DEPARTMENT OF INSURANCE
Affiliations
NameThoroughbred Associates Inc.DOIID399133NAIC NPN3319217
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentPrepaid Dental Plan8/22/19913/1/2001 
InactiveResidentAgentLife6/10/19873/31/2016 
InactiveResidentAgentHealth6/10/19873/31/2016 
InactiveResidentAgentCasualty8/15/20003/31/2016 
InactiveResidentAgentProperty8/15/20003/31/2016 
InactiveResidentAgentHealth Maintenance Organization6/3/19853/1/2001 
InactiveResidentAgentGeneral Lines3/31/19828/15/2000 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveADENTA, Inc.301437Agent - Health3/1/20017/15/2002
InactiveADENTA, Inc.301437Agent - Prepaid Dental Plan2/19/19983/1/2001
InactiveAetna Health Inc.300694Agent - Health10/29/200312/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/20079/22/2010
InactiveAetna Life Insurance Company301140Agent - Health6/15/19989/22/2010
InactiveAetna Life Insurance Company301140Agent - Life6/15/19989/22/2010
InactiveAffiliated FM Insurance Company300108Agent - Casualty8/15/20003/31/2016
InactiveAffiliated FM Insurance Company300108Agent - General Lines1/12/19988/15/2000
InactiveAffiliated FM Insurance Company300108Agent - Property8/15/20003/31/2016
InactiveAllianz Life Insurance Company of North America301791Agent - Health8/2/200211/22/2007
InactiveAllianz Life Insurance Company of North America301791Agent - Life8/2/200211/22/2007
InactiveAmerican Automobile Insurance Company300953Agent - General Lines6/30/19823/31/1996
InactiveAmerican Bankers Life Assurance Company of Florida300171Agent - Health7/29/19916/15/2004
InactiveAmerican Bankers Life Assurance Company of Florida300171Agent - Life7/29/19916/15/2004
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Casualty8/15/200012/9/2003
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - General Lines11/11/19888/15/2000
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Property8/15/200012/9/2003
InactiveAmerican Economy Insurance Company300315Agent - Casualty9/20/20066/26/2014
InactiveAmerican Economy Insurance Company300315Agent - General Lines1/25/19918/15/2000
InactiveAmerican Economy Insurance Company300315Agent - Property9/20/20066/26/2014
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health6/17/20124/7/2016
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life6/17/20124/7/2016
InactiveAmerican Fidelity Assurance Company301004Agent - Health11/26/19969/3/2004
InactiveAmerican Fidelity Assurance Company301004Agent - Life11/26/19969/3/2004
InactiveAmerican Fire and Casualty Company300567Agent - Casualty1/15/20126/26/2014
InactiveAmerican Fire and Casualty Company300567Agent - General Lines3/31/19823/31/1996
InactiveAmerican Fire and Casualty Company300567Agent - Property1/15/20126/26/2014
InactiveAmerican General Life Insurance Company301585Agent - Health12/31/201211/29/2014
InactiveAmerican General Life Insurance Company301585Agent - Life12/31/201211/29/2014
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health6/5/200912/31/2012
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life6/5/200912/31/2012
InactiveAmerican Reliable Insurance Company301889Agent - Casualty8/8/20063/31/2016
InactiveAmerican Reliable Insurance Company301889Agent - Property8/8/20063/31/2016
InactiveAmerican States Insurance Company301230Agent - Casualty8/15/20006/26/2014
InactiveAmerican States Insurance Company301230Agent - General Lines1/25/19918/15/2000
InactiveAmerican States Insurance Company301230Agent - Property8/15/20006/26/2014
InactiveAmerican States Life Insurance Company301884Agent - Health1/25/199112/6/2004
InactiveAmerican States Life Insurance Company301884Agent - Life1/25/199112/6/2004
InactiveAmerican States Preferred Insurance Company300609Agent - Casualty8/15/20001/13/2014
InactiveAmerican States Preferred Insurance Company300609Agent - General Lines1/25/19918/15/2000
InactiveAmerican States Preferred Insurance Company300609Agent - Property8/15/20001/13/2014
InactiveAmerican United Life Insurance Company300498Agent - Health9/22/20041/22/2007
InactiveAmerican United Life Insurance Company300498Agent - Life9/22/20041/22/2007
InactiveAmerican Zurich Insurance Company300592Agent - Casualty1/2/20091/21/2014
InactiveAmerican Zurich Insurance Company300592Agent - Property1/2/20091/21/2014
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health3/1/20017/31/2014
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health Maintenance Organization4/16/19873/1/2001
InactiveAnthem Insurance Companies, Inc.300941Agent - Health12/21/200110/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health10/25/19997/31/2014
InactiveAnthem Life Insurance Company301209Agent - Life10/25/19997/31/2014
InactiveAssurance Company of America300432Agent - Casualty8/15/20001/21/2014
InactiveAssurance Company of America300432Agent - General Lines3/20/19968/15/2000
InactiveAssurance Company of America300432Agent - Property8/15/20001/21/2014
InactiveAssurity Life Insurance Company301099Agent - Health6/29/200112/16/2006
