DEPARTMENT OF INSURANCE

Affiliations

Name	NCMIC Insurance Services, Inc.	DOIID	399052	NAIC NPN	2109424

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	6/29/2005		3/31/2027
Active	Non Resident	Agent	Property	8/15/2000		3/31/2027
Active	Non Resident	Agent	Casualty	8/15/2000		3/31/2027
Active	Non Resident	Agent	Life	4/5/2002		3/31/2027
Active	Non Resident	Agent	Health	4/5/2002		3/31/2027
Inactive	Non Resident	Agent	General Lines	8/6/1999	8/15/2000
* 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
Active	Allied Insurance Company of America	793586	Agent - Casualty	2/2/2022
Active	Allied Insurance Company of America	793586	Agent - Property	2/2/2022
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	3/29/2024
Active	American Fire and Casualty Company	300567	Agent - Casualty	9/25/2024
Active	American Fire and Casualty Company	300567	Agent - Property	9/25/2024
Active	Arch Insurance Company	300688	Agent - Health	10/3/2016
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	5/6/2013	12/3/2014
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	5/6/2013	12/3/2014
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	5/6/2013	12/3/2014
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	5/6/2013	12/3/2014
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	6/28/2005	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	6/28/2005	10/13/2022
Inactive	Employers Assurance Company	300120	Agent - Casualty	3/9/2012	1/3/2024
Inactive	Employers Compensation Insurance Company	797885	Agent - Casualty	8/6/2018	1/3/2024
Inactive	Employers Preferred Insurance Company	520656	Agent - Casualty	3/9/2012	1/3/2024
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	5/8/2023
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Personal Lines	5/8/2023
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	5/8/2023
Inactive	Farmington Casualty Company	301137	Agent - Casualty	2/9/2012	11/4/2022
Inactive	Farmington Casualty Company	301137	Agent - Property	2/9/2012	11/4/2022
Inactive	Federal Insurance Company	301144	Agent - Casualty	10/31/2005	12/19/2007
Inactive	Federal Insurance Company	301144	Agent - Property	10/31/2005	12/19/2007
Active	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	8/29/2024
Active	Fidelity and Guaranty Insurance Company	301009	Agent - Property	8/29/2024
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/14/2013	8/29/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/14/2013	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	2/14/2013	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	2/14/2013	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	2/14/2013	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	2/14/2013	8/29/2018
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Casualty	11/18/2010	5/1/2012
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Property	11/18/2010	5/1/2012
Active	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/24/2011
Active	Hartford Accident and Indemnity Company	301917	Agent - Property	8/24/2011
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	5/14/2004	11/7/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	5/14/2004	11/7/2008
Active	Hartford Fire Insurance Company	300628	Agent - Casualty	3/9/2011
Active	Hartford Fire Insurance Company	300628	Agent - Property	3/9/2011
Inactive	Hartford Insurance Company of Illinois	1014405	Agent - Casualty	5/18/2021	7/17/2023
Inactive	Hartford Insurance Company of Illinois	1014405	Agent - Property	5/18/2021	7/17/2023
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	6/25/2009	8/22/2017
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	6/25/2009	8/22/2017
Active	Hartford Insurance Company of the Southeast	1014204	Agent - Casualty	3/15/2021
Active	Hartford Insurance Company of the Southeast	1014204	Agent - Property	3/15/2021
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	10/5/2009	6/8/2017
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	10/5/2009	6/8/2017
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	5/14/2004	11/7/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	5/14/2004	11/7/2008
Inactive	Indiana Insurance Company	301909	Agent - Casualty	6/28/2005	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	6/28/2005	2/3/2023
