DEPARTMENT OF INSURANCE

Affiliations

Name	Select Insurance Agency, Inc.	DOIID	503760	NAIC NPN	7223080

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	10/5/2000	3/31/2008
Inactive	Resident	Agent	General Lines	3/2/2000	8/15/2000
Inactive	Resident	Agent	Casualty	3/29/2001	3/31/2008
Inactive	Resident	Agent	Life	3/2/2000	3/31/2008
Inactive	Resident	Agent	Health	3/2/2000	3/31/2008
* 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	AIG Assurance Company	300897	Agent - Casualty	3/29/2001	3/31/2008
Inactive	AIG Assurance Company	300897	Agent - Property	10/5/2000	3/31/2008
Inactive	AIG Property Casualty Company	300621	Agent - Casualty	3/29/2001	3/31/2008
Inactive	AIG Property Casualty Company	300621	Agent - Property	10/5/2000	3/31/2008
Inactive	AIU Insurance Company	300729	Agent - Casualty	3/29/2001	3/31/2008
Inactive	AIU Insurance Company	300729	Agent - Property	10/5/2000	3/31/2008
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	10/14/2002	11/22/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	10/14/2002	11/22/2007
Inactive	American Economy Insurance Company	300315	Agent - Casualty	2/16/2006	7/6/2007
Inactive	American Economy Insurance Company	300315	Agent - Property	2/16/2006	7/6/2007
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	2/10/2005	3/31/2008
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/10/2005	3/31/2008
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	7/1/2005	10/19/2007
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	7/1/2005	10/19/2007
Inactive	American Home Assurance Company	300246	Agent - Casualty	3/29/2001	3/31/2008
Inactive	American Home Assurance Company	300246	Agent - Property	10/5/2000	3/31/2008
Inactive	American Interstate Insurance Company	301092	Agent - Casualty	8/15/2000	5/16/2003
Inactive	American Interstate Insurance Company	301092	Agent - General Lines	5/19/2000	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Casualty	2/16/2006	7/6/2007
Inactive	American States Insurance Company	301230	Agent - Property	2/16/2006	7/6/2007
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/21/2001	3/31/2008
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/21/2001	3/31/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Health	5/22/2000	3/31/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Life	5/22/2000	3/31/2008
Inactive	Assurance Company of America	300432	Agent - Casualty	3/29/2001	3/31/2008
Inactive	Assurance Company of America	300432	Agent - Property	12/7/2000	3/31/2008
Inactive	Assurity Life Insurance Company	301099	Agent - Health	7/1/2002	1/17/2008
Inactive	Assurity Life Insurance Company	301099	Agent - Life	7/1/2002	1/17/2008
Inactive	Banner Life Insurance Company	301696	Agent - Life	10/27/2004	3/31/2008
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	5/30/2002	3/31/2008
Inactive	Berkley Casualty Company	300731	Agent - Casualty	3/29/2001	3/31/2008
Inactive	Berkley Casualty Company	300731	Agent - General Lines	3/2/2000	8/15/2000
Inactive	Berkley Casualty Company	300731	Agent - Property	10/5/2000	3/31/2008
Inactive	CHA HMO, Inc.	300662	Agent - Health	11/8/2001	3/31/2008
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	9/14/2004	3/31/2008
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	9/14/2004	3/31/2008
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	5/8/2006	4/1/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	5/8/2006	4/1/2007
Inactive	Commerce and Industry Insurance Company	300881	Agent - Casualty	3/29/2001	3/31/2008
Inactive	Commerce and Industry Insurance Company	300881	Agent - Property	10/5/2000	3/31/2008
Inactive	Conseco Health Insurance Company	301725	Agent - Health	11/26/2001	8/1/2006
Inactive	Conseco Health Insurance Company	301725	Agent - Life	11/26/2001	8/1/2006
Inactive	Conseco Insurance Company	301202	Agent - Health	11/30/2004	3/31/2008
Inactive	Conseco Insurance Company	301202	Agent - Life	11/30/2004	3/31/2008
Inactive	EMC National Life Company	300388	Agent - Health	9/30/2003	4/16/2008
Inactive	EMC National Life Company	300388	Agent - Life	9/30/2003	4/16/2008
