DEPARTMENT OF INSURANCE
Affiliations
NameC A I Insurance Agency IncDOIID401163NAIC NPN1701865
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAdministratorNot Applicable8/30/1994 3/31/2027
ActiveNon ResidentAgentHealth9/10/1993 3/31/2027
ActiveNon ResidentAgentLife9/10/1993 3/31/2027
ActiveNon ResidentAgentCasualty8/15/2000 3/31/2027
ActiveNon ResidentAgentProperty8/15/2000 3/31/2027
InactiveNon ResidentAgentGeneral Lines9/21/19998/15/2000 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Administrator01/15/202503/31/202501/20/202501/20/2025Yes
Agent01/15/202503/31/202501/20/202501/20/2025Yes
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE American Insurance Company300625Agent - Casualty2/14/2011 
ActiveACE American Insurance Company300625Agent - Property2/14/2011 
ActiveACUITY, A Mutual Insurance Company300095Agent - Casualty3/10/2008 
ActiveACUITY, A Mutual Insurance Company300095Agent - Property3/10/2008 
ActiveAMCO Insurance Company300204Agent - Casualty10/8/2019 
ActiveAMCO Insurance Company300204Agent - Property10/8/2019 
InactiveAddison Insurance Company874810Agent - Casualty1/7/202210/27/2022
InactiveAddison Insurance Company874810Agent - Property1/7/202210/27/2022
InactiveAetna Health Inc.300694Agent - Health7/11/200212/31/2007
ActiveAetna Health Inc. (PA)660717Agent - Health12/31/2007 
ActiveAetna Life Insurance Company301140Agent - Health7/11/2002 
ActiveAetna Life Insurance Company301140Agent - Life7/11/2002 
ActiveAll Savers Insurance Company301940Agent - Health10/10/2018 
ActiveAll Savers Insurance Company301940Agent - Life10/10/2018 
ActiveAllied Insurance Company of America793586Agent - Casualty10/8/2019 
ActiveAllied Insurance Company of America793586Agent - Property10/8/2019 
ActiveAllied Property and Casualty Insurance Company300279Agent - Casualty10/8/2019 
ActiveAllied Property and Casualty Insurance Company300279Agent - Property10/8/2019 
InactiveAmerican Automobile Insurance Company300953Agent - Casualty4/25/20143/25/2021
InactiveAmerican Automobile Insurance Company300953Agent - Property4/25/20143/25/2021
ActiveAmerican Bankers Insurance Company of Florida300360Agent - Casualty2/3/2020 
ActiveAmerican Bankers Insurance Company of Florida300360Agent - Property2/3/2020 
ActiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Casualty8/19/2002 
ActiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Property8/19/2002 
ActiveAmerican Economy Insurance Company300315Agent - Casualty7/18/2024 
ActiveAmerican Economy Insurance Company300315Agent - Property7/18/2024 
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health3/12/20181/20/2023
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life3/12/20181/20/2023
ActiveAmerican Fire and Casualty Company300567Agent - Casualty6/13/2024 
ActiveAmerican Fire and Casualty Company300567Agent - Property6/13/2024 
InactiveAmerican General Life Insurance Company301585Agent - Health12/31/20126/8/2014
InactiveAmerican General Life Insurance Company301585Agent - Life12/31/20126/8/2014
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health2/24/200912/31/2012
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life2/24/200912/31/2012
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty6/14/201611/14/2021
InactiveAmerican Modern Home Insurance Company300791Agent - Property6/14/201611/14/2021
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty10/29/2020 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property10/29/2020 
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty6/22/201511/14/2021
InactiveAmerican Modern Select Insurance Company581481Agent - Property6/22/201511/14/2021
ActiveAmerican Select Insurance Company301229Agent - Casualty2/2/2018 
ActiveAmerican Select Insurance Company301229Agent - Property2/2/2018 
ActiveAmerican Strategic Insurance Corp883540Agent - Casualty2/4/2020 
ActiveAmerican Strategic Insurance Corp883540Agent - Property2/4/2020 
ActiveAmerican United Life Insurance Company300498Agent - Health2/24/2006 
ActiveAmerican United Life Insurance Company300498Agent - Life2/24/2006 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health7/30/2003 
InactiveAnthem Insurance Companies, Inc.300941Agent - Health7/30/200310/16/2012
ActiveAnthem Life Insurance Company301209Agent - Health7/30/2003 
ActiveAnthem Life Insurance Company301209Agent - Life7/30/2003 
InactiveAssurity Life Insurance Company301099Agent - Health12/28/201111/16/2014
InactiveAssurity Life Insurance Company301099Agent - Life12/28/201111/16/2014
ActiveAuto-Owners Insurance Company301480Agent - Casualty5/17/2011 
ActiveAuto-Owners Insurance Company301480Agent - Property5/17/2011 
InactiveAuto-Owners Life Insurance Company301368Agent - Health5/17/201112/22/2016
InactiveAuto-Owners Life Insurance Company301368Agent - Life5/17/201112/22/2016
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty4/5/2006 
