DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Koster, Douglas R	DOIID	503183	NAIC NPN	991596

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/8/2008	9/30/2017
Inactive	Non Resident	Agent	Property	8/8/2008	9/30/2017
Inactive	Non Resident	Agent	Health	6/4/2014	9/30/2017
Inactive	Non Resident	Agent	General Lines	3/8/2000	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	Gramercy Insurance Company	620872	Agent - Casualty	8/19/2010	4/30/2013
Inactive	Gramercy Insurance Company	620872	Agent - Property	8/19/2010	4/30/2013
Inactive	Kentucky Medical Insurance Company	301260	Agent - General Lines	3/8/2000	8/15/2000
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	9/19/2011	2/15/2013
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	9/19/2011	2/15/2013
Inactive	Protective Insurance Company	301117	Agent - Casualty	11/10/2015	11/28/2017
Inactive	Protective Insurance Company	301117	Agent - Property	11/10/2015	11/28/2017
Inactive	Sagamore Insurance Company	300942	Agent - Casualty	8/11/2017	11/28/2017
Inactive	Sagamore Insurance Company	300942	Agent - Property	8/11/2017	11/28/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Acrisure LLC	696181	Agent - Casualty
Denied	Acrisure LLC	696181	Agent - Property
Inactive	Arms Ins Agency Inc	756879	Agent - Casualty	6/23/2011	12/27/2012
Inactive	Arms Ins Agency Inc	756879	Agent - Property	6/23/2011	12/27/2012