Life10/1/20031/6/2006
InactiveReliance Standard Life Insurance Company300584Agent - Health10/28/20101/23/2015
InactiveReliance Standard Life Insurance Company300584Agent - Life10/28/20101/23/2015
ActiveSAFECO Insurance Company of America300159Agent - Casualty5/6/2024 
ActiveSAFECO Insurance Company of America300159Agent - Property5/6/2024 
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty6/8/20073/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Property6/8/20073/29/2024
InactiveSagicor Life Insurance Company300459Agent - Life1/24/20224/16/2024
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health2/24/200010/1/2003
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life2/24/200010/1/2003
InactiveSeneca Insurance Company Inc.301762Agent - Casualty8/4/20122/24/2022
InactiveSeneca Insurance Company Inc.301762Agent - Property8/4/20122/24/2022
ActiveSentinel Insurance Company, Limited501696Agent - Casualty4/21/2021 
ActiveSentinel Insurance Company, Limited501696Agent - Property4/21/2021 
ActiveSentinel Security Life Insurance Company935789Agent - Life7/14/2023 
InactiveShenandoah Life Insurance Company300130Agent - Health5/16/20073/31/2009
InactiveShenandoah Life Insurance Company300130Agent - Life5/16/20073/31/2009
ActiveSilverScript Insurance Company663526Agent - Health8/29/2022 
InactiveSouth Carolina Insurance Company300080Agent - Casualty8/7/20034/1/2005
InactiveSouth Carolina Insurance Company300080Agent - Property8/7/20034/1/2005
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty5/11/201812/9/2019
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - General Lines11/22/19828/15/2000
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Property5/11/201812/9/2019
InactiveSt. Paul Guardian Insurance Company301372Agent - Casualty3/11/200912/3/2014
InactiveSt. Paul Guardian Insurance Company301372Agent - Property3/11/200912/3/2014
InactiveSt. Paul Mercury Insurance Company300783Agent - Casualty3/11/200912/21/2015
InactiveSt. Paul Mercury Insurance Company300783Agent - Property3/11/200912/21/2015
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty4/6/2001 
ActiveStandard Fire Insurance Company (The)301068Agent - Property4/6/2001 
InactiveStandard Insurance Company300185Agent - Health5/1/201412/5/2022
InactiveStandard Insurance Company300185Agent - Life5/1/201412/5/2022
InactiveStandard Life and Accident Insurance Company301534Agent - Health8/30/20062/8/2010
InactiveStandard Life and Accident Insurance Company301534Agent - Life8/30/20062/8/2010
ActiveState Auto Property & Casualty Insurance Company301953Agent - Casualty8/25/2016 
ActiveState Auto Property & Casualty Insurance Company301953Agent - Property8/25/2016 
ActiveState Automobile Mutual Insurance Company301824Agent - Casualty8/25/2016 
ActiveState Automobile Mutual Insurance Company301824Agent - Property8/25/2016 
ActiveStillwater Insurance Company567181Agent - Casualty8/1/2023 
ActiveStillwater Insurance Company567181Agent - Property8/1/2023 
InactiveSussex Insurance Company301970Agent - Casualty10/11/20072/3/2014
InactiveSussex Insurance Company301970Agent - Property10/11/20072/3/2014
InactiveSymetra Life Insurance Company301691Agent - Health1/7/20167/8/2024
InactiveSymetra Life Insurance Company301691Agent - Life1/7/20167/8/2024
ActiveTNUS Insurance Company593776Agent - Casualty4/11/2014 
ActiveTNUS Insurance Company593776Agent - Property4/11/2014 
ActiveThe Phoenix Insurance Company301502Agent - Casualty1/8/2001 
ActiveThe Phoenix Insurance Company301502Agent - Property1/8/2001 
ActiveTokio Marine America Insurance Company786458Agent - Casualty4/11/2014 
