DEPARTMENT OF INSURANCE

Affiliations

Name	Risk Services Corp	DOIID	401093	NAIC NPN	1514647

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Resident	Agent	Personal Lines
Denied	Resident	Agent	Property	6/11/2018
Denied	Resident	Agent	Life	6/11/2018
Denied	Resident	Agent	Health	6/11/2018
Denied	Resident	Agent	Casualty	6/11/2018
Inactive	Resident	Agent	Health Maintenance Organization	10/16/1998	11/1/2000
Inactive	Resident	Agent	General Lines	1/31/1996	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	AmTrust Insurance Company	300179	Agent - Casualty	9/24/2013	3/31/2018
Inactive	AmTrust Insurance Company	300179	Agent - Property	9/24/2013	3/31/2018
Inactive	American Automobile Insurance Company	300953	Agent - Casualty	12/1/2004	3/31/2018
Inactive	American Automobile Insurance Company	300953	Agent - Property	12/1/2004	3/31/2018
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	5/13/2013	1/6/2017
Inactive	American Fire and Casualty Company	300567	Agent - Property	5/13/2013	1/6/2017
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	8/19/2010	8/16/2013
Inactive	American Zurich Insurance Company	300592	Agent - Property	8/19/2010	8/16/2013
Inactive	Assurance Company of America	300432	Agent - Casualty	8/19/2010	8/16/2013
Inactive	Assurance Company of America	300432	Agent - Property	8/19/2010	8/16/2013
Inactive	Bedivere Insurance Company	300710	Agent - Casualty	11/6/2008	1/5/2010
Inactive	Bedivere Insurance Company	300710	Agent - Property	11/6/2008	1/5/2010
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	6/27/2001	10/31/2006
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	4/9/1997	10/31/2006
Inactive	Chubb Indemnity Insurance Company	300438	Agent - Casualty	12/10/2001	3/31/2018
Inactive	Chubb Indemnity Insurance Company	300438	Agent - Property	12/10/2001	3/31/2018
Inactive	Chubb National Insurance Company	301392	Agent - Casualty	12/10/2001	3/31/2018
Inactive	Chubb National Insurance Company	301392	Agent - Property	12/10/2001	3/31/2018
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	5/13/2013	1/6/2017
Inactive	Consolidated Insurance Company	300943	Agent - Property	5/13/2013	1/6/2017
Inactive	Employers Insurance Company of Wausau	301813	Agent - Casualty	7/1/2002	2/17/2003
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	7/1/2002	2/17/2003
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Casualty	11/6/2008	12/28/2010
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Property	11/6/2008	12/28/2010
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Health	3/11/1997	4/10/2003
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	8/5/1998	4/10/2003
Inactive	Executive Risk Indemnity Inc.	301510	Agent - Casualty	12/10/2001	3/31/2018
Inactive	Executive Risk Indemnity Inc.	301510	Agent - Property	12/10/2001	10/18/2004
Inactive	Federal Insurance Company	301144	Agent - Casualty	12/10/2001	3/31/2018
Inactive	Federal Insurance Company	301144	Agent - Health	4/16/2001	10/1/2014
Inactive	Federal Insurance Company	301144	Agent - Property	12/10/2001	3/31/2018
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	2/25/2002	3/16/2018
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Property	2/25/2002	3/16/2018
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Casualty	2/25/2002	3/16/2018
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Property	2/25/2002	3/16/2018
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	10/28/2004	3/31/2018
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	10/28/2004	3/31/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/19/2012	8/16/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/19/2012	8/16/2013
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/19/2012	8/16/2013
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/19/2012	8/16/2013
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/19/2012	8/16/2013
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/19/2012	8/16/2013
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	12/10/2001	3/31/2018
Inactive	Great Northern Insurance Company	301107	Agent - Property	12/10/2001	3/31/2018
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	4/9/1997	10/31/2006
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	4/9/1997	10/31/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	9/22/2015	3/31/2018
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	9/22/2015	3/31/2018
Inactive	Hartford Steam Boiler Inspection and Insurance Company	300799	Agent - Casualty	1/8/2001	11/10/2008
Inactive	Hartford Steam Boiler Inspection and Insurance Company	300799	Agent - Property	1/8/2001	11/10/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	10/16/1998	11/1/2000
Inactive	Humana Insurance Company	301104	Agent - Health	9/25/1998	11/1/2000
Inactive	Humana Insurance Company	301104	Agent - Life	9/25/1998	11/1/2000
Inactive	Indiana Insurance Company	301909	Agent - Casualty	5/13/2013	1/6/2017
Inactive	Indiana Insurance Company	301909	Agent - Property	5/13/2013	1/6/2017
Inactive	Lamorak Insurance Company	301231	Agent - Casualty	11/6/2008	1/5/2010
Inactive	Lamorak Insurance Company	301231	Agent - Property	11/6/2008	1/5/2010
Inactive	Maryland Casualty Company	301719	Agent - Casualty	8/19/2010	8/16/2013
Inactive	Maryland Casualty Company	301719	Agent - Property	8/19/2010	8/16/2013
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	9/27/2011	10/22/2012
Inactive	Meridian Security Insurance Company	300423	Agent - Property	9/27/2011	10/22/2012
Inactive	Milford Casualty Insurance Company	301460	Agent - Casualty	9/24/2013	3/31/2018
