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DEPARTMENT OF INSURANCE
Affiliations
Name
Multi-Service Corporation
DOIID
400132
NAIC NPN
7222192
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Health
7/14/1992
3/31/2010
Inactive
Resident
Agent
General Lines
4/13/1992
8/15/2000
Inactive
Resident
Agent
Life
7/14/1992
3/31/2010
Inactive
Resident
Agent
Assessment Chapter 299
10/16/1997
12/1/2000
Inactive
Resident
Agent
Property
8/15/2000
3/31/2010
Inactive
Resident
Agent
Casualty
8/15/2000
3/31/2010
Inactive
Resident
Managing General Agent
Not Applicable
6/28/1994
3/31/2010
* 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
Alea North America Insurance Company
301594
Agent - Casualty
8/15/2000
3/31/2002
Inactive
Alea North America Insurance Company
301594
Agent - General Lines
5/9/2000
8/15/2000
Inactive
Alea North America Insurance Company
301594
Agent - Property
8/15/2000
3/31/2002
Inactive
American Fire and Casualty Company
300567
Agent - Casualty
8/15/2000
3/31/2010
Inactive
American Fire and Casualty Company
300567
Agent - General Lines
4/13/1992
8/15/2000
Inactive
American Fire and Casualty Company
300567
Agent - Property
8/15/2000
3/31/2010
Inactive
American Resources Insurance Company, Inc.
300454
Agent - Casualty
8/15/2000
3/31/2010
Inactive
American Resources Insurance Company, Inc.
300454
Agent - General Lines
8/30/1993
8/15/2000
Inactive
American Resources Insurance Company, Inc.
300454
Agent - Property
8/15/2000
3/31/2010
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
8/25/2003
3/31/2010
Inactive
Anthem Insurance Companies, Inc.
300941
Agent - Health
8/25/2003
3/31/2010
Inactive
Anthem Life Insurance Company
301209
Agent - Health
8/25/2003
3/31/2010
Inactive
Anthem Life Insurance Company
301209
Agent - Life
8/25/2003
3/31/2010
Inactive
Assurance Company of America
300432
Agent - Casualty
9/23/2002
3/31/2010
Inactive
Assurance Company of America
300432
Agent - Property
9/23/2002
3/31/2010
Inactive
Brighthouse Life Insurance Company
301829
Agent - Health
7/14/1992
12/17/1998
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
7/14/1992
12/17/1998
Inactive
Celina Mutual Insurance Company (The)
301908
Agent - Casualty
6/28/2006
4/5/2010
Inactive
Celina Mutual Insurance Company (The)
301908
Agent - Property
6/28/2006
4/5/2010
Inactive
Charter Oak Fire Insurance Company (The)
301501
Agent - Casualty
9/7/2004
2/27/2006
Inactive
Charter Oak Fire Insurance Company (The)
301501
Agent - Property
9/7/2004
2/27/2006
Inactive
Consolidated Insurance Company
300943
Agent - Casualty
8/27/2007
3/31/2010
Inactive
Consolidated Insurance Company
300943
Agent - Property
8/27/2007
3/31/2010
Inactive
EMC National Life Company
300388
Agent - Life
2/6/1998
11/16/2000
Inactive
Employers Mutual Casualty Company
300202
Agent - General Lines
2/6/1998
8/15/2000
Inactive
Encompass Indemnity Company
546376
Agent - Casualty
9/28/2006
1/12/2009
Inactive
Encompass Indemnity Company
546376
Agent - Property
9/28/2006
1/12/2009
Inactive
Encova Life Insurance Company
301818
Agent - Life
3/24/2003
3/31/2010
Inactive
Falls Lake National Insurance Company
301796
Agent - General Lines
6/3/1996
8/15/2000
Inactive
First Mutual Insurance Company
301258
Agent - Assessment Chapter 299
10/16/1997
12/1/2000
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Casualty
6/28/2007
