DEPARTMENT OF INSURANCE

Affiliations

Name	Camico Services, Inc. DBA : Camico Insurance Services	DOIID	510811	NAIC NPN	1641512

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/15/2000		3/31/2026
Active	Non Resident	Agent	Property	8/15/2000		3/31/2026
Inactive	Non Resident	Agent	General Lines	7/13/2000	8/15/2000
Active	Non Resident	Independent Adjuster	Property & Casualty	7/22/2010		3/31/2026
Inactive	Non Resident	Managing General Agent	Not Applicable	6/15/2011	3/22/2021
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	5/18/2018	8/22/2018
* 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	CAMICO Mutual Insurance Company	517952	Agent - Casualty	7/31/2001
Active	CAMICO Mutual Insurance Company	517952	Agent - Property	7/31/2001
Inactive	Design Professionals Insurance Company	301608	Agent - Casualty	8/15/2000	12/31/2002
Inactive	Design Professionals Insurance Company	301608	Agent - General Lines	7/13/2000	8/15/2000
Inactive	Design Professionals Insurance Company	301608	Agent - Property	8/15/2000	12/31/2002
Active	Great Divide Insurance Company	301636	Agent - Casualty	10/30/2014
Active	Great Divide Insurance Company	301636	Agent - Property	10/30/2014
Inactive	Liberty Insurance Underwriters Inc.	301896	Agent - Casualty	3/4/2010	1/3/2011
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	1/3/2011
Inactive	Liberty Insurance Underwriters Inc.	301896	Agent - Property	3/4/2010	1/3/2011
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Property	1/3/2011
Inactive	Security Insurance Company of Hartford	300973	Agent - Casualty	12/31/2002	6/14/2007
Inactive	Security Insurance Company of Hartford	300973	Agent - Property	12/31/2002	6/14/2007
Active	Trumbull Insurance Company	300242	Agent - Casualty	6/9/2024
Active	Trumbull Insurance Company	300242	Agent - Property	6/9/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aubrey, Mark Allen	589435	Independent Adjuster - Property & Casualty	10/13/2011	5/18/2020
Active	Bacher, Richard E	574887	Agent - Casualty	8/3/2022
Denied	Bacher, Richard E	574887	Agent - Property
Active	Bullard, Beverly Kay	1111541	Agent - Casualty	8/3/2022
Denied	Bullard, Beverly Kay	1111541	Agent - Property
Inactive	Dennis, Gail Ann	509371	Agent - Casualty	2/11/2005	4/28/2010
Inactive	Dennis, Gail Ann	509371	Agent - General Lines	7/13/2000	8/15/2000
Inactive	Dennis, Gail Ann	509371	Agent - Property	2/11/2005	4/28/2010
Active	Evans, Alpa Patel	932086	Agent - Casualty	8/3/2022
Denied	Evans, Alpa Patel	932086	Agent - Property
Active	Florian, Gary Matthew	943053	Agent - Casualty	2/10/2017
Active	Florian, Gary Matthew	943053	Agent - Property	2/15/2017
Inactive	Florian, Gary Matthew	943053	Surplus Lines Broker - Not Applicable	5/18/2018	8/22/2018
Active	Hauptman, Harris	509369	Agent - Casualty	7/9/2014
Inactive	Hauptman, Harris	509369	Agent - General Lines	7/13/2000	8/15/2000
Active	Hauptman, Harris	509369	Agent - Property	7/9/2014
Active	Jawgiel, Ruth Anastasia	878512	Independent Adjuster - Property & Casualty	5/18/2020
Active	Olivares, Agustin Nicolas	1210202	Agent - Casualty	8/3/2022
Denied	Olivares, Agustin Nicolas	1210202	Agent - Property
Active	Painter, Rachel Joy	795318	Agent - Casualty	7/9/2014
Active	Painter, Rachel Joy	795318	Agent - Property	7/9/2014
Inactive	Piety, Christopher Gay	729725	Independent Adjuster - Property & Casualty	7/22/2010	10/4/2011
Inactive	Porter, David Campbell	678468	Agent - Casualty	8/31/2009	1/31/2013
Inactive	Robison, Shelly Jean	601341	Agent - Casualty	8/31/2009	2/10/2017
Denied	Robison, Shelly Jean	601341	Agent - Property
Inactive	Rogers, Kacey Marie	829588	Agent - Casualty	7/9/2014	9/1/2015
Inactive	Witherspoon, John	688335	Agent - Casualty	8/31/2009	12/3/2014
Inactive	Witherspoon, John	688335	Agent - Property	8/31/2009	12/3/2014
Inactive	Witherspoon, John	688335	Surplus Lines Broker - Not Applicable	7/2/2009	11/9/2009