DEPARTMENT OF INSURANCE

Affiliations

Name	CBIZ Ins Services Inc	DOIID	515291	NAIC NPN	1996314

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	5/2/2005	3/31/2027
Active	Non Resident	Agent	Casualty	5/2/2005	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	8/9/2007	3/31/2027
* 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	01/15/2025	03/31/2025	03/03/2025	03/03/2025	Yes
Surplus Lines Broker	01/15/2025	03/31/2025	03/03/2025	03/03/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	3/10/2006	9/17/2011
Inactive	21st Century North America Insurance Company	300884	Agent - Property	3/10/2006	9/17/2011
Active	ACE American Insurance Company	300625	Agent - Casualty	3/17/2016
Active	ACE American Insurance Company	300625	Agent - Property	3/17/2016
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	3/17/2016
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	3/17/2016
Active	AIG Property Casualty Company	300621	Agent - Casualty	9/3/2019
Active	AIG Property Casualty Company	300621	Agent - Property	9/3/2019
Inactive	Allegheny Casualty Company	545740	Agent - Casualty	4/24/2014	12/22/2020
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	5/31/2024
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	5/31/2024
Active	AmTrust Insurance Company	300179	Agent - Casualty	3/1/2024
Active	AmTrust Insurance Company	300179	Agent - Property	3/1/2024
Active	American Alternative Insurance Corporation	301697	Agent - Casualty	3/1/2017
Active	American Alternative Insurance Corporation	301697	Agent - Property	3/1/2017
Active	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	6/16/2006
Active	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	6/16/2006
Active	American Economy Insurance Company	300315	Agent - Casualty	5/10/2024
Active	American Economy Insurance Company	300315	Agent - Property	5/10/2024
Active	American Family Home Insurance Company	301817	Agent - Casualty	8/13/2020
Active	American Family Home Insurance Company	301817	Agent - Property	8/13/2020
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	8/12/2008	3/29/2024
Inactive	American Fire and Casualty Company	300567	Agent - Property	8/12/2008	3/29/2024
Active	American Home Assurance Company	300246	Agent - Casualty	3/10/2006
Active	American Home Assurance Company	300246	Agent - Property	3/10/2006
Inactive	American Pet Insurance Company, Inc.	301240	Agent - Casualty	10/14/2021	12/7/2023
Inactive	American Pet Insurance Company, Inc.	301240	Agent - Property	10/14/2021	12/7/2023
Inactive	American and Foreign Insurance Company	301124	Agent - Casualty	7/16/2003	12/29/2004
Inactive	American and Foreign Insurance Company	301124	Agent - Property	7/16/2003	12/29/2004
Active	Arch Indemnity Insurance Company	301459	Agent - Casualty	1/31/2022
Active	Arch Indemnity Insurance Company	301459	Agent - Property	1/31/2022
Active	Arch Insurance Company	300688	Agent - Casualty	9/17/2009
Active	Arch Insurance Company	300688	Agent - Property	9/17/2009
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	2/29/2024
Active	Auto-Owners Insurance Company	301480	Agent - Property	2/29/2024
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	10/8/2019
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	10/8/2019
Active	BCS Insurance Company	300294	Agent - Casualty	12/21/2016
Active	BCS Insurance Company	300294	Agent - Property	12/21/2016
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	4/6/2016
Active	Bankers Standard Insurance Company	301620	Agent - Property	4/6/2016
Active	Benchmark Insurance Company	300374	Agent - Casualty	4/4/2019
Active	Benchmark Insurance Company	300374	Agent - Property	4/4/2019
Active	Berkley National Insurance Company	515028	Agent - Casualty	8/23/2016
Active	Berkley National Insurance Company	515028	Agent - Property	8/23/2016
Active	Berkley Regional Insurance Company	300920	Agent - Casualty	8/23/2016
Active	Berkley Regional Insurance Company	300920	Agent - Property	8/23/2016
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	4/28/2014	12/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	4/28/2014	12/7/2017
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	5/4/2005
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	5/4/2005
Active	Church Mutual Insurance Company, S.I.	301554	Agent - Casualty	9/28/2023