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Health	4/5/2002	4/11/2005
Inactive	Liberty Bankers Life Insurance Company	542461	Agent - Life	4/5/2002	4/11/2005
Active	Merchants Bonding Company (Mutual)	300170	Agent - Casualty	11/15/2012
Inactive	Merchants National Bonding Inc.	787525	Agent - Casualty	11/15/2012	2/1/2019
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	12/26/2007	4/17/2008
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	12/26/2007	4/17/2008
Active	NCMIC Insurance Company	301007	Agent - Casualty	8/15/2000
Inactive	NCMIC Insurance Company	301007	Agent - General Lines	8/6/1999	8/15/2000
Active	NCMIC Insurance Company	301007	Agent - Property	8/15/2000
Active	Nationwide Assurance Company	300166	Agent - Casualty	1/12/2020
Active	Nationwide General Insurance Company	300603	Agent - Casualty	8/15/2019
Active	Nationwide General Insurance Company	300603	Agent - Property	8/15/2019
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	8/15/2019
Active	Nationwide Insurance Company of America	300333	Agent - Property	8/15/2019
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	5/1/2012
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	5/1/2012
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	1/12/2020
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	1/12/2020
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	6/28/2005	5/9/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	6/28/2005	5/9/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	12/24/2007	3/29/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	12/24/2007	3/29/2024
Active	Ohio Security Insurance Company	300622	Agent - Casualty	4/15/2024
Active	Ohio Security Insurance Company	300622	Agent - Property	4/15/2024
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	7/28/2014	9/26/2024
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	7/28/2014	9/26/2024
Inactive	Peerless Insurance Company	301910	Agent - Casualty	6/28/2005	5/8/2025
Inactive	Peerless Insurance Company	301910	Agent - Property	6/28/2005	5/8/2025
Active	Professional Solutions Insurance Company	569414	Agent - Casualty	11/29/2006
Active	Professional Solutions Insurance Company	569414	Agent - Property	11/29/2006
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	6/1/2005
Active	Progressive Casualty Insurance Company	300696	Agent - Property	6/1/2005
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	6/1/2005	12/9/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	6/1/2005	12/9/2013
Active	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	11/11/2024
Active	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	11/11/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	12/28/2016	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	12/28/2016	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	12/28/2016	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	12/28/2016	3/29/2024
Active	Selective Insurance Company of America	500018	Agent - Casualty	3/28/2012
Active	Selective Insurance Company of America	500018	Agent - Property	3/28/2012
Active	Selective Insurance Company of South Carolina	500012	Agent - Casualty	3/28/2012
Active	Selective Insurance Company of South Carolina	500012	Agent - Property	3/28/2012
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	3/28/2012
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	3/28/2012
Active	Sentinel Insurance Company, Limited	501696	Agent - Casualty	10/5/2010
Active	Sentinel Insurance Company, Limited	501696	Agent - Property	10/5/2010
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	5/6/2013	12/3/2014
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	5/6/2013	12/3/2014
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	5/6/2013	12/3/2014
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	5/6/2013	12/3/2014
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	5/6/2013	12/3/2014
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	5/6/2013	12/3/2014
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	3/8/2016
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	3/8/2016
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	5/6/2013	12/3/2014
Inactive	The Phoenix Insurance Company	301502	Agent - Property	5/6/2013	12/3/2014