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property4/5/2006 
ActiveBankers Standard Insurance Company301620Agent - Casualty4/17/2015 
ActiveBankers Standard Insurance Company301620Agent - Property4/17/2015 
ActiveBanner Life Insurance Company301696Agent - Life9/5/2012 
InactiveBerkshire Life Insurance Company of America300983Agent - Health4/10/20159/24/2018
InactiveBerkshire Life Insurance Company of America300983Agent - Life4/10/20159/24/2018
InactiveBrickStreet Mutual Insurance Company709251Agent - Casualty11/27/202111/27/2021
ActiveBrighthouse Life Insurance Company301829Agent - Health1/25/2017 
ActiveBrighthouse Life Insurance Company301829Agent - Life1/25/2017 
InactiveCHA HMO, Inc.300662Agent - Health3/8/200610/10/2014
InactiveCMD Health, Inc.702047Agent - Health3/21/20123/31/2013
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty4/5/200612/15/2020
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property4/5/200612/15/2020
ActiveCincinnati Casualty Company (The)300308Agent - Casualty11/29/2022 
ActiveCincinnati Casualty Company (The)300308Agent - Property11/29/2022 
ActiveCincinnati Indemnity Company (The)301566Agent - Casualty11/29/2022 
ActiveCincinnati Indemnity Company (The)301566Agent - Property11/29/2022 
ActiveCincinnati Insurance Company301298Agent - Casualty11/29/2022 
ActiveCincinnati Insurance Company301298Agent - Property11/29/2022 
ActiveCincinnati Life Insurance Company (The)300601Agent - Health10/31/2016 
ActiveCincinnati Life Insurance Company (The)300601Agent - Life10/31/2016 
InactiveClearPath Insurance Company979815Agent - Casualty1/1/20181/9/2025
ActiveColonial Life and Accident Insurance Company300846Agent - Health7/28/2011 
ActiveColonial Life and Accident Insurance Company300846Agent - Life7/28/2011 
InactiveCommercial Insurance Company of Newark, New Jersey300328Agent - Casualty8/19/200210/31/2005
InactiveCommercial Insurance Company of Newark, New Jersey300328Agent - Property8/19/200210/31/2005
InactiveCompBenefits Dental, Inc.591692Agent - Health1/7/201612/13/2016
InactiveCompBenefits Insurance Company301864Agent - Health7/28/20097/2/2013
InactiveCompBenefits Insurance Company301864Agent - Life7/28/20097/2/2013
ActiveCompanion Life Insurance Company300191Agent - Health12/20/2023 
ActiveCompanion Life Insurance Company300191Agent - Life12/20/2023 
InactiveConnecticut General Life Insurance Company301333Agent - Health10/15/20096/11/2014
InactiveConnecticut General Life Insurance Company301333Agent - Life10/15/20096/11/2014
InactiveConsolidated Insurance Company300943Agent - Casualty12/27/200510/13/2022
InactiveConsolidated Insurance Company300943Agent - Property12/27/200510/13/2022
ActiveContinental Casualty Company301019Agent - Casualty8/19/2002 
ActiveContinental Casualty Company301019Agent - Property8/19/2002 
ActiveContinental Insurance Company (The)301242Agent - Casualty9/5/2017 
ActiveContinental Insurance Company (The)301242Agent - Property9/5/2017 
ActiveCrestbrook Insurance Company805354Agent - Casualty3/21/2016 
ActiveCrestbrook Insurance Company805354Agent - Property3/21/2016 
ActiveDearborn Life Insurance Company300401Agent - Health9/14/2012 
InactiveDearborn Life Insurance Company300401Agent - Life9/14/20126/26/2017
ActiveDental Care Plus Inc.301495Agent - Health12/17/2013 
ActiveDental Concern Inc. (The)301641Agent - Health4/16/2020 
ActiveDepositors Insurance Company301634Agent - Casualty10/8/2019 
ActiveDepositors Insurance Company301634Agent - Property10/8/2019 
ActiveEMC National Life Company300388Agent - Health2/14/2022 
ActiveEMC National Life Company300388Agent - Life2/14/2022 
ActiveEMC Property & Casualty Company955217Agent - Casualty5/11/2021 
ActiveEMC Property & Casualty Company955217Agent - Property5/11/2021 
ActiveEMCASCO Insurance Company842790Agent - Casualty3/4/2016 
ActiveEMCASCO Insurance Company842790Agent - Property3/4/2016 
ActiveEmployers Insurance Company of Wausau301813Agent - Casualty12/12/2018 
ActiveEmployers Insurance Company of Wausau301813Agent - Property12/12/2018 
ActiveEmployers Mutual Casualty Company300202Agent - Casualty3/4/2016 
ActiveEmployers Mutual Casualty Company300202Agent - Property3/4/2016 
InactiveEmpower Annuity Insurance Company of America300259Agent - Health2/10/20093/7/2011
InactiveEmpower Annuity Insurance Company of America300259Agent - Life2/10/20093/7/2011
InactiveEncompass Indemnity Company546376Agent - Casualty12/4/200310/3/2024
InactiveEncompass Indemnity Company546376Agent - Property12/4/200310/3/2024
InactiveEncompass Insurance Company of America556578Agent - Casualty1/23/200412/13/2018
InactiveEncompass Insurance Company of America556578Agent - Property1/23/200412/13/2018
ActiveEverett Cash Mutual Insurance Company750768Agent - Casualty3/1/2012 
ActiveEverett Cash Mutual Insurance Company750768Agent - Property3/1/2012 
ActiveFarmington Casualty Company301137Agent - Casualty4/19/2011 
