DEPARTMENT OF INSURANCE

Affiliations

Name	Healthcare Insurance Services, Inc.	DOIID	502136	NAIC NPN	686962

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	General Lines	2/3/2000	8/15/2000
Inactive	Non Resident	Agent	Casualty	8/15/2000	3/20/2003
Inactive	Non Resident	Agent	Property	8/15/2000	3/20/2003
* 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 Manufacturers Mutual Insurance Company	301807	Agent - Casualty	8/15/2000	3/20/2003
Inactive	American Manufacturers Mutual Insurance Company	301807	Agent - General Lines	3/20/2000	8/15/2000
Inactive	American Manufacturers Mutual Insurance Company	301807	Agent - Property	8/15/2000	3/20/2003
Inactive	American Motorists Insurance Company	301212	Agent - Casualty	8/15/2000	3/20/2003
Inactive	American Motorists Insurance Company	301212	Agent - General Lines	3/20/2000	8/15/2000
Inactive	American Motorists Insurance Company	301212	Agent - Property	8/15/2000	3/20/2003
Inactive	Doctors Company, an Interinsurance Exchange (The)	301946	Agent - Casualty	8/15/2000	3/20/2003
Inactive	Doctors Company, an Interinsurance Exchange (The)	301946	Agent - General Lines	3/23/2000	8/15/2000
Inactive	Doctors Company, an Interinsurance Exchange (The)	301946	Agent - Property	8/15/2000	3/20/2003
Inactive	Executive Risk Indemnity Inc.	301510	Agent - Casualty	10/27/2000	3/20/2003
Inactive	Executive Risk Indemnity Inc.	301510	Agent - Property	10/27/2000	3/20/2003
Inactive	Federal Insurance Company	301144	Agent - Casualty	10/27/2000	3/20/2003
Inactive	Federal Insurance Company	301144	Agent - Property	10/27/2000	3/20/2003
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	10/27/2000	3/20/2003
Inactive	Great Northern Insurance Company	301107	Agent - Property	10/27/2000	3/20/2003
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	3/20/2003
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	2/3/2000	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	3/20/2003
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - Casualty	8/15/2000	3/20/2003
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - General Lines	3/20/2000	8/15/2000
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - Property	8/15/2000	3/20/2003
Inactive	Medical Protective Company (The)	301207	Agent - Casualty	4/20/2001	3/20/2003
Inactive	Medical Protective Company (The)	301207	Agent - Property	4/20/2001	3/20/2003
Inactive	Pacific Indemnity Company	301610	Agent - Casualty	10/27/2000	3/20/2003
Inactive	Pacific Indemnity Company	301610	Agent - Property	10/27/2000	3/20/2003
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	1/22/2001	3/20/2003
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	1/22/2001	3/20/2003
Inactive	Vigilant Insurance Company	301143	Agent - Casualty	10/27/2000	3/20/2003
Inactive	Vigilant Insurance Company	301143	Agent - Property	10/27/2000	3/20/2003
Inactive		301729	Agent - Casualty	8/15/2000	3/20/2003
Inactive		301729	Agent - General Lines	3/20/2000	8/15/2000
Inactive		301729	Agent - Property	8/15/2000	3/20/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Galtney, William Fields	391032	Agent - Casualty	8/15/2000	3/20/2003
Inactive	Galtney, William Fields	391032	Agent - General Lines	2/3/2000	8/15/2000
Inactive	Galtney, William Fields	391032	Agent - Property	8/15/2000	3/20/2003
Inactive	Reischman, Philip Eugene	320846	Agent - Casualty	8/15/2000	3/20/2003
Inactive	Reischman, Philip Eugene	320846	Agent - General Lines	2/3/2000	8/15/2000
Inactive	Reischman, Philip Eugene	320846	Agent - Property	8/15/2000	3/20/2003