DEPARTMENT OF INSURANCE

Affiliations

Name	Republic Capital Corporation	DOIID	398822	NAIC NPN	7221188

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Credit Life & Health	10/21/1993	2/15/1999
Inactive	Resident	Agent	General Lines	4/8/1994	8/15/2000
Inactive	Resident	Agent	Health	2/19/1992	3/31/1997
Inactive	Resident	Agent	Life	2/19/1992	3/31/1997
Inactive	Resident	Agent	Casualty	8/15/2000	6/6/2017
Inactive	Resident	Agent	Property	8/15/2000	6/6/2017
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Economy Insurance Company	300315	Agent - Casualty	8/31/2006	9/25/2007
Inactive	American Economy Insurance Company	300315	Agent - Property	8/31/2006	9/25/2007
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	3/22/1995	3/31/1997
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	3/22/1995	3/31/1997
Inactive	American Interstate Insurance Company	301092	Agent - Casualty	1/5/2009	6/2/2011
Inactive	American Interstate Insurance Company	301092	Agent - Property	1/5/2009	6/2/2011
Inactive	American States Insurance Company	301230	Agent - Casualty	8/31/2006	9/25/2007
Inactive	American States Insurance Company	301230	Agent - Property	8/31/2006	9/25/2007
Inactive	Centre Life Insurance Company	300341	Agent - Health	9/26/1995	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	12/5/1994	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	12/5/1994	3/31/1997
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	10/31/2006	6/28/2011
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	10/31/2006	6/28/2011
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/31/2006	9/25/2007
Inactive	First National Insurance Company of America	301690	Agent - Property	8/31/2006	9/25/2007
Inactive	Gateway Insurance Company	300136	Agent - Casualty	7/28/2009	11/11/2011
Inactive	Gateway Insurance Company	300136	Agent - Property	7/28/2009	11/11/2011
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/31/2006	9/25/2007
Inactive	General Insurance Company of America	300261	Agent - Property	8/31/2006	9/25/2007
Inactive	Great American Assurance Company	300327	Agent - Casualty	3/7/2016	6/6/2017
Inactive	Great American Assurance Company	300327	Agent - General Lines	9/25/1995	8/15/2000
Inactive	Great American Assurance Company	300327	Agent - Property	3/7/2016	6/6/2017
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/15/2000	7/15/2002
Inactive	Great American Insurance Company	301586	Agent - General Lines	2/23/1996	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	8/15/2000	7/15/2002
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	8/15/2000	7/15/2002
Inactive	Great American Insurance Company of New York	301897	Agent - General Lines	4/2/1996	8/15/2000
Inactive	Great American Insurance Company of New York	301897	Agent - Property	8/15/2000	7/15/2002
Inactive	Great West Casualty Company	301015	Agent - Casualty	3/9/2004	11/3/2016
Inactive	Great West Casualty Company	301015	Agent - Property	3/9/2004	11/3/2016
Inactive	John Alden Life Insurance Company	300573	Agent - Health	2/19/1992	3/31/1997
Inactive	John Alden Life Insurance Company	300573	Agent - Life	2/19/1992	3/31/1997
Inactive	Lancer Insurance Company	300483	Agent - Casualty	12/12/2008	7/21/2016
Inactive	Lancer Insurance Company	300483	Agent - Property	12/12/2008	7/21/2016
Inactive	Lincoln General Insurance Company	301580	Agent - Casualty	8/15/2000	11/30/2007
Inactive	Lincoln General Insurance Company	301580	Agent - General Lines	6/28/1994	8/15/2000
Inactive	Lincoln General Insurance Company	301580	Agent - Property	8/15/2000	11/30/2007
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	6/10/1993	6/17/1996
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	6/10/1993	6/17/1996
Inactive	Northland Casualty Company	300165	Agent - Casualty	8/25/2009	9/21/2009
Inactive	Northland Casualty Company	300165	Agent - Property	8/25/2009	9/21/2009
Inactive	Northland Insurance Company	300201	Agent - Casualty	8/25/2009	9/21/2009
Inactive	Northland Insurance Company	300201	Agent - Property	8/25/2009	9/21/2009
Inactive	Pinnacle National Insurance Company	300698	Agent - Casualty	8/15/2000	3/27/2002
