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DEPARTMENT OF INSURANCE
Affiliations
Name
Ins Holding Co. Inc.
DOIID
398920
NAIC NPN
7221268
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
General Lines
5/10/1993
8/15/2000
Inactive
Resident
Agent
Casualty
8/15/2000
5/31/2003
Inactive
Resident
Agent
Health
5/10/1993
5/31/2003
Inactive
Resident
Agent
Life
5/10/1993
5/31/2003
Inactive
Resident
Agent
Property
8/15/2000
5/31/2003
* 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
AXA XL Insurance Company Americas
300979
Agent - General Lines
3/26/1996
3/31/2000
Inactive
Allstate Indemnity Company
300778
Agent - General Lines
9/27/1994
8/23/1999
Inactive
Allstate Insurance Company
300773
Agent - General Lines
9/27/1994
8/23/1999
Inactive
American Economy Insurance Company
300315
Agent - Casualty
8/15/2000
1/2/2002
Inactive
American Economy Insurance Company
300315
Agent - General Lines
12/29/1998
8/15/2000
Inactive
American Economy Insurance Company
300315
Agent - Property
8/15/2000
1/2/2002
Inactive
American Family Home Insurance Company
301817
Agent - General Lines
11/4/1993
10/29/1998
Inactive
American Modern Home Insurance Company
300791
Agent - General Lines
11/4/1993
10/29/1998
Inactive
American States Insurance Company
301230
Agent - Casualty
8/15/2000
1/2/2002
Inactive
American States Insurance Company
301230
Agent - General Lines
12/30/1998
8/15/2000
Inactive
American States Insurance Company
301230
Agent - Property
8/15/2000
1/2/2002
Inactive
BITCO General Insurance Corporation
301305
Agent - General Lines
9/24/1993
2/10/1997
Inactive
BITCO National Insurance Company
301366
Agent - General Lines
9/24/1993
2/10/1997
Inactive
CIGNA Health & Life Insurance Company
301783
Agent - Health
6/27/1994
4/10/2003
Inactive
CIGNA Health & Life Insurance Company
301783
Agent - Life
6/27/1994
4/10/2003
Inactive
Charter Oak Fire Insurance Company (The)
301501
Agent - General Lines
6/11/1997
6/14/1999
Inactive
Everlake Life Insurance Company
300873
Agent - Health
9/27/1994
8/23/1999
Inactive
Everlake Life Insurance Company
300873
Agent - Life
9/27/1994
8/23/1999
Inactive
Falls Lake National Insurance Company
301796
Agent - General Lines
5/22/1996
10/9/1998
Inactive
First Colony Life Insurance Company
301179
Agent - Life
12/28/1995
5/31/2003
Inactive
Globe American Casualty Company
301033
Agent - General Lines
6/28/1994
8/15/2000
Inactive
Golden Rule Insurance Company
301943
Agent - Health
6/30/1994
3/31/1997
Inactive
Golden Rule Insurance Company
301943
Agent - Life
6/30/1994
3/31/1997
Inactive
Great American Alliance Insurance Company
301247
Agent - Casualty
8/15/2000
1/7/2002
Inactive
Great American Alliance Insurance Company
301247
Agent - General Lines
3/28/1995
8/15/2000
Inactive
Great American Alliance Insurance Company
301247
Agent - Property
8/15/2000
1/7/2002
Inactive
Great American Insurance Company
301586
Agent - Casualty
10/30/2000
1/7/2002
Inactive
Great American Insurance Company
301586
Agent - Property
10/30/2000
1/7/2002
Inactive
Great American Insurance Company of New York
301897
Agent - Casualty
10/30/2000
1/7/2002
Inactive
Great American Insurance Company of New York
301897
Agent - Property
10/30/2000
1/7/2002
Inactive
Great American Security Insurance Company
301228
Agent - Casualty
8/15/2000
1/7/2002
Inactive
Great American Security Insurance Company
301228
Agent - General Lines
4/22/1994
8/15/2000
Inactive
Great American Security Insurance Company
301228
Agent - Property
8/15/2000
1/7/2002