Inactive	Everly Life Insurance Company	561641	Agent - Life	6/19/2006	3/31/2008
Inactive	Falls Lake National Insurance Company	301796	Agent - Casualty	3/29/2001	12/15/2003
Inactive	Farmington Casualty Company	301137	Agent - Casualty	5/9/2006	3/31/2008
Inactive	Farmington Casualty Company	301137	Agent - Property	5/9/2006	3/31/2008
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/30/2003	7/6/2007
Inactive	First National Insurance Company of America	301690	Agent - Property	10/30/2003	7/6/2007
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	4/11/2003	3/31/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	4/11/2003	3/31/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/20/2006	9/4/2007
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/20/2006	9/4/2007
Inactive	General Insurance Company of America	300261	Agent - Casualty	2/16/2006	7/6/2007
Inactive	General Insurance Company of America	300261	Agent - Property	2/16/2006	7/6/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	3/29/2001	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	12/7/2000	11/30/2007
Inactive	Granite State Insurance Company	300818	Agent - Casualty	3/29/2001	3/31/2008
Inactive	Granite State Insurance Company	300818	Agent - Property	10/5/2000	3/31/2008
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	10/5/2000	3/31/2002
Inactive	Illinois National Insurance Company	301367	Agent - Property	10/5/2000	3/31/2002
Inactive	Infinity Casualty Insurance Company	301280	Agent - Casualty	3/29/2001	12/15/2003
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	3/29/2001	3/31/2008
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Property	10/5/2000	3/31/2008
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	3/11/2002	3/31/2008
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	3/11/2002	3/31/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	12/29/2003	3/31/2008
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	9/2/2003	11/21/2007
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	9/2/2003	11/21/2007
Inactive	Maryland Casualty Company	301719	Agent - Casualty	3/29/2001	3/31/2008
Inactive	Maryland Casualty Company	301719	Agent - Property	12/7/2000	3/31/2008
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	5/15/2003	6/5/2007
Inactive	Midland National Life Insurance Company	300923	Agent - Life	8/11/2000	8/22/2007
Inactive	National Summit Insurance Company	300348	Agent - Casualty	12/27/2000	7/23/2003
Inactive	National Summit Insurance Company	300348	Agent - Property	12/27/2000	7/23/2003
Inactive	National Travelers Life Company	300304	Agent - Health	3/26/2001	6/30/2003
Inactive	National Travelers Life Company	300304	Agent - Life	3/26/2001	6/30/2003
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	3/29/2001	3/31/2008
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	10/5/2000	3/31/2008
Inactive	New Hampshire Insurance Company	301670	Agent - Casualty	3/29/2001	3/31/2008
Inactive	New Hampshire Insurance Company	301670	Agent - Property	10/5/2000	3/31/2008
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	3/29/2001	3/31/2008
Inactive	Northern Insurance Company of New York	301317	Agent - Property	12/7/2000	3/31/2008
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	3/25/2004	3/31/2008
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	3/25/2004	3/31/2008
Inactive	Pan-American Assurance Company	301533	Agent - Health	4/10/2003	3/18/2005
Inactive	Pan-American Assurance Company	301533	Agent - Life	4/10/2003	3/18/2005
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	4/10/2003	3/18/2005
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	4/10/2003	3/18/2005
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	1/23/2001	12/11/2002
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	1/23/2001	12/11/2002
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/24/2004	7/12/2007
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/24/2004	7/12/2007
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	3/29/2001	7/12/2007