Active	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	1/23/2012
Active	Travelers Casualty Insurance Company of America	300522	Agent - Property	1/23/2012
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	5/6/2013	12/3/2014
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	5/6/2013	12/3/2014
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	5/2/2018
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	5/2/2018
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	5/6/2013	12/3/2014
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	5/6/2013	12/3/2014
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	8/3/2018	12/15/2020
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	8/3/2018	12/15/2020
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	5/6/2013	12/3/2014
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	5/6/2013	12/3/2014
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	6/17/2015
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	6/17/2015
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	5/6/2013
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	5/6/2013
Inactive	Travelers Personal Insurance Company	705785	Agent - Casualty	10/17/2019	12/15/2020
Inactive	Travelers Personal Insurance Company	705785	Agent - Property	10/17/2019	12/15/2020
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	11/15/2011	12/15/2020
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	11/15/2011	12/15/2020
Active	Trumbull Insurance Company	300242	Agent - Casualty	5/16/2018
Active	Trumbull Insurance Company	300242	Agent - Property	5/16/2018
Active	Twin City Fire Insurance Company	300721	Agent - Casualty	4/30/2014
Active	Twin City Fire Insurance Company	300721	Agent - Property	4/30/2014
Active	West American Insurance Company	301112	Agent - Casualty	6/27/2024
Active	West American Insurance Company	301112	Agent - Property	6/27/2024
Inactive	Westfield Insurance Company	301950	Agent - Casualty	4/18/2012	9/17/2014
Inactive	Westfield Insurance Company	301950	Agent - Property	4/18/2012	9/17/2014
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	4/18/2012	9/17/2014
Inactive	Westfield National Insurance Company	301036	Agent - Property	4/18/2012	9/17/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Angerstein, Heather M	664176	Agent - Casualty	2/10/2016
Active	Angerstein, Heather M	664176	Agent - Personal Lines	2/10/2016
Active	Angerstein, Heather M	664176	Agent - Property	2/10/2016
Active	Blessing, Danita J	936865	Agent - Casualty	2/2/2017
Active	Blessing, Danita J	936865	Agent - Personal Lines	2/2/2017
Active	Blessing, Danita J	936865	Agent - Property	2/2/2017
Inactive	Cannon, Karen M	662074	Agent - Casualty	4/18/2011	3/1/2017
Denied	Cannon, Karen M	662074	Agent - Personal Lines
Inactive	Cannon, Karen M	662074	Agent - Property	4/18/2011	3/1/2017
Inactive	Clark, Barbara J	631939	Agent - Casualty	2/2/2007	3/30/2016
Denied	Clark, Barbara J	631939	Agent - Health
Denied	Clark, Barbara J	631939	Agent - Life
Inactive	Clark, Barbara J	631939	Agent - Property	2/2/2007	3/30/2016
Inactive	Clark, Linda J	632560	Agent - Casualty	2/6/2007	7/10/2007
Inactive	Clark, Linda J	632560	Agent - Property	2/6/2007	7/10/2007
Inactive	Darnell, Douglas W	543601	Agent - Casualty	1/5/2004	7/9/2007
Inactive	Darnell, Douglas W	543601	Agent - Health	9/5/2006	4/18/2011
Inactive	Darnell, Douglas W	543601	Agent - Life	9/5/2006	4/18/2011
Denied	Darnell, Douglas W	543601	Agent - Personal Lines
Inactive	Darnell, Douglas W	543601	Agent - Property	1/5/2004	7/9/2007
Inactive	Dominguez, Ida	703615	Agent - Casualty	2/2/2017	1/31/2019
Inactive	Dominguez, Ida	703615	Agent - Property	2/2/2017	12/15/2023
Inactive	Genck, Steven	808824	Agent - Casualty	6/6/2013	2/12/2015
Denied	Genck, Steven	808824	Agent - Personal Lines
Inactive	Genck, Steven	808824	Agent - Property	6/6/2013	2/12/2015
Active	Gordon, Lorenzo	1316580	Agent - Casualty	1/23/2024
Active	Gordon, Lorenzo	1316580	Agent - Property	1/23/2024
Inactive	Hegland, Linda S	727056	Agent - Casualty	4/18/2011	10/25/2016
Denied	Hegland, Linda S	727056	Agent - Personal Lines
Inactive	Hegland, Linda S	727056	Agent - Property	4/18/2011	10/25/2016
Inactive	Jackson, Elisabeth M	954205	Agent - Casualty	6/12/2017	1/31/2019
