DEPARTMENT OF INSURANCE

Affiliations

Name	Dan Services Inc	DOIID	505500	NAIC NPN	3208931

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	2/23/2000	3/31/2026
Active	Non Resident	Agent	Casualty	5/9/2013	3/31/2026
Active	Non Resident	Agent	Health	6/4/2013	3/31/2026
Active	Non Resident	Agent	Property	5/9/2013	3/31/2026
Active	Non Resident	Agent	Travel	6/25/2014	3/31/2026
Active	Non Resident	Agent	Life	6/4/2013	3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/10/2016	3/31/2026
* 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
Active	AIG Assurance Company	300897	Agent - Health	2/27/2024
Active	AIG Property Casualty Company	300621	Agent - Health	2/27/2024
Active	American Home Assurance Company	300246	Agent - Health	2/27/2024
Active	Commerce and Industry Insurance Company	300881	Agent - Health	2/27/2024
Active	Generali - U.S. Branch	301128	Agent - Casualty	8/17/2020
Active	Generali - U.S. Branch	301128	Agent - Property	8/17/2020
Active	Generali - U.S. Branch	301128	Agent - Travel	8/17/2020
Active	Granite State Insurance Company	300818	Agent - Health	2/27/2024
Active	Illinois National Insurance Company	301367	Agent - Health	2/27/2024
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Health	2/27/2024
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	5/28/2013	6/20/2022
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	2/27/2024
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	5/28/2013	6/20/2022
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Travel	4/21/2019	6/20/2022
Active	New Hampshire Insurance Company	301670	Agent - Health	2/27/2024
Active	United States Life Insurance Company in the City of New York	301126	Agent - Health	6/11/2015
Active	United States Life Insurance Company in the City of New York	301126	Agent - Life	6/11/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Beasley, Leann	1024046	Agent - Casualty	5/1/2019	2/10/2022
Inactive	Beasley, Leann	1024046	Agent - Health	5/1/2019	2/10/2022
Inactive	Beasley, Leann	1024046	Agent - Life	5/1/2019	2/10/2022
Inactive	Beasley, Leann	1024046	Agent - Property	5/1/2019	5/1/2019
Inactive	Beasley, Leann	1024046	Agent - Travel	5/7/2019	2/10/2022
Inactive	Bennett, Christopher Charles	509542	Administrator - Not Applicable	2/23/2000	8/3/2004
Inactive	Brownlow, Kathleen A	1086212	Agent - Casualty	9/29/2020	7/15/2024
Inactive	Brownlow, Kathleen A	1086212	Agent - Health	7/29/2021	7/15/2024
Inactive	Brownlow, Kathleen A	1086212	Agent - Property	9/29/2020	7/15/2024
Inactive	Brownlow, Kathleen A	1086212	Agent - Travel	9/29/2020	7/15/2024
Inactive	Clendenen, William Herbert	509540	Administrator - Not Applicable	2/23/2000	6/30/2003
Inactive	Coulter, Thomas Gregory	509536	Administrator - Not Applicable	2/23/2000	7/31/2009
Active	Crawford, Dace B	881371	Agent - Casualty	6/27/2022
Active	Crawford, Dace B	881371	Agent - Health	8/4/2022
Inactive	Crawford, Dace B	881371	Agent - Life	8/13/2015	6/26/2018
Active	Crawford, Dace B	881371	Agent - Property	6/27/2022
Active	Crawford, Dace B	881371	Agent - Travel	6/27/2022
Inactive	Davis, Jillian	1325841	Agent - Casualty	3/6/2024	7/26/2024
Inactive	Davis, Jillian	1325841	Agent - Health	3/22/2024	7/30/2024
Inactive	Davis, Jillian	1325841	Agent - Property	3/6/2024	7/26/2024
Inactive	Davis, Jillian	1325841	Agent - Travel	3/6/2024	7/26/2024
Active	Demoe, Jeffrey M	1244272	Agent - Casualty	12/29/2022