InactiveAssurity Life Insurance Company301099Agent - Life6/29/200112/16/2006
InactiveAuto-Owners Insurance Company301480Agent - Casualty7/26/20046/10/2014
InactiveAuto-Owners Insurance Company301480Agent - Property7/26/20046/10/2014
InactiveAuto-Owners Life Insurance Company301368Agent - Health7/26/20046/10/2014
InactiveAuto-Owners Life Insurance Company301368Agent - Life7/26/20046/10/2014
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty10/21/20027/31/2014
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property10/21/20027/31/2014
InactiveBaptist Health Plan, Inc.300157Agent - Health11/13/20003/31/2016
InactiveBerkshire Life Insurance Company of America300983Agent - Health6/27/200110/11/2011
InactiveBerkshire Life Insurance Company of America300983Agent - Life6/27/200110/11/2011
InactiveBridgefield Casualty Insurance Company500013Agent - Casualty7/30/200911/12/2013
InactiveBrighthouse Life Insurance Company301829Agent - Health6/10/198712/17/1998
InactiveBrighthouse Life Insurance Company301829Agent - Life6/10/198712/17/1998
InactiveBristol West Insurance Company301655Agent - Casualty12/2/20083/31/2016
InactiveBristol West Insurance Company301655Agent - Property12/2/20083/31/2016
InactiveBuckeye Union Insurance Company (The)300597Agent - General Lines2/4/19973/31/1998
InactiveC.M. Life Insurance Company301335Agent - Health6/16/199211/16/2012
InactiveC.M. Life Insurance Company301335Agent - Life6/16/199211/16/2012
InactiveCHA HMO, Inc.300662Agent - Health2/1/200211/28/2006
InactiveCanada Life Assurance Company301192Agent - Health11/23/199810/8/2003
InactiveCanada Life Assurance Company301192Agent - Life11/23/199810/8/2003
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty8/15/20007/31/2014
InactiveCharter Oak Fire Insurance Company (The)301501Agent - General Lines11/3/19998/15/2000
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property8/15/20007/31/2014
InactiveChase Insurance Life Company301287Agent - Life12/10/20014/1/2007
InactiveCincinnati Casualty Company (The)300308Agent - Casualty8/15/20005/12/2014
InactiveCincinnati Casualty Company (The)300308Agent - General Lines3/31/19828/15/2000
InactiveCincinnati Casualty Company (The)300308Agent - Property8/15/20005/12/2014
InactiveCincinnati Indemnity Company (The)301566Agent - Casualty8/15/20005/12/2014
InactiveCincinnati Indemnity Company (The)301566Agent - General Lines5/9/19908/15/2000
InactiveCincinnati Indemnity Company (The)301566Agent - Property8/15/20005/12/2014
InactiveCincinnati Insurance Company301298Agent - Casualty8/15/20005/12/2014
InactiveCincinnati Insurance Company301298Agent - General Lines3/31/19828/15/2000
InactiveCincinnati Insurance Company301298Agent - Property8/15/20005/12/2014
InactiveCincinnati Life Insurance Company (The)300601Agent - Health6/10/19875/12/2014
InactiveCincinnati Life Insurance Company (The)300601Agent - Life6/10/19875/12/2014
InactiveCitizens Security Life Insurance Company301257Agent - Life10/17/20013/31/2016
InactiveClarica Life Insurance Company - U.S.300207Agent - Health4/28/19923/31/1997
InactiveClarica Life Insurance Company - U.S.300207Agent - Life4/28/19923/31/1997
InactiveColonial Life and Accident Insurance Company300846Agent - Health4/19/20051/10/2012
InactiveColonial Life and Accident Insurance Company300846Agent - Life4/19/20051/10/2012
InactiveCombined Insurance Company of America301472Agent - Health11/12/199612/31/1998
InactiveCombined Insurance Company of America301472Agent - Life11/12/199612/31/1998
InactiveCommercial Insurance Company of Newark, New Jersey300328Agent - General Lines2/5/19973/31/1998
InactiveCompBenefits Dental, Inc.591692Agent - Health2/8/201012/5/2014
InactiveCompBenefits Insurance Company301864Agent - Health2/8/20107/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life2/8/20107/2/2013
InactiveCompDent Corporation301387Agent - Health3/1/200112/23/2004
InactiveCompDent Corporation301387Agent - Prepaid Dental Plan5/21/19933/1/2001
InactiveCompanion Life Insurance Company300191Agent - Health2/8/20001/19/2005
InactiveCompanion Life Insurance Company300191Agent - Life2/8/20001/19/2005
InactiveConseco Medical Insurance Company300719Agent - Health7/6/19953/31/1999
InactiveConseco Medical Insurance Company300719Agent - Life7/6/19953/31/1999
InactiveConsolidated Insurance Company300943Agent - Casualty8/15/20006/26/2014
InactiveConsolidated Insurance Company300943Agent - General Lines11/6/19998/15/2000
InactiveConsolidated Insurance Company300943Agent - Property8/15/20006/26/2014
InactiveContinental Casualty Company301019Agent - Casualty8/15/200012/9/2003
InactiveContinental Casualty Company301019Agent - General Lines11/11/19888/15/2000
InactiveContinental Casualty Company301019Agent - Property8/15/200012/9/2003
InactiveContinental Insurance Company (The)301242Agent - Casualty8/15/20009/13/2002
InactiveContinental Insurance Company (The)301242Agent - General Lines8/8/19918/15/2000