Active	Church Mutual Insurance Company, S.I.	301554	Agent - Property	9/28/2023
Active	Commerce and Industry Insurance Company	300881	Agent - Casualty	3/10/2006
Active	Commerce and Industry Insurance Company	300881	Agent - Property	3/10/2006
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/12/2008	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/12/2008	10/13/2022
Active	Continental Casualty Company	301019	Agent - Casualty	6/16/2006
Active	Continental Casualty Company	301019	Agent - Property	6/16/2006
Active	Continental Insurance Company (The)	301242	Agent - Casualty	6/16/2006
Active	Continental Insurance Company (The)	301242	Agent - Property	6/16/2006
Inactive	Employers Assurance Company	300120	Agent - Casualty	11/5/2021	1/3/2024
Inactive	Employers Compensation Insurance Company	797885	Agent - Casualty	11/5/2021	1/3/2024
Inactive	Employers Preferred Insurance Company	520656	Agent - Casualty	11/5/2021	1/3/2024
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	7/22/2021
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	7/22/2021
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	7/22/2021
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	7/22/2021
Active	Farmington Casualty Company	301137	Agent - Casualty	10/6/2017
Active	Farmington Casualty Company	301137	Agent - Property	10/6/2017
Active	Federal Insurance Company	301144	Agent - Casualty	5/26/2005
Active	Federal Insurance Company	301144	Agent - Property	5/26/2005
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Property	1/28/2003	12/29/2004
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Property	1/28/2003	12/29/2004
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/9/2009
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/9/2009
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	2/8/2013	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	2/8/2013	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	2/8/2013	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	2/8/2013	8/29/2018
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	3/11/2016	4/30/2019
Inactive	Glatfelter Insurance Company	301640	Agent - Property	3/11/2016	4/30/2019
Inactive	Great American Insurance Company	301586	Agent - Casualty	9/28/2015	12/7/2018
Inactive	Great American Insurance Company	301586	Agent - Property	9/28/2015	12/7/2018
Active	Great Northern Insurance Company	301107	Agent - Casualty	4/1/2020
Active	Great Northern Insurance Company	301107	Agent - Property	4/1/2020
Active	HDI Global Insurance Company	676678	Agent - Casualty	8/7/2023
Active	HDI Global Insurance Company	676678	Agent - Property	8/7/2023
Inactive	Hallmark National Insurance Company	300494	Agent - Casualty	7/22/2010	11/10/2017
Inactive	Hallmark National Insurance Company	300494	Agent - Property	7/22/2010	11/10/2017
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	5/5/2005	11/10/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	5/5/2005	11/10/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	5/5/2005	11/10/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	5/5/2005	11/10/2008
Active	Hartford Fire Insurance Company	300628	Agent - Casualty	4/5/2010
Active	Hartford Fire Insurance Company	300628	Agent - Property	4/5/2010
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	5/5/2005	11/10/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	5/5/2005	11/10/2008
Active	Hartford Underwriters Insurance Company	301064	Agent - Casualty	9/4/2022
Active	Hartford Underwriters Insurance Company	301064	Agent - Property	9/4/2022
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	3/17/2016
Active	Indemnity Insurance Company of North America	301760	Agent - Property	3/17/2016
Active	Independence American Insurance Company	524747	Agent - Casualty	6/9/2023
Active	Independence American Insurance Company	524747	Agent - Property	6/9/2023
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/12/2008	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	8/12/2008	2/3/2023
Active	Jefferson Insurance Company	301127	Agent - Casualty	12/21/2016
Active	Jefferson Insurance Company	301127	Agent - Property	12/21/2016
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	4/12/2021
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Property	4/12/2021
