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DEPARTMENT OF INSURANCE
Affiliations
Name
Wells Fargo Insurance Services of Texas Inc
DOIID
505616
NAIC NPN
1651850
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Administrator
Not Applicable
4/10/2000
4/12/2010
Inactive
Non Resident
Agent
Casualty
10/21/2002
4/12/2010
Inactive
Non Resident
Agent
Life
2/6/2007
4/12/2010
Inactive
Non Resident
Agent
Property
10/21/2002
4/12/2010
Inactive
Non Resident
Agent
Health
8/31/2004
4/12/2010
Inactive
Non Resident
Surplus Lines Broker
Not Applicable
1/27/2009
4/12/2010
* 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
ACE American Insurance Company
300625
Agent - Casualty
12/4/2002
4/9/2010
Inactive
ACE American Insurance Company
300625
Agent - Health
11/19/2004
11/13/2009
Inactive
ACE American Insurance Company
300625
Agent - Property
12/4/2002
4/9/2010
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Health
4/30/2009
4/12/2010
Inactive
American General Life Insurance Company of Delaware
301057
Agent - Life
4/30/2009
4/12/2010
Inactive
American International Life Assurance Co. of NY
300433
Agent - Health
8/1/2009
4/12/2010
Inactive
American International Life Assurance Co. of NY
300433
Agent - Life
8/1/2009
4/12/2010
Inactive
American Interstate Insurance Company
301092
Agent - Casualty
3/20/2006
4/12/2010
Inactive
American Interstate Insurance Company
301092
Agent - Property
3/20/2006
4/12/2010
Inactive
Arch Insurance Company
300688
Agent - Casualty
10/22/2007
3/22/2010
Inactive
Arch Insurance Company
300688
Agent - Property
10/22/2007
3/22/2010
Inactive
Charter Oak Fire Insurance Company (The)
301501
Agent - Casualty
2/20/2008
4/12/2010
Inactive
Charter Oak Fire Insurance Company (The)
301501
Agent - Property
2/20/2008
4/12/2010
Inactive
Employers Insurance Company of Wausau
301813
Agent - Casualty
1/18/2010
1/27/2010
Inactive
Employers Insurance Company of Wausau
301813
Agent - Property
1/18/2010
1/27/2010
Inactive
Farmington Casualty Company
301137
Agent - Casualty
2/20/2008
4/12/2010
Inactive
Farmington Casualty Company
301137
Agent - Property
2/20/2008
4/12/2010
Inactive
First Liberty Insurance Corporation (The)
301060
Agent - Casualty
1/18/2010
1/27/2010
Inactive
First Liberty Insurance Corporation (The)
301060
Agent - Property
1/18/2010
1/27/2010
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Casualty
9/18/2009
4/12/2010
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Property
9/18/2009
4/12/2010
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
9/28/2009
2/19/2010
Inactive
Humana Insurance Company
301104
Agent - Health
9/28/2009
2/19/2010
Inactive
Humana Insurance Company
301104
Agent - Life
9/28/2009
2/19/2010
Inactive
Indemnity Insurance Company of North America
301760
Agent - Casualty
9/13/2008
4/9/2010
Inactive
Indemnity Insurance Company of North America
301760
Agent - Property
9/13/2008
4/9/2010
Inactive
Jefferson Pilot Financial Insurance Company
300756
Agent - Health
3/28/2005
7/2/2007
Inactive
LM Insurance Corporation
301061
Agent - Casualty
1/18/2010
1/27/2010
Inactive
LM Insurance Corporation
301061
Agent - Property
1/18/2010
1/27/2010
Inactive
Liberty Insurance Corporation
300444
Agent - Casualty
1/18/2010
1/27/2010
Inactive
Liberty Insurance Corporation
300444
Agent - Property
1/18/2010
1/27/2010
Inactive
Liberty Mutual Fire Insurance Company
301913
Agent - Casualty
1/18/2010
1/27/2010
Inactive