Inactive
Great American Spirit Insurance Company
300233
Agent - General Lines
4/22/1994
3/31/1998
Inactive
Guarantee Life Insurance Company
301560
Agent - Health
6/4/1993
9/8/2000
Inactive
Guarantee Life Insurance Company
301560
Agent - Life
6/4/1993
9/8/2000
Inactive
Hallmark National Insurance Company
300494
Agent - General Lines
1/6/1995
9/10/1998
Inactive
Hartford Accident and Indemnity Company
301917
Agent - Casualty
8/15/2000
5/31/2003
Inactive
Hartford Accident and Indemnity Company
301917
Agent - General Lines
10/26/1998
8/15/2000
Inactive
Hartford Accident and Indemnity Company
301917
Agent - Property
8/15/2000
5/31/2003
Inactive
Hartford Casualty Insurance Company
301332
Agent - Casualty
8/15/2000
5/31/2003
Inactive
Hartford Casualty Insurance Company
301332
Agent - General Lines
10/26/1998
8/15/2000
Inactive
Hartford Casualty Insurance Company
301332
Agent - Property
8/15/2000
5/31/2003
Inactive
Hartford Fire Insurance Company
300628
Agent - Casualty
8/15/2000
5/31/2003
Inactive
Hartford Fire Insurance Company
300628
Agent - General Lines
10/26/1998
8/15/2000
Inactive
Hartford Fire Insurance Company
300628
Agent - Property
8/15/2000
5/31/2003
Inactive
Hartford Insurance Company of the Midwest
301918
Agent - Casualty
8/15/2000
5/31/2003
Inactive
Hartford Insurance Company of the Midwest
301918
Agent - General Lines
10/26/1998
8/15/2000
Inactive
Hartford Insurance Company of the Midwest
301918
Agent - Property
8/15/2000
5/31/2003
Inactive
Hartford Underwriters Insurance Company
301064
Agent - Casualty
8/15/2000
5/31/2003
Inactive
Hartford Underwriters Insurance Company
301064
Agent - General Lines
10/26/1998
8/15/2000
Inactive
Hartford Underwriters Insurance Company
301064
Agent - Property
8/15/2000
5/31/2003
Inactive
Infinity Casualty Insurance Company
301280
Agent - General Lines
5/15/1996
10/9/1998
Inactive
Infinity Standard Insurance Company
301643
Agent - General Lines
6/7/1993
5/30/2000
Inactive
Investors Life Insurance Company of Indiana
301657
Agent - Health
5/10/1993
12/28/1998
Inactive
Investors Life Insurance Company of Indiana
301657
Agent - Life
5/10/1993
12/28/1998
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
9/8/2000
5/31/2003
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Life
9/8/2000
5/31/2003
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Health
12/7/1994
5/12/1997
Inactive
Jefferson-Pilot Life Insurance Company
300379
Agent - Life
12/7/1994
5/12/1997
Inactive
Midland Life Insurance Company (The)
300310
Agent - Health
3/26/1996
3/12/2002
Inactive
Midland Life Insurance Company (The)
300310
Agent - Life
3/26/1996
3/12/2002
Inactive
National Insurance Association
301386
Agent - General Lines
7/12/1995
8/15/2000
Inactive
National Summit Insurance Company
300348
Agent - General Lines
4/12/1996
11/17/1998
Inactive
North American Company for Life and Health Insurance
300291
Agent - Health
10/18/1995
5/31/2003
Inactive
North American Company for Life and Health Insurance
300291
Agent - Life
10/18/1995
5/31/2003
Inactive
Omni Insurance Company
301545
Agent - General Lines
6/16/1994
7/27/1998
Inactive
Principal Life Insurance Company
300129
Agent - Health
4/13/1994
5/31/2003
Inactive
Principal Life Insurance Company
300129
Agent - Life
4/13/1994
5/31/2003
Inactive
Reassure America Life Insurance Company
300678
Agent - Health
3/12/2002
4/28/2003
Inactive
Reassure America Life Insurance Company
300678
Agent - Life
3/12/2002
4/28/2003
Inactive
SAFECO Insurance Company of America
300159