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	3/16/2015
Active	Liberty Mutual Insurance Company	301159	Agent - Property	3/16/2015
Active	Manufacturers Alliance Insurance Company	519940	Agent - Casualty	6/4/2008
Active	Manufacturers Alliance Insurance Company	519940	Agent - Property	6/4/2008
Inactive	Markel American Insurance Company	300377	Agent - Casualty	6/8/2011	11/28/2017
Inactive	Markel American Insurance Company	300377	Agent - Property	6/8/2011	11/28/2017
Active	Markel Insurance Company	301475	Agent - Casualty	12/14/2010
Active	Markel Insurance Company	301475	Agent - Property	12/14/2010
Active	Medical Protective Company (The)	301207	Agent - Casualty	1/5/2009
Active	Medical Protective Company (The)	301207	Agent - Property	1/5/2009
Inactive	Medicus Insurance Company	750731	Agent - Casualty	5/27/2014	1/1/2018
Inactive	Meridian Citizens Mutual Insurance Company	300935	Agent - Casualty	3/20/2014	6/30/2014
Inactive	Meridian Citizens Mutual Insurance Company	300935	Agent - Property	3/20/2014	6/30/2014
Active	Meridian Security Insurance Company	300423	Agent - Casualty	7/22/2010
Active	Meridian Security Insurance Company	300423	Agent - Property	7/22/2010
Active	Milbank Insurance Company	925185	Agent - Casualty	11/8/2017
Active	Milbank Insurance Company	925185	Agent - Property	11/8/2017
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	3/1/2024
Active	Milford Casualty Insurance Company	301460	Agent - Property	3/1/2024
Active	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	7/10/2013
Active	Mount Vernon Fire Insurance Company	301397	Agent - Property	7/10/2013
Active	NORCAL Insurance Company	301971	Agent - Casualty	5/5/2017
Active	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/12/2019
Active	National Fire Insurance Company of Hartford	301063	Agent - Property	8/12/2019
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	4/25/2021
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	4/25/2021
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/12/2008	5/10/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/12/2008	5/10/2024
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/12/2008	3/29/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	8/12/2008	3/29/2024
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	10/31/2007	2/20/2018
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	10/31/2007	2/20/2018
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	8/12/2008	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Property	8/12/2008	3/29/2024
Inactive	Owners Insurance Company	300796	Agent - Casualty	11/30/2018	4/22/2021
Inactive	Owners Insurance Company	300796	Agent - Property	11/30/2018	4/22/2021
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	4/6/2016
Active	Pacific Employers Insurance Company	301753	Agent - Property	4/6/2016
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	8/12/2008	9/26/2024
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	8/12/2008	9/26/2024
Active	Peerless Insurance Company	301910	Agent - Casualty	8/12/2008
Active	Peerless Insurance Company	301910	Agent - Property	8/12/2008
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Casualty	6/4/2008
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Property	6/4/2008
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Casualty	6/4/2008
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Property	6/4/2008
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	10/20/2021
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	10/20/2021
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	9/1/2019
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	9/1/2019
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	4/12/2017
Active	Progressive Casualty Insurance Company	300696	Agent - Property	4/12/2017
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	4/14/2006	12/9/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	4/14/2006	12/9/2013
Active	RLI Insurance Company	301217	Agent - Casualty	10/10/2017
Active	RLI Insurance Company	301217	Agent - Property	10/10/2017
Inactive	Royal Insurance Company of America	301120	Agent - Casualty	9/24/2001	12/29/2004
Inactive	Royal Insurance Company of America	301120	Agent - Property	9/24/2001	12/29/2004