Liberty Mutual Fire Insurance Company
301913
Agent - Property
1/18/2010
1/27/2010
Inactive
Liberty Mutual Insurance Company
301159
Agent - Casualty
1/18/2010
1/27/2010
Inactive
Liberty Mutual Insurance Company
301159
Agent - Property
1/18/2010
1/27/2010
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
6/30/2007
4/12/2010
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
6/30/2007
4/12/2010
Inactive
Pacific Employers Insurance Company
301753
Agent - Casualty
9/13/2008
4/9/2010
Inactive
Pacific Employers Insurance Company
301753
Agent - Property
9/13/2008
4/9/2010
Inactive
Progressive Casualty Insurance Company
300696
Agent - Casualty
12/2/2004
2/18/2010
Inactive
Progressive Casualty Insurance Company
300696
Agent - Property
12/2/2004
2/18/2010
Inactive
Progressive Northern Insurance Company
301378
Agent - Casualty
12/2/2004
2/18/2010
Inactive
Progressive Northern Insurance Company
301378
Agent - Property
12/2/2004
2/18/2010
Inactive
Rural Community Insurance Company
301891
Agent - Casualty
6/12/2009
4/12/2010
Inactive
Rural Community Insurance Company
301891
Agent - Property
6/12/2009
4/12/2010
Inactive
St. Paul Fire and Marine Insurance Company
300782
Agent - Casualty
2/20/2008
4/12/2010
Inactive
St. Paul Fire and Marine Insurance Company
300782
Agent - Property
2/20/2008
4/12/2010
Inactive
St. Paul Guardian Insurance Company
301372
Agent - Casualty
2/20/2008
4/12/2010
Inactive
St. Paul Guardian Insurance Company
301372
Agent - Property
2/20/2008
4/12/2010
Inactive
St. Paul Mercury Insurance Company
300783
Agent - Casualty
2/20/2008
4/12/2010
Inactive
St. Paul Mercury Insurance Company
300783
Agent - Property
2/20/2008
4/12/2010
Inactive
Standard Fire Insurance Company (The)
301068
Agent - Casualty
2/20/2008
4/12/2010
Inactive
Standard Fire Insurance Company (The)
301068
Agent - Property
2/20/2008
4/12/2010
Inactive
The Phoenix Insurance Company
301502
Agent - Casualty
2/20/2008
4/12/2010
Inactive
The Phoenix Insurance Company
301502
Agent - Property
2/20/2008
4/12/2010
Inactive
Travelers Casualty Insurance Company of America
300522
Agent - Casualty
2/20/2008
4/12/2010
Inactive
Travelers Casualty Insurance Company of America
300522
Agent - Property
2/20/2008
4/12/2010
Inactive
Travelers Casualty and Surety Company
301067
Agent - Casualty
2/20/2008
4/12/2010
Inactive
Travelers Casualty and Surety Company
301067
Agent - Property
2/20/2008
4/12/2010
Inactive
Travelers Casualty and Surety Company of America
301334
Agent - Casualty
2/20/2008
4/12/2010
Inactive
Travelers Casualty and Surety Company of America
301334
Agent - Property
2/20/2008
4/12/2010
Inactive
Travelers Indemnity Company (The)
301855
Agent - Casualty
2/20/2008
4/12/2010
Inactive
Travelers Indemnity Company (The)
301855
Agent - Property
2/20/2008
4/12/2010
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Casualty
2/20/2008
4/12/2010
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Property
2/20/2008
4/12/2010
Inactive
Travelers Indemnity Company of Connecticut (The)
301591
Agent - Casualty
2/20/2008
4/12/2010
Inactive
Travelers Indemnity Company of Connecticut (The)
301591
Agent - Property
2/20/2008
4/12/2010
Inactive
Travelers Property Casualty Company of America
301649
Agent - Casualty
2/20/2008
4/12/2010
Inactive
Travelers Property Casualty Company of America
301649
Agent - Property
2/20/2008
4/12/2010
Inactive
United Concordia Dental Plans of Kentucky Inc.