3/31/2010
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Property
6/28/2007
3/31/2010
Inactive
Glatfelter Insurance Company
301640
Agent - Casualty
9/23/2002
11/30/2007
Inactive
Glatfelter Insurance Company
301640
Agent - Property
9/23/2002
11/30/2007
Inactive
Golden Rule Insurance Company
301943
Agent - Health
3/25/1993
3/31/1997
Inactive
Golden Rule Insurance Company
301943
Agent - Life
3/25/1993
3/31/1997
Inactive
Grange Indemnity Insurance Company
300793
Agent - Casualty
4/12/2001
3/31/2010
Inactive
Grange Indemnity Insurance Company
300793
Agent - Property
4/12/2001
3/31/2010
Inactive
Grange Insurance Company
300234
Agent - Casualty
4/12/2001
3/31/2010
Inactive
Grange Insurance Company
300234
Agent - Property
4/12/2001
3/31/2010
Inactive
Grange Life Insurance Company
300128
Agent - Health
9/7/1999
3/31/2010
Inactive
Grange Life Insurance Company
300128
Agent - Life
9/7/1999
3/31/2010
Inactive
Great American Alliance Insurance Company
301247
Agent - Casualty
8/15/2000
4/15/2005
Inactive
Great American Alliance Insurance Company
301247
Agent - General Lines
2/11/1999
8/15/2000
Inactive
Great American Alliance Insurance Company
301247
Agent - Property
8/15/2000
4/15/2005
Inactive
Great American Assurance Company
300327
Agent - Casualty
8/15/2000
4/15/2005
Inactive
Great American Assurance Company
300327
Agent - General Lines
2/11/1999
8/15/2000
Inactive
Great American Assurance Company
300327
Agent - Property
8/15/2000
4/15/2005
Inactive
Great American Insurance Company
301586
Agent - Casualty
8/15/2000
4/15/2005
Inactive
Great American Insurance Company
301586
Agent - General Lines
2/11/1999
8/15/2000
Inactive
Great American Insurance Company
301586
Agent - Property
8/15/2000
4/15/2005
Inactive
Great American Insurance Company of New York
301897
Agent - Casualty
8/15/2000
4/15/2005
Inactive
Great American Insurance Company of New York
301897
Agent - General Lines
2/11/1999
8/15/2000
Inactive
Great American Insurance Company of New York
301897
Agent - Property
8/15/2000
4/15/2005
Inactive
Hamilton Mutual Insurance Company
301111
Agent - General Lines
2/19/1998
8/15/2000
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Health
9/17/1992
12/31/1998
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Life
9/17/1992
12/31/1998
Inactive
Humana Insurance Company
301104
Agent - Health
2/22/1993
3/1/1999
Inactive
Humana Insurance Company
301104
Agent - Life
2/22/1993
3/1/1999
Inactive
Indiana Insurance Company
301909
Agent - Casualty
8/27/2007
3/31/2010
Inactive
Indiana Insurance Company
301909
Agent - Property
8/27/2007
3/31/2010
Inactive
Infinity Casualty Insurance Company
301280
Agent - General Lines
7/24/2000
8/15/2000
Inactive
Jackson National Life Insurance Company
300486
Agent - Health
4/22/1993
5/20/1999
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
4/22/1993
5/20/1999
Inactive
John Alden Life Insurance Company
300573
Agent - Health
3/18/1993
3/31/1997
Inactive
John Alden Life Insurance Company
300573
Agent - Life
3/18/1993
3/31/1997
Inactive
Kentucky National Insurance Company
301625
Agent - Casualty
8/15/2000
3/31/2010
Inactive
Kentucky National Insurance Company
301625
Agent - General Lines
6/14/1994
8/15/2000
Inactive
Kentucky National Insurance Company
301625
Agent - Property
8/15/2000
3/31/2010
Inactive
Kodiak Insurance Company