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/1/2016	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/1/2016	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/1/2016	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/1/2016	3/29/2024
Inactive	Samsung Fire & Marine Insurance Co., Ltd (US Branch)	752518	Agent - Casualty	11/25/2013	7/30/2015
Inactive	Samsung Fire & Marine Insurance Co., Ltd (US Branch)	752518	Agent - Property	11/25/2013	7/30/2015
Active	Security National Insurance Company	301151	Agent - Casualty	3/1/2024
Active	Security National Insurance Company	301151	Agent - Property	3/1/2024
Active	Selective Insurance Company of America	500018	Agent - Casualty	6/18/2007
Active	Selective Insurance Company of America	500018	Agent - Property	6/18/2007
Active	Selective Insurance Company of South Carolina	500012	Agent - Casualty	6/18/2007
Active	Selective Insurance Company of South Carolina	500012	Agent - Property	6/18/2007
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	6/18/2007
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	6/18/2007
Active	Sentinel Insurance Company, Limited	501696	Agent - Casualty	6/15/2020
Active	Sentinel Insurance Company, Limited	501696	Agent - Property	6/15/2020
Active	Sequoia Insurance Company	628046	Agent - Casualty	3/1/2024
Active	Sequoia Insurance Company	628046	Agent - Property	3/1/2024
Active	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	9/19/2013
Active	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	9/19/2013
Active	St. Paul Guardian Insurance Company	301372	Agent - Casualty	10/6/2017
Active	St. Paul Guardian Insurance Company	301372	Agent - Property	10/6/2017
Active	St. Paul Mercury Insurance Company	300783	Agent - Casualty	10/6/2017
Active	St. Paul Mercury Insurance Company	300783	Agent - Property	10/6/2017
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	10/6/2017
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	10/6/2017
Active	StarNet Insurance Company	502746	Agent - Casualty	8/23/2016
Active	StarNet Insurance Company	502746	Agent - Property	8/23/2016
Active	Starr Indemnity and Liability Company	301685	Agent - Casualty	12/9/2019
Active	Starr Indemnity and Liability Company	301685	Agent - Property	12/9/2019
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	7/22/2010
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	7/22/2010
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	7/22/2010
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	7/22/2010
Inactive	Stratford Insurance Company	301329	Agent - Casualty	12/15/2010	12/13/2016
Inactive	Stratford Insurance Company	301329	Agent - Property	12/15/2010	12/13/2016
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021
Active	Technology Insurance Company	613278	Agent - Casualty	3/1/2024
Active	Technology Insurance Company	613278	Agent - Property	3/1/2024
Active	The Phoenix Insurance Company	301502	Agent - Casualty	10/6/2017
Active	The Phoenix Insurance Company	301502	Agent - Property	10/6/2017
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	6/16/2006	9/26/2007
Inactive	Transcontinental Insurance Company	301731	Agent - Property	6/16/2006	9/26/2007
Active	Transportation Insurance Company	301575	Agent - Casualty	6/16/2006
Active	Transportation Insurance Company	301575	Agent - Property	6/16/2006
Inactive	TravCo Personal Insurance Company	301284	Agent - Property	1/28/2003	12/29/2004
Active	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	1/11/2017
Active	Travelers Casualty Insurance Company of America	300522	Agent - Property	1/11/2017
Active	Travelers Casualty and Surety Company	301067	Agent - Casualty	10/6/2017
Active	Travelers Casualty and Surety Company	301067	Agent - Property	10/6/2017
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	9/12/2016
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	9/12/2016
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	5/9/2006	12/9/2009
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	5/9/2006	12/9/2009
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	2/22/2008	12/5/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	2/22/2008	12/5/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	5/23/2007	12/5/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	5/23/2007	12/5/2013
