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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
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
Catlin Insurance Company, Inc.
300979
Agent - General Lines
3/26/1996
3/31/2000
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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