DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cleveland, Trish A.	DOIID	513727	NAIC NPN	2319827

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/18/2000		7/31/2026
Active	Non Resident	Agent	Property	8/18/2000		7/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2024	07/31/2024	06/16/2024	06/16/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	7/11/2014	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	7/11/2014	11/14/2021
Active	Bristol West Insurance Company	301655	Agent - Casualty	10/8/2016
Active	Bristol West Insurance Company	301655	Agent - Property	10/8/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/3/2016
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/3/2016
Active	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	6/3/2016
Active	Foremost Property and Casualty Insurance Company	300871	Agent - Property	6/3/2016
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	12/12/2013	8/25/2014
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	12/12/2013	8/25/2014
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/18/2000	11/13/2014
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/18/2000	11/13/2014
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	6/29/2019	9/20/2020
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	6/29/2019	9/20/2020
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	10/26/2011	9/20/2020
Inactive	Trumbull Insurance Company	300242	Agent - Property	10/26/2011	9/20/2020
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	11/24/2008	9/20/2020
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	11/24/2008	9/20/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Nutmeg Insurance Agency, Inc.	502156	Agent - Property	9/8/2014
Active	Nutmeg Insurance Agency, Inc.	502156	Agent - Casualty	9/8/2014