DEPARTMENT OF INSURANCE

Affiliations

Name	Insurers Service Corporation	DOIID	400663	NAIC NPN	7222578

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	1/19/1984	5/24/2004
Inactive	Resident	Agent	General Lines	1/19/1984	8/15/2000
Inactive	Resident	Agent	Life	1/19/1984	3/31/2016
Inactive	Resident	Agent	Casualty	8/15/2000	3/31/2016
Inactive	Resident	Agent	Property	8/15/2000	3/31/2016
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	6/8/2009	4/11/2016
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	4/10/2007	4/11/2016
Inactive	Alpha Property & Casualty Insurance Company	301710	Agent - General Lines	6/12/1996	3/31/1998
Inactive	AmTrust Insurance Company	300179	Agent - General Lines	4/30/1986	12/31/1999
Inactive	American Economy Insurance Company	300315	Agent - Casualty	6/8/2009	1/2/2015
Inactive	American Economy Insurance Company	300315	Agent - General Lines	1/19/1984	1/11/2000
Inactive	American Economy Insurance Company	300315	Agent - Property	9/17/2004	1/2/2015
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	6/8/2009	1/2/2015
Inactive	American Fire and Casualty Company	300567	Agent - Property	8/12/2008	1/2/2015
Inactive	American States Insurance Company	301230	Agent - Casualty	6/8/2009	1/2/2015
Inactive	American States Insurance Company	301230	Agent - General Lines	1/19/1984	1/11/2000
Inactive	American States Insurance Company	301230	Agent - Property	9/17/2004	1/2/2015
Inactive	American States Life Insurance Company	301884	Agent - Health	1/19/1984	12/6/1999
Inactive	American States Life Insurance Company	301884	Agent - Life	1/19/1984	12/6/1999
Inactive	American States Preferred Insurance Company	300609	Agent - Casualty	8/15/2000	12/4/2004
Inactive	American States Preferred Insurance Company	300609	Agent - General Lines	1/19/1984	8/15/2000
Inactive	American States Preferred Insurance Company	300609	Agent - Property	8/15/2000	12/4/2004
Inactive	Assurance Company of America	300432	Agent - Casualty	6/8/2009	12/17/2014
Inactive	Assurance Company of America	300432	Agent - Property	6/29/2004	12/17/2014
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	2/3/2015	2/10/2015
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	2/3/2015	2/10/2015
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	6/8/2009	12/9/2009
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	9/15/2004	12/9/2009
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	6/8/2009	1/2/2015
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/12/2008	1/2/2015
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	6/8/2009	4/27/2016
Inactive	Encompass Indemnity Company	546376	Agent - Property	9/22/2006	4/27/2016
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	5/19/2011	4/27/2016
Inactive	Encompass Insurance Company of America	556578	Agent - Property	5/19/2011	4/27/2016
Inactive	Falls Lake National Insurance Company	301796	Agent - Casualty	8/15/2000	3/25/2002
Inactive	Falls Lake National Insurance Company	301796	Agent - General Lines	5/22/1996	8/15/2000
Inactive	Farmington Casualty Company	301137	Agent - Casualty	6/8/2009	12/9/2009
Inactive	Farmington Casualty Company	301137	Agent - Property	5/9/2006	12/9/2009
Inactive	First National Insurance Company of America	301690	Agent - Casualty	6/8/2009	1/2/2015
Inactive	First National Insurance Company of America	301690	Agent - General Lines	11/1/1998	1/11/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	9/17/2004	1/2/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/19/2012	10/24/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/19/2012	10/24/2013
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/19/2012	10/24/2013
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/19/2012	10/24/2013
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/19/2012	10/24/2013
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/19/2012	10/24/2013
Inactive	General Insurance Company of America	300261	Agent - Casualty	6/8/2009	1/2/2015
Inactive	General Insurance Company of America	300261	Agent - General Lines	11/1/1998	1/11/2000
Inactive	General Insurance Company of America	300261	Agent - Property	9/17/2004	1/2/2015
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	6/29/2004	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	6/29/2004	11/30/2007
Inactive	Globe American Casualty Company	301033	Agent - Casualty	8/15/2000	3/6/2003
Inactive	Globe American Casualty Company	301033	Agent - General Lines	3/30/1990	8/15/2000