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	2/7/2017
Active	Travelers Indemnity Company (The)	301855	Agent - Property	2/7/2017
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	5/4/2005
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	5/4/2005
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	5/4/2005
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	5/4/2005
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	10/2/2019
Active	Travelers Personal Insurance Company	705785	Agent - Property	10/2/2019
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	5/4/2005
Active	Travelers Property Casualty Company of America	301649	Agent - Property	5/4/2005
Active	Tri-State Insurance Company of Minnesota	663528	Agent - Casualty	8/23/2016
Active	Tri-State Insurance Company of Minnesota	663528	Agent - Property	8/23/2016
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	5/5/2005	12/10/2018
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	5/5/2005	12/10/2018
Active	United Financial Casualty Company	301886	Agent - Casualty	4/12/2017
Active	United Financial Casualty Company	301886	Agent - Property	4/12/2017
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	5/4/2005	12/9/2009
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	5/4/2005	12/9/2009
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	6/16/2006	12/11/2017
Inactive	Valley Forge Insurance Company	301052	Agent - Property	6/16/2006	12/11/2017
Active	Vigilant Insurance Company	301143	Agent - Casualty	6/9/2005
Active	Vigilant Insurance Company	301143	Agent - Property	6/9/2005
Active	Wesco Insurance Company	300534	Agent - Casualty	3/1/2024
Active	Wesco Insurance Company	300534	Agent - Property	3/1/2024
Active	West American Insurance Company	301112	Agent - Casualty	2/16/2025
Active	West American Insurance Company	301112	Agent - Property	2/16/2025
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	3/17/2016
Active	Westchester Fire Insurance Company	300990	Agent - Property	3/17/2016
Active	Western Surety Company	300283	Agent - Casualty	6/2/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Alba, Susan K	831411	Agent - Casualty	5/8/2014
Active	Alba, Susan K	831411	Agent - Property	5/8/2014
Inactive	Arnold, David Blaine	641546	Agent - Casualty	12/14/2006	11/5/2009
Inactive	Arnold, David Blaine	641546	Agent - Property	12/14/2006	11/5/2009
Inactive	Augustyn, Patricia Katherine	895335	Agent - Casualty	6/14/2016	11/27/2017
Inactive	Augustyn, Patricia Katherine	895335	Agent - Property	6/14/2016	11/27/2017
Inactive	Bancroft, Simon	576076	Surplus Lines Broker - Not Applicable	5/5/2008	10/16/2008
Denied	Beck, Paul Andrew	796018	Agent - Casualty
Denied	Beck, Paul Andrew	796018	Agent - Property
Denied	Bennett, Brooke Michelle	886521	Agent - Casualty
Denied	Bennett, Brooke Michelle	886521	Agent - Property
Denied	Bliss, Amber	919850	Agent - Casualty
Denied	Bliss, Amber	919850	Agent - Property
Inactive	Bliss, Amber	919850	Surplus Lines Broker - Not Applicable	8/10/2016	1/24/2020
Active	Boers, Bradley C	713865	Agent - Casualty	12/6/2023
Active	Boers, Bradley C	713865	Agent - Property	12/6/2023
Active	Borden, Douglas C	363204	Agent - Casualty	3/9/2021
Active	Borden, Douglas C	363204	Agent - Property	3/9/2021
Inactive	Boyle, Arthur S	661436	Agent - Casualty	3/10/2010	7/19/2010
Inactive	Boyle, Arthur S	661436	Agent - Property	3/10/2010	7/19/2010
Inactive	Boynton, John C	617665	Agent - Casualty	6/14/2017	11/30/2019
Inactive	Boynton, John C	617665	Agent - Property	11/1/2017	11/30/2019
Inactive	Brown, Celeste Mattorano	1123142	Agent - Casualty	6/22/2021	8/23/2022
Inactive	Brown, Celeste Mattorano	1123142	Agent - Property	6/22/2021	8/23/2022
Denied	Brown, David F	925190	Agent - Casualty
Denied	Brown, David F	925190	Agent - Property
Inactive	Brown, David F	925190	Surplus Lines Broker - Not Applicable	8/23/2016	11/6/2020
Inactive	Burnham, Scott K	549518	Agent - Casualty	5/15/2006	9/7/2011
Inactive	Burnham, Scott K	549518	Agent - Property	5/15/2006	9/7/2011
Inactive	Butcher, Donald J	604224	Agent - Casualty	2/7/2020	12/26/2023
Inactive	Butcher, Donald J	604224	Agent - Property	2/7/2020	12/26/2023
Active	Callaway, Jay M	361527	Agent - Casualty	3/22/2016