ActiveTokio Marine America Insurance Company786458Agent - Property4/11/2014 
ActiveTrans Pacific Insurance Company300076Agent - Casualty4/11/2014 
ActiveTrans Pacific Insurance Company300076Agent - Property4/11/2014 
InactiveTransamerica Assurance Company300893Agent - Health2/24/20008/19/2003
InactiveTransamerica Assurance Company300893Agent - Life2/24/20008/19/2003
InactiveTransamerica Life Insurance Company300571Agent - Health3/10/20144/17/2023
InactiveTransamerica Life Insurance Company300571Agent - Life3/10/20144/17/2023
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Life2/24/200010/1/2005
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health2/24/20007/13/2007
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life2/24/20007/13/2007
InactiveTransamerica Premier Life Insurance Company300558Agent - Health8/29/201111/20/2017
InactiveTransamerica Premier Life Insurance Company300558Agent - Life1/26/201011/20/2017
InactiveTravCo Insurance Company301828Agent - Casualty1/15/200712/5/2013
InactiveTravCo Insurance Company301828Agent - Property1/15/200712/5/2013
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 - Casualty1/15/200712/9/2019
InactiveTravelers Casualty Insurance Company of America300522Agent - Property1/15/200712/9/2019
InactiveTravelers Casualty and Surety Company301067Agent - Casualty1/15/200712/5/2013
InactiveTravelers Casualty and Surety Company301067Agent - Property1/15/200712/5/2013
InactiveTravelers Casualty and Surety Company of America301334Agent - Casualty1/15/200711/16/2023
InactiveTravelers Casualty and Surety Company of America301334Agent - Property1/15/200711/16/2023
InactiveTravelers Commercial Casualty Company301695Agent - Casualty1/15/20078/2/2013
InactiveTravelers Commercial Casualty Company301695Agent - Property1/15/20078/2/2013
InactiveTravelers Commercial Insurance Company301506Agent - Casualty1/15/200712/5/2013
InactiveTravelers Commercial Insurance Company301506Agent - Property1/15/200712/5/2013
InactiveTravelers Constitution State Insurance Company300575Agent - Casualty8/15/20006/7/2007
InactiveTravelers Constitution State Insurance Company300575Agent - General Lines10/2/19988/15/2000
InactiveTravelers Constitution State Insurance Company300575Agent - Property8/15/20006/7/2007
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 - Casualty5/11/201811/4/2022
InactiveTravelers Indemnity Company (The)301855Agent - Property5/11/201811/4/2022
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty1/8/200112/5/2013
InactiveTravelers Indemnity Company of America (The)301093Agent - Property1/8/200112/5/2013
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty5/11/201812/9/2019
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property5/11/201812/9/2019
ActiveTravelers Personal Insurance Company705785Agent - Casualty6/5/2019 
ActiveTravelers Personal Insurance Company705785Agent - Property6/5/2019 
InactiveTravelers Property Casualty Company of America301649Agent - Casualty5/11/201812/9/2019
InactiveTravelers Property Casualty Company of America301649Agent - Property5/11/201812/9/2019
InactiveTravelers Property Casualty Insurance Company301508Agent - Casualty12/21/200912/5/2013
InactiveTravelers Property Casualty Insurance Company301508Agent - Property12/21/200912/5/2013
InactiveTrexis Insurance Corporation599902Agent - Casualty12/7/20067/21/2008
InactiveTruck Insurance Exchange300335Agent - Casualty5/7/20078/29/2012
InactiveTruck Insurance Exchange300335Agent - Property5/7/20078/23/2012
ActiveTrumbull Insurance Company300242Agent - Casualty11/7/2022 