Inactive	Globe American Casualty Company	301033	Agent - Property	8/15/2000	3/6/2003
Inactive	Grange Insurance Company	300234	Agent - Casualty	6/8/2009	3/31/2016
Inactive	Grange Insurance Company	300234	Agent - General Lines	12/20/1995	8/15/2000
Inactive	Grange Insurance Company	300234	Agent - Property	8/15/2000	3/31/2016
Inactive	Grange Life Insurance Company	300128	Agent - Health	12/14/1995	5/24/2004
Inactive	Grange Life Insurance Company	300128	Agent - Life	12/14/1995	3/31/2016
Inactive	Great American Alliance Insurance Company	301247	Agent - General Lines	3/25/1996	5/5/1997
Inactive	Great American Security Insurance Company	301228	Agent - General Lines	3/25/1996	5/5/1997
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	11/3/2010	3/31/2016
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	11/3/2010	3/31/2016
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	6/8/2009	3/31/2016
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	7/13/2005	3/31/2016
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	6/8/2009	3/31/2016
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	7/13/2005	3/31/2016
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	6/8/2009	3/31/2016
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	7/13/2005	3/31/2016
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	6/8/2009	3/31/2016
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	7/13/2005	3/31/2016
Inactive	Indiana Insurance Company	301909	Agent - Casualty	6/8/2009	1/2/2015
Inactive	Indiana Insurance Company	301909	Agent - Property	8/12/2008	1/2/2015
Inactive	Infinity Casualty Insurance Company	301280	Agent - Casualty	8/15/2000	3/25/2002
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	9/30/1994	8/15/2000
Inactive	Infinity Standard Insurance Company	301643	Agent - General Lines	9/20/1990	12/7/1999
Inactive	John Alden Life Insurance Company	300573	Agent - Health	5/1/2000	11/7/2002
Inactive	John Alden Life Insurance Company	300573	Agent - Life	5/1/2000	11/7/2002
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	10/15/1992	3/31/1996
Inactive	MICO Insurance Company	301664	Agent - Casualty	6/8/2009	12/15/2011
Inactive	MICO Insurance Company	301664	Agent - General Lines	3/31/2000	8/15/2000
Inactive	MICO Insurance Company	301664	Agent - Property	8/15/2000	12/15/2011
Inactive	Maryland Casualty Company	301719	Agent - Casualty	6/8/2009	12/16/2014
Inactive	Maryland Casualty Company	301719	Agent - Property	6/29/2004	12/16/2014
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Casualty	8/15/2000	9/9/2002
Inactive	Monroe Guaranty Insurance Company	300771	Agent - General Lines	6/23/1989	8/15/2000
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Property	8/15/2000	9/9/2002
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	6/8/2009	1/31/2012
Inactive	Motorists Mutual Insurance Company	300963	Agent - General Lines	3/31/2000	8/15/2000
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	8/15/2000	1/31/2012
Inactive	National Insurance Association	301386	Agent - Casualty	8/15/2000	3/6/2003
Inactive	National Insurance Association	301386	Agent - General Lines	5/4/1995	8/15/2000
Inactive	National Insurance Association	301386	Agent - Property	8/15/2000	3/6/2003
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	6/8/2009	1/2/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/12/2008	1/2/2015
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	6/8/2009	12/16/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	6/29/2004	12/16/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	6/8/2009	1/2/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	8/12/2008	1/2/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	6/8/2009	1/2/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Property	8/12/2008	1/2/2015
Inactive	Omni Insurance Company	301545	Agent - General Lines	11/10/1987	3/31/2000
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	6/8/2009	1/2/2015
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	8/12/2008	1/2/2015
Inactive	Peerless Insurance Company	301910	Agent - Casualty	6/8/2009	1/2/2015
Inactive	Peerless Insurance Company	301910	Agent - Property	8/12/2008	1/2/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	6/8/2009	1/2/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	11/1/1998	1/11/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	9/17/2004	1/2/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/8/2009	1/2/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	2/4/1999	1/12/2000