Active	Callaway, Jay M	361527	Agent - Property	3/22/2016
Inactive	Carmichael, Arthur Commons	391191	Agent - Casualty	2/9/2006	9/30/2008
Inactive	Carmichael, Arthur Commons	391191	Agent - Property	2/9/2006	9/30/2008
Inactive	Clark, Avery A	831406	Agent - Casualty	5/8/2014	9/26/2018
Inactive	Clark, Avery A	831406	Agent - Property	5/8/2014	9/26/2018
Inactive	Crawford, Kyle	1048527	Agent - Casualty	3/9/2021	10/3/2022
Inactive	Crawford, Kyle	1048527	Agent - Property	3/9/2021	10/3/2022
Denied	Cronk, David Louis	885586	Agent - Casualty
Denied	Cronk, David Louis	885586	Agent - Property
Inactive	Cryan, Gregory James	693043	Agent - Casualty	8/15/2013	8/14/2024
Inactive	Cryan, Gregory James	693043	Agent - Property	8/15/2013	8/14/2024
Denied	Dashiell, Barbara Jeanne	911557	Agent - Casualty
Denied	Dashiell, Barbara Jeanne	911557	Agent - Property
Inactive	Dashiell, Barbara Jeanne	911557	Surplus Lines Broker - Not Applicable	8/10/2016	3/3/2017
Inactive	Deal, Robert Steven	846337	Agent - Casualty	12/6/2023	8/14/2024
Inactive	Deal, Robert Steven	846337	Agent - Property	12/6/2023	8/14/2024
Inactive	Dolan, Sean K	723122	Agent - Casualty	6/27/2019	11/13/2024
Inactive	Dolan, Sean K	723122	Agent - Property	6/27/2019	11/13/2024
Inactive	Dolan, Sean K	723122	Surplus Lines Broker - Not Applicable	6/27/2019	7/22/2024
Inactive	Ebersberger, Arthur Darryl	657836	Agent - Casualty	11/20/2008	8/23/2022
Inactive	Ebersberger, Arthur Darryl	657836	Agent - Property	11/20/2008	8/23/2022
Denied	Einer, Lindsay Marie	914400	Agent - Casualty
Denied	Einer, Lindsay Marie	914400	Agent - Property
Inactive	Epps, Latoya Y	931014	Agent - Casualty	11/10/2016	5/16/2017
Inactive	Epps, Latoya Y	931014	Agent - Property	11/10/2016	5/16/2017
Inactive	Fetchero, Michael Anthony	513171	Agent - Casualty	5/2/2005	3/31/2020
Inactive	Fetchero, Michael Anthony	513171	Agent - Property	5/2/2005	3/31/2020
Inactive	Fetchero, Michael Anthony	513171	Surplus Lines Broker - Not Applicable	5/16/2017	3/31/2020
Denied	Fling, Deborah	919869	Agent - Casualty
Denied	Fling, Deborah	919869	Agent - Property
Inactive	Fling, Deborah	919869	Surplus Lines Broker - Not Applicable	10/5/2016	1/24/2020
Denied	Frazee, Leslie Katherine	974565	Agent - Casualty
Denied	Frazee, Leslie Katherine	974565	Agent - Property
Active	Frazee, Leslie Katherine	974565	Surplus Lines Broker - Not Applicable	10/30/2017
Inactive	Garguilo, Michael Allan	587248	Agent - Casualty	12/30/2021	5/9/2023
Inactive	Garguilo, Michael Allan	587248	Agent - Property	12/30/2021	5/9/2023
Inactive	George, Joseph Paul	565184	Agent - Casualty	5/2/2005	11/2/2016
Inactive	George, Joseph Paul	565184	Agent - Property	5/2/2005	11/2/2016
Inactive	Gill, Mary Elizabeth	925333	Agent - Casualty	9/9/2016	5/8/2019
Inactive	Gill, Mary Elizabeth	925333	Agent - Property	9/9/2016	5/8/2019
Inactive	Gill, Mary Elizabeth	925333	Surplus Lines Broker - Not Applicable	8/30/2016	5/8/2019
Active	Gill, Michael Joseph	633595	Agent - Casualty	9/2/2010
Active	Gill, Michael Joseph	633595	Agent - Property	9/2/2010
Active	Gill, Michael Joseph	633595	Surplus Lines Broker - Not Applicable	4/6/2016
Denied	Goss, Ciaran Timothy	1123129	Agent - Casualty
Denied	Goss, Ciaran Timothy	1123129	Agent - Property
Inactive	Graham, Tracy Lynn	831413	Agent - Casualty	5/8/2014	6/27/2017
Inactive	Graham, Tracy Lynn	831413	Agent - Property	5/8/2014	6/27/2017
Denied	Green, Joshua Lee	1046228	Agent - Casualty
Denied	Green, Joshua Lee	1046228	Agent - Property
Inactive	Green, Joshua Lee	1046228	Surplus Lines Broker - Not Applicable	7/5/2019	11/6/2020
Inactive	Griffin, Holly H	337635	Agent - Casualty	2/24/2003	2/20/2004
Inactive	Griffin, Holly H	337635	Agent - Property	2/24/2003	2/20/2004
Denied	Guerra, Jenny	1234392	Agent - Casualty
Denied	Guerra, Jenny	1234392	Agent - Property
Active	Guzman, Nelson Daniel	754258	Agent - Casualty	10/8/2012
Active	Guzman, Nelson Daniel	754258	Agent - Property	10/8/2012
Active	Guzman, Nelson Daniel	754258	Surplus Lines Broker - Not Applicable	10/8/2012
Active	Hadley, Nicholas T	731552	Agent - Casualty	7/30/2010
Active	Hadley, Nicholas T	731552	Agent - Property	7/30/2010
Inactive	Hannon, Timothy M	931224	Agent - Casualty	11/11/2016	3/3/2017
Inactive	Hannon, Timothy M	931224	Agent - Property	11/11/2016	3/3/2017
