DEPARTMENT OF INSURANCE

Affiliations

Name	Corepointe Ins Agency Inc	DOIID	400558	NAIC NPN	661341

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/14/2012		3/31/2026
Active	Non Resident	Agent	Casualty	8/14/2012		3/31/2026
Inactive	Non Resident	Agent	Health	7/8/1994	7/1/2012
Inactive	Non Resident	Agent	Life	7/8/1994	7/1/2012
* 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
Active	AmTrust Insurance Company	300179	Agent - Casualty	5/10/2018
Active	AmTrust Insurance Company	300179	Agent - Property	5/10/2018
Active	CorePointe Insurance Company	300406	Agent - Casualty	7/1/2013
Active	CorePointe Insurance Company	300406	Agent - Property	7/1/2013
Inactive	Forethought Life Assurance Company	301577	Agent - Health	7/8/1994	8/10/1998
Inactive	Forethought Life Assurance Company	301577	Agent - Life	7/8/1994	8/10/1998
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	12/27/2001	5/18/2002
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/27/2001	5/18/2002
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	5/10/2018
Active	Milford Casualty Insurance Company	301460	Agent - Property	5/10/2018
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Health	1/22/2001	5/18/2002
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Life	1/22/2001	5/18/2002
Active	Security National Insurance Company	301151	Agent - Casualty	5/10/2018
Active	Security National Insurance Company	301151	Agent - Property	5/10/2018
Active	Technology Insurance Company	613278	Agent - Casualty	5/10/2018
Active	Technology Insurance Company	613278	Agent - Property	5/10/2018
Inactive	Union Security Life Insurance Company	300903	Agent - Health	1/3/2003	1/13/2005
Inactive	Union Security Life Insurance Company	300903	Agent - Life	1/3/2003	1/13/2005
Active	Wesco Insurance Company	300534	Agent - Casualty	5/10/2018
Active	Wesco Insurance Company	300534	Agent - Property	5/10/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Condon, Vincent Patrick	569032	Agent - Health	9/6/2006	7/20/2009
Inactive	Condon, Vincent Patrick	569032	Agent - Life	9/6/2006	7/20/2009
Active	Foy, Christopher H	853670	Agent - Casualty	4/9/2019
Active	Foy, Christopher H	853670	Agent - Property	4/9/2019
Inactive	Geisler, Curtis Grant	515905	Agent - Casualty		3/14/2017
Inactive	Geisler, Curtis Grant	515905	Agent - Property	8/14/2012	3/14/2017
Inactive	Herbst, Karl	585060	Agent - Casualty	8/14/2012	10/31/2014
Inactive	Herbst, Karl	585060	Agent - Property	8/14/2012	10/31/2014
Inactive	Hollander, Stuart Dov	579477	Agent - Casualty	3/14/2017	1/17/2018
Inactive	Hollander, Stuart Dov	579477	Agent - Property	3/14/2017	1/17/2018
Inactive	Kennedy, James Hutchinson	389994	Agent - Health	7/8/1994	8/10/1998
Inactive	Mazza, Joseph James	336410	Agent - Health	1/22/2001	5/17/2002
Inactive	Mazza, Joseph James	336410	Agent - Life	1/22/2001	5/17/2002
Active	Seymour, James G	913493	Agent - Casualty	2/13/2020
Active	Seymour, James G	913493	Agent - Property	2/13/2020
Inactive	Stevens, Charles Edward	343127	Agent - Health	7/27/2009	4/30/2012
Inactive	Stevens, Charles Edward	343127	Agent - Life	7/27/2009	4/30/2012
Inactive	Trivison, Delynn Dotherow	622432	Agent - Casualty	1/17/2018	4/3/2019
Inactive	Trivison, Delynn Dotherow	622432	Agent - Property	1/17/2018	4/3/2019