Active	Demoe, Jeffrey M	1244272	Agent - Health	12/29/2022
Denied	Demoe, Jeffrey M	1244272	Agent - Life
Active	Demoe, Jeffrey M	1244272	Agent - Property	12/29/2022
Active	Doles Poole, Robin A	699892	Administrator - Not Applicable	12/13/2013
Active	Doles Poole, Robin A	699892	Agent - Casualty	5/9/2013
Active	Doles Poole, Robin A	699892	Agent - Health	6/4/2013
Active	Doles Poole, Robin A	699892	Agent - Life	6/4/2013
Active	Doles Poole, Robin A	699892	Agent - Property	5/9/2013
Active	Doles Poole, Robin A	699892	Agent - Travel	6/25/2014
Active	Doles Poole, Robin A	699892	Surplus Lines Broker - Not Applicable	6/10/2016
Active	Friedman, Steven David	1116680	Agent - Casualty	7/29/2021
Active	Friedman, Steven David	1116680	Agent - Health	7/29/2021
Active	Friedman, Steven David	1116680	Agent - Property	7/29/2021
Active	Friedman, Steven David	1116680	Agent - Travel	4/2/2021
Active	Holley, Tanisha Dominic	1186034	Agent - Casualty	3/7/2022
Active	Holley, Tanisha Dominic	1186034	Agent - Health	3/7/2022
Active	Holley, Tanisha Dominic	1186034	Agent - Property	3/7/2022
Active	Holley, Tanisha Dominic	1186034	Agent - Travel	3/7/2022
Inactive	Johnson, Jeffery	811862	Agent - Casualty	8/21/2013	6/11/2020
Inactive	Johnson, Jeffery	811862	Agent - Health	4/8/2014	6/11/2020
Inactive	Johnson, Jeffery	811862	Agent - Life	4/8/2014	6/11/2020
Inactive	Johnson, Jeffery	811862	Agent - Property	8/21/2013	6/11/2020
Inactive	Johnson, Jeffery	811862	Agent - Travel	9/16/2014	11/14/2017
Inactive	Joseph, Jocelyn	934065	Agent - Casualty	1/20/2017	6/6/2018
Inactive	Joseph, Jocelyn	934065	Agent - Health	2/24/2017	6/6/2018
Inactive	Joseph, Jocelyn	934065	Agent - Life	2/24/2017	6/6/2018
Inactive	Joseph, Jocelyn	934065	Agent - Property	1/20/2017	6/6/2018
Inactive	Joseph, Jocelyn	934065	Agent - Travel	1/20/2017	11/14/2017
Active	Judkins, Nathalie E	819024	Agent - Casualty	11/12/2013
Active	Judkins, Nathalie E	819024	Agent - Health	4/8/2014
Active	Judkins, Nathalie E	819024	Agent - Life	4/8/2014
Active	Judkins, Nathalie E	819024	Agent - Property	11/12/2013
Inactive	Judkins, Nathalie E	819024	Agent - Travel	9/16/2014	11/15/2017
Inactive	Kray, Kyle R	1060067	Agent - Casualty	12/17/2019	7/8/2021
Inactive	Kray, Kyle R	1060067	Agent - Health	12/17/2019	7/8/2021
Withdrawn	Kray, Kyle R	1060067	Agent - Life
Inactive	Kray, Kyle R	1060067	Agent - Property	12/17/2019	7/8/2021
Inactive	Kray, Kyle R	1060067	Agent - Travel	1/2/2020	7/8/2021
Inactive	Massey, Austen	1009883	Agent - Casualty	12/12/2018	11/24/2020
Inactive	Massey, Austen	1009883	Agent - Health	5/7/2019	11/24/2020
Inactive	Massey, Austen	1009883	Agent - Life	5/7/2019	11/24/2020
Inactive	Massey, Austen	1009883	Agent - Property	12/12/2018	11/24/2020
Inactive	Massey, Austen	1009883	Agent - Travel	5/7/2019	11/24/2020
Active	Mcnair, Wane L	811808	Agent - Casualty	8/21/2013
Active	Mcnair, Wane L	811808	Agent - Health	4/8/2014
Active	Mcnair, Wane L	811808	Agent - Life	4/8/2014
Active	Mcnair, Wane L	811808	Agent - Property	8/21/2013
Inactive	Mcnair, Wane L	811808	Agent - Travel	9/16/2014	11/15/2017
Active	Moore, Gregory B	1203177	Agent - Casualty	6/17/2022
Active	Moore, Gregory B	1203177	Agent - Health	6/17/2022
Active	Moore, Gregory B	1203177	Agent - Property	6/17/2022
Active	Moore, Gregory B	1203177	Agent - Travel	6/17/2022
Inactive	Orr, Betty Ann	381373	Administrator - Not Applicable	2/23/2000	12/3/2013