ActiveFarmington Casualty Company301137Agent - Property4/19/2011 
ActiveFederal Insurance Company301144Agent - Casualty10/23/2001 
ActiveFederal Insurance Company301144Agent - Property10/23/2001 
ActiveFidelity Security Life Insurance Company300466Agent - Health1/23/2018 
ActiveFidelity Security Life Insurance Company300466Agent - Life1/23/2018 
InactiveFidelity and Casualty Company of New York (The)300160Agent - Casualty8/19/200212/17/2002
InactiveFidelity and Casualty Company of New York (The)300160Agent - Property8/19/200212/17/2002
ActiveFidelity and Guaranty Insurance Company301009Agent - Casualty5/17/2024 
ActiveFidelity and Guaranty Insurance Company301009Agent - Property5/17/2024 
InactiveFireman's Fund Insurance Company301423Agent - Casualty1/2/20023/25/2021
InactiveFireman's Fund Insurance Company301423Agent - Property1/2/20023/25/2021
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Casualty12/12/2018 
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Property12/12/2018 
InactiveFirst National Insurance Company of America301690Agent - Casualty7/15/200210/13/2022
InactiveFirst National Insurance Company of America301690Agent - Property7/15/200210/13/2022
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty8/20/2004 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property8/20/2004 
InactiveGeneral Insurance Company of America300261Agent - Casualty10/16/20083/29/2024
InactiveGeneral Insurance Company of America300261Agent - Property10/16/20083/29/2024
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health10/15/20091/7/2014
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life10/15/20091/7/2014
ActiveGerber Life Insurance Company300529Agent - Health1/13/2020 
ActiveGerber Life Insurance Company300529Agent - Life1/13/2020 
InactiveGlens Falls Insurance Company (The)301922Agent - Casualty8/19/200212/17/2002
InactiveGlens Falls Insurance Company (The)301922Agent - Property8/19/200212/17/2002
InactiveGolden Rule Insurance Company301943Agent - Health2/12/200910/2/2018
InactiveGolden Rule Insurance Company301943Agent - Life2/12/200910/2/2018
ActiveGrange Indemnity Insurance Company300793Agent - Casualty8/29/2019 
ActiveGrange Indemnity Insurance Company300793Agent - Property8/29/2019 
ActiveGrange Insurance Company300234Agent - Casualty8/29/2019 
ActiveGrange Insurance Company300234Agent - Property8/29/2019 
ActiveGrange Property & Casualty Insurance Company601680Agent - Casualty8/29/2019 
ActiveGrange Property & Casualty Insurance Company601680Agent - Property8/29/2019 
ActiveGreat American Alliance Insurance Company301247Agent - Casualty12/5/2012 
ActiveGreat American Alliance Insurance Company301247Agent - Property12/5/2012 
ActiveGreat American Assurance Company300327Agent - Casualty12/5/2012 
ActiveGreat American Assurance Company300327Agent - Property12/5/2012 
ActiveGreat American Insurance Company301586Agent - Casualty12/5/2012 
ActiveGreat American Insurance Company301586Agent - Property12/5/2012 
ActiveGreat American Insurance Company of New York301897Agent - Casualty12/5/2012 
ActiveGreat American Insurance Company of New York301897Agent - Property12/5/2012 
ActiveGreat Northern Insurance Company301107Agent - Casualty1/16/2002 
ActiveGreat Northern Insurance Company301107Agent - Property1/16/2002 
ActiveGuardian Life Insurance Company of America301316Agent - Health4/10/2015 
ActiveGuardian Life Insurance Company of America301316Agent - Life4/10/2015 
InactiveHCC Life Insurance Company301827Agent - Health5/21/20075/10/2011
InactiveHCC Life Insurance Company301827Agent - Life5/21/20075/10/2011
InactiveHamilton Mutual Insurance Company301111Agent - Casualty3/4/201612/15/2017
InactiveHamilton Mutual Insurance Company301111Agent - Property3/4/201612/15/2017
ActiveHarleysville Insurance Company301462Agent - Casualty10/4/2019 
ActiveHarleysville Insurance Company301462Agent - Property10/4/2019 
ActiveHartford Accident and Indemnity Company301917Agent - Casualty8/6/2014 
ActiveHartford Accident and Indemnity Company301917Agent - Property8/6/2014 
ActiveHartford Casualty Insurance Company301332Agent - Casualty3/10/2015 
ActiveHartford Casualty Insurance Company301332Agent - Property3/10/2015 
ActiveHartford Fire Insurance Company300628Agent - Casualty7/11/2012 
ActiveHartford Fire Insurance Company300628Agent - Property7/11/2012 
ActiveHartford Insurance Company of Illinois1014405Agent - Casualty6/15/2021 
ActiveHartford Insurance Company of Illinois1014405Agent - Property6/15/2021 
ActiveHartford Insurance Company of the Midwest301918Agent - Casualty1/2/2009 
ActiveHartford Insurance Company of the Midwest301918Agent - Property1/2/2009 
InactiveHartford Life Group Insurance Company301708Agent - Health7/28/200512/31/2006
InactiveHartford Life Group Insurance Company301708Agent - Life7/28/200512/31/2006
ActiveHartford Life and Accident Insurance Company300878Agent - Health7/28/2005 