InactiveContinental Insurance Company (The)301242Agent - Property8/15/20009/13/2002
InactiveDearborn Life Insurance Company300401Agent - Health12/31/20048/27/2015
InactiveDearborn Life Insurance Company300401Agent - Life12/31/20048/27/2015
InactiveDental Care Plus Inc.301495Agent - Health11/18/20053/31/2016
InactiveDental Concern Inc. (The)301641Agent - Health6/21/200212/5/2014
InactiveDentiCare, Inc.300655Agent - Health3/1/200111/1/2005
InactiveDentiCare, Inc.300655Agent - Prepaid Dental Plan1/24/20003/1/2001
InactiveEmployers Insurance Company of Wausau301813Agent - Casualty9/30/20141/18/2015
InactiveEmployers Insurance Company of Wausau301813Agent - Property9/30/20141/18/2015
InactiveEncompass Indemnity Company546376Agent - Casualty3/4/200911/3/2014
InactiveEncompass Indemnity Company546376Agent - Property3/4/200911/3/2014
InactiveEncompass Insurance Company of America556578Agent - Casualty3/4/200911/3/2014
InactiveEncompass Insurance Company of America556578Agent - Property3/4/200911/3/2014
InactiveFalls Lake National Insurance Company301796Agent - General Lines5/1/19966/29/2000
InactiveFarmers Insurance Exchange300336Agent - Casualty8/15/20008/23/2012
InactiveFarmers Insurance Exchange300336Agent - General Lines9/24/19998/15/2000
InactiveFarmers Insurance Exchange300336Agent - Property8/15/20008/23/2012
InactiveFarmers New World Life Insurance Company300536Agent - Life6/10/200211/13/2012
InactiveFarmington Casualty Company301137Agent - Casualty5/9/20067/31/2014
InactiveFarmington Casualty Company301137Agent - Property5/9/20067/31/2014
InactiveFederal Home Life Insurance Company301302Agent - Health2/22/19956/7/1996
InactiveFederal Home Life Insurance Company301302Agent - Life2/22/19956/7/1996
InactiveFidelity Security Life Insurance Company300466Agent - Health4/18/200510/2/2006
InactiveFidelity Security Life Insurance Company300466Agent - Life4/18/200510/2/2006
InactiveFidelity and Casualty Company of New York (The)300160Agent - Casualty8/15/200012/20/2004
InactiveFidelity and Casualty Company of New York (The)300160Agent - General Lines5/13/19978/15/2000
InactiveFidelity and Casualty Company of New York (The)300160Agent - Property8/15/200012/20/2004
InactiveFireman's Fund Insurance Company301423Agent - General Lines3/31/19823/31/1996
InactiveFiremen's Insurance Company of Newark, New Jersey300247Agent - General Lines1/31/19973/31/1998
InactiveFirst Colony Life Insurance Company301179Agent - Life12/13/19957/19/2004
InactiveFirst Liberty Insurance Corporation (The)301060Agent - Casualty9/30/20141/18/2015
InactiveFirst Liberty Insurance Corporation (The)301060Agent - Property9/30/20141/18/2015
InactiveFirst Mutual Insurance Company301258Agent - Casualty10/19/200012/1/2000
InactiveFirst Mutual Insurance Company301258Agent - Property10/19/200012/1/2000
InactiveFirst National Insurance Company of America301690Agent - Casualty8/15/20006/26/2014
InactiveFirst National Insurance Company of America301690Agent - General Lines1/16/19918/15/2000
InactiveFirst National Insurance Company of America301690Agent - Property8/15/20006/26/2014
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty7/1/20043/31/2016
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property7/1/20043/31/2016
InactiveForemost Property and Casualty Insurance Company300871Agent - Casualty11/27/20123/31/2016
InactiveForemost Property and Casualty Insurance Company300871Agent - Property11/27/20123/31/2016
InactiveForemost Signature Insurance Company300140Agent - Casualty11/27/20123/31/2016
InactiveForemost Signature Insurance Company300140Agent - Property11/27/20123/31/2016
InactiveGeneral Insurance Company of America300261Agent - Casualty8/15/20006/26/2014
InactiveGeneral Insurance Company of America300261Agent - General Lines1/16/19918/15/2000
InactiveGeneral Insurance Company of America300261Agent - Property8/15/20006/26/2014
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life2/10/201010/4/2012
InactiveGerber Life Insurance Company300529Agent - Health1/25/19994/9/2001
InactiveGerber Life Insurance Company300529Agent - Life1/25/19994/9/2001
InactiveGlatfelter Insurance Company301640Agent - Casualty8/15/200011/30/2007
InactiveGlatfelter Insurance Company301640Agent - General Lines9/24/19998/15/2000
InactiveGlatfelter Insurance Company301640Agent - Property8/15/200011/30/2007
InactiveGlens Falls Insurance Company (The)301922Agent - General Lines2/3/19972/3/1997
InactiveGolden Rule Insurance Company301943Agent - Health11/11/200511/10/2008
InactiveGolden Rule Insurance Company301943Agent - Life11/11/200511/10/2008
InactiveGuardian Life Insurance Company of America301316Agent - Health8/12/199110/11/2011
InactiveGuardian Life Insurance Company of America301316Agent - Life8/12/199111/9/2011
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health7/23/201312/5/2014
InactiveHumana Health Plan, Inc.300142Agent - Health3/1/200112/5/2014
InactiveHumana Health Plan, Inc.300142Agent - Health Maintenance Organization6/3/19853/1/2001