Inactive	Orr, Betty Ann	381373	Agent - Health	5/28/2002	10/27/2008
Inactive	Orr, Betty Ann	381373	Agent - Life	5/28/2002	10/27/2008
Active	Ostrowski, Anthony	1313906	Agent - Casualty	1/10/2024
Active	Ostrowski, Anthony	1313906	Agent - Property	1/10/2024
Active	Ostrowski, Anthony	1313906	Agent - Travel	1/10/2024
Inactive	Parker, Valerie Samayyah	1283685	Agent - Casualty	8/2/2023	4/24/2024
Inactive	Parker, Valerie Samayyah	1283685	Agent - Health	8/2/2023	4/24/2024
Inactive	Parker, Valerie Samayyah	1283685	Agent - Property	8/2/2023	4/24/2024
Inactive	Parker, Valerie Samayyah	1283685	Agent - Travel	8/2/2023	4/12/2024
Inactive	Penny, Ana L	818962	Agent - Casualty	11/12/2013	10/1/2020
Inactive	Penny, Ana L	818962	Agent - Health	4/8/2014	10/1/2020
Inactive	Penny, Ana L	818962	Agent - Life	4/8/2014	10/1/2020
Inactive	Penny, Ana L	818962	Agent - Property	11/12/2013	10/1/2020
Inactive	Penny, Ana L	818962	Agent - Travel	9/16/2014	11/15/2017
Active	Rorie, Sandra	1203417	Agent - Casualty	6/15/2022
Active	Rorie, Sandra	1203417	Agent - Health	6/15/2022
Active	Rorie, Sandra	1203417	Agent - Property	6/15/2022
Active	Rorie, Sandra	1203417	Agent - Travel	6/15/2022
Active	Siegrist-Garten, Sheila	346746	Agent - Casualty	4/2/2021
Active	Siegrist-Garten, Sheila	346746	Agent - Property	4/2/2021
Inactive	Suggs, Patricia	856969	Agent - Casualty	4/3/2015	2/17/2022
Inactive	Suggs, Patricia	856969	Agent - Health	4/3/2015	2/17/2022
Inactive	Suggs, Patricia	856969	Agent - Life	4/3/2015	2/17/2022
Inactive	Suggs, Patricia	856969	Agent - Property	4/3/2015	2/17/2022
Inactive	Suggs, Patricia	856969	Agent - Travel	4/3/2015	11/15/2017
Inactive	Suggs, Patricia	856969	Surplus Lines Broker - Not Applicable	6/29/2016	2/17/2022
Inactive	Taylor, Elizabeth Greer	1032601	Agent - Casualty	5/24/2019	6/11/2020
Inactive	Taylor, Elizabeth Greer	1032601	Agent - Health	5/7/2019	6/11/2020
Inactive	Taylor, Elizabeth Greer	1032601	Agent - Life	5/7/2019	6/11/2020
Inactive	Taylor, Elizabeth Greer	1032601	Agent - Property	5/24/2019	6/11/2020
Inactive	Verghis, Philip Stephen	509538	Administrator - Not Applicable	2/23/2000	11/30/2004
Active	Wilkins, Mark Jeffrey	1034008	Agent - Casualty	8/27/2019
Active	Wilkins, Mark Jeffrey	1034008	Agent - Health	8/27/2019
Active	Wilkins, Mark Jeffrey	1034008	Agent - Life	12/17/2019
Active	Wilkins, Mark Jeffrey	1034008	Agent - Property	8/27/2019
Active	Wilkins, Mark Jeffrey	1034008	Agent - Travel	9/22/2020
Active	Williams, Angela	813210	Agent - Casualty	8/21/2013
Active	Williams, Angela	813210	Agent - Health	6/9/2014
Active	Williams, Angela	813210	Agent - Life	6/9/2014
Active	Williams, Angela	813210	Agent - Property	8/21/2013
Inactive	Williams, Angela	813210	Agent - Travel	9/16/2014	11/16/2017
Inactive	Wise, Hayley	818808	Agent - Casualty	11/12/2013	7/22/2014
Inactive	Wise, Hayley	818808	Agent - Health	4/8/2014	7/28/2014
Inactive	Wise, Hayley	818808	Agent - Life	4/8/2014	7/28/2014
Inactive	Wise, Hayley	818808	Agent - Property	11/12/2013	7/22/2014
Active	Wright, Rochelle L	812191	Agent - Casualty	8/21/2013
Active	Wright, Rochelle L	812191	Agent - Health	4/8/2014
Active	Wright, Rochelle L	812191	Agent - Life	4/8/2014
Active	Wright, Rochelle L	812191	Agent - Property	8/21/2013
Inactive	Wright, Rochelle L	812191	Agent - Travel	9/16/2014	11/16/2017
Active	Wright, Rochelle L	812191	Surplus Lines Broker - Not Applicable	6/29/2016