DEPARTMENT OF INSURANCE

Affiliations

Name	O'Brien Insurance Group Inc.	DOIID	401118	NAIC NPN	7222936

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	8/10/1999	5/31/2003
Inactive	Resident	Agent	Life	8/10/1999	5/31/2003
Inactive	Resident	Agent	General Lines	3/18/1999	8/15/2000
Inactive	Resident	Agent	Casualty	1/29/2001	5/31/2003
Inactive	Resident	Agent	Property	8/15/2000	5/31/2003
* 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	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	3/18/1999	8/15/2000
Inactive	American Economy Insurance Company	300315	Agent - Casualty	8/15/2000	7/1/2002
Inactive	American Economy Insurance Company	300315	Agent - General Lines	5/5/1999	8/15/2000
Inactive	American Economy Insurance Company	300315	Agent - Property	8/15/2000	7/1/2002
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	7/1/2002
Inactive	American States Insurance Company	301230	Agent - General Lines	5/5/1999	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	7/1/2002
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	8/15/2000	8/5/2002
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - General Lines	10/23/1999	8/15/2000
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	8/15/2000	8/5/2002
Denied	Banner Life Insurance Company	301696	Agent - Life
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	8/15/2000	8/5/2002
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - General Lines	9/27/1999	8/15/2000
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	8/15/2000	8/5/2002
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/15/2000	1/8/2002
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	4/9/1999	8/15/2000
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/15/2000	1/2/2002
Inactive	Continental Casualty Company	301019	Agent - General Lines	3/18/1999	8/15/2000
Inactive	Falls Lake National Insurance Company	301796	Agent - Casualty	1/29/2001	7/1/2002
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/15/2000	7/1/2002
Inactive	First National Insurance Company of America	301690	Agent - General Lines	5/5/1999	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	8/15/2000	7/1/2002
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/15/2000	7/1/2002
Inactive	General Insurance Company of America	300261	Agent - General Lines	5/5/1999	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	8/15/2000	7/1/2002
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/15/2000	1/8/2002
Inactive	Indiana Insurance Company	301909	Agent - General Lines	4/9/1999	8/15/2000
Inactive	Indiana Insurance Company	301909	Agent - Property	8/15/2000	1/8/2002
Inactive	Infinity Casualty Insurance Company	301280	Agent - Casualty	1/29/2001	7/1/2002
Inactive	Meridian Mutual Insurance Company	301303	Agent - Casualty	8/15/2000	6/1/2001
Inactive	Meridian Mutual Insurance Company	301303	Agent - General Lines	12/27/1999	8/15/2000
Inactive	Meridian Mutual Insurance Company	301303	Agent - Property	8/15/2000	6/1/2001
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	3/18/1999	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/15/2000	1/8/2002
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	4/9/1999	8/15/2000
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/15/2000	1/8/2002
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/15/2000	1/8/2002
Inactive	Peerless Insurance Company	301910	Agent - General Lines	4/9/1999	8/15/2000
Inactive	Peerless Insurance Company	301910	Agent - Property	8/15/2000	1/8/2002
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	2/21/2001	7/1/2002
Inactive	Progressive Max Insurance Company	301034	Agent - Property	2/21/2001	7/1/2002
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	2/21/2001	7/1/2002
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	2/21/2001	7/1/2002
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	2/21/2001	7/1/2002
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	2/21/2001	7/1/2002
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	8/10/1999	7/1/2002
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	8/10/1999	7/1/2002
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2000	7/1/2002
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	5/5/1999	8/15/2000
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2000	7/1/2002
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	2/7/2000	7/1/2002
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	2/7/2000	7/1/2002
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/15/2000	8/5/2002
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	9/27/1999	8/15/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/15/2000	8/5/2002
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	6/1/2001	7/1/2002
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	6/1/2001	7/1/2002
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/15/2000	8/5/2002
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	9/27/1999	8/15/2000
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/15/2000	8/5/2002
Inactive	Time Insurance Company	300683	Agent - Health	3/26/2001	7/1/2002
Inactive	Time Insurance Company	300683	Agent - Life	3/26/2001	7/1/2002
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	3/18/1999	8/15/2000
Inactive	Transportation Insurance Company	301575	Agent - General Lines	3/18/1999	8/15/2000
Inactive	TravCo Insurance Company	301828	Agent - Casualty	8/15/2000	8/5/2002
Inactive	TravCo Insurance Company	301828	Agent - General Lines	9/27/1999	8/15/2000
Inactive	TravCo Insurance Company	301828	Agent - Property	8/15/2000	8/5/2002
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/15/2000	8/5/2002
Inactive	Travelers Indemnity Company (The)	301855	Agent - General Lines	9/27/1999	8/15/2000
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/15/2000	8/5/2002
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	8/15/2000	8/5/2002
Inactive	Travelers Property Casualty Company of America	301649	Agent - General Lines	9/27/1999	8/15/2000
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	8/15/2000	8/5/2002
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	3/18/1999	8/15/2000
Inactive	Windhaven National Insurance Company	300094	Agent - Casualty	1/29/2001	7/1/2002

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lane, Douglas R	358346	Agent - Casualty	1/29/2001	3/8/2001
Inactive	Lane, Douglas R	358346	Agent - General Lines	3/18/1999	8/15/2000
Inactive	Lane, Douglas R	358346	Agent - Health	8/10/1999	3/8/2001
Inactive	Lane, Douglas R	358346	Agent - Life	8/10/1999	3/8/2001
Inactive	O'Brien, Mark Shawn	309670	Agent - Casualty	8/15/2000	7/1/2002
Inactive	O'Brien, Mark Shawn	309670	Agent - General Lines	3/18/1999	8/15/2000
Inactive	O'Brien, Mark Shawn	309670	Agent - Health	8/10/1999	7/1/2002
Inactive	O'Brien, Mark Shawn	309670	Agent - Life	8/10/1999	7/1/2002
Inactive	O'Brien, Mark Shawn	309670	Agent - Property	8/15/2000	7/1/2002