DEPARTMENT OF INSURANCE

Affiliations

Name	Wombwell-Douglass Insurance	DOIID	399533	NAIC NPN	7221735

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Workers' Compensation	3/27/1991	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	4/2/2003
Inactive	Resident	Agent	General Lines	6/28/1990	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	4/2/2003
Inactive	Resident	Agent	Life	6/28/1990	4/2/2003
Inactive	Resident	Agent	Health	6/28/1990	4/2/2003
* 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 Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/15/2000	12/27/2001
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	10/27/1994	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	12/27/2001
Inactive	American Economy Insurance Company	300315	Agent - Casualty	8/15/2000	4/2/2003
Inactive	American Economy Insurance Company	300315	Agent - General Lines	12/29/1998	8/15/2000
Inactive	American Economy Insurance Company	300315	Agent - Property	8/15/2000	4/2/2003
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	4/2/2003
Inactive	American States Insurance Company	301230	Agent - General Lines	12/30/1998	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	4/2/2003
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - General Lines	4/24/1997	8/15/2000
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	8/15/2000	4/2/2003
Inactive	Brighthouse Life Insurance Company	301829	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	3/27/1991	4/2/2003
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	3/27/1991	4/2/2003
Inactive	Brighthouse Life Insurance Company	301829	Agent - Workers' Compensation	3/27/1991	8/15/2000
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - General Lines	4/15/1991	8/15/2000
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	8/15/2000	4/2/2003
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/15/2000	12/27/2001
Inactive	Continental Casualty Company	301019	Agent - General Lines	10/27/1994	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	8/15/2000	12/27/2001
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - General Lines	8/2/1990	3/31/1998
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/15/2000	4/2/2003
Inactive	First National Insurance Company of America	301690	Agent - General Lines	3/7/1994	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	8/15/2000	4/2/2003
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/15/2000	4/2/2003
Inactive	General Insurance Company of America	300261	Agent - General Lines	3/7/1994	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	8/15/2000	4/2/2003
Inactive	Hallmark National Insurance Company	300494	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Hallmark National Insurance Company	300494	Agent - General Lines	1/6/1995	8/15/2000
Inactive	Hallmark National Insurance Company	300494	Agent - Property	8/15/2000	4/2/2003
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	8/8/1990	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	4/2/2003
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	8/8/1990	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	4/2/2003
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	8/8/1990	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	4/2/2003
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	8/8/1990	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	4/2/2003
Inactive	Hartford Steam Boiler Inspection and Insurance Company	300799	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Hartford Steam Boiler Inspection and Insurance Company	300799	Agent - General Lines	8/6/1991	8/15/2000
Inactive	Hartford Steam Boiler Inspection and Insurance Company	300799	Agent - Property	8/15/2000	4/2/2003
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	3/28/1994	12/5/1997
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Health	7/24/1992	6/14/1999
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	7/24/1992	6/14/1999
Inactive	LMI Insurance Company	301402	Agent - General Lines	10/28/1992	3/31/1996
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	12/30/1996	3/12/2002
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	12/30/1996	3/12/2002
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	4/2/2003
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	10/27/1994	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	4/2/2003
Inactive	Reassure America Life Insurance Company	300678	Agent - Health	3/12/2002	4/2/2003
Inactive	Reassure America Life Insurance Company	300678	Agent - Life	3/12/2002	4/2/2003
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	3/7/1994	5/7/1998
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	3/7/1994	5/7/1998
Inactive	SAFECO National Insurance Company	300989	Agent - Casualty	8/15/2000	4/2/2003
Inactive	SAFECO National Insurance Company	300989	Agent - General Lines	2/12/1992	8/15/2000
Inactive	SAFECO National Insurance Company	300989	Agent - Property	8/15/2000	4/2/2003
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	4/25/1997	8/15/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/15/2000	4/2/2003
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	8/15/2000	4/2/2003
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - General Lines	8/10/1990	8/15/2000
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	8/15/2000	4/2/2003
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/15/2000	4/2/2003
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	8/10/1990	8/15/2000
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	8/15/2000	4/2/2003
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/15/2000	4/2/2003
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	4/15/1991	8/15/2000
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/15/2000	4/2/2003
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	10/27/1994	3/31/1998
Inactive	Transportation Insurance Company	301575	Agent - General Lines	10/27/1994	3/31/1998
Inactive	TravCo Insurance Company	301828	Agent - Casualty	8/15/2000	4/2/2003
Inactive	TravCo Insurance Company	301828	Agent - General Lines	4/24/1997	8/15/2000
Inactive	TravCo Insurance Company	301828	Agent - Property	8/15/2000	4/2/2003
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	3/29/2001	4/2/2003
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	3/29/2001	4/2/2003
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	4/15/1991	8/15/2000
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/15/2000	4/2/2003
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - General Lines	4/25/1997	8/15/2000
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	8/15/2000	4/2/2003
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - General Lines	4/15/1991	8/15/2000
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	8/15/2000	4/2/2003
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	8/8/1990	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	4/2/2003
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/6/1994	4/2/2003
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/6/1994	4/2/2003
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/24/1995	4/2/2003
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	7/24/1995	4/2/2003
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	10/27/1994	3/31/1998
Inactive	Windhaven National Insurance Company	300094	Agent - General Lines	3/1/1995	12/5/1997

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Douglass, John Stevenson	384121	Agent - Casualty	8/15/2000	4/2/2003
Inactive	Douglass, John Stevenson	384121	Agent - General Lines	4/12/1991	8/15/2000
Inactive	Douglass, John Stevenson	384121	Agent - Property	8/15/2000	4/2/2003
Inactive	Douglass, Prentiss Porter	390969	Agent - Health	4/15/1991	4/2/2003
Inactive	Douglass, Prentiss Porter	390969	Agent - Life	4/15/1991	4/2/2003
Inactive	Wombwell, Nancy F	388031	Agent - Health	3/27/1991	4/2/2003
Inactive	Wombwell, Nancy F	388031	Agent - Life	3/27/1991	4/2/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Douglass Scott Company Inc.	399442	Agent - General Lines	6/28/1990	8/15/2000
Inactive	Douglass Scott Company Inc.	399442	Agent - Life	6/28/1990	12/31/2001
Inactive	Douglass Scott Company Inc.	399442	Agent - Health	6/28/1990	12/31/2001
Inactive	Douglass Scott Company Inc.	399442	Agent - Property	8/15/2000	12/31/2001
Inactive	Douglass Scott Company Inc.	399442	Agent - Casualty	8/15/2000	12/31/2001
Inactive	Wombwell Ins Agcy Inc.	400950	Agent - General Lines	6/28/1990	8/15/2000
Inactive	Wombwell Ins Agcy Inc.	400950	Agent - Life	6/28/1990	12/31/2001
Inactive	Wombwell Ins Agcy Inc.	400950	Agent - Health	6/28/1990	12/31/2001
Inactive	Wombwell Ins Agcy Inc.	400950	Agent - Property	8/15/2000	12/31/2001
Inactive	Wombwell Ins Agcy Inc.	400950	Agent - Casualty	8/15/2000	12/31/2001