ActiveHartford Life and Accident Insurance Company300878Agent - Life7/28/2005 
ActiveHartford Underwriters Insurance Company301064Agent - Casualty10/12/2020 
ActiveHartford Underwriters Insurance Company301064Agent - Property10/12/2020 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health1/26/202112/13/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health1/26/202112/13/2022
InactiveHumana Health Plan, Inc.300142Agent - Health8/21/200212/12/2024
ActiveHumana Insurance Company301104Agent - Health1/6/2025 
InactiveHumana Insurance Company301104Agent - Life12/18/201812/19/2019
ActiveHumana Insurance Company of Kentucky300826Agent - Health12/31/2020 
ActiveHumana Insurance Company of Kentucky300826Agent - Life12/31/2020 
InactiveHumana Medical Plan, Inc.801568Agent - Health1/26/202112/13/2022
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health1/26/202112/13/2022
InactiveHumanaDental Insurance Company301457Agent - Health2/26/20075/13/2013
InactiveHumanaDental Insurance Company301457Agent - Life2/26/20075/13/2013
ActiveIllinois Casualty Company1250052Agent - Casualty7/8/2024 
InactiveIllinois Casualty Company1250052Agent - Health7/8/202410/30/2024
ActiveIllinois Casualty Company1250052Agent - Property7/8/2024 
ActiveIndemnity Insurance Company of North America301760Agent - Casualty4/17/2015 
ActiveIndemnity Insurance Company of North America301760Agent - Property4/17/2015 
InactiveIndiana Insurance Company301909Agent - Casualty12/27/20052/3/2023
InactiveIndiana Insurance Company301909Agent - Property12/27/20052/3/2023
ActiveInsurance Company of the State of Pennsylvania300807Agent - Casualty12/21/2020 
ActiveInsurance Company of the State of Pennsylvania300807Agent - Property12/21/2020 
ActiveIronshore Indemnity Inc.300088Agent - Casualty1/17/2020 
ActiveIronshore Indemnity Inc.300088Agent - Property1/17/2020 
ActiveJewelers Mutual Insurance Company, SI301935Agent - Casualty5/4/2007 
ActiveJewelers Mutual Insurance Company, SI301935Agent - Property5/4/2007 
InactiveJohn Alden Life Insurance Company300573Agent - Health3/31/20106/17/2013
InactiveJohn Alden Life Insurance Company300573Agent - Life3/31/20106/17/2013
InactiveKanawha Insurance Company300127Agent - Health10/29/201512/8/2017
InactiveKanawha Insurance Company300127Agent - Life10/29/201512/8/2017
InactiveKansas City Fire and Marine Insurance Company301936Agent - Casualty8/19/200212/15/2004
InactiveKansas City Fire and Marine Insurance Company301936Agent - Property8/19/200212/15/2004
ActiveKeystone National Insurance Company745173Agent - Casualty9/7/2018 
ActiveKeystone National Insurance Company745173Agent - Property9/7/2018 
ActiveLM Insurance Corporation301061Agent - Casualty12/12/2018 
ActiveLM Insurance Corporation301061Agent - Property12/12/2018 
ActiveLiberty Insurance Corporation300444Agent - Casualty12/12/2018 
ActiveLiberty Insurance Corporation300444Agent - Property12/12/2018 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Casualty12/12/2018 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Property12/12/2018 
ActiveLiberty Mutual Insurance Company301159Agent - Casualty9/20/2023 
ActiveLiberty Mutual Insurance Company301159Agent - Property9/20/2023 
ActiveLife Insurance Company of North America300711Agent - Health10/15/2009 
ActiveLife Insurance Company of North America300711Agent - Life10/15/2009 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health2/10/2012 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life2/10/2012 
ActiveMICO Insurance Company301664Agent - Casualty5/25/2021 
ActiveMICO Insurance Company301664Agent - Property5/25/2021 
ActiveMarkel Insurance Company301475Agent - Casualty8/9/2024 
ActiveMarkel Insurance Company301475Agent - Health8/9/2024 
ActiveMarkel Insurance Company301475Agent - Property8/9/2024 
InactiveMetLife Investors USA Insurance Company300845Agent - Health1/16/200711/19/2009
InactiveMetLife Investors USA Insurance Company300845Agent - Life1/16/200711/19/2009
ActiveMetropolitan Life Insurance Company301948Agent - Health3/11/2002 
ActiveMetropolitan Life Insurance Company301948Agent - Life3/11/2002 
ActiveMotorists Commercial Mutual Insurance Company301941Agent - Casualty8/20/2010 
ActiveMotorists Commercial Mutual Insurance Company301941Agent - Property8/20/2010 
ActiveMotorists Mutual Insurance Company300963Agent - Casualty3/27/2006 
ActiveMotorists Mutual Insurance Company300963Agent - Property3/27/2006 
ActiveMount Vernon Fire Insurance Company301397Agent - Casualty2/15/2011 
ActiveMount Vernon Fire Insurance Company301397Agent - Property2/15/2011 
ActiveNational Fire Insurance Company of Hartford301063Agent - Casualty8/19/2002 
ActiveNational Fire Insurance Company of Hartford301063Agent - Property8/19/2002 
ActiveNational Health Insurance Company300554Agent - Health8/29/2019 
ActiveNational Health Insurance Company300554Agent - Life8/29/2019 
