DEPARTMENT OF INSURANCE
Affiliations
NameOld Colony Insurance Agency (West) Inc.DOIID401073NAIC NPN7222895
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentGeneral Lines9/29/19949/11/1998 
InactiveResidentAgentHealth12/7/19939/11/1998 
InactiveResidentAgentLife12/7/19939/11/1998 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - General Lines10/26/19949/11/1998
InactiveAmerican Interstate Insurance Company301092Agent - General Lines4/2/19969/11/1998
InactiveBankers United Life Assurance Company300296Agent - Health12/7/19938/20/1998
InactiveBankers United Life Assurance Company300296Agent - Life12/7/19938/20/1998
InactiveBuckeye Union Insurance Company (The)300597Agent - General Lines4/24/19973/31/1998
InactiveCommercial Insurance Company of Newark, New Jersey300328Agent - General Lines2/5/19973/31/1998
InactiveContinental Casualty Company301019Agent - General Lines9/29/19949/11/1998
InactiveContinental Insurance Company (The)301242Agent - General Lines2/4/19979/11/1998
InactiveFederal Insurance Company301144Agent - General Lines3/30/19953/23/1998
InactiveFidelity and Casualty Company of New York (The)300160Agent - General Lines5/13/19979/11/1998
InactiveFiremen's Insurance Company of Newark, New Jersey300247Agent - General Lines1/31/19973/31/1998
InactiveGlens Falls Insurance Company (The)301922Agent - General Lines2/3/19979/11/1998
InactiveGreat Northern Insurance Company301107Agent - General Lines3/30/19959/11/1998
InactiveKansas City Fire and Marine Insurance Company301936Agent - General Lines2/4/19979/11/1998
InactiveNational Fire Insurance Company of Hartford301063Agent - General Lines10/26/19949/11/1998
InactivePacific Indemnity Company301610Agent - General Lines3/30/19959/11/1998
InactiveTranscontinental Insurance Company301731Agent - General Lines10/26/19949/11/1998
InactiveTransportation Insurance Company301575Agent - General Lines10/26/19949/11/1998
InactiveU.S. Financial Life Insurance Company301812Agent - Health7/20/19959/11/1998
InactiveU.S. Financial Life Insurance Company301812Agent - Life7/20/19959/11/1998
InactiveValley Forge Insurance Company301052Agent - General Lines10/26/19949/11/1998
InactiveVigilant Insurance Company301143Agent - General Lines3/30/19959/11/1998
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBray, Katherine L 364390Agent - General Lines5/22/199612/4/1997
InactiveChampion, Marland Andrew 314598Agent - General Lines5/22/19969/11/1998
InactiveChampion, Marland Andrew 314598Agent - Health5/22/19969/11/1998
InactiveChampion, Marland Andrew 314598Agent - Life5/22/19969/11/1998
InactiveConner, Jimmy Dan 302705Agent - General Lines9/29/19945/22/1996
InactiveMcMahan, Daniel Wayne 345902Agent - General Lines9/29/19945/22/1996
InactiveMcMahan, Daniel Wayne 345902Agent - Health9/29/19945/22/1996
InactiveMcMahan, Daniel Wayne 345902Agent - Life9/29/19945/22/1996
InactiveSmith, Bonita T 343177Agent - General Lines5/22/19969/11/1998
InactiveSmith, Bonita T 343177Agent - Health5/22/19969/11/1998
InactiveSmith, Bonita T 343177Agent - Life5/22/19969/11/1998

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