Inactive	Progressive Max Insurance Company	301034	Agent - Property	2/21/2001	7/12/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	3/29/2001	7/12/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	2/21/2001	7/12/2007
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	3/29/2001	7/12/2007
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	2/21/2001	7/12/2007
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/1/2007	3/31/2008
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	3/31/2008
Inactive	Protective Property & Casualty Insurance Company	300393	Agent - Casualty	10/15/2001	1/24/2003
Inactive	Protective Property & Casualty Insurance Company	300393	Agent - Property	10/15/2001	1/24/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/23/2001	11/10/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/23/2001	11/10/2004
Inactive	Pruco Life Insurance Company	300954	Agent - Health	3/24/2006	3/31/2008
Inactive	Pruco Life Insurance Company	300954	Agent - Life	3/24/2006	3/31/2008
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	3/2/2000	1/2/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	3/2/2000	1/2/2003
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/30/2003	7/6/2007
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/30/2003	7/6/2007
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/30/2003	7/6/2007
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/30/2003	7/6/2007
Inactive	Settlers Life Insurance Company	300189	Agent - Life	10/12/2001	7/1/2006
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	9/23/2004	3/31/2008
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	9/23/2004	3/31/2008
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	9/23/2004	3/31/2008
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	9/23/2004	3/31/2008
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	9/23/2004	3/31/2008
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	9/23/2004	3/31/2008
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	5/9/2006	3/31/2008
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	5/9/2006	3/31/2008
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	12/11/2000	3/31/2008
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	12/11/2000	3/31/2008
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	9/14/2004	3/31/2008
Inactive	The Phoenix Insurance Company	301502	Agent - Property	9/14/2004	3/31/2008
Inactive	Time Insurance Company	300683	Agent - Health	1/25/2001	2/5/2003
Inactive	Time Insurance Company	300683	Agent - Life	1/25/2001	2/5/2003
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	5/9/2006	3/31/2008
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	5/9/2006	3/31/2008
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	9/14/2004	3/31/2008
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	9/14/2004	3/31/2008
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	5/9/2006	3/31/2008
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	5/9/2006	3/31/2008
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	9/14/2004	3/31/2008
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	9/14/2004	3/31/2008
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	9/14/2004	3/31/2008
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	9/14/2004	3/31/2008
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	9/14/2004	3/31/2008
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	9/14/2004	3/31/2008
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	9/14/2004	3/31/2008
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	9/14/2004	3/31/2008
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	12/26/2002	9/21/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/30/2001	11/10/2004
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/30/2001	11/10/2004
Inactive	Union Central Life Insurance Company	300307	Agent - Health	3/24/2003	3/31/2008
Inactive	Union Central Life Insurance Company	300307	Agent - Life	3/24/2003	3/31/2008
Inactive	United Financial Casualty Company	301886	Agent - Casualty	12/2/2005	7/12/2007
Inactive	United Financial Casualty Company	301886	Agent - Property	12/2/2005	7/12/2007
