DEPARTMENT OF INSURANCE

Affiliations

Name	Hazard Insurance Agency	DOIID	399398	NAIC NPN	7221618

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	6/17/2008	1/18/2016
Inactive	Resident	Agent	Property	6/17/2008	1/18/2016
Inactive	Resident	Agent	General Lines	8/4/1982	8/15/2000
Inactive	Resident	Agent	Health Maintenance Organization	7/11/1996	3/1/2001
Inactive	Resident	Agent	Casualty	6/17/2008	1/18/2016
Inactive	Resident	Agent	Health	6/17/2008	1/18/2016
* 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	AIG Assurance Company	300897	Agent - Casualty	8/24/2004	3/31/2008
Inactive	AIG Assurance Company	300897	Agent - Property	8/24/2004	3/31/2008
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	8/10/2004	12/23/2005
Inactive	Allstate Indemnity Company	300778	Agent - Property	8/10/2004	12/23/2005
Inactive	Allstate Insurance Company	300773	Agent - Casualty	8/10/2004	12/23/2005
Inactive	Allstate Insurance Company	300773	Agent - Property	8/10/2004	12/23/2005
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005	3/31/2008
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005	3/31/2008
Inactive	American Economy Insurance Company	300315	Agent - Casualty	12/14/2006	3/31/2008
Inactive	American Economy Insurance Company	300315	Agent - Property	12/14/2006	3/31/2008
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/16/2008	2/6/2012
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/16/2008	2/6/2012
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	7/15/2004	3/31/2008
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	7/15/2004	3/31/2008
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	10/31/2008	1/18/2016
Inactive	American Reliable Insurance Company	301889	Agent - Property	10/31/2008	1/18/2016
Inactive	American States Insurance Company	301230	Agent - Casualty	12/14/2006	3/31/2008
Inactive	American States Insurance Company	301230	Agent - Property	12/14/2006	3/31/2008
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	6/8/2010	1/30/2012
Inactive	American Zurich Insurance Company	300592	Agent - Property	6/8/2010	1/30/2012
Inactive	Assurance Company of America	300432	Agent - Casualty	10/21/2010	1/30/2012
Inactive	Assurance Company of America	300432	Agent - General Lines	2/22/1996	8/15/2000
Inactive	Assurance Company of America	300432	Agent - Property	10/21/2010	1/30/2012
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - General Lines	8/4/1982	8/15/2000
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	8/15/2000	3/31/2008
Inactive	BancInsure, Inc.	301707	Agent - Casualty	11/25/2008	7/17/2013
Inactive	BancInsure, Inc.	301707	Agent - Property	11/25/2008	7/17/2013
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	9/8/1992	12/30/1996
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	9/8/1992	12/30/1996
Inactive	Bridge City Insurance Company	300864	Agent - General Lines	2/28/2000	8/15/2000
Inactive	CHA HMO, Inc.	300662	Agent - Health	3/1/2001	3/31/2008
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	7/11/1996	3/1/2001
Inactive	Catawba Insurance Company	581090	Agent - Casualty	1/1/2004	3/31/2008
Inactive	Catawba Insurance Company	581090	Agent - Property	1/1/2004	3/31/2008
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - General Lines	5/15/1996	8/15/2000
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	8/15/2000	3/31/2008
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	10/7/1992	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	10/7/1992	3/31/1997
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/16/2008	2/6/2012
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/16/2008	2/6/2012
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	8/15/2000	12/27/2001
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	8/4/1982	8/15/2000
Inactive	Continental Insurance Company (The)	301242	Agent - Property	8/15/2000	12/27/2001
Inactive	Everlake Life Insurance Company	300873	Agent - Health	8/10/2004	12/23/2005
Inactive	Everlake Life Insurance Company	300873	Agent - Life	8/10/2004	12/23/2005
Inactive	Farmington Casualty Company	301137	Agent - Casualty	5/9/2006	3/31/2008
Inactive	Farmington Casualty Company	301137	Agent - General Lines	3/8/1990	8/15/2000
Inactive	Farmington Casualty Company	301137	Agent - Property	5/9/2006	3/31/2008
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	6/12/1995	11/8/1999
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	6/12/1995	11/8/1999
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - General Lines	8/4/1982	8/15/2000
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Property	8/15/2000	3/31/2008
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - General Lines	8/4/1982	8/15/2000
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Property	8/15/2000	3/31/2008