InactiveHumana Insurance Company301104Agent - Health2/10/19951/7/2015
InactiveHumana Insurance Company301104Agent - Life2/10/19951/7/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Health1/29/20041/7/2015
InactiveHumana Insurance Company of Kentucky300826Agent - Life1/29/20041/7/2015
InactiveHumanaDental Insurance Company301457Agent - Health7/3/20125/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life7/3/20125/13/2013
InactiveIndiana Insurance Company301909Agent - Casualty8/15/20006/26/2014
InactiveIndiana Insurance Company301909Agent - General Lines11/6/19998/15/2000
InactiveIndiana Insurance Company301909Agent - Property8/15/20006/26/2014
InactiveInfinity Casualty Insurance Company301280Agent - General Lines3/7/19946/29/2000
InactiveJohn Alden Life Insurance Company300573Agent - Health6/8/20012/8/2013
InactiveJohn Alden Life Insurance Company300573Agent - Life6/8/20012/8/2013
InactiveKanawha Insurance Company300127Agent - Health5/24/201012/5/2014
InactiveKanawha Insurance Company300127Agent - Life2/8/201012/5/2014
InactiveKansas City Fire and Marine Insurance Company301936Agent - General Lines2/4/19972/4/1997
InactiveKentucky Health Cooperative, Inc.798780Agent - Health10/21/201310/29/2015
InactiveKentucky League of Cities Insurance Services Association300026Agent - Casualty7/18/20023/31/2016
InactiveKentucky League of Cities Insurance Services Association300026Agent - Property7/18/20023/31/2016
InactiveKentucky National Insurance Company301625Agent - Casualty8/15/20008/15/2000
InactiveKentucky National Insurance Company301625Agent - General Lines5/9/20008/15/2000
InactiveKentucky National Insurance Company301625Agent - Property8/15/20008/15/2000
InactiveLM Insurance Corporation301061Agent - Casualty9/30/20141/18/2015
InactiveLM Insurance Corporation301061Agent - Property9/30/20141/18/2015
InactiveLiberty Insurance Corporation300444Agent - Casualty9/30/20141/18/2015
InactiveLiberty Insurance Corporation300444Agent - Property9/30/20141/18/2015
InactiveLiberty Mutual Fire Insurance Company301913Agent - Casualty9/30/20141/18/2015
InactiveLiberty Mutual Fire Insurance Company301913Agent - Property9/30/20141/18/2015
InactiveLiberty Mutual Insurance Company301159Agent - Casualty9/30/20141/18/2015
InactiveLiberty Mutual Insurance Company301159Agent - Property9/30/20141/18/2015
InactiveLife Investors Insurance Company of America301793Agent - Health5/30/19913/31/1997
InactiveLife Investors Insurance Company of America301793Agent - Life5/30/19913/31/1997
InactiveLifeUSA Insurance Company300386Agent - Health4/12/19998/2/2002
InactiveLifeUSA Insurance Company300386Agent - Life4/12/19998/2/2002
InactiveLincoln National Life Insurance Company (The)301382Agent - Health10/5/20124/21/2016
InactiveLincoln National Life Insurance Company (The)301382Agent - Life10/5/20124/21/2016
InactiveMarkel Insurance Company301475Agent - Casualty10/8/20123/31/2016
InactiveMarkel Insurance Company301475Agent - Health10/8/20123/31/2016
InactiveMarkel Insurance Company301475Agent - Property10/8/20123/31/2016
InactiveMaryland Casualty Company301719Agent - Casualty8/15/20001/21/2014
InactiveMaryland Casualty Company301719Agent - General Lines3/20/19968/15/2000
InactiveMaryland Casualty Company301719Agent - Property8/15/20001/21/2014
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Health6/16/199211/16/2012
InactiveMassachusetts Mutual Life Insurance Company300445Agent - Life6/16/199211/16/2012
InactiveMedical Life Insurance Company300693Agent - Health7/23/199712/31/2004
InactiveMedical Life Insurance Company300693Agent - Life7/23/199712/31/2004
InactiveMedico Insurance Company301559Agent - Health2/21/20128/25/2014
InactiveMedico Insurance Company301559Agent - Life2/21/20128/25/2014
InactiveMetropolitan Life Insurance Company301948Agent - Health4/7/199511/17/2008
InactiveMetropolitan Life Insurance Company301948Agent - Life4/7/199511/17/2008
InactiveNassau Life Insurance Company301406Agent - Health5/10/19883/31/1997
InactiveNassau Life Insurance Company301406Agent - Life5/10/19883/31/1997
InactiveNational Fire Insurance Company of Hartford301063Agent - Casualty8/15/200012/9/2003
InactiveNational Fire Insurance Company of Hartford301063Agent - General Lines12/2/19888/15/2000
InactiveNational Fire Insurance Company of Hartford301063Agent - Property8/15/200012/9/2003
InactiveNational Summit Insurance Company300348Agent - Casualty8/15/20007/24/2009
InactiveNational Summit Insurance Company300348Agent - General Lines2/28/20008/15/2000
InactiveNational Summit Insurance Company300348Agent - Property8/15/20007/24/2009
InactiveNational Surety Corporation300087Agent - General Lines3/31/19823/31/1996
InactiveNationwide Life Insurance Company300495Agent - Health11/8/20128/5/2015
InactiveNationwide Life Insurance Company300495Agent - Life11/8/20128/5/2015
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health6/18/20123/31/2016
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life6/18/20123/31/2016