679060
Agent - Casualty
7/23/2008
3/31/2010
Inactive
Kodiak Insurance Company
679060
Agent - Property
7/23/2008
3/31/2010
Inactive
Maryland Casualty Company
301719
Agent - Casualty
9/23/2002
3/31/2010
Inactive
Maryland Casualty Company
301719
Agent - Property
9/23/2002
3/31/2010
Inactive
Netherlands Insurance Company (The)
300339
Agent - Casualty
8/27/2007
3/31/2010
Inactive
Netherlands Insurance Company (The)
300339
Agent - Property
8/27/2007
3/31/2010
Inactive
Northern Insurance Company of New York
301317
Agent - Casualty
9/23/2002
3/31/2010
Inactive
Northern Insurance Company of New York
301317
Agent - Property
9/23/2002
3/31/2010
Inactive
Ohio Casualty Insurance Company
301492
Agent - Casualty
8/15/2000
3/31/2010
Inactive
Ohio Casualty Insurance Company
301492
Agent - General Lines
4/13/1992
8/15/2000
Inactive
Ohio Casualty Insurance Company
301492
Agent - Property
8/15/2000
3/31/2010
Inactive
Ohio Security Insurance Company
300622
Agent - Casualty
8/15/2000
3/31/2010
Inactive
Ohio Security Insurance Company
300622
Agent - General Lines
4/13/1992
8/15/2000
Inactive
Ohio Security Insurance Company
300622
Agent - Property
8/15/2000
3/31/2010
Inactive
Old Republic Insurance Company
301225
Agent - Casualty
6/23/2009
3/31/2010
Inactive
Peerless Indemnity Insurance Company
571682
Agent - Casualty
8/27/2007
3/31/2010
Inactive
Peerless Indemnity Insurance Company
571682
Agent - Property
8/27/2007
3/31/2010
Inactive
Peerless Insurance Company
301910
Agent - Casualty
8/27/2007
3/31/2010
Inactive
Peerless Insurance Company
301910
Agent - Property
8/27/2007
3/31/2010
Inactive
Progressive Casualty Insurance Company
300696
Agent - Casualty
3/24/2004
5/2/2008
Inactive
Progressive Casualty Insurance Company
300696
Agent - Property
3/24/2004
5/2/2008
Inactive
Progressive Max Insurance Company
301034
Agent - Casualty
8/15/2000
12/28/2005
Inactive
Progressive Max Insurance Company
301034
Agent - General Lines
12/9/1999
8/15/2000
Inactive
Progressive Max Insurance Company
301034
Agent - Property
8/15/2000
12/28/2005
Inactive
Progressive Northern Insurance Company
301378
Agent - Casualty
8/15/2000
5/2/2008
Inactive
Progressive Northern Insurance Company
301378
Agent - General Lines
12/9/1999
8/15/2000
Inactive
Progressive Northern Insurance Company
301378
Agent - Property
8/15/2000
5/2/2008
Inactive
Progressive Northwestern Insurance Company
300441
Agent - Casualty
8/15/2000
12/28/2005
Inactive
Progressive Northwestern Insurance Company
300441
Agent - General Lines
12/9/1999
8/15/2000
Inactive
Progressive Northwestern Insurance Company
300441
Agent - Property
8/15/2000
12/28/2005
Inactive
Symetra Life Insurance Company
301691
Agent - Health
12/20/1994
3/31/1997
Inactive
Symetra Life Insurance Company
301691
Agent - Life
12/20/1994
3/31/1997
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
5/23/1997
3/31/2010
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
5/23/1997
3/31/2010
Inactive
The Phoenix Insurance Company
301502
Agent - Casualty
9/7/2004
2/27/2006
Inactive
The Phoenix Insurance Company
301502
Agent - Property
9/7/2004
2/27/2006
Inactive
Travelers Casualty Company (The)
300574
Agent - Casualty
11/7/2005
2/27/2006
Inactive
Travelers Casualty Company (The)
300574
Agent - Property
11/7/2005
2/27/2006
Inactive
Travelers Casualty and Surety Company
301067
Agent - Casualty