Inactive	First National Insurance Company of America	301690	Agent - Casualty	12/14/2006	3/31/2008
Inactive	First National Insurance Company of America	301690	Agent - Property	12/14/2006	3/31/2008
Inactive	General Insurance Company of America	300261	Agent - Casualty	12/14/2006	3/31/2008
Inactive	General Insurance Company of America	300261	Agent - Property	12/14/2006	3/31/2008
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	2/5/2001	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	2/5/2001	11/30/2007
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/13/1992	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/13/1992	3/31/1997
Inactive	Granite State Insurance Company	300818	Agent - Casualty	6/21/2005	3/31/2008
Inactive	Granite State Insurance Company	300818	Agent - Property	6/21/2005	3/31/2008
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	8/15/2000	5/17/2002
Inactive	Great American Alliance Insurance Company	301247	Agent - General Lines	4/4/2000	8/15/2000
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	8/15/2000	5/17/2002
Inactive	Great American Assurance Company	300327	Agent - Casualty	8/15/2000	5/17/2002
Inactive	Great American Assurance Company	300327	Agent - General Lines	4/4/2000	8/15/2000
Inactive	Great American Assurance Company	300327	Agent - Property	8/15/2000	5/17/2002
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/15/2000	5/17/2002
Inactive	Great American Insurance Company	301586	Agent - General Lines	4/4/2000	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	8/15/2000	5/17/2002
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	8/15/2000	5/17/2002
Inactive	Great American Insurance Company of New York	301897	Agent - General Lines	4/4/2000	8/15/2000
Inactive	Great American Insurance Company of New York	301897	Agent - Property	8/15/2000	5/17/2002
Inactive	Hallmark National Insurance Company	300494	Agent - Casualty	11/20/2008	1/18/2016
Inactive	Hallmark National Insurance Company	300494	Agent - Property	11/20/2008	1/18/2016
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	8/4/1982	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	3/31/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	8/4/1982	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	3/31/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	10/26/2014	1/18/2016
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	8/4/1982	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	10/26/2014	1/18/2016
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	10/14/1986	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	3/31/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/17/2010	1/18/2016
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/17/2010	1/18/2016
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	12/24/2010	1/18/2016
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	9/21/1989	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	12/24/2010	1/18/2016
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/8/2007	3/31/2008
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/8/2007	3/31/2008
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/16/2008	2/6/2012
Inactive	Indiana Insurance Company	301909	Agent - Property	10/16/2008	2/6/2012
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	4/29/1994	5/12/1997
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	4/29/1994	5/12/1997
Inactive	Kentucky Association of Counties - All Lines Fund	300006	Agent - Casualty	3/31/2003	3/31/2008
Inactive	Kentucky Association of Counties - All Lines Fund	300006	Agent - General Lines	9/28/1998	12/31/1999
Inactive	Kentucky Association of Counties - All Lines Fund	300006	Agent - Property	3/31/2003	3/31/2008
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	6/1/2010	1/18/2016
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	6/1/2010	1/18/2016
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/19/2010	1/18/2016
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/19/2010	1/18/2016
Inactive	Maryland Casualty Company	301719	Agent - Casualty	10/21/2010	1/30/2012
Inactive	Maryland Casualty Company	301719	Agent - General Lines	2/22/1996	8/15/2000
Inactive	Maryland Casualty Company	301719	Agent - Property	10/21/2010	1/30/2012
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	11/20/2008	2/21/2012
Inactive	Meridian Security Insurance Company	300423	Agent - Property	11/20/2008	2/21/2012
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/16/2008	2/6/2012
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/16/2008	2/6/2012
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	10/21/2010	1/30/2012
Inactive	Northern Insurance Company of New York	301317	Agent - Property	10/21/2010	1/30/2012
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/16/2008	2/6/2012