ActiveTrumbull Insurance Company300242Agent - Property11/7/2022 
ActiveTrustgard Insurance Company300104Agent - Casualty8/15/2000 
InactiveTrustgard Insurance Company300104Agent - General Lines6/8/20008/15/2000
ActiveTrustgard Insurance Company300104Agent - Property8/15/2000 
ActiveTwin City Fire Insurance Company300721Agent - Casualty6/12/2018 
ActiveTwin City Fire Insurance Company300721Agent - Property6/12/2018 
InactiveUNUM Life Insurance Company of America300817Agent - Health8/1/200210/24/2003
InactiveUNUM Life Insurance Company of America300817Agent - Life8/1/200210/24/2003
InactiveUSG Annuity & Life Company300457Agent - Life3/26/20011/1/2004
InactiveUnited American Insurance Company300910Agent - Health4/12/20203/2/2021
InactiveUnited American Insurance Company300910Agent - Life4/12/20203/2/2021
ActiveUnited Financial Casualty Company301886Agent - Casualty12/2/2005 
ActiveUnited Financial Casualty Company301886Agent - Property12/2/2005 
InactiveUnited States Fire Insurance Company582240Agent - Health5/25/202112/27/2023
InactiveUnited Teacher Associates Insurance Company300747Agent - Health9/13/200412/3/2007
InactiveUnited Teacher Associates Insurance Company300747Agent - Life9/13/200412/3/2007
InactiveUnited of Omaha Life Insurance Company300156Agent - Life7/24/200812/17/2010
InactiveUnitedHealthcare Insurance Company300946Agent - Health8/22/20202/19/2024
InactiveUnitedHealthcare Insurance Company300946Agent - Life10/31/200612/1/2016
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/22/202012/22/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/31/20222/19/2024
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health10/31/200612/1/2016
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health8/22/20202/19/2024
InactiveVenerable Insurance and Annuity Company301006Agent - Life1/1/200412/20/2006
InactiveWellCare Health Insurance Company of Kentucky, Inc.301478Agent - Health7/27/20222/29/2024
InactiveWellCare Prescription Insurance Inc.654329Agent - Health7/27/20223/1/2024
InactiveWest American Insurance Company301112Agent - Casualty10/16/20083/29/2024
InactiveWest American Insurance Company301112Agent - Property10/16/20083/29/2024
ActiveWest Bend Insurance Company672974Agent - Casualty8/10/2017 
ActiveWest Bend Insurance Company672974Agent - Property8/10/2017 
InactiveWest Coast Life Insurance Company301607Agent - Life8/29/200612/15/2008
InactiveWestern National Life Insurance Company300461Agent - Life6/3/200211/30/2007
InactiveWestern Surety Company300283Agent - Casualty4/18/20028/2/2018
InactiveZurich American Insurance Company301121Agent - Casualty8/15/20028/20/2012
InactiveZurich American Insurance Company301121Agent - Property8/15/20028/20/2012
InactiveZurich American Insurance Company of Illinois301805Agent - Casualty8/15/20028/20/2012
InactiveZurich American Insurance Company of Illinois301805Agent - Property8/15/20028/20/2012
Inactive300277Agent - Life5/13/20031/1/2007
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBarnes, Amber 830184Agent - Casualty12/11/201410/18/2018
InactiveBarnes, Amber 830184Agent - Property12/11/201410/18/2018
InactiveBrewer, Janis Rene 335755Agent - Casualty4/8/20021/1/2010
InactiveBrewer, Janis Rene 335755Agent - Property4/8/20021/1/2010
InactiveCavanaugh, Kelly Marie 349589Agent - Casualty4/8/20025/9/2013
InactiveCavanaugh, Kelly Marie 349589Agent - Property4/8/20025/9/2013
InactiveChampion, Marland Andrew 314598Agent - Casualty8/15/20007/1/2002
InactiveChampion, Marland Andrew 314598Agent - General Lines8/11/19948/15/2000
InactiveChampion, Marland Andrew 314598Agent - Property8/15/20007/1/2002