ActiveNationwide Agribusiness Insurance Company301008Agent - Casualty10/8/2019 
ActiveNationwide Agribusiness Insurance Company301008Agent - Property10/8/2019 
ActiveNationwide Assurance Company300166Agent - Casualty1/12/2020 
ActiveNationwide General Insurance Company300603Agent - Casualty10/8/2019 
ActiveNationwide General Insurance Company300603Agent - Property10/8/2019 
ActiveNationwide Insurance Company of America300333Agent - Casualty10/8/2019 
ActiveNationwide Insurance Company of America300333Agent - Property10/8/2019 
ActiveNationwide Mutual Insurance Company301749Agent - Casualty8/9/2016 
ActiveNationwide Mutual Insurance Company301749Agent - Property8/9/2016 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Casualty10/8/2019 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Property10/8/2019 
InactiveNetherlands Insurance Company (The)300339Agent - Casualty12/27/20055/10/2024
InactiveNetherlands Insurance Company (The)300339Agent - Property12/27/20055/10/2024
InactiveNorth American Company for Life and Health Insurance300291Agent - Life6/24/20154/26/2019
ActiveNorthStone Insurance Company818905Agent - Casualty7/31/2023 
ActiveNutmeg Insurance Company751698Agent - Casualty12/4/2024 
ActiveNutmeg Insurance Company751698Agent - Property12/4/2024 
ActiveOhio Casualty Insurance Company301492Agent - Casualty11/6/2000 
ActiveOhio Casualty Insurance Company301492Agent - Property11/6/2000 
ActiveOhio Security Insurance Company300622Agent - Casualty4/2/2024 
ActiveOhio Security Insurance Company300622Agent - Property4/2/2024 
ActiveOwners Insurance Company300796Agent - Casualty5/17/2011 
ActiveOwners Insurance Company300796Agent - Property5/17/2011 
ActivePacific Employers Insurance Company301753Agent - Casualty4/17/2015 
ActivePacific Employers Insurance Company301753Agent - Property4/17/2015 
ActivePacific Indemnity Company301610Agent - Casualty1/16/2002 
ActivePacific Indemnity Company301610Agent - Property1/16/2002 
ActivePacific Life Insurance Company301848Agent - Health5/17/2021 
ActivePacific Life Insurance Company301848Agent - Life5/17/2021 
InactivePeerless Indemnity Insurance Company571682Agent - Casualty10/16/20089/26/2024
InactivePeerless Indemnity Insurance Company571682Agent - Property10/16/20089/26/2024
ActivePeerless Insurance Company301910Agent - Casualty12/27/2005 
ActivePeerless Insurance Company301910Agent - Property12/27/2005 
ActivePhiladelphia Indemnity Insurance Company301221Agent - Casualty8/25/2021 
ActivePhiladelphia Indemnity Insurance Company301221Agent - Health8/30/2021 
ActivePhiladelphia Indemnity Insurance Company301221Agent - Property8/25/2021 
InactivePinnaclePoint Insurance Company819085Agent - Casualty11/27/202111/27/2021
ActivePrincipal Life Insurance Company300129Agent - Health4/19/2011 
ActivePrincipal Life Insurance Company300129Agent - Life4/19/2011 
ActivePrincipal National Life Insurance Company301926Agent - Life11/14/2012 
ActiveProgressive Casualty Insurance Company300696Agent - Casualty3/24/2004 
ActiveProgressive Casualty Insurance Company300696Agent - Property3/24/2004 
InactiveProgressive Max Insurance Company301034Agent - Casualty2/2/200111/27/2007
InactiveProgressive Max Insurance Company301034Agent - Property2/2/200111/27/2007
InactiveProgressive Northern Insurance Company301378Agent - Casualty2/2/200111/5/2018
InactiveProgressive Northern Insurance Company301378Agent - Property2/2/200111/5/2018
InactiveProgressive Northwestern Insurance Company300441Agent - Casualty2/2/200112/28/2005
InactiveProgressive Northwestern Insurance Company300441Agent - Property2/2/200112/28/2005
ActiveProperty and Casualty Insurance Company of Hartford301409Agent - Casualty6/13/2024 
ActiveProperty and Casualty Insurance Company of Hartford301409Agent - Property6/13/2024 
ActiveProvident Life and Accident Insurance Company301525Agent - Health8/1/2003 
ActiveProvident Life and Accident Insurance Company301525Agent - Life8/1/2003 
ActivePruco Life Insurance Company300954Agent - Life9/6/2019 
ActivePrudential Insurance Company of America300784Agent - Health10/20/2006 
ActivePrudential Insurance Company of America300784Agent - Life10/20/2006 
InactiveReassure America Life Insurance Company301902Agent - Health9/10/19931/2/2003
InactiveReassure America Life Insurance Company301902Agent - Life9/10/19931/2/2003
InactiveReliaStar Life Insurance Company301712Agent - Health2/16/20112/26/2016
InactiveReliaStar Life Insurance Company301712Agent - Life2/16/20112/26/2016
ActiveReliance Standard Life Insurance Company300584Agent - Health9/30/2009 
ActiveReliance Standard Life Insurance Company300584Agent - Life9/30/2009 
ActiveSAFECO Insurance Company of America300159Agent - Casualty5/23/2024 
ActiveSAFECO Insurance Company of America300159Agent - Property5/23/2024 
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty7/15/20023/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Property7/15/20023/29/2024