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	10/30/2003	12/20/2005
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	10/30/2003	12/20/2005
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	9/2/2003	10/26/2007
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	9/2/2003	10/26/2007
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/24/2005	3/31/2008
Inactive	West Coast Life Insurance Company	301607	Agent - Life	2/6/2003	12/22/2006
Inactive	Western Surety Company	300283	Agent - Casualty	3/29/2001	7/24/2007
Inactive	Windhaven National Insurance Company	300094	Agent - Casualty	3/29/2001	12/15/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arnett, Cynthia Denise	522310	Agent - Health	6/22/2001	6/6/2002
Inactive	Bishop, Pamela E	519885	Agent - Casualty	3/17/2003	3/31/2008
Inactive	Bishop, Pamela E	519885	Agent - Property	3/17/2003	3/31/2008
Inactive	Branham, Robert Allen	377583	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Branham, Robert Allen	377583	Agent - General Lines	3/2/2000	8/15/2000
Inactive	Branham, Robert Allen	377583	Agent - Health	3/2/2000	3/31/2008
Inactive	Branham, Robert Allen	377583	Agent - Life	3/2/2000	3/31/2008
Inactive	Branham, Robert Allen	377583	Agent - Property	8/15/2000	3/31/2008
Inactive	Chapman, Vicki Tanner	318887	Agent - Health	1/16/2004	3/31/2008
Inactive	Chapman, Vicki Tanner	318887	Agent - Life	1/16/2004	3/31/2008
Inactive	Chapman, William Jefferson	316122	Agent - Health	1/16/2004	3/31/2008
Inactive	Chapman, William Jefferson	316122	Agent - Life	1/16/2004	3/31/2008
Inactive	Clark, Guy D	352527	Agent - Casualty	3/17/2003	3/31/2007
Inactive	Clark, Guy D	352527	Agent - Health	12/8/2000	3/31/2007
Inactive	Clark, Guy D	352527	Agent - Life	12/8/2000	3/31/2007
Inactive	Clark, Guy D	352527	Agent - Property	3/17/2003	3/31/2007
Inactive	Cooley-Ratliff, Ina Mae	370479	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Cooley-Ratliff, Ina Mae	370479	Agent - Health	12/8/2000	12/22/2006
Inactive	Cooley-Ratliff, Ina Mae	370479	Agent - Life	12/8/2000	12/22/2006
Inactive	Cooley-Ratliff, Ina Mae	370479	Agent - Property	8/15/2000	3/31/2008
Inactive	Daugherty, Mark Edward	342356	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Daugherty, Mark Edward	342356	Agent - General Lines	5/19/2000	8/15/2000
Inactive	Daugherty, Mark Edward	342356	Agent - Health	5/19/2000	3/31/2008
Inactive	Daugherty, Mark Edward	342356	Agent - Life	3/17/2003	3/31/2008
Inactive	Daugherty, Mark Edward	342356	Agent - Property	8/15/2000	3/31/2008
Inactive	Epling-Wheeler, Crystal Lynn	313680	Agent - Casualty	3/29/2001	3/31/2008
Inactive	Epling-Wheeler, Crystal Lynn	313680	Agent - Property	8/15/2000	3/31/2008
Inactive	Porter, John Richard	307557	Agent - Casualty	3/17/2003	3/31/2008
Inactive	Porter, John Richard	307557	Agent - Health	12/8/2000	3/31/2008
Inactive	Porter, John Richard	307557	Agent - Life	12/8/2000	3/31/2008
Inactive	Porter, John Richard	307557	Agent - Property	3/17/2003	3/31/2008
Inactive	Rosado, Marsha L	373969	Agent - Health	5/24/2001	7/1/2002
Inactive	Rosado, Marsha L	373969	Agent - Life	5/24/2001	7/1/2002
Inactive	Shepherd, Darcus	304437	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Shepherd, Darcus	304437	Agent - General Lines	5/19/2000	8/15/2000
Inactive	Shepherd, Darcus	304437	Agent - Health	3/17/2003	3/31/2008
Inactive	Shepherd, Darcus	304437	Agent - Life	3/17/2003	3/31/2008
Inactive	Shepherd, Darcus	304437	Agent - Property	8/15/2000	3/31/2008
Inactive	Sturgill, Mitchell Dean	305276	Agent - Casualty	3/17/2003	3/31/2008
Inactive	Sturgill, Mitchell Dean	305276	Agent - General Lines	5/19/2000	8/15/2000
Inactive	Sturgill, Mitchell Dean	305276	Agent - Health	3/17/2003	3/31/2008
Inactive	Sturgill, Mitchell Dean	305276	Agent - Life	3/17/2003	3/31/2008
Inactive	Sturgill, Mitchell Dean	305276	Agent - Property	3/17/2003	3/31/2008
Inactive	Whited, Evella H	317562	Agent - Health	3/17/2003	3/31/2008
Inactive	Whited, Evella H	317562	Agent - Life	3/17/2003	3/31/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	5/3/2000	12/31/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	5/3/2000	12/31/2001