ActiveCherry, Monica Melissa 830161Agent - Casualty10/24/2014 
ActiveCherry, Monica Melissa 830161Agent - Property10/24/2014 
InactiveGann, Ray W 391320Agent - General Lines4/29/19963/2/1998
InactiveGregory, Michael Edward 308298Agent - Health2/24/20005/24/2002
InactiveGregory, Michael Edward 308298Agent - Life2/24/20005/22/2002
InactiveHuston, Pam K 318837Agent - Casualty9/24/200910/18/2018
InactiveHuston, Pam K 318837Agent - Life9/24/200912/29/2017
InactiveHuston, Pam K 318837Agent - Property9/24/200910/18/2018
InactiveKellner, Roger L 342462Agent - Casualty8/15/20002/17/2003
InactiveKellner, Roger L 342462Agent - General Lines8/11/19948/15/2000
InactiveKellner, Roger L 342462Agent - Property8/15/20002/17/2003
InactiveLudovissie, Cheyanne Tennille 884641Agent - Casualty1/18/201810/19/2018
InactiveLudovissie, Cheyanne Tennille 884641Agent - Property1/18/201810/19/2018
ActiveLudovissie, Paul J 785655Agent - Casualty10/24/2014 
ActiveLudovissie, Paul J 785655Agent - Life10/24/2014 
ActiveLudovissie, Paul J 785655Agent - Property10/24/2014 
ActiveLudovissie, Stephanie 933206Agent - Casualty4/7/2017 
ActiveLudovissie, Stephanie 933206Agent - Property4/7/2017 
InactiveMorgan, Billy Brandon 345358Agent - Casualty4/8/20022/19/2004
InactiveMorgan, Billy Brandon 345358Agent - Property4/8/200212/18/2003
ActiveMorgan, Brandon W 367830Agent - Casualty8/15/2000 
InactiveMorgan, Brandon W 367830Agent - General Lines4/29/19968/15/2000
ActiveMorgan, Brandon W 367830Agent - Health2/24/2000 
ActiveMorgan, Brandon W 367830Agent - Life2/24/2000 
ActiveMorgan, Brandon W 367830Agent - Property8/15/2000 
InactiveMorgan, Jared Hatler 585983Agent - Casualty5/9/201310/18/2018
InactiveMorgan, Jared Hatler 585983Agent - Health1/12/200510/18/2018
InactiveMorgan, Jared Hatler 585983Agent - Life1/12/200510/18/2018
InactiveMorgan, Jared Hatler 585983Agent - Property5/9/201310/18/2018
InactiveMorgan, Jared Hatler 585983Surplus Lines Broker - Not Applicable6/8/201710/12/2018
InactiveMorgan, Phillip Hatler 326784Agent - Casualty4/8/200210/18/2018
InactiveMorgan, Phillip Hatler 326784Agent - Health2/24/200010/18/2018
InactiveMorgan, Phillip Hatler 326784Agent - Life11/17/201710/18/2018
InactiveMorgan, Phillip Hatler 326784Agent - Property4/8/200210/18/2018
InactivePiers, John S 378602Agent - General Lines2/19/19823/3/1997
InactivePuckett, Brittany 682145Agent - Casualty10/18/201810/2/2019
InactivePuckett, Brittany 682145Agent - Health10/18/201810/2/2019
InactivePuckett, Brittany 682145Agent - Life10/18/201810/2/2019
InactivePuckett, Brittany 682145Agent - Property10/18/201810/2/2019
InactiveRagland, Blake 1056077Agent - Casualty10/18/20194/1/2023
InactiveRagland, Blake 1056077Agent - Property10/18/20194/1/2023
InactiveRomaine, Helen Smith 368416Agent - Casualty4/8/20025/1/2009
InactiveRomaine, Helen Smith 368416Agent - Health2/24/20005/1/2009
InactiveRomaine, Helen Smith 368416Agent - Life2/24/20005/1/2009
InactiveRomaine, Helen Smith 368416Agent - Property4/8/20025/1/2009
InactiveScott, Samantha 798481Agent - Casualty5/9/201310/24/2014
InactiveScott, Samantha 798481Agent - Property5/9/201310/24/2014
InactiveTandy, Roger Phillip 356683Agent - General Lines8/11/19948/15/2000
ActiveWarner, Holly 1230676Agent - Casualty10/31/2022 
ActiveWarner, Holly 1230676Agent - Property10/31/2022 
InactiveWright, Esther Marie 325917Agent - Casualty4/8/200210/24/2014
InactiveWright, Esther Marie 325917Agent - Property4/8/200210/24/2014
InactiveYoung, J William 308781Agent - General Lines8/11/19943/3/1997

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