InactiveNetherlands Insurance Company (The)300339Agent - Casualty8/15/20006/26/2014
InactiveNetherlands Insurance Company (The)300339Agent - General Lines11/6/19998/15/2000
InactiveNetherlands Insurance Company (The)300339Agent - Property8/15/20006/26/2014
InactiveNorthern Insurance Company of New York301317Agent - Casualty8/15/20001/21/2014
InactiveNorthern Insurance Company of New York301317Agent - General Lines9/24/19998/15/2000
InactiveNorthern Insurance Company of New York301317Agent - Property8/15/20001/21/2014
InactiveOhio Casualty Insurance Company301492Agent - Casualty8/15/20006/26/2014
InactiveOhio Casualty Insurance Company301492Agent - General Lines3/31/19828/15/2000
InactiveOhio Casualty Insurance Company301492Agent - Property8/15/20006/26/2014
InactiveOhio Security Insurance Company300622Agent - Casualty8/15/20006/26/2014
InactiveOhio Security Insurance Company300622Agent - General Lines10/2/19998/15/2000
InactiveOhio Security Insurance Company300622Agent - Property8/15/20006/26/2014
InactiveOwners Insurance Company300796Agent - Casualty7/26/20046/10/2014
InactiveOwners Insurance Company300796Agent - Property7/26/20046/10/2014
InactivePacifiCare Life and Health Insurance Company301304Agent - Health9/6/200511/26/2008
InactivePacifiCare Life and Health Insurance Company301304Agent - Life9/6/200511/26/2008
InactivePeerless Insurance Company301910Agent - Casualty8/15/20006/26/2014
InactivePeerless Insurance Company301910Agent - General Lines11/6/19998/15/2000
InactivePeerless Insurance Company301910Agent - Property8/15/20006/26/2014
InactivePie Insurance Company (The)300514Agent - General Lines3/31/19823/31/1996
InactivePremier Dental Network Inc.300661Agent - Prepaid Dental Plan5/17/19962/2/2001
InactivePrincipal Life Insurance Company300129Agent - Health7/8/19883/31/2016
InactivePrincipal Life Insurance Company300129Agent - Life7/8/19883/31/2016
InactiveProgressive Casualty Insurance Company300696Agent - Casualty3/24/20047/13/2014
InactiveProgressive Casualty Insurance Company300696Agent - Property3/24/20047/13/2014
InactiveProgressive Max Insurance Company301034Agent - Casualty8/15/200011/27/2007
InactiveProgressive Max Insurance Company301034Agent - General Lines3/29/20008/15/2000
InactiveProgressive Max Insurance Company301034Agent - Property8/15/200011/27/2007
InactiveProgressive Northern Insurance Company301378Agent - Casualty8/15/20007/13/2014
InactiveProgressive Northern Insurance Company301378Agent - General Lines3/29/20008/15/2000
InactiveProgressive Northern Insurance Company301378Agent - Property8/15/20007/13/2014
InactiveProgressive Northwestern Insurance Company300441Agent - Casualty8/15/200012/28/2005
InactiveProgressive Northwestern Insurance Company300441Agent - General Lines4/10/20008/15/2000
InactiveProgressive Northwestern Insurance Company300441Agent - Property8/15/200012/28/2005
InactiveProtective Life Insurance Company300638Agent - Health7/1/199612/22/2003
InactiveProtective Life Insurance Company300638Agent - Life4/1/200712/13/2010
InactiveProvident Life and Accident Insurance Company301525Agent - Health11/7/20079/9/2015
InactiveProvident Life and Accident Insurance Company301525Agent - Life11/7/20079/9/2015
InactivePruco Life Insurance Company300954Agent - Health2/25/200912/23/2014
InactivePruco Life Insurance Company300954Agent - Life2/25/200912/23/2014
InactiveReassure America Life Insurance Company301902Agent - Health11/1/19931/2/2003
InactiveReassure America Life Insurance Company301902Agent - Life11/1/19931/2/2003
InactiveReliance Standard Life Insurance Company300584Agent - Health8/4/19983/31/2016
InactiveReliance Standard Life Insurance Company300584Agent - Life8/4/19983/31/2016
InactiveRenaissance Life & Health Insurance Company of America301447Agent - Health2/6/199611/15/1996
InactiveRenaissance Life & Health Insurance Company of America301447Agent - Life2/6/199611/15/1996
InactiveSAFECO Insurance Company of America300159Agent - Casualty8/15/20006/26/2014
InactiveSAFECO Insurance Company of America300159Agent - General Lines1/16/19918/15/2000
InactiveSAFECO Insurance Company of America300159Agent - Property8/15/20006/26/2014
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty8/15/20006/26/2014
InactiveSAFECO Insurance Company of Illinois301350Agent - General Lines1/16/19918/15/2000
InactiveSAFECO Insurance Company of Illinois301350Agent - Property8/15/20006/26/2014
InactiveSAFECO National Insurance Company300989Agent - Casualty8/15/20001/13/2014
InactiveSAFECO National Insurance Company300989Agent - General Lines2/12/19928/15/2000
InactiveSAFECO National Insurance Company300989Agent - Property8/15/20001/13/2014
InactiveSECURA Insurance Company301656Agent - Casualty5/29/20019/22/2009
InactiveSECURA Insurance Company301656Agent - Property5/29/20019/22/2009
InactiveSECURA Supreme Insurance Company645533Agent - Casualty1/4/20079/22/2009
InactiveSECURA Supreme Insurance Company645533Agent - Property1/4/20079/22/2009