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/16/2008	2/6/2012
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/16/2008	2/6/2012
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/16/2008	2/6/2012
Inactive	Omni Insurance Company	301545	Agent - General Lines	12/22/1997	3/31/2000
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/16/2008	2/6/2012
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/16/2008	2/6/2012
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/16/2008	2/6/2012
Inactive	Peerless Insurance Company	301910	Agent - Property	10/16/2008	2/6/2012
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	3/31/2008
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	3/31/2008
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/18/2010	2/22/2012
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/18/2010	2/22/2012
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	8/15/2000	11/27/2007
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	7/28/1999	8/15/2000
Inactive	Progressive Max Insurance Company	301034	Agent - Property	8/15/2000	11/27/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	3/18/2010	2/22/2012
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	3/18/2010	2/22/2012
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	8/15/2000	12/28/2005
Inactive	Progressive Northwestern Insurance Company	300441	Agent - General Lines	7/28/1999	8/15/2000
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	8/15/2000	12/28/2005
Inactive	Progressive Specialty Insurance Company	300797	Agent - Casualty	8/15/2000	11/27/2007
Inactive	Progressive Specialty Insurance Company	300797	Agent - General Lines	1/18/2000	8/15/2000
Inactive	Progressive Specialty Insurance Company	300797	Agent - Property	8/15/2000	11/27/2007
Inactive	Realm National Insurance Company	301315	Agent - General Lines	6/10/1998	3/31/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	12/14/2006	3/31/2008
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	12/14/2006	3/31/2008
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	12/14/2006	3/31/2008
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	12/14/2006	3/31/2008
Inactive	Seaboard Surety Company	300510	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Seaboard Surety Company	300510	Agent - General Lines	12/30/1998	8/15/2000
Inactive	South Carolina Insurance Company	300080	Agent - Casualty	8/7/2003	4/1/2005
Inactive	South Carolina Insurance Company	300080	Agent - Property	8/7/2003	4/1/2005
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	2/6/2012	1/18/2016
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - General Lines	12/30/1998	8/15/2000
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	2/6/2012	1/18/2016
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	8/15/2000	3/31/2008
Inactive	St. Paul Guardian Insurance Company	301372	Agent - General Lines	12/30/1998	8/15/2000
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	8/15/2000	3/31/2008
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	8/15/2000	3/31/2008
Inactive	St. Paul Mercury Insurance Company	300783	Agent - General Lines	12/30/1998	8/15/2000
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	8/15/2000	3/31/2008
Inactive	St. Paul Protective Insurance Company	301215	Agent - Casualty	8/15/2000	4/21/2003
Inactive	St. Paul Protective Insurance Company	301215	Agent - General Lines	12/30/1998	8/15/2000
Inactive	St. Paul Protective Insurance Company	301215	Agent - Property	8/15/2000	4/21/2003
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	8/4/1982	8/15/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/15/2000	3/31/2008
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	11/20/2008	2/21/2012
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	11/20/2008	2/21/2012
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	11/20/2008	2/21/2012
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	11/20/2008	2/21/2012
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	5/17/2010	1/18/2016
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	5/17/2010	1/18/2016
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/15/2000	3/31/2008
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	5/15/1996	8/15/2000
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/15/2000	3/31/2008
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	8/15/2000	12/13/2001
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - General Lines	1/24/1991	8/15/2000
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	8/15/2000	12/13/2001
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	5/9/2006	3/31/2008
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - General Lines	2/28/1984	8/15/2000
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	5/9/2006	3/31/2008