InactiveSecurity Life of Denver Insurance Company300648Agent - Health2/16/20119/29/2012
InactiveSecurity Life of Denver Insurance Company300648Agent - Life2/16/20119/29/2012
ActiveSelective Insurance Company of America500018Agent - Casualty1/12/2004 
ActiveSelective Insurance Company of America500018Agent - Property1/12/2004 
ActiveSelective Insurance Company of South Carolina500012Agent - Casualty1/12/2004 
ActiveSelective Insurance Company of South Carolina500012Agent - Property1/12/2004 
ActiveSelective Insurance Company of the Southeast300381Agent - Casualty8/15/2000 
InactiveSelective Insurance Company of the Southeast300381Agent - General Lines9/21/19998/15/2000
ActiveSelective Insurance Company of the Southeast300381Agent - Property8/15/2000 
ActiveSentinel Insurance Company, Limited501696Agent - Casualty8/25/2009 
ActiveSentinel Insurance Company, Limited501696Agent - Property8/25/2009 
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty4/5/200612/9/2009
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Property4/5/200612/9/2009
InactiveSt. Paul Guardian Insurance Company301372Agent - Casualty4/5/200612/9/2009
InactiveSt. Paul Guardian Insurance Company301372Agent - Property4/5/200612/9/2009
InactiveSt. Paul Mercury Insurance Company300783Agent - Casualty4/5/200612/9/2009
InactiveSt. Paul Mercury Insurance Company300783Agent - Property4/5/200612/9/2009
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty4/5/2006 
ActiveStandard Fire Insurance Company (The)301068Agent - Property4/5/2006 
ActiveStandard Insurance Company300185Agent - Health4/1/2009 
ActiveStandard Insurance Company300185Agent - Life4/1/2009 
ActiveStandard Life and Accident Insurance Company301534Agent - Health1/8/2025 
ActiveStarmount Life Insurance Company628031Agent - Health10/8/2021 
ActiveSummitPoint Insurance Company819084Agent - Casualty1/13/2023 
ActiveSymetra Life Insurance Company301691Agent - Health9/3/1998 
ActiveSymetra Life Insurance Company301691Agent - Life9/3/1998 
ActiveThe Phoenix Insurance Company301502Agent - Casualty4/5/2006 
ActiveThe Phoenix Insurance Company301502Agent - Property4/5/2006 
InactiveTime Insurance Company300683Agent - Health12/30/201411/15/2019
InactiveTime Insurance Company300683Agent - Life12/30/201411/15/2019
InactiveTransamerica Life Insurance Company300571Agent - Health1/13/20219/14/2023
InactiveTransamerica Life Insurance Company300571Agent - Life1/13/20219/14/2023
InactiveTranscontinental Insurance Company301731Agent - Casualty8/19/20029/26/2007
InactiveTranscontinental Insurance Company301731Agent - Property8/19/20029/26/2007
ActiveTransportation Insurance Company301575Agent - Casualty8/19/2002 
ActiveTransportation Insurance Company301575Agent - Property8/19/2002 
InactiveTravCo Insurance Company301828Agent - Casualty3/25/201112/9/2013
InactiveTravCo Insurance Company301828Agent - Property3/25/201112/9/2013
InactiveTravelers Casualty Company of Connecticut301505Agent - Casualty4/5/200612/9/2009
InactiveTravelers Casualty Company of Connecticut301505Agent - Property4/5/200612/9/2009
ActiveTravelers Casualty Insurance Company of America300522Agent - Casualty4/5/2006 
ActiveTravelers Casualty Insurance Company of America300522Agent - Property4/5/2006 
InactiveTravelers Casualty and Surety Company301067Agent - Casualty4/5/200612/9/2009
InactiveTravelers Casualty and Surety Company301067Agent - Property4/5/200612/9/2009
ActiveTravelers Casualty and Surety Company of America301334Agent - Casualty11/18/2010 
ActiveTravelers Casualty and Surety Company of America301334Agent - Property11/18/2010 
InactiveTravelers Commercial Casualty Company301695Agent - Casualty4/5/200612/9/2009
InactiveTravelers Commercial Casualty Company301695Agent - Property4/5/200612/9/2009
InactiveTravelers Commercial Insurance Company301506Agent - Casualty6/14/201212/9/2013
InactiveTravelers Commercial Insurance Company301506Agent - Property6/14/201212/9/2013
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty4/5/2006 
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Property4/5/2006 
ActiveTravelers Indemnity Company (The)301855Agent - Casualty4/5/2006 
ActiveTravelers Indemnity Company (The)301855Agent - Property4/5/2006 
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty4/5/200611/26/2024
InactiveTravelers Indemnity Company of America (The)301093Agent - Property4/5/200611/26/2024
ActiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty2/10/2016 
ActiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property2/10/2016 
ActiveTravelers Personal Insurance Company705785Agent - Casualty4/19/2019 
ActiveTravelers Personal Insurance Company705785Agent - Property4/19/2019 
ActiveTravelers Property Casualty Company of America301649Agent - Casualty4/5/2006 
ActiveTravelers Property Casualty Company of America301649Agent - Property4/5/2006 