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/17/2004	1/2/2015
Inactive	Security National Insurance Company	301151	Agent - General Lines	4/30/1986	12/31/1999
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	6/8/2009	3/31/2016
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	7/13/2005	3/31/2016
Inactive	Southwestern Life Insurance Company	301343	Agent - Health	4/25/1991	2/22/1996
Inactive	Southwestern Life Insurance Company	301343	Agent - Life	4/25/1991	2/22/1996
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	6/8/2009	3/13/2015
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	1/27/2006	3/13/2015
Inactive	Symetra Life Insurance Company	301691	Agent - Health	11/1/1998	12/6/1999
Inactive	Symetra Life Insurance Company	301691	Agent - Life	11/1/1998	12/6/1999
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	6/8/2009	12/9/2009
Inactive	The Phoenix Insurance Company	301502	Agent - Property	9/15/2004	12/9/2009
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	6/8/2009	12/9/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	5/9/2006	12/9/2013
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	6/8/2009	12/9/2009
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	9/15/2004	12/9/2009
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	6/8/2009	12/9/2009
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	5/9/2006	12/9/2009
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	10/30/2013	12/3/2014
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	10/30/2013	12/3/2014
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	6/8/2009	1/13/2015
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	1/27/2006	1/13/2015
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	6/8/2009	12/9/2009
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	9/15/2004	12/9/2009
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	6/8/2009	12/9/2009
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	9/15/2004	12/9/2009
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	6/8/2009	12/9/2009
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	9/15/2004	12/9/2009
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	6/8/2009	12/9/2009
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	9/15/2004	12/9/2009
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	12/21/2009	12/9/2013
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	12/21/2009	12/9/2013
Inactive	Trinity Universal Insurance Company	300911	Agent - General Lines	4/30/1986	12/31/1999
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	6/8/2009	3/31/2016
Inactive	Trumbull Insurance Company	300242	Agent - General Lines	6/11/1998	8/15/2000
Inactive	Trumbull Insurance Company	300242	Agent - Property	8/15/2000	3/31/2016
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	6/8/2009	3/31/2016
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	7/13/2005	3/31/2016
Inactive	West American Insurance Company	301112	Agent - Casualty	6/8/2009	1/2/2015
Inactive	West American Insurance Company	301112	Agent - Property	8/12/2008	1/2/2015
Inactive	Western Surety Company	300283	Agent - Casualty	6/8/2009	1/1/2015
Inactive	Western Surety Company	300283	Agent - General Lines	6/5/1998	8/15/2000
Inactive	Windhaven National Insurance Company	300094	Agent - Casualty	8/15/2000	3/25/2002
Inactive	Windhaven National Insurance Company	300094	Agent - General Lines	9/30/1994	8/15/2000

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bierbaum, Bernard William	390336	Agent - Casualty	8/15/2000	2/13/2003
Inactive	Bierbaum, Bernard William	390336	Agent - General Lines	9/18/1990	8/15/2000
Inactive	Bierbaum, Bernard William	390336	Agent - Health	9/18/1990	2/13/2003
Inactive	Bierbaum, Bernard William	390336	Agent - Life	9/18/1990	2/13/2003
Inactive	Bierbaum, Bernard William	390336	Agent - Property	8/15/2000	2/13/2003
Inactive	Powell, Lisa Kathleen	630231	Agent - Casualty	6/23/2009	3/31/2016
Inactive	Powell, Lisa Kathleen	630231	Agent - Property	6/23/2009	3/31/2016
Inactive	Powell, William Joseph	326438	Agent - Casualty	6/8/2009	3/31/2016
Inactive	Powell, William Joseph	326438	Agent - General Lines	12/1/1982	8/15/2000
Denied	Powell, William Joseph	326438	Agent - Health
Inactive	Powell, William Joseph	326438	Agent - Life	6/8/2009	3/31/2016
Inactive	Powell, William Joseph	326438	Agent - Property	6/8/2009	3/31/2016