DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hampton Insurance LLC	DOIID	399890	NAIC NPN	7222023

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health Maintenance Organization	2/10/1997	3/1/2001
Inactive	Resident	Agent	Property	8/15/2000	4/22/2002
Inactive	Resident	Agent	Casualty	8/15/2000	4/22/2002
Inactive	Resident	Agent	Health	3/1/2001	4/22/2002
Inactive	Resident	Agent	General Lines	8/8/1996	8/15/2000
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CHA HMO, Inc.	300662	Agent - Health	3/1/2001	4/22/2002
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	2/10/1997	3/1/2001
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	8/15/2000	4/22/2002
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	8/8/1996	8/15/2000
Inactive	Dairyland Insurance Company	301370	Agent - Property	8/15/2000	4/22/2002
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	8/15/2000	10/8/2001
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	4/29/1999	8/15/2000
Inactive	Progressive Max Insurance Company	301034	Agent - Property	8/15/2000	10/8/2001
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	8/15/2000	10/8/2001
Inactive	Progressive Northern Insurance Company	301378	Agent - General Lines	4/29/1999	8/15/2000
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	8/15/2000	10/8/2001
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	8/15/2000	11/9/2001
Inactive	Progressive Northwestern Insurance Company	300441	Agent - General Lines	4/29/1999	8/15/2000
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	8/15/2000	11/9/2001
Inactive	RLI Insurance Company	301217	Agent - General Lines	3/31/1998	12/6/1999

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hampton, Mary A	353803	Agent - General Lines	2/10/1997	7/6/1999
Inactive	Hampton, Mary A	353803	Agent - Health Maintenance Organization	2/10/1997	7/6/1999