InactiveTravelers Property Casualty Insurance Company301508Agent - Casualty4/5/200612/9/2009
InactiveTravelers Property Casualty Insurance Company301508Agent - Property4/5/200612/9/2009
ActiveTrumbull Insurance Company300242Agent - Casualty9/30/2016 
ActiveTrumbull Insurance Company300242Agent - Property9/30/2016 
ActiveTrustgard Insurance Company300104Agent - Casualty8/29/2019 
ActiveTrustgard Insurance Company300104Agent - Property8/29/2019 
InactiveTrustmark Life Insurance Company301286Agent - Health8/19/201611/10/2022
InactiveTrustmark Life Insurance Company301286Agent - Life8/19/201611/10/2022
ActiveTwin City Fire Insurance Company300721Agent - Casualty3/26/2013 
ActiveTwin City Fire Insurance Company300721Agent - Property3/26/2013 
ActiveUNUM Life Insurance Company of America300817Agent - Health8/1/2003 
ActiveUNUM Life Insurance Company of America300817Agent - Life8/1/2003 
ActiveUnion Insurance Company of Providence842791Agent - Casualty3/4/2016 
ActiveUnion Insurance Company of Providence842791Agent - Property3/4/2016 
InactiveUnion Security Insurance Company301844Agent - Health6/5/200611/30/2020
InactiveUnion Security Insurance Company301844Agent - Life6/5/200611/30/2020
ActiveUnited Financial Casualty Company301886Agent - Casualty12/2/2005 
ActiveUnited Financial Casualty Company301886Agent - Property12/2/2005 
InactiveUnited Fire & Casualty Company301374Agent - Casualty1/7/202210/27/2022
InactiveUnited Fire & Casualty Company301374Agent - Property1/7/202210/27/2022
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Health2/24/20096/8/2014
InactiveUnited States Life Insurance Company in the City of New York301126Agent - Life2/24/20096/8/2014
InactiveUnited of Omaha Life Insurance Company300156Agent - Health3/10/201012/26/2012
InactiveUnited of Omaha Life Insurance Company300156Agent - Life3/10/201012/26/2012
ActiveUnitedHealthcare Insurance Company300946Agent - Health9/10/2003 
ActiveUnitedHealthcare Insurance Company300946Agent - Life9/10/2003 
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health1/12/2018 
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/29/2022 
ActiveUnum Insurance Company301499Agent - Health10/8/2021 
ActiveUnum Insurance Company301499Agent - Life10/8/2021 
ActiveValley Forge Insurance Company301052Agent - Casualty8/19/2002 
ActiveValley Forge Insurance Company301052Agent - Property8/19/2002 
ActiveVigilant Insurance Company301143Agent - Casualty1/16/2002 
ActiveVigilant Insurance Company301143Agent - Property1/16/2002 
ActiveVision Service Plan Insurance Company300526Agent - Health6/22/2009 
InactiveWCF Select Insurance Company301898Agent - Casualty4/19/20023/25/2021
InactiveWCF Select Insurance Company301898Agent - Property4/19/20023/25/2021
InactiveWausau Business Insurance Company301476Agent - Casualty8/7/20064/28/2008
InactiveWausau Business Insurance Company301476Agent - Property8/7/20064/28/2008
InactiveWausau Underwriters Insurance Company301105Agent - Casualty8/7/20064/28/2008
InactiveWausau Underwriters Insurance Company301105Agent - Property8/7/20064/28/2008
ActiveWest American Insurance Company301112Agent - Casualty10/18/2024 
ActiveWest American Insurance Company301112Agent - Property10/18/2024 
ActiveWest Bend Insurance Company672974Agent - Casualty3/8/2011 
ActiveWest Bend Insurance Company672974Agent - Property3/8/2011 
ActiveWestern Surety Company300283Agent - Casualty6/11/2004 
ActiveWestfield Insurance Company301950Agent - Casualty1/2/2015 
ActiveWestfield Insurance Company301950Agent - Property1/2/2015 
ActiveWestfield National Insurance Company301036Agent - Casualty1/2/2015 
ActiveWestfield National Insurance Company301036Agent - Property1/2/2015 
InactiveWilcac Life Insurance Company301573Agent - Health9/10/19933/31/1997
InactiveWilcac Life Insurance Company301573Agent - Life9/10/19933/31/1997
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBeckman, Cynthia Lee 554816Agent - Casualty6/8/20092/9/2011
InactiveBeckman, Cynthia Lee 554816Agent - Property6/8/20092/9/2011
InactiveBernstein, Malcolm A 325293Agent - Casualty2/10/20032/28/2007
InactiveBernstein, Malcolm A 325293Agent - Property2/10/20032/28/2007
InactiveBuren, Denise D 336513Agent - Casualty12/30/20135/3/2024
InactiveBuren, Denise D 336513Agent - Health4/1/20095/3/2024
InactiveBuren, Denise D 336513Agent - Life4/1/20095/3/2024
InactiveBuren, Denise D 336513Agent - Property12/30/20135/3/2024
ActiveCoors, Kelly 697077Agent - Health7/16/2009 
ActiveCoors, Kelly 697077Agent - Life7/16/2009 
InactiveCundiff, Jennifer Lee 883496Agent - Casualty4/12/20179/7/2022
InactiveCundiff, Jennifer Lee 883496Agent - Property4/12/20179/7/2022
InactiveDeaton, Melissa Dawn 599484Agent - Casualty10/3/20111/3/2012
InactiveDeaton, Melissa Dawn 599484Agent - Property10/3/20111/3/2012
InactiveFiedler-Ilg, Marietta Erin 510109Agent - Health2/16/20109/8/2010