4/13/2001
2/27/2006
Inactive
Travelers Casualty and Surety Company
301067
Agent - Property
4/13/2001
2/27/2006
Inactive
Travelers Casualty and Surety Company of America
301334
Agent - Casualty
8/15/2000
2/27/2006
Inactive
Travelers Casualty and Surety Company of America
301334
Agent - General Lines
6/5/2000
8/15/2000
Inactive
Travelers Casualty and Surety Company of America
301334
Agent - Property
8/15/2000
2/27/2006
Inactive
Travelers Indemnity Company (The)
301855
Agent - Casualty
9/7/2004
2/27/2006
Inactive
Travelers Indemnity Company (The)
301855
Agent - Property
9/7/2004
2/27/2006
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Casualty
9/7/2004
2/27/2006
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Property
9/7/2004
2/27/2006
Inactive
Travelers Indemnity Company of Connecticut (The)
301591
Agent - Casualty
9/7/2004
2/27/2006
Inactive
Travelers Indemnity Company of Connecticut (The)
301591
Agent - Property
9/7/2004
2/27/2006
Inactive
Travelers Property Casualty Company of America
301649
Agent - Casualty
9/7/2004
2/27/2006
Inactive
Travelers Property Casualty Company of America
301649
Agent - Property
9/7/2004
2/27/2006
Inactive
Trustgard Insurance Company
300104
Agent - Casualty
4/12/2001
3/31/2010
Inactive
Trustgard Insurance Company
300104
Agent - Property
4/12/2001
3/31/2010
Inactive
Union Central Life Insurance Company
300307
Agent - Health
4/6/2005
12/24/2008
Inactive
Union Central Life Insurance Company
300307
Agent - Life
4/6/2005
12/24/2008
Inactive
United Financial Casualty Company
301886
Agent - Casualty
12/2/2005
5/2/2008
Inactive
United Financial Casualty Company
301886
Agent - Property
12/2/2005
5/2/2008
Inactive
United World Life Insurance Company
300532
Agent - Health
2/28/1995
10/9/2000
Inactive
United World Life Insurance Company
300532
Agent - Life
2/28/1995
10/9/2000
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
4/9/2003
11/21/2005
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
4/9/2003
11/21/2005
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
4/9/2003
11/21/2005
Inactive
West American Insurance Company
301112
Agent - Casualty
8/15/2000
3/31/2010
Inactive
West American Insurance Company
301112
Agent - General Lines
4/13/1992
8/15/2000
Inactive
West American Insurance Company
301112
Agent - Property
8/15/2000
3/31/2010
Inactive
Windhaven National Insurance Company
300094
Agent - General Lines
10/4/1993
8/15/2000
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Boyd, Thomas M
385953
Agent - Casualty
8/15/2000
2/2/2005
Inactive
Boyd, Thomas M
385953
Agent - General Lines
7/14/1992
8/15/2000
Inactive
Boyd, Thomas M
385953
Agent - Health
7/14/1992
3/18/2003
Inactive
Boyd, Thomas M
385953
Agent - Life
7/14/1992
3/18/2003
Inactive
Boyd, Thomas M
385953
Agent - Property
8/15/2000
2/2/2005
Inactive
Boyd, Thomas M
385953
Managing General Agent - Not Applicable
6/28/1994
3/31/2002
Inactive
Burns, Louis Edward
353683
Agent - Casualty
2/8/2007
3/31/2010
Inactive
Burns, Louis Edward
353683
Agent - Health
2/8/2007
3/31/2010
Inactive
Burns, Louis Edward
353683
Agent - Life
2/8/2007
3/31/2010
Inactive
Burns, Louis Edward
353683
Agent - Property
2/8/2007
3/31/2010
Inactive
Finley, Shirlene
341337
Agent - Health
6/14/1993
12/11/1996
Inactive
Finley, Shirlene
341337
Agent - Life
6/14/1993
12/11/1996
Inactive