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Health8/2/19953/31/1997
InactiveSecurity-Connecticut Life Insurance Company300316Agent - Life8/2/19953/31/1997
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty4/30/200112/9/2009
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Property4/30/200112/9/2009
InactiveSt. Paul Guardian Insurance Company301372Agent - Casualty4/30/200112/9/2009
InactiveSt. Paul Guardian Insurance Company301372Agent - Property4/30/200112/9/2009
InactiveSt. Paul Mercury Insurance Company300783Agent - Casualty4/30/200112/9/2009
InactiveSt. Paul Mercury Insurance Company300783Agent - Property4/30/200112/9/2009
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty10/21/20027/31/2014
InactiveStandard Fire Insurance Company (The)301068Agent - Property10/21/20027/31/2014
InactiveStandard Insurance Company300185Agent - Health8/23/19933/31/2016
InactiveStandard Insurance Company300185Agent - Life8/23/19933/31/2016
InactiveSun Life Assurance Company of Canada301811Agent - Health12/30/19913/31/1997
InactiveSun Life Assurance Company of Canada301811Agent - Life12/30/19913/31/1997
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Health2/26/19923/31/1997
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Life2/26/19923/31/1997
InactiveSymetra Life Insurance Company301691Agent - Health3/25/198812/30/2010
InactiveSymetra Life Insurance Company301691Agent - Life3/25/198812/30/2010
InactiveThe Phoenix Insurance Company301502Agent - Casualty8/15/20007/31/2014
InactiveThe Phoenix Insurance Company301502Agent - General Lines11/3/19998/15/2000
InactiveThe Phoenix Insurance Company301502Agent - Property8/15/20007/31/2014
InactiveTime Insurance Company300683Agent - Health6/15/201212/20/2014
InactiveTime Insurance Company300683Agent - Life6/15/201212/20/2014
InactiveTransamerica Life Insurance Company300571Agent - Health10/1/20083/31/2016
InactiveTransamerica Life Insurance Company300571Agent - Life10/1/20083/31/2016
InactiveTransamerica Life Insurance and Annuity Company300148Agent - Life5/12/19898/16/2005
InactiveTransamerica Occidental Life Insurance Company300966Agent - Health12/17/198710/1/2008
InactiveTransamerica Occidental Life Insurance Company300966Agent - Life12/17/198710/1/2008
InactiveTransamerica Premier Life Insurance Company300558Agent - Health11/24/19976/29/1998
InactiveTransamerica Premier Life Insurance Company300558Agent - Life11/24/19976/29/1998
InactiveTranscontinental Insurance Company301731Agent - Casualty8/15/200012/9/2003
InactiveTranscontinental Insurance Company301731Agent - General Lines12/2/19888/15/2000
InactiveTranscontinental Insurance Company301731Agent - Property8/15/200012/9/2003
InactiveTransportation Insurance Company301575Agent - Casualty8/15/200012/9/2003
InactiveTransportation Insurance Company301575Agent - General Lines12/2/19888/15/2000
InactiveTransportation Insurance Company301575Agent - Property8/15/200012/9/2003
InactiveTravCo Insurance Company301828Agent - Casualty10/21/200212/5/2013
InactiveTravCo Insurance Company301828Agent - Property10/21/200212/5/2013
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 - Casualty5/9/20067/31/2014
InactiveTravelers Casualty Insurance Company of America300522Agent - Property5/9/20067/31/2014
InactiveTravelers Casualty and Surety Company301067Agent - Casualty8/15/200012/9/2009
InactiveTravelers Casualty and Surety Company301067Agent - General Lines11/3/19998/15/2000
InactiveTravelers Casualty and Surety Company301067Agent - Property8/15/200012/9/2009
InactiveTravelers Casualty and Surety Company of America301334Agent - Casualty1/16/20097/31/2014
InactiveTravelers Casualty and Surety Company of America301334Agent - Property1/16/20097/31/2014
InactiveTravelers Commercial Casualty Company301695Agent - Casualty5/9/200612/9/2009
InactiveTravelers Commercial Casualty Company301695Agent - Property5/9/200612/9/2009
InactiveTravelers Commercial Insurance Company301506Agent - Casualty2/8/200712/5/2013
InactiveTravelers Commercial Insurance Company301506Agent - Property2/8/200712/5/2013
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty7/19/20057/31/2014
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property7/19/20057/31/2014
InactiveTravelers Indemnity Company (The)301855Agent - Casualty8/15/20007/31/2014
InactiveTravelers Indemnity Company (The)301855Agent - General Lines11/3/19998/15/2000
InactiveTravelers Indemnity Company (The)301855Agent - Property8/15/20007/31/2014
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty8/15/20007/31/2014
InactiveTravelers Indemnity Company of America (The)301093Agent - General Lines11/3/19998/15/2000
InactiveTravelers Indemnity Company of America (The)301093Agent - Property8/15/20007/31/2014
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty8/15/20007/31/2014
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - General Lines11/3/19998/15/2000
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property8/15/20007/31/2014