InactiveFiedler-Ilg, Marietta Erin 510109Agent - Life2/16/20109/8/2010
DeniedFoster, Jimmie D 635817Agent - Casualty  
ActiveFoster, Jimmie D 635817Agent - Health7/28/2006 
ActiveFoster, Jimmie D 635817Agent - Life7/28/2006 
DeniedFoster, Jimmie D 635817Agent - Property  
DeniedFoster, Ryan Nolan 1052797Agent - Health  
ActiveFox, Kevin Mclean 549325Agent - Casualty5/19/2009 
DeniedFox, Kevin Mclean 549325Agent - Health  
DeniedFox, Kevin Mclean 549325Agent - Life  
ActiveFox, Kevin Mclean 549325Agent - Property5/19/2009 
DeniedGriggs, Sara Elizabeth 513692Agent - Health  
DeniedGriggs, Sara Elizabeth 513692Agent - Life  
DeniedHasler, Amy Jo 686096Agent - Health  
DeniedHasler, Amy Jo 686096Agent - Life  
ActiveHronek, Jennifer Lyn 527536Agent - Casualty4/26/2023 
DeniedHronek, Jennifer Lyn 527536Agent - Health  
ActiveHronek, Jennifer Lyn 527536Agent - Property4/26/2023 
ActiveJasper-Lucas, Jennifer A 829387Agent - Casualty5/3/2024 
ActiveJasper-Lucas, Jennifer A 829387Agent - Life5/3/2024 
ActiveJasper-Lucas, Jennifer A 829387Agent - Property5/3/2024 
InactiveJohnson, Roy E. 535813Agent - Casualty7/28/20062/10/2023
InactiveJohnson, Roy E. 535813Agent - Property7/28/20062/10/2023
InactiveKanienberg, Nancy A 327724Agent - Health6/30/20037/31/2014
InactiveKanienberg, Nancy A 327724Agent - Life6/30/20037/31/2014
InactiveLaEace, Mary Jo 357358Agent - Casualty8/15/20008/27/2007
InactiveLaEace, Mary Jo 357358Agent - General Lines9/21/19998/15/2000
InactiveLaEace, Mary Jo 357358Agent - Property8/15/20008/27/2007
InactiveLamb, Susan A 316553Agent - Health11/25/20145/3/2024
InactiveLamb, Susan A 316553Agent - Life7/5/20125/3/2024
InactiveLameier, Edward Thomas 331964Agent - Casualty2/10/20039/16/2005
InactiveLameier, Edward Thomas 331964Agent - Property2/10/20039/16/2005
ActiveLusby, Melissa Ann 312841Agent - Health2/20/2006 
ActiveLusby, Melissa Ann 312841Agent - Life2/20/2006 
ActiveMacey, Thomas Knight 504408Agent - Life1/17/2014 
DeniedMccleese, Robin 833817Agent - Health  
InactiveMccleese, Robin 833817Agent - Life8/21/201711/1/2017
ActiveMccormack, Anthony Breen 579120Agent - Casualty6/8/2006 
ActiveMccormack, Anthony Breen 579120Agent - Health2/20/2006 
ActiveMccormack, Anthony Breen 579120Agent - Life2/20/2006 
ActiveMccormack, Anthony Breen 579120Agent - Property6/8/2006 
DeniedMcgarey, Madeline Ann 825972Agent - Casualty  
InactiveMcgarey, Madeline Ann 825972Agent - Health11/7/20131/31/2015
InactiveMcgarey, Madeline Ann 825972Agent - Life11/7/201312/5/2014
DeniedMcgarey, Madeline Ann 825972Agent - Property  
InactiveMeyer, Karla Marie 752560Agent - Casualty6/16/201111/25/2014
InactiveMeyer, Karla Marie 752560Agent - Health2/18/201411/7/2014
InactiveMeyer, Karla Marie 752560Agent - Life2/18/201411/7/2014
InactiveMeyer, Karla Marie 752560Agent - Property6/16/201111/25/2014
InactiveMiller, Anita L 684737Agent - Casualty7/16/20095/15/2015
InactiveMiller, Anita L 684737Agent - Property7/16/20095/15/2015
InactiveNiemeier, Leanne 790661Agent - Health11/7/20168/17/2021
InactiveNiemeier, Leanne 790661Agent - Life11/7/20168/17/2021
ActiveNolan, Laura Michael-Clyde 907695Agent - Casualty3/22/2016 
ActiveNolan, Laura Michael-Clyde 907695Agent - Property3/22/2016 
InactivePlummer, Samantha 1214122Agent - Casualty9/7/20229/25/2023
InactivePlummer, Samantha 1214122Agent - Property9/7/20229/25/2023
InactiveSaravia, Marta Ivette 699747Agent - Health7/16/20092/10/2023
InactiveSaravia, Marta Ivette 699747Agent - Life7/16/20092/10/2023
InactiveSauter, Robert 343022Agent - Casualty2/10/20039/30/2018
InactiveSauter, Robert 343022Agent - Health2/10/20039/30/2018
InactiveSauter, Robert 343022Agent - Life2/10/20039/30/2018
InactiveSauter, Robert 343022Agent - Property2/10/20039/30/2018
ActiveSchlotman, Carl R 392030Agent - Casualty8/15/2000 
InactiveSchlotman, Carl R 392030Agent - General Lines9/21/19998/15/2000
ActiveSchlotman, Carl R 392030Agent - Health12/30/2013 
ActiveSchlotman, Carl R 392030Agent - Property8/15/2000 
InactiveSchlotman, Carl Raymond 393778Agent - Health9/10/19939/30/2014
InactiveSchlotman, Carl Raymond 393778Agent - Life9/10/19939/30/2014
ActiveSchlotman, James T 375961Administrator - Not Applicable8/30/1994 
InactiveSchlotman, Kevin D 827003Agent - Health4/12/20174/20/2018
DeniedSchlotman, Nicolas Jorge 1367813Agent - Casualty  
DeniedSchlotman, Nicolas Jorge 1367813Agent - Health  
DeniedSchlotman, Nicolas Jorge 1367813Agent - Life  
DeniedSchlotman, Nicolas Jorge 1367813Agent - Property  
InactiveSchumer, Shelley 535311Agent - Health12/30/201311/2/2016
InactiveSchumer, Shelley 535311Agent - Life12/30/201311/2/2016
InactiveSchweer, Sharon M 329817Agent - Casualty2/10/20032/9/2004
InactiveSchweer, Sharon M 329817Agent - Property2/10/20032/9/2004
ActiveTieman, Kelly Lynn 521420Agent - Casualty2/10/2003 
ActiveTieman, Kelly Lynn 521420Agent - Property2/10/2003 

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