Fullington, Thomas Claude
394284
Agent - Casualty
11/9/2006
3/31/2010
Inactive
Fullington, Thomas Claude
394284
Agent - Health
11/9/2006
3/31/2010
Inactive
Fullington, Thomas Claude
394284
Agent - Life
11/9/2006
3/31/2010
Inactive
Fullington, Thomas Claude
394284
Agent - Property
11/9/2006
3/31/2010
Inactive
Harris, Wendell Estes
362076
Agent - Casualty
8/15/2000
6/29/2002
Inactive
Harris, Wendell Estes
362076
Agent - General Lines
4/13/1992
8/15/2000
Inactive
Harris, Wendell Estes
362076
Agent - Property
8/15/2000
6/29/2002
Inactive
Hole, Monika Lynn
589025
Agent - Casualty
11/9/2006
3/31/2010
Inactive
Hole, Monika Lynn
589025
Agent - Property
11/9/2006
3/31/2010
Inactive
Mills, Collier Trenton
556789
Agent - Health
2/28/2003
7/1/2004
Inactive
Mills, Collier Trenton
556789
Agent - Life
2/28/2003
7/1/2004
Inactive
Mills, Jennifer P
389028
Agent - Casualty
3/3/2003
5/31/2009
Inactive
Mills, Jennifer P
389028
Agent - Health
3/3/2003
5/31/2009
Inactive
Mills, Jennifer P
389028
Agent - Life
3/3/2003
5/31/2009
Inactive
Mills, Jennifer P
389028
Agent - Property
3/3/2003
5/31/2009
Inactive
Mills, Jennifer P
389028
Managing General Agent - Not Applicable
6/28/1994
5/31/2009
Inactive
Mills, Terry Lee
331143
Agent - Health
3/3/2003
8/31/2008
Inactive
Mills, Terry Lee
331143
Agent - Life
3/3/2003
8/31/2008
Inactive
Money, Betty F
376551
Managing General Agent - Not Applicable
6/28/1994
12/15/1999
Inactive
O'Dea, Kenneth Bartlett
365228
Agent - Health
7/14/1992
1/8/1999
Inactive
O'Dea, Kenneth Bartlett
365228
Agent - Life
7/14/1992
1/8/1999
Inactive
Patterson, William Joseph
342770
Agent - Casualty
8/15/2000
3/31/2010
Inactive
Patterson, William Joseph
342770
Agent - General Lines
7/14/1992
8/15/2000
Inactive
Patterson, William Joseph
342770
Agent - Health
7/14/1992
3/31/2010
Inactive
Patterson, William Joseph
342770
Agent - Life
6/29/2004
3/31/2010
Inactive
Patterson, William Joseph
342770
Agent - Property
8/15/2000
3/31/2010
Inactive
Patterson, William Joseph
342770
Managing General Agent - Not Applicable
6/28/1994
3/31/2010
Inactive
Sallee, Katherine Sampson
374826
Managing General Agent - Not Applicable
6/28/1994
3/31/1998
Inactive
Schlesser, Rebecca Lynne
544251
Agent - Casualty
3/3/2003
12/31/2004
Inactive
Schlesser, Rebecca Lynne
544251
Agent - Property
3/3/2003
12/31/2004
Inactive
Smith, Lori K
311038
Agent - Casualty
3/3/2003
3/31/2010
Inactive
Smith, Lori K
311038
Agent - Health
12/20/2006
3/31/2010
Inactive
Smith, Lori K
311038
Agent - Life
12/20/2006
3/31/2010
Inactive
Smith, Lori K
311038
Agent - Property
3/3/2003
3/31/2010
Inactive
Smith, Lori K
311038
Managing General Agent - Not Applicable
3/31/1998
3/31/2010
Inactive
Survant, William Thomas
376524
Agent - Casualty
5/10/2001
1/30/2008
Inactive
Survant, William Thomas
376524
Agent - Health
3/3/2003
10/1/2009
Inactive
Survant, William Thomas
376524
Agent - Life
3/3/2003
10/1/2009
Inactive
Survant, William Thomas
376524
Agent - Property
5/10/2001
1/30/2008
Sponsorships
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Price, Adrian Willard
383796
Solicitor - General Lines
7/21/1998
7/21/1998
Inactive
Strobel, Mary Ann
370460
Solicitor - General Lines
1/11/1993
1/11/1993
Inactive
Wade, Michael Sanders
330410
Solicitor - General Lines
9/20/1993
9/20/1993
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