301923
Agent - Health
11/9/2009
4/12/2010
Inactive
United Concordia Life and Health Insurance Company
301220
Agent - Health
11/9/2009
4/12/2010
Inactive
United Financial Casualty Company
301886
Agent - Casualty
12/2/2005
2/18/2010
Inactive
United Financial Casualty Company
301886
Agent - Property
12/2/2005
2/18/2010
Inactive
Wausau Business Insurance Company
301476
Agent - Casualty
1/18/2010
1/27/2010
Inactive
Wausau Business Insurance Company
301476
Agent - Property
1/18/2010
1/27/2010
Inactive
Wausau Underwriters Insurance Company
301105
Agent - Casualty
1/18/2010
1/27/2010
Inactive
Wausau Underwriters Insurance Company
301105
Agent - Property
1/18/2010
1/27/2010
Inactive
Western Surety Company
300283
Agent - Casualty
2/18/2008
3/11/2010
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Denied
Belman, Brent James
702563
Agent - Casualty
Denied
Belman, Brent James
702563
Agent - Property
Denied
Dieterich, Tracy Lee
704283
Agent - Health
Denied
Dieterich, Tracy Lee
704283
Agent - Life
Inactive
Donnelly, James R
592457
Agent - Casualty
2/14/2008
4/12/2010
Inactive
Donnelly, James R
592457
Agent - Health
6/15/2009
4/12/2010
Inactive
Donnelly, James R
592457
Agent - Life
6/15/2009
4/12/2010
Inactive
Donnelly, James R
592457
Agent - Property
2/14/2008
4/12/2010
Inactive
Donnelly, James R
592457
Surplus Lines Broker - Not Applicable
6/15/2009
4/12/2010
Inactive
Jelinek, Michael Kirk
680699
Agent - Casualty
8/29/2008
3/31/2010
Inactive
Jelinek, Michael Kirk
680699
Agent - Property
8/29/2008
3/31/2010
Denied
Lee, Randy Edmond
698220
Agent - Health
Denied
Lee, Randy Edmond
698220
Agent - Life
Inactive
Mitchell, Kenneth Neil
369188
Agent - Casualty
12/28/2007
3/31/2010
Inactive
Mitchell, Kenneth Neil
369188
Agent - Property
12/28/2007
3/31/2010
Inactive
Pozmantier, Jeffrey Louis
505617
Administrator - Not Applicable
4/10/2000
4/12/2010
Inactive
Pozmantier, Jeffrey Louis
505617
Agent - Casualty
1/31/2005
6/15/2009
Inactive
Pozmantier, Jeffrey Louis
505617
Agent - Health
8/31/2004
6/15/2009
Inactive
Pozmantier, Jeffrey Louis
505617
Agent - Life
2/6/2007
6/15/2009
Inactive
Pozmantier, Jeffrey Louis
505617
Agent - Property
1/31/2005
6/15/2009
Inactive
Pozmantier, Jeffrey Louis
505617
Surplus Lines Broker - Not Applicable
1/27/2009
4/12/2010
Inactive
Sanders, William Dean
649868
Agent - Casualty
6/18/2009
4/12/2010
Denied
Sanders, William Dean
649868
Agent - Health
Denied
Sanders, William Dean
649868
Agent - Life
Inactive
Sanders, William Dean
649868
Agent - Property
6/18/2009
4/12/2010
Inactive
Stenicka, Brooke
574726
Agent - Casualty
12/28/2007
3/31/2010
Inactive
Stenicka, Brooke
574726
Agent - Property
12/28/2007
3/31/2010
Inactive
Williams, Jay Ludwig
311515
Agent - Casualty
10/21/2002
1/31/2005
Inactive
Williams, Jay Ludwig
311515
Agent - Property
10/21/2002
1/31/2005
Denied
Zimmerman, Kimberly Hope
696342
Agent - Casualty
Denied
Zimmerman, Kimberly Hope
696342
Agent - Property
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