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Travelers Casualty and Surety Company	301067	Agent - General Lines	8/4/1982	8/15/2000
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	8/15/2000	3/31/2008
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - General Lines	1/25/1991	8/15/2000
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	8/15/2000	3/31/2008
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	5/9/2006	3/31/2008
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	5/9/2006	3/31/2008
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	8/15/2000	12/13/2001
Inactive	Travelers Commercial Insurance Company	301506	Agent - General Lines	1/24/1991	8/15/2000
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	8/15/2000	12/13/2001
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	5/15/1996	8/15/2000
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/15/2000	3/31/2008
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - General Lines	5/15/1996	8/15/2000
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	8/15/2000	3/31/2008
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - General Lines	5/15/1996	8/15/2000
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	8/15/2000	3/31/2008
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Travelers Property Casualty Company of America	301649	Agent - General Lines	5/15/1996	8/15/2000
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	8/15/2000	3/31/2008
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Trumbull Insurance Company	300242	Agent - General Lines	6/11/1998	8/15/2000
Inactive	Trumbull Insurance Company	300242	Agent - Property	8/15/2000	3/31/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	8/4/1982	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	3/31/2008
Inactive	United Financial Casualty Company	301886	Agent - Casualty	3/18/2010	2/22/2012
Inactive	United Financial Casualty Company	301886	Agent - Property	3/18/2010	2/22/2012
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	8/15/2000	3/31/2008
Inactive	United States Fidelity and Guaranty Company	301449	Agent - General Lines	8/4/1982	8/15/2000
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	8/15/2000	3/31/2008
Inactive	Universal Insurance Company	686754	Agent - Casualty	12/23/2008	1/22/2013
Inactive	Universal Insurance Company	686754	Agent - Property	12/23/2008	1/22/2013
Inactive	West American Insurance Company	301112	Agent - Casualty	10/16/2008	2/6/2012
Inactive	West American Insurance Company	301112	Agent - Property	10/16/2008	2/6/2012
Inactive	Western Surety Company	300283	Agent - Casualty	12/5/2011	6/27/2012
Inactive	Western Surety Company	300283	Agent - General Lines	6/12/1989	8/15/2000

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bowers, Blake Michael	730196	Agent - Casualty	8/23/2010	10/20/2011
Inactive	Bowers, Blake Michael	730196	Agent - Property	8/23/2010	10/20/2011
Inactive	Delpont, Johnny A	332658	Agent - Casualty	11/20/2008	7/1/2009
Inactive	Delpont, Johnny A	332658	Agent - General Lines	3/15/1996	8/15/2000
Denied	Delpont, Johnny A	332658	Agent - Health
Denied	Delpont, Johnny A	332658	Agent - Life
Inactive	Delpont, Johnny A	332658	Agent - Property	11/20/2008	7/1/2009
Inactive	Gorman, Joe Dan	345475	Agent - General Lines	12/2/1993	7/1/1996
Inactive	Gorman, Joe Dan	345475	Agent - Health	12/2/1993	7/1/1996
Inactive	Gorman, Joe Dan	345475	Agent - Life	12/2/1993	7/1/1996
Inactive	Gorman, Jonah Patrick	377879	Agent - General Lines	8/4/1982	10/28/1998
Inactive	Gorman, Jonah Patrick	377879	Agent - Health	8/4/1982	10/28/1998
Inactive	Gorman, Jonah Patrick	377879	Agent - Life	8/4/1982	10/28/1998
Inactive	Gorman, Lawrence Daniel	303575	Agent - Casualty	8/15/2000	5/6/2004
Inactive	Gorman, Lawrence Daniel	303575	Agent - General Lines	3/15/1996	8/15/2000
Inactive	Gorman, Lawrence Daniel	303575	Agent - Property	8/15/2000	5/6/2004
Inactive	Gorman, William D	390843	Agent - Casualty	6/17/2008	1/18/2016
Inactive	Gorman, William D	390843	Agent - General Lines	3/15/1996	8/15/2000
Inactive	Gorman, William D	390843	Agent - Health	6/17/2008	1/18/2016
Inactive	Gorman, William D	390843	Agent - Life	6/17/2008	1/18/2016
Inactive	Gorman, William D	390843	Agent - Property	6/17/2008	1/18/2016
Inactive	Sandlin, Charles David	349424	Agent - Casualty	11/20/2008	1/18/2016
Inactive	Sandlin, Charles David	349424	Agent - Health	11/20/2008	1/18/2016
Inactive	Sandlin, Charles David	349424	Agent - Life	11/20/2008	1/18/2016
Inactive	Sandlin, Charles David	349424	Agent - Property	11/20/2008	1/18/2016
Inactive	Watts, Anita	341006	Agent - Casualty	11/20/2008	1/18/2016
Inactive	Watts, Anita	341006	Agent - Property	11/20/2008	1/18/2016
Inactive	Whitaker, Cyra Kaye	630048	Agent - Property	11/20/2008	8/23/2010