Agent - Casualty
8/15/2000
1/2/2002
Inactive
SAFECO Insurance Company of America
300159
Agent - General Lines
7/23/1997
8/15/2000
Inactive
SAFECO Insurance Company of America
300159
Agent - Property
8/15/2000
1/2/2002
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Health
12/13/1995
5/31/2003
Inactive
Security-Connecticut Life Insurance Company
300316
Agent - Life
12/13/1995
5/31/2003
Inactive
SeeChange Health Insurance Company
301115
Agent - Health
3/2/1994
3/31/1997
Inactive
SeeChange Health Insurance Company
301115
Agent - Life
3/2/1994
3/31/1997
Inactive
Shelby Casualty Insurance Company
301806
Agent - General Lines
5/17/1993
3/31/1998
Inactive
Standard Fire Insurance Company (The)
301068
Agent - General Lines
6/11/1997
6/14/1999
Inactive
State Auto Property & Casualty Insurance Company
301953
Agent - General Lines
5/10/1993
9/10/1998
Inactive
State Automobile Mutual Insurance Company
301824
Agent - General Lines
5/10/1993
9/10/1998
Inactive
The Phoenix Insurance Company
301502
Agent - General Lines
6/11/1997
6/14/1999
Inactive
TravCo Insurance Company
301828
Agent - General Lines
6/11/1997
6/14/1999
Inactive
Travelers Casualty and Surety Company
301067
Agent - General Lines
6/11/1997
6/14/1999
Inactive
Travelers Indemnity Company (The)
301855
Agent - General Lines
6/11/1997
6/14/1999
Inactive
Trumbull Insurance Company
300242
Agent - General Lines
6/11/1998
7/27/1998
Inactive
Twin City Fire Insurance Company
300721
Agent - Casualty
8/15/2000
5/31/2003
Inactive
Twin City Fire Insurance Company
300721
Agent - General Lines
10/26/1998
8/15/2000
Inactive
Twin City Fire Insurance Company
300721
Agent - Property
8/15/2000
5/31/2003
Inactive
UFG Specialty Insurance Company
300347
Agent - General Lines
3/26/1996
3/31/2000
Inactive
United Fire and Indemnity Company
300736
Agent - General Lines
3/26/1996
3/31/2000
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Health
6/3/1994
3/31/1997
Inactive
UnitedHealthcare Life Insurance Company
301517
Agent - Life
6/3/1994
3/31/1997
Inactive
Western Surety Company
300283
Agent - General Lines
3/15/1994
5/6/1999
Inactive
Windhaven National Insurance Company
300094
Agent - General Lines
5/22/1996
10/9/1998
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Demoss, Joseph Mickrel
329852
Agent - Casualty
8/15/2000
5/31/2003
Inactive
Demoss, Joseph Mickrel
329852
Agent - General Lines
5/10/1993
8/15/2000
Inactive
Demoss, Joseph Mickrel
329852
Agent - Health
5/10/1993
5/31/2003
Inactive
Demoss, Joseph Mickrel
329852
Agent - Life
5/10/1993
5/31/2003
Inactive
Demoss, Joseph Mickrel
329852
Agent - Property
8/15/2000
5/31/2003
Inactive
Prow, Russell A
393130
Agent - Casualty
8/15/2000
7/1/2002
Inactive
Prow, Russell A
393130
Agent - General Lines
5/10/1993
8/15/2000
Inactive
Prow, Russell A
393130
Agent - Property
8/15/2000
7/1/2002
Inactive
West Kentucky Group Benefits
401049
Agent - Health
12/28/1998
12/31/2001
Inactive
West Kentucky Group Benefits
401049
Agent - Life
12/28/1998
12/31/2001
Inactive
Wilkerson, Sandra Lee
380289
Agent - Casualty
8/15/2000
5/31/2003
Inactive
Wilkerson, Sandra Lee
380289
Agent - General Lines
4/12/1996
8/15/2000
Inactive
Wilkerson, Sandra Lee
380289
Agent - Property
8/15/2000
5/31/2003
Inactive
Withers, Deborah L
324684
Agent - General Lines
5/10/1993
7/1/1998
Inactive
Withers, Deborah L
324684
Agent - Health
5/10/1993
7/1/1998
Inactive
Withers, Deborah L
324684
Agent - Life
5/10/1993
7/1/1998
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