Inactive	Hansey, Erik W	911756	Agent - Casualty	6/3/2016	9/9/2016
Inactive	Hansey, Erik W	911756	Agent - Property	6/3/2016	9/9/2016
Denied	Head, Linda Marie	981529	Agent - Casualty
Denied	Head, Linda Marie	981529	Agent - Property
Inactive	Heinze, Courtney Joy	682791	Agent - Casualty	8/15/2008	3/3/2009
Inactive	Heinze, Courtney Joy	682791	Agent - Property	8/15/2008	3/3/2009
Inactive	Ignasiak, Bradley Thomas	654180	Agent - Casualty	6/28/2011	10/3/2012
Inactive	Ignasiak, Bradley Thomas	654180	Agent - Property	6/28/2011	10/3/2012
Inactive	Isaac, Betty	926333	Agent - Casualty	9/8/2016	4/21/2020
Inactive	Isaac, Betty	926333	Agent - Property	9/8/2016	4/21/2020
Inactive	Isaac, Betty	926333	Surplus Lines Broker - Not Applicable	10/5/2016	4/21/2020
Inactive	Jenkins, Emeth	505365	Agent - Casualty	12/17/2020	1/26/2021
Inactive	Jenkins, Emeth	505365	Agent - Property	12/17/2020	1/26/2021
Denied	Jessen, Daniel L	1017625	Agent - Casualty
Denied	Jessen, Daniel L	1017625	Agent - Property
Inactive	Kaelin, Robert William	321685	Agent - Casualty	8/19/2013	3/1/2021
Inactive	Kaelin, Robert William	321685	Agent - Property	8/19/2013	3/1/2021
Denied	Kaptain, Jocelyn L	809568	Agent - Casualty
Denied	Kaptain, Jocelyn L	809568	Agent - Property
Inactive	Lefler, Kristi M	698228	Agent - Casualty	3/26/2009	5/7/2012
Inactive	Lefler, Kristi M	698228	Agent - Property	3/26/2009	5/7/2012
Inactive	Levin, Stuart Jay	876514	Agent - Casualty	6/3/2016	6/10/2016
Inactive	Levin, Stuart Jay	876514	Agent - Property	6/3/2016	6/10/2016
Inactive	Lowery Gordon, Eva Marie	607661	Agent - Casualty	6/1/2005	7/15/2020
Inactive	Lowery Gordon, Eva Marie	607661	Agent - Property	6/1/2005	7/15/2020
Active	Lukat-Graham, Jennifer Jean	629813	Agent - Casualty	9/9/2015
Active	Lukat-Graham, Jennifer Jean	629813	Agent - Property	9/9/2015
Denied	Maas, Jeffrey Renard	329102	Agent - Casualty
Denied	Maas, Jeffrey Renard	329102	Agent - Property
Active	Madderom, Timothy Paul	1352058	Agent - Casualty	9/16/2024
Active	Madderom, Timothy Paul	1352058	Agent - Property	9/16/2024
Active	Madderom, Timothy Paul	1352058	Surplus Lines Broker - Not Applicable	9/16/2024
Inactive	Matthews, Brenda	840544	Agent - Casualty	2/26/2018	3/15/2018
Inactive	Matthews, Brenda	840544	Agent - Property	2/26/2018	3/15/2018
Inactive	Matthews, Mark W	626419	Agent - Casualty	10/24/2008	9/6/2019
Inactive	Matthews, Mark W	626419	Agent - Property	10/24/2008	9/6/2019
Inactive	Mayers, Michael Alan	586313	Agent - Casualty	5/4/2005	9/8/2009
Inactive	Mayers, Michael Alan	586313	Agent - Property	5/4/2005	9/8/2009
Active	McDaniel, Henry Keith	818197	Agent - Casualty	2/11/2025
Active	McDaniel, Henry Keith	818197	Agent - Property	2/11/2025
Inactive	McDaniel, Henry Keith	818197	Surplus Lines Broker - Not Applicable	5/16/2017	4/21/2020
Inactive	Mccormick, Curtis Wayne	931433	Agent - Casualty	11/15/2016	8/31/2022
Inactive	Mccormick, Curtis Wayne	931433	Agent - Property	11/15/2016	8/31/2022
Inactive	Mccormick, Curtis Wayne	931433	Surplus Lines Broker - Not Applicable	5/16/2017	8/31/2022
Inactive	Melillo, Tony	915982	Agent - Casualty	11/17/2016	2/18/2021
Inactive	Melillo, Tony	915982	Agent - Property	11/17/2016	2/18/2021
Inactive	Melillo, Tony	915982	Surplus Lines Broker - Not Applicable	5/16/2017	2/18/2021
Inactive	Menzies, Rene Lynn	901310	Agent - Casualty	4/4/2016	8/1/2018
Inactive	Menzies, Rene Lynn	901310	Agent - Property	4/4/2016	8/1/2018
Inactive	Morgan, James L	682790	Agent - Casualty	8/15/2008	10/8/2012
Inactive	Morgan, James L	682790	Agent - Property	8/15/2008	10/8/2012
Denied	Morrison, Ronald D	768726	Agent - Casualty
Denied	Morrison, Ronald D	768726	Agent - Property
Active	Nestel, Lee G	1057123	Agent - Casualty	12/6/2023
Active	Nestel, Lee G	1057123	Agent - Property	12/6/2023
Denied	Parsons, Elizabeth Ellen	846023	Agent - Casualty
Denied	Parsons, Elizabeth Ellen	846023	Agent - Property
Denied	Paul, Jeffrey A	607391	Agent - Casualty
Denied	Paul, Jeffrey A	607391	Agent - Property
Active	Perlman, Jeffrey F	906282	Surplus Lines Broker - Not Applicable	3/9/2021
Active	Perry, Michael John	364558	Agent - Casualty	5/26/2005
Active	Perry, Michael John	364558	Agent - Property	5/26/2005
Inactive	Pinkham, Kathleen M	682787	Agent - Casualty	8/15/2008	1/17/2011
