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DEPARTMENT OF INSURANCE
Affiliations
Name
Lenders Service Corporation
DOIID
399159
NAIC NPN
7221445
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
General Lines
6/24/1992
8/15/2000
Inactive
Resident
Agent
Property
8/15/2000
3/31/2022
Inactive
Resident
Agent
Health
4/7/2016
3/31/2022
Inactive
Resident
Agent
Limited Line Credit
3/18/2016
3/31/2022
Inactive
Resident
Agent
Casualty
8/15/2000
3/31/2022
Inactive
Resident
Agent
Life
4/7/2016
3/31/2022
Inactive
Resident
Managing General Agent
Not Applicable
6/24/1992
3/31/2022
* 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 General Life Insurance Company
301585
Agent - Health
12/13/2016
3/31/2022
Inactive
American General Life Insurance Company
301585
Agent - Life
12/13/2016
3/31/2022
Inactive
American Modern Home Insurance Company
300791
Agent - Casualty
6/16/2017
3/31/2022
Inactive
American Modern Home Insurance Company
300791
Agent - Property
6/16/2017
3/31/2022
Inactive
American National Insurance Company
301861
Agent - Limited Line Credit
3/23/2016
12/15/2021
Inactive
American National Property and Casualty Company
300392
Agent - Casualty
12/14/2016
12/15/2021
Inactive
American National Property and Casualty Company
300392
Agent - Property
12/14/2016
12/15/2021
Inactive
Arch Insurance Company
300688
Agent - Casualty
8/15/2000
9/17/2021
Inactive
Arch Insurance Company
300688
Agent - General Lines
6/24/1992
8/15/2000
Inactive
Arch Insurance Company
300688
Agent - Limited Line Credit
12/1/2017
9/17/2021
Inactive
Arch Insurance Company
300688
Agent - Property
8/15/2000
9/17/2021
Inactive
Banner Life Insurance Company
301696
Agent - Life
5/3/2018
3/31/2022
Inactive
Great American Alliance Insurance Company
301247
Agent - Casualty
3/2/2011
5/24/2021
Inactive
Great American Alliance Insurance Company
301247
Agent - Property
3/2/2011
5/24/2021
Inactive
Great American Assurance Company
300327
Agent - Casualty
3/2/2011
5/24/2021
Inactive
Great American Assurance Company
300327
Agent - Property
3/2/2011
5/24/2021
Inactive
Great American Insurance Company
301586
Agent - Casualty
3/2/2011
5/24/2021
Inactive
Great American Insurance Company
301586
Agent - Property
3/2/2011
5/24/2021
Inactive
Integon National Insurance Company
301600
Agent - Casualty
1/20/2017
3/31/2022
Inactive
Integon National Insurance Company
301600
Agent - Property
1/20/2017
3/31/2022
Inactive
Kentucky Home Life Insurance Company
300477
Agent - Limited Line Credit
4/27/2016
3/31/2022
Inactive
MIC General Insurance Corporation
300398
Agent - Casualty
1/20/2017
3/31/2022
Inactive
MIC General Insurance Corporation
300398
Agent - Property
1/20/2017
3/31/2022
Inactive
Ohio Indemnity Company
301745
Agent - Casualty
10/13/2015
3/31/2022
Inactive
Ohio Indemnity Company
301745
Agent - Property
10/13/2015
3/31/2022
Inactive
Old Republic Security Assurance Company
301174
Agent - Casualty
8/15/2000
1/29/2004
Inactive
Old Republic Security Assurance Company
301174
Agent - General Lines
6/10/1997
8/15/2000
Inactive
Old Republic Security Assurance Company
301174
Agent - Property
8/15/2000
1/29/2004
Inactive
Plateau Casualty Insurance Company
920184
Agent - Casualty
5/24/2019
12/2/2021
Inactive
Plateau Casualty Insurance Company
920184
Agent - Property
5/24/2019
12/2/2021
Inactive
Pruco Life Insurance Company
300954
Agent - Life
3/26/2019
3/31/2022
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Clark, Robert B
342753
Agent - Casualty
4/7/2016
3/1/2020
Inactive
Clark, Robert B
342753
Agent - Health
4/7/2016
3/1/2020
Inactive
Clark, Robert B
342753
Agent - Life
4/7/2016
3/1/2020
Inactive
Clark, Robert B
342753
Agent - Limited Line Credit
4/7/2016
2/29/2020
Inactive
Clark, Robert B
342753
Agent - Property
4/7/2016
3/1/2020
Inactive
Criscillis, Elizabeth Sprigg
343691
Agent - General Lines
6/24/1992
7/1/1996
Inactive
Criscillis, Elizabeth Sprigg
343691
Managing General Agent - Not Applicable
6/24/1992
7/1/1996
Inactive
Criscillis, Gary Monroe
359609
Agent - Casualty
1/27/2020
3/31/2022
Inactive
Criscillis, Gary Monroe
359609
Agent - General Lines
6/24/1992
8/15/2000
Inactive
Criscillis, Gary Monroe
359609
Agent - Limited Line Credit
3/18/2016
3/31/2022
Inactive
Criscillis, Gary Monroe
359609
Agent - Property
1/27/2020
3/31/2022
Inactive
Criscillis, Gary Monroe
359609
Managing General Agent - Not Applicable
12/30/2019
3/31/2022
Inactive
Moore, Matthew Scott
943095
Agent - Casualty
4/18/2017
3/31/2022
Inactive
Moore, Matthew Scott
943095
Agent - Health
1/3/2020
3/31/2022
Inactive
Moore, Matthew Scott
943095
Agent - Life
4/18/2017
3/31/2022
Inactive
Moore, Matthew Scott
943095
Agent - Limited Line Credit
1/3/2020
3/31/2022
Inactive
Moore, Matthew Scott
943095
Agent - Property
1/3/2020
3/31/2022
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