DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Millersburg Insurance Agency	DOIID	399429	NAIC NPN	7221647

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	3/31/1982	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	1/20/2004
Inactive	Resident	Agent	Property	8/15/2000	1/20/2004
* 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 Fire and Casualty Company	300567	Agent - Casualty	8/15/2000	1/20/2004
Inactive	American Fire and Casualty Company	300567	Agent - General Lines	3/31/1982	8/15/2000
Inactive	American Fire and Casualty Company	300567	Agent - Property	8/15/2000	1/20/2004
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/15/2000	6/7/2001
Inactive	Great American Insurance Company	301586	Agent - General Lines	9/17/1997	8/15/2000
Inactive	Great American Insurance Company	301586	Agent - Property	8/15/2000	6/7/2001
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	7/3/1990	3/31/1996
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/15/2000	1/20/2004
Inactive	Ohio Casualty Insurance Company	301492	Agent - General Lines	3/31/1982	8/15/2000
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	8/15/2000	1/20/2004
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	8/15/2000	1/20/2004
Inactive	Ohio Security Insurance Company	300622	Agent - General Lines	3/31/1982	8/15/2000
Inactive	Ohio Security Insurance Company	300622	Agent - Property	8/15/2000	1/20/2004
Inactive	West American Insurance Company	301112	Agent - Casualty	8/15/2000	1/20/2004
Inactive	West American Insurance Company	301112	Agent - General Lines	3/31/1982	8/15/2000
Inactive	West American Insurance Company	301112	Agent - Property	8/15/2000	1/20/2004

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Blair, Marion Custer	391016	Agent - Casualty	8/15/2000	1/20/2004
Inactive	Blair, Marion Custer	391016	Agent - General Lines	3/22/1971	8/15/2000
Inactive	Blair, Marion Custer	391016	Agent - Property	8/15/2000	1/20/2004
Inactive	Kirkpatrick, Robert Ross	313619	Agent - Casualty	8/15/2000	11/30/2003
Inactive	Kirkpatrick, Robert Ross	313619	Agent - General Lines	3/22/1971	8/15/2000
Inactive	Kirkpatrick, Robert Ross	313619	Agent - Property	8/15/2000	11/30/2003