Inactive	Pinkham, Kathleen M	682787	Agent - Property	8/15/2008	1/17/2011
Inactive	Portmann, Susan M	714086	Agent - Casualty	10/14/2009	10/4/2010
Inactive	Portmann, Susan M	714086	Agent - Property	10/14/2009	10/4/2010
Inactive	Prunkl, Shannon R	777152	Agent - Casualty	4/13/2012	5/18/2015
Inactive	Prunkl, Shannon R	777152	Agent - Property	4/13/2012	5/18/2015
Inactive	Prunkl, Shannon R	777152	Surplus Lines Broker - Not Applicable	3/23/2012	5/18/2015
Inactive	Quick, Heather	912104	Agent - Casualty	7/6/2016	10/5/2016
Inactive	Quick, Heather	912104	Agent - Property	7/6/2016	10/5/2016
Inactive	Reinertson, Beth	774355	Agent - Casualty	7/25/2014	10/13/2014
Inactive	Reinertson, Beth	774355	Agent - Property	7/25/2014	4/30/2015
Inactive	Riddle, Aaron	674852	Agent - Casualty	4/4/2008	7/10/2009
Inactive	Riddle, Aaron	674852	Agent - Property	4/4/2008	7/10/2009
Active	Rodger, Garrett Allan	919408	Agent - Casualty	9/20/2016
Active	Rodger, Garrett Allan	919408	Agent - Property	9/20/2016
Active	Rodger, Garrett Allan	919408	Surplus Lines Broker - Not Applicable	8/30/2016
Denied	Sattler, James Richard	840862	Agent - Casualty
Denied	Sattler, James Richard	840862	Agent - Property
Inactive	Sattler, James Richard	840862	Surplus Lines Broker - Not Applicable	3/22/2016	10/26/2017
Inactive	Scholtz, Geri Lynn	682883	Agent - Casualty	8/15/2008	10/25/2011
Inactive	Scholtz, Geri Lynn	682883	Agent - Property	8/15/2008	10/25/2011
Inactive	Seward, Edward R	962590	Agent - Casualty	12/6/2023	1/4/2024
Denied	Seward, Edward R	962590	Agent - Property
Inactive	Shriver, Amy L	674854	Agent - Casualty	10/24/2008	2/12/2009
Inactive	Shriver, Amy L	674854	Agent - Property	10/24/2008	2/12/2009
Inactive	Smith, Joshua	920056	Agent - Casualty	6/19/2019	1/2/2020
Inactive	Smith, Joshua	920056	Agent - Property	6/19/2019	1/2/2020
Inactive	Smith, Joshua	920056	Surplus Lines Broker - Not Applicable	6/19/2019	1/2/2020
Denied	Spence, Tricia Elspeth	914314	Agent - Casualty
Denied	Spence, Tricia Elspeth	914314	Agent - Property
Denied	Spratt, Michelle	920661	Agent - Casualty
Denied	Spratt, Michelle	920661	Agent - Property
Inactive	Spratt, Michelle	920661	Surplus Lines Broker - Not Applicable	8/10/2016	1/24/2020
Inactive	Stauffer, Elaine	692870	Agent - Casualty	12/16/2008	9/8/2009
Inactive	Stauffer, Elaine	692870	Agent - Property	12/16/2008	9/8/2009
Active	Stoltz, Mark	539919	Agent - Casualty	7/12/2012
Active	Stoltz, Mark	539919	Agent - Property	7/12/2012
Active	Uadiski, Carol A	626564	Agent - Casualty	10/24/2008
Active	Uadiski, Carol A	626564	Agent - Property	10/24/2008
Denied	Ueland, Megan	901520	Agent - Casualty
Denied	Ueland, Megan	901520	Agent - Property
Inactive	Ueland, Megan	901520	Surplus Lines Broker - Not Applicable	12/14/2015	11/6/2020
Inactive	Varnell, Susan Lee	684531	Agent - Casualty	2/24/2009	9/22/2016
Inactive	Varnell, Susan Lee	684531	Agent - Property	2/24/2009	9/22/2016
Active	Walsh, Ralph Bruce	770701	Agent - Casualty	12/29/2011
Active	Walsh, Ralph Bruce	770701	Agent - Property	12/29/2011
Inactive	Wharton, Teresa Lynn	718235	Agent - Casualty	12/9/2009	7/15/2020
Inactive	Wharton, Teresa Lynn	718235	Agent - Property	12/9/2009	7/15/2020
Inactive	White, Kevin G	919111	Agent - Casualty	7/13/2016	7/31/2017
Inactive	White, Kevin G	919111	Agent - Property	7/13/2016	7/31/2017
Inactive	White, Kevin G	919111	Surplus Lines Broker - Not Applicable	8/8/2016	7/31/2017
Inactive	White, Richard Thomas	386569	Agent - Casualty	9/24/2001	2/24/2003
Inactive	White, Richard Thomas	386569	Agent - Property	9/24/2001	2/24/2003
Inactive	Winchester, Lisa Denniston	659273	Agent - Casualty	2/5/2008	11/1/2016
Inactive	Winchester, Lisa Denniston	659273	Agent - Property	2/5/2008	11/1/2016
Inactive	Wolf, Scott Allen	678502	Agent - Casualty	6/4/2008	3/22/2016
Inactive	Wolf, Scott Allen	678502	Agent - Property	6/4/2008	3/22/2016
Inactive	Wolf, Scott Allen	678502	Surplus Lines Broker - Not Applicable	5/29/2008	3/22/2016
Inactive	Wos, Kathleen A	625973	Agent - Casualty	4/24/2006	11/5/2009
Inactive	Wos, Kathleen A	625973	Agent - Property	4/24/2006	11/5/2009
Denied	Yingling, Christine Diane	327035	Agent - Casualty
Denied	Yingling, Christine Diane	327035	Agent - Property
Inactive	Yingling, Christine Diane	327035	Surplus Lines Broker - Not Applicable	10/5/2016	8/10/2018