Inactive	Pinnacle National Insurance Company	300698	Agent - General Lines	7/15/1997	8/15/2000
Inactive	Pinnacle National Insurance Company	300698	Agent - Property	8/15/2000	3/27/2002
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	11/4/2002	5/15/2003
Inactive	Praetorian Insurance Company	301021	Agent - Property	11/4/2002	5/15/2003
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/24/2004	11/15/2016
Inactive	Progressive Casualty Insurance Company	300696	Agent - General Lines	4/8/1994	3/31/1996
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/24/2004	11/15/2016
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	2/22/2001	11/27/2007
Inactive	Progressive Max Insurance Company	301034	Agent - Property	2/22/2001	11/27/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	2/22/2001	4/23/2015
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	2/22/2001	4/23/2015
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	2/23/2001	11/27/2007
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	2/23/2001	11/27/2007
Inactive	Redland Insurance Company	300687	Agent - Casualty	8/15/2000	12/13/2002
Inactive	Redland Insurance Company	300687	Agent - General Lines	10/1/1996	8/15/2000
Inactive	Redland Insurance Company	300687	Agent - Property	8/15/2000	12/13/2002
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/31/2006	9/25/2007
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/31/2006	9/25/2007
Inactive	Sentry Select Insurance Company	301648	Agent - Casualty	8/15/2000	7/22/2002
Inactive	Sentry Select Insurance Company	301648	Agent - General Lines	7/20/1998	8/15/2000
Inactive	Sentry Select Insurance Company	301648	Agent - Property	8/15/2000	7/22/2002
Inactive	Silver Oak Casualty, Inc.	517101	Agent - Casualty	1/5/2009	12/2/2010
Inactive	Silver Oak Casualty, Inc.	517101	Agent - Property	1/5/2009	12/2/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	10/21/1993	2/15/1999
Inactive	United Financial Casualty Company	301886	Agent - Casualty	12/2/2005	11/15/2016
Inactive	United Financial Casualty Company	301886	Agent - Property	12/2/2005	11/15/2016
Inactive	Western Surety Company	300283	Agent - Casualty	9/20/2001	1/31/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brown, Ted Ridgley	348172	Agent - Casualty	5/7/2009	6/3/2010
Inactive	Brown, Ted Ridgley	348172	Agent - Property	5/7/2009	6/3/2010
Denied	Dolph, Beverly A	379361	Agent - Health
Denied	Dolph, Beverly A	379361	Agent - Life
Inactive	Dolph, Richard L	383168	Agent - Casualty	8/15/2000	12/1/2009
Inactive	Dolph, Richard L	383168	Agent - General Lines	4/8/1994	8/15/2000
Inactive	Dolph, Richard L	383168	Agent - Health	4/8/1994	3/31/1997
Inactive	Dolph, Richard L	383168	Agent - Life	4/8/1994	3/31/1997
Inactive	Dolph, Richard L	383168	Agent - Property	8/15/2000	12/1/2009
Inactive	Early, Jamie	682284	Agent - Casualty	5/7/2009	6/3/2010
Inactive	Early, Jamie	682284	Agent - Property	5/7/2009	6/3/2010
Inactive	Goodman, Theresa Lynn	591237	Agent - Casualty	12/3/2009	2/8/2016
Inactive	Goodman, Theresa Lynn	591237	Agent - Property	12/3/2009	2/8/2016
Inactive	Medlink Inc	400721	Agent - Health	4/8/1992	12/9/1996
Inactive	Medlink Inc	400721	Agent - Life	4/8/1992	12/9/1996
Inactive	Osborne, Margaret A	320093	Agent - Casualty	1/5/2004	3/6/2008
Inactive	Osborne, Margaret A	320093	Agent - Property	1/5/2004	3/6/2008
Inactive	Richardson, Cheryl A	548710	Agent - Casualty	10/28/2002	4/25/2003
Inactive	Richardson, Cheryl A	548710	Agent - Property	10/28/2002	4/25/2003
Inactive	Richmond, David Glenn	345184	Agent - Casualty	8/18/2008	12/1/2013
Denied	Richmond, David Glenn	345184	Agent - Health
Denied	Richmond, David Glenn	345184	Agent - Life
Inactive	Richmond, David Glenn	345184	Agent - Property	8/18/2008	12/1/2013
Inactive	Smith, Patricia Marion	676308	Agent - Casualty	8/12/2009	3/8/2017
Inactive	Smith, Patricia Marion	676308	Agent - Property	8/12/2009	3/8/2017
Inactive	Strup, Alva Lavern	321401	Agent - Casualty	1/5/2004	6/12/2008
Inactive	Strup, Alva Lavern	321401	Agent - Property	1/5/2004	6/12/2008