InactiveTravelers Property Casualty Company of America301649Agent - Casualty8/15/20007/31/2014
InactiveTravelers Property Casualty Company of America301649Agent - General Lines11/3/19998/15/2000
InactiveTravelers Property Casualty Company of America301649Agent - Property8/15/20007/31/2014
InactiveTravelers Property Casualty Insurance Company301508Agent - Casualty12/21/200912/5/2013
InactiveTravelers Property Casualty Insurance Company301508Agent - Property12/21/200912/5/2013
InactiveTruck Insurance Exchange300335Agent - Casualty5/8/20078/23/2012
InactiveTruck Insurance Exchange300335Agent - Property5/8/20078/23/2012
InactiveU.S. Financial Life Insurance Company301812Agent - Health9/12/19957/13/2005
InactiveU.S. Financial Life Insurance Company301812Agent - Life9/12/19957/13/2005
InactiveUNUM Life Insurance Company of America300817Agent - Health11/7/20079/9/2015
InactiveUNUM Life Insurance Company of America300817Agent - Life11/7/20079/9/2015
InactiveUnion Bankers Insurance Company301769Agent - Health4/19/19936/12/1998
InactiveUnion Bankers Insurance Company301769Agent - Life4/19/19936/12/1998
InactiveUnion Security Insurance Company301844Agent - Health10/1/199111/11/2014
InactiveUnion Security Insurance Company301844Agent - Life10/1/199111/11/2014
InactiveUnited Concordia Dental Plans of Kentucky Inc.301923Agent - Health3/1/200112/29/2006
InactiveUnited Concordia Dental Plans of Kentucky Inc.301923Agent - Prepaid Dental Plan8/22/19913/1/2001
InactiveUnited Concordia Life and Health Insurance Company301220Agent - Health6/12/200112/29/2006
InactiveUnited Financial Casualty Company301886Agent - Casualty12/2/20057/13/2014
InactiveUnited Financial Casualty Company301886Agent - Property12/2/20057/13/2014
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Health5/15/20088/3/2009
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Life5/15/20088/3/2009
InactiveUnitedHealthcare Insurance Company300946Agent - Health12/19/20113/31/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Life4/24/199511/26/2008
InactiveUnitedHealthcare Life Insurance Company301517Agent - Health2/10/19933/31/1997
InactiveUnitedHealthcare Life Insurance Company301517Agent - Life2/10/19933/31/1997
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/1/20013/31/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health Maintenance Organization1/28/19983/1/2001
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health12/16/20113/31/2016
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/13/20153/31/2016
InactiveValley Forge Insurance Company301052Agent - Casualty8/15/200012/9/2003
InactiveValley Forge Insurance Company301052Agent - General Lines12/2/19888/15/2000
InactiveValley Forge Insurance Company301052Agent - Property8/15/200012/9/2003
InactiveWCF Select Insurance Company301898Agent - General Lines3/31/19823/31/1996
InactiveWausau Underwriters Insurance Company301105Agent - Casualty9/30/20141/18/2015
InactiveWausau Underwriters Insurance Company301105Agent - Property9/30/20141/18/2015
InactiveWest American Insurance Company301112Agent - Casualty8/15/20006/26/2014
InactiveWest American Insurance Company301112Agent - General Lines3/31/19828/15/2000
InactiveWest American Insurance Company301112Agent - Property8/15/20006/26/2014
InactiveWestern Surety Company300283Agent - Casualty8/15/20004/22/2015
InactiveWestern Surety Company300283Agent - General Lines1/30/19918/15/2000
InactiveWilcac Life Insurance Company301573Agent - Health11/1/199311/1/1993
InactiveWilcac Life Insurance Company301573Agent - Life11/1/199311/1/1993
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveArison Insurance Services, Inc.401001Agent - Health8/30/199912/31/2001
InactiveArison Insurance Services, Inc.401001Agent - Life8/30/199912/31/2001
InactiveCase, Peggie Evelyne 364667Agent - Casualty12/19/201210/17/2013
InactiveCase, Peggie Evelyne 364667Agent - Property12/19/201210/17/2013
InactiveCejay, Rachel Dawn 747780Agent - Casualty5/12/20115/9/2014
InactiveCejay, Rachel Dawn 747780Agent - Property5/12/20115/9/2014
InactiveClark, Jeannie 349596Agent - Casualty8/15/20006/4/2003
InactiveClark, Jeannie 349596Agent - General Lines12/31/19998/15/2000
InactiveClark, Jeannie 349596Agent - Life12/31/19997/12/2003
InactiveClark, Jeannie 349596Agent - Property8/15/20006/4/2003
InactiveClements, Gerald W 308331Agent - General Lines3/6/19918/15/2000
InactiveClements, Gerald W 308331Agent - Health3/6/19911/16/2001
InactiveClements, Gerald W 308331Agent - Life3/6/19911/16/2001
InactiveCrimm, Ronald Edmond 348716Agent - Casualty1/16/20013/31/2016
InactiveCrimm, Ronald Edmond 348716Agent - Health1/16/20013/31/2016
InactiveCrimm, Ronald Edmond 348716Agent - Life1/16/20013/31/2016
InactiveCrimm, Ronald Edmond 348716Agent - Property1/16/20013/31/2016
InactiveDental Choice Agency Inc.398085Agent - Prepaid Dental Plan8/9/19991/16/2001
InactiveDoughten, Joan Walsburger 338752Agent - Casualty8/15/20007/1/2002