Inactive	Milford Casualty Insurance Company	301460	Agent - Property	9/24/2013	3/31/2018
Inactive	National Surety Corporation	300087	Agent - Casualty	10/28/2004	3/31/2018
Inactive	National Surety Corporation	300087	Agent - Property	10/28/2004	3/31/2018
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	11/2/2000	3/31/2018
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	11/2/2000	3/31/2018
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	5/13/2013	1/6/2017
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	5/13/2013	1/6/2017
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	8/19/2010	8/16/2013
Inactive	Northern Insurance Company of New York	301317	Agent - Property	8/19/2010	8/16/2013
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	5/13/2013	1/6/2017
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	5/13/2013	1/6/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	5/13/2013	1/6/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Property	5/13/2013	1/6/2017
Inactive	Pacific Indemnity Company	301610	Agent - Casualty	12/10/2001	3/31/2018
Inactive	Pacific Indemnity Company	301610	Agent - Property	12/10/2001	3/31/2018
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	5/13/2013	1/6/2017
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	5/13/2013	1/6/2017
Inactive	Peerless Insurance Company	301910	Agent - Casualty	5/13/2013	1/6/2017
Inactive	Peerless Insurance Company	301910	Agent - Property	5/13/2013	1/6/2017
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	10/28/2004	3/31/2018
Inactive	Pie Insurance Company (The)	300514	Agent - Property	10/28/2004	3/31/2018
Inactive	Plaza Insurance Company	300748	Agent - Casualty	9/23/2011	10/22/2012
Inactive	Plaza Insurance Company	300748	Agent - Property	9/23/2011	10/22/2012
Inactive	Security National Insurance Company	301151	Agent - Casualty	9/24/2013	3/31/2018
Inactive	Security National Insurance Company	301151	Agent - Property	9/24/2013	3/31/2018
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	9/23/2011	10/22/2012
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	9/23/2011	10/22/2012
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	9/27/2011	10/22/2012
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	9/23/2011	10/22/2012
Inactive	Technology Insurance Company	613278	Agent - Casualty	9/24/2013	3/31/2018
Inactive	Technology Insurance Company	613278	Agent - Property	9/24/2013	3/31/2018
Inactive	TravCo Personal Insurance Company	301284	Agent - Casualty	2/25/2002	3/16/2018
Inactive	TravCo Personal Insurance Company	301284	Agent - Property	2/25/2002	3/16/2018
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	2/25/2002	3/16/2018
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	2/25/2002	3/16/2018
Inactive	Vigilant Insurance Company	301143	Agent - Casualty	12/10/2001	3/31/2018
Inactive	Vigilant Insurance Company	301143	Agent - Property	12/10/2001	3/31/2018
Inactive	WCF Select Insurance Company	301898	Agent - Casualty	10/28/2004	3/31/2018
Inactive	WCF Select Insurance Company	301898	Agent - Property	10/28/2004	3/31/2018
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	8/15/2000	2/17/2003
Inactive	Wausau Business Insurance Company	301476	Agent - General Lines	2/25/1997	8/15/2000
Inactive	Wausau Business Insurance Company	301476	Agent - Property	8/15/2000	2/17/2003
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	8/15/2000	2/17/2003
Inactive	Wausau Underwriters Insurance Company	301105	Agent - General Lines	2/25/1997	8/15/2000
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	8/15/2000	2/17/2003
Inactive	Wesco Insurance Company	300534	Agent - Casualty	9/24/2013	3/31/2018
Inactive	Wesco Insurance Company	300534	Agent - Property	9/24/2013	3/31/2018
Inactive	West American Insurance Company	301112	Agent - Casualty	5/13/2013	1/6/2017
Inactive	West American Insurance Company	301112	Agent - Property	5/13/2013	1/6/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bland, Marcia	707845	Agent - Casualty	9/3/2014	3/31/2018
Denied	Bland, Marcia	707845	Agent - Health
Inactive	Bland, Marcia	707845	Agent - Property	9/3/2014	3/31/2018
Inactive	Downs, Sandra Kay	574927	Agent - Casualty	7/25/2012	3/31/2018
Inactive	Downs, Sandra Kay	574927	Agent - Property	7/25/2012	3/31/2018
Inactive	Humphrey, Susan	642522	Agent - Casualty	11/5/2010	3/31/2018
Inactive	Humphrey, Susan	642522	Agent - Property	11/5/2010	3/31/2018
Inactive	Kerfoot, Patricia A	318012	Agent - Casualty	1/7/2004	3/31/2018
Inactive	Kerfoot, Patricia A	318012	Agent - Property	1/7/2004	3/31/2018
Inactive	Mchone, Joel Patrick	613444	Agent - Casualty	8/12/2014	11/30/2015
Inactive	Mchone, Joel Patrick	613444	Agent - Property	8/12/2014	11/30/2015
Denied	Orberson, David Edward	387937	Agent - Casualty
Denied	Orberson, David Edward	387937	Agent - Health
Denied	Orberson, David Edward	387937	Agent - Life
Denied	Orberson, David Edward	387937	Agent - Property
Inactive	Stump, Georgianna	386794	Agent - Casualty	2/20/2003	8/1/2014
Inactive	Stump, Georgianna	386794	Agent - Health	3/11/1997	8/1/2014
Inactive	Stump, Georgianna	386794	Agent - Life	3/11/1997	8/1/2014
Inactive	Stump, Georgianna	386794	Agent - Property	2/20/2003	8/1/2014
Inactive	Thompson, Sandra Gayle	574924	Agent - Casualty	11/5/2010	3/31/2018
Inactive	Thompson, Sandra Gayle	574924	Agent - Property	11/5/2010	3/31/2018
Inactive	Thompson, Thomas R	385631	Agent - Casualty	7/1/2002	4/27/2005
Inactive	Thompson, Thomas R	385631	Agent - General Lines	1/31/1996	8/15/2000
Inactive	Thompson, Thomas R	385631	Agent - Property	7/1/2002	4/27/2005