Inactive	Jackson, Elisabeth M	954205	Agent - Personal Lines	6/12/2017	1/31/2019
Inactive	Jackson, Elisabeth M	954205	Agent - Property	6/12/2017	1/31/2019
Inactive	Johnson, Richard J	632580	Agent - Casualty	2/6/2007	4/4/2025
Denied	Johnson, Richard J	632580	Agent - Health
Denied	Johnson, Richard J	632580	Agent - Life
Inactive	Johnson, Richard J	632580	Agent - Property	2/6/2007	4/4/2025
Inactive	Lake, David Joseph	1025298	Agent - Casualty	4/22/2019	5/19/2020
Inactive	Lake, David Joseph	1025298	Agent - Property	4/22/2019	5/19/2020
Inactive	Magie, Frances J	632551	Agent - Casualty	2/6/2007	2/4/2008
Denied	Magie, Frances J	632551	Agent - Personal Lines
Inactive	Magie, Frances J	632551	Agent - Property	2/6/2007	2/4/2008
Inactive	Mccaulley, Kimberly K	610664	Agent - Casualty	2/6/2007	7/1/2008
Inactive	Mccaulley, Kimberly K	610664	Agent - Property	2/6/2007	7/1/2008
Active	Morgan, Samuel	1214754	Agent - Casualty	12/4/2024
Active	Morgan, Samuel	1214754	Agent - Property	12/4/2024
Inactive	Nelson, Peter A	685698	Agent - Casualty	3/14/2014	3/1/2017
Inactive	Nelson, Peter A	685698	Agent - Property	3/14/2014	3/1/2017
Inactive	Patton, Karen	913695	Agent - Casualty	4/22/2019	2/7/2020
Inactive	Patton, Karen	913695	Agent - Personal Lines	4/22/2019	2/5/2020
Inactive	Patton, Karen	913695	Agent - Property	4/22/2019	2/7/2020
Active	Pesta, Irene M	944877	Agent - Casualty	2/20/2017
Active	Pesta, Irene M	944877	Agent - Personal Lines	2/20/2017
Active	Pesta, Irene M	944877	Agent - Property	2/20/2017
Inactive	Pratt, Andrew L	597050	Agent - Casualty	2/6/2007	4/18/2011
Inactive	Pratt, Andrew L	597050	Agent - Property	2/6/2007	4/18/2011
Active	Simpson, Arthur J	640334	Agent - Casualty	9/22/2020
Active	Simpson, Arthur J	640334	Agent - Health	9/22/2020
Denied	Simpson, Arthur J	640334	Agent - Life
Active	Simpson, Arthur J	640334	Agent - Property	9/22/2020
Active	Snell, Brendon	1140128	Agent - Casualty	5/9/2025
Pending	Snell, Brendon	1140128	Agent - Health
Pending	Snell, Brendon	1140128	Agent - Life
Active	Snell, Brendon	1140128	Agent - Property	5/9/2025
Active	Soda, Joseph S	362725	Agent - Casualty	8/15/2000
Inactive	Soda, Joseph S	362725	Agent - General Lines	8/6/1999	8/15/2000
Active	Soda, Joseph S	362725	Agent - Health	9/5/2006
Active	Soda, Joseph S	362725	Agent - Life	9/5/2006
Inactive	Soda, Joseph S	362725	Agent - Personal Lines	6/29/2005	3/14/2024
Active	Soda, Joseph S	362725	Agent - Property	8/15/2000
Inactive	Soda, Krista Lynn	306731	Agent - Casualty	8/15/2000	1/5/2004
Inactive	Soda, Krista Lynn	306731	Agent - General Lines	8/6/1999	8/15/2000
Inactive	Soda, Krista Lynn	306731	Agent - Property	8/15/2000	1/5/2004
Active	Staley, Crystal Marie	772823	Agent - Casualty	3/20/2013
Active	Staley, Crystal Marie	772823	Agent - Property	3/20/2013
Inactive	Stevens, Dora B	917278	Agent - Casualty	6/20/2016	8/13/2019
Inactive	Stevens, Dora B	917278	Agent - Property	6/20/2016	8/13/2019
Inactive	Swanson, Amy Marie	386482	Agent - Casualty	8/15/2000	9/9/2002
Inactive	Swanson, Amy Marie	386482	Agent - General Lines	8/6/1999	8/15/2000
Inactive	Swanson, Amy Marie	386482	Agent - Property	8/15/2000	9/9/2002
Inactive	Thomas, Seth C	938616	Agent - Casualty	12/14/2016	7/8/2019
Inactive	Thomas, Seth C	938616	Agent - Personal Lines	12/14/2016	5/15/2019
Inactive	Thomas, Seth C	938616	Agent - Property	12/14/2016	7/8/2019
Active	Trevino, Michael	855024	Agent - Casualty	8/18/2022
Active	Trevino, Michael	855024	Agent - Health	8/18/2022
Active	Trevino, Michael	855024	Agent - Life	8/18/2022
Active	Trevino, Michael	855024	Agent - Property	8/18/2022
Inactive	Tyler, Oscar Donald	352616	Agent - Casualty	8/15/2000	6/30/2003
Inactive	Tyler, Oscar Donald	352616	Agent - General Lines	8/6/1999	8/15/2000
Inactive	Tyler, Oscar Donald	352616	Agent - Property	8/15/2000	6/30/2003
Active	Westerhold, Amanda L	951612	Agent - Casualty	6/12/2017
Active	Westerhold, Amanda L	951612	Agent - Property	6/12/2017
Inactive	Wickman, Elizabeth A	791816	Agent - Casualty	3/20/2013	2/17/2015
Inactive	Wickman, Elizabeth A	791816	Agent - Property	3/20/2013	2/17/2015
Inactive	Wilsbacher, Pat	708398	Agent - Casualty	4/18/2011	10/5/2016
Denied	Wilsbacher, Pat	708398	Agent - Personal Lines
Inactive	Wilsbacher, Pat	708398	Agent - Property	4/18/2011	10/5/2016