InactiveDoughten, Joan Walsburger 338752Agent - General Lines2/18/19888/15/2000
InactiveDoughten, Joan Walsburger 338752Agent - Health2/18/19887/1/2002
InactiveDoughten, Joan Walsburger 338752Agent - Life2/18/19887/1/2002
InactiveDoughten, Joan Walsburger 338752Agent - Property8/15/20007/1/2002
InactiveDunn, Thomas K 340827Agent - Health4/15/20041/24/2005
InactiveDunn, Thomas K 340827Agent - Life4/15/20041/24/2005
InactiveFitzgerald, Connie S 382969Agent - Casualty6/4/20033/31/2016
InactiveFitzgerald, Connie S 382969Agent - Property6/4/20033/31/2016
InactiveFlowers, Judy Leigh 311327Agent - Casualty5/23/20051/25/2010
InactiveFlowers, Judy Leigh 311327Agent - Health5/23/20051/25/2010
InactiveFlowers, Judy Leigh 311327Agent - Life5/23/20051/25/2010
InactiveFlowers, Judy Leigh 311327Agent - Property5/23/20051/25/2010
InactiveGriffith, Andrea D 334756Agent - Casualty10/13/20123/31/2016
InactiveGriffith, Andrea D 334756Agent - Health2/26/20073/31/2016
InactiveGriffith, Andrea D 334756Agent - Life2/26/20073/31/2016
InactiveGriffith, Andrea D 334756Agent - Property10/13/20123/31/2016
InactiveGustafson, Alford V 391683Agent - Casualty8/15/20003/31/2016
InactiveGustafson, Alford V 391683Agent - General Lines5/6/19928/15/2000
InactiveGustafson, Alford V 391683Agent - Health5/6/19923/31/2016
InactiveGustafson, Alford V 391683Agent - Life5/6/19923/31/2016
InactiveGustafson, Alford V 391683Agent - Property8/15/20003/31/2016
InactiveGustafson, Joan Lee 302739Agent - Casualty8/15/200012/30/2003
InactiveGustafson, Joan Lee 302739Agent - General Lines9/21/19928/15/2000
InactiveGustafson, Joan Lee 302739Agent - Property8/15/200012/30/2003
InactiveHaywood Insurance Agency Inc.398817Agent - Health1/16/200112/31/2001
InactiveHaywood Insurance Agency Inc.398817Agent - Life1/16/200112/31/2001
InactiveHaywood, Charles Luther 322519Agent - Casualty8/15/20001/30/2008
InactiveHaywood, Charles Luther 322519Agent - General Lines3/6/19918/15/2000
InactiveHaywood, Charles Luther 322519Agent - Health3/6/19911/30/2008
InactiveHaywood, Charles Luther 322519Agent - Life3/6/19911/30/2008
InactiveHaywood, Charles Luther 322519Agent - Property8/15/20001/30/2008
InactiveHenry, Ann Lynelle 308389Agent - General Lines2/18/198811/29/1998
InactiveJaggers, Vicki J 348125Agent - Casualty8/15/20003/31/2016
InactiveJaggers, Vicki J 348125Agent - General Lines12/31/19998/15/2000
InactiveJaggers, Vicki J 348125Agent - Property8/15/20003/31/2016
InactiveMcFerran, James Calvin 390584Agent - Casualty8/15/20002/11/2003
InactiveMcFerran, James Calvin 390584Agent - Health1/16/200111/6/2002
InactiveMcFerran, James Calvin 390584Agent - Life1/16/200111/6/2002
InactiveMcFerran, James Calvin 390584Agent - Property8/15/20002/11/2003
InactiveOsbourne, Ginger L 506711Agent - Casualty8/15/20001/25/2010
InactiveOsbourne, Ginger L 506711Agent - Property8/15/20001/25/2010
InactiveRademaker, Bruce T 314020Agent - Casualty3/8/20105/1/2015
InactiveRademaker, Bruce T 314020Agent - General Lines4/10/19758/15/2000
InactiveRademaker, Bruce T 314020Agent - Health2/11/20034/30/2009
InactiveRademaker, Bruce T 314020Agent - Life2/11/20034/30/2009
InactiveRademaker, Bruce T 314020Agent - Property3/8/20105/1/2015
InactiveRademaker, Michael 376213Agent - Casualty2/11/20033/31/2016
InactiveRademaker, Michael 376213Agent - Health3/29/19933/31/2016
InactiveRademaker, Michael 376213Agent - Life3/29/19933/31/2016
InactiveRademaker, Michael 376213Agent - Property2/11/20033/31/2016
InactiveRybak, William John 359878Agent - Casualty8/15/20003/31/2016
InactiveRybak, William John 359878Agent - General Lines3/6/19918/15/2000
InactiveRybak, William John 359878Agent - Health3/6/19913/31/2016
InactiveRybak, William John 359878Agent - Life3/6/19913/31/2016
InactiveRybak, William John 359878Agent - Property8/15/20003/31/2016
InactiveSeng, Raymond Henry 392756Agent - Casualty12/19/201211/1/2014
InactiveSeng, Raymond Henry 392756Agent - Health2/22/20134/11/2013
InactiveSeng, Raymond Henry 392756Agent - Life2/22/20134/11/2013
InactiveSeng, Raymond Henry 392756Agent - Property12/19/201211/1/2014
InactiveSmith, Cindy A 506969Agent - Casualty3/8/20103/31/2016
InactiveSmith, Cindy A 506969Agent - Property3/8/20103/31/2016
InactiveTigner, Mary Jane 594909Agent - Casualty1/7/20053/31/2016
InactiveTigner, Mary Jane 594909Agent - Property1/7/20053/31/2016
InactiveTrauth, Brenda L 520918Agent - Casualty1/25/20023/31/2016
InactiveTrauth, Brenda L 520918Agent - Property1/25/20023/31/2016
InactiveWibbels, James Scott 349948Agent - Casualty1/16/20015/26/2016
InactiveWibbels, James Scott 349948Agent - Health12/30/200311/10/2014
InactiveWibbels, James Scott 349948Agent - Life12/30/200311/10/2014
InactiveWibbels, James Scott 349948Agent - Property1/16/20015/26/2016
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveHaywood Insurance Agency Inc.398817Agent - Life9/21/199212/31/2001
InactiveHaywood Insurance Agency Inc.398817Agent - Health9/21/199212/31/2001

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