DEPARTMENT OF INSURANCE
Affiliations
NameMJ Insurance IncDOIID518163NAIC NPN765420
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty12/21/2000 3/31/2026
ActiveNon ResidentAgentHealth6/10/2009 3/31/2026
ActiveNon ResidentAgentProperty12/21/2000 3/31/2026
ActiveNon ResidentAgentLife6/10/2009 3/31/2026
DeniedNon ResidentLife & Health ConsultantNot Applicable   
ActiveNon ResidentSurplus Lines BrokerNot Applicable2/14/2007 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE American Insurance Company300625Agent - Casualty8/30/2006 
ActiveACE American Insurance Company300625Agent - Property8/30/2006 
ActiveACE Fire Underwriters Insurance Company301679Agent - Casualty8/30/2006 
ActiveACE Fire Underwriters Insurance Company301679Agent - Property8/30/2006 
ActiveACE Property and Casualty Insurance Company300520Agent - Casualty8/30/2006 
ActiveACE Property and Casualty Insurance Company300520Agent - Property8/30/2006 
ActiveACUITY, A Mutual Insurance Company300095Agent - Casualty12/10/2002 
ActiveACUITY, A Mutual Insurance Company300095Agent - Property12/10/2002 
ActiveAGCS Marine Insurance Company300403Agent - Casualty10/18/2019 
ActiveAGCS Marine Insurance Company300403Agent - Property10/18/2019 
ActiveAMCO Insurance Company300204Agent - Casualty1/29/2018 
ActiveAMCO Insurance Company300204Agent - Property1/29/2018 
InactiveAddison Insurance Company874810Agent - Casualty11/23/20163/2/2017
InactiveAddison Insurance Company874810Agent - Property11/23/20163/2/2017
InactiveAegis Security Insurance Company300492Agent - Casualty2/1/20118/1/2017
InactiveAegis Security Insurance Company300492Agent - Property2/1/20118/1/2017
ActiveAll America Insurance Company300078Agent - Casualty11/7/2022 
ActiveAll America Insurance Company300078Agent - Property11/7/2022 
InactiveAllegheny Casualty Company545740Agent - Casualty7/28/201612/22/2020
ActiveAllied Insurance Company of America793586Agent - Casualty1/29/2018 
ActiveAllied Insurance Company of America793586Agent - Property1/29/2018 
ActiveAllied Property and Casualty Insurance Company300279Agent - Casualty1/29/2018 
ActiveAllied Property and Casualty Insurance Company300279Agent - Property1/29/2018 
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Casualty8/19/200211/14/2016
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Property8/19/200211/14/2016
ActiveAmerican Contractors Indemnity Company536843Agent - Casualty8/29/2016 
InactiveAmerican Economy Insurance Company300315Agent - Casualty7/10/20033/29/2024
InactiveAmerican Economy Insurance Company300315Agent - Property7/10/20033/29/2024
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health6/24/2010 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life6/24/2010 
InactiveAmerican Fire and Casualty Company300567Agent - Casualty10/16/20083/29/2024
InactiveAmerican Fire and Casualty Company300567Agent - Property10/16/20083/29/2024
ActiveAmerican Guarantee and Liability Insurance Company301216Agent - Casualty6/8/2009 
ActiveAmerican Guarantee and Liability Insurance Company301216Agent - Property6/8/2009 
InactiveAmerican Interstate Insurance Company301092Agent - Casualty6/10/200411/16/2018
InactiveAmerican Interstate Insurance Company301092Agent - Property6/10/200411/16/2018
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty9/10/2023 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property9/10/2023 
ActiveAmerican Select Insurance Company301229Agent - Casualty1/14/2023 
ActiveAmerican Select Insurance Company301229Agent - Property1/14/2023 
InactiveAmerican States Insurance Company301230Agent - Casualty7/10/20033/29/2024
InactiveAmerican States Insurance Company301230Agent - Property7/10/20033/29/2024
ActiveAmerican Zurich Insurance Company300592Agent - Casualty6/8/2009 
ActiveAmerican Zurich Insurance Company300592Agent - Property6/8/2009 
InactiveAmeritas Life Insurance Corporation300126Agent - Health7/15/201610/26/2021
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/26/20078/1/2008
InactiveAnthem Insurance Companies, Inc.300941Agent - Health6/26/20078/1/2008
InactiveAnthem Life Insurance Company301209Agent - Health6/26/20078/1/2008
InactiveAnthem Life Insurance Company301209Agent - Life6/26/20078/1/2008
ActiveArch Insurance Company300688Agent - Casualty5/3/2018 
InactiveArch Insurance Company300688Agent - Health6/18/20125/1/2018
ActiveArch Insurance Company300688Agent - Property5/3/2018 
ActiveArgonaut Insurance Company301422Agent - Casualty1/1/2016 
ActiveArgonaut Insurance Company301422Agent - Property1/1/2016 
InactiveAspen American Insurance Company301513Agent - Casualty12/21/20167/28/2022
InactiveAspen American Insurance Company301513Agent - Property12/21/20167/28/2022
InactiveAssurance Company of America300432Agent - Casualty10/7/200212/17/2014
InactiveAssurance Company of America300432Agent - Property10/7/200212/17/2014
InactiveAtlantic Specialty Insurance Company518595Agent - Casualty6/11/20156/7/2018
InactiveAtlantic Specialty Insurance Company518595Agent - Property6/11/20156/7/2018
ActiveAuto-Owners Insurance Company301480Agent - Casualty1/31/2011 
ActiveAuto-Owners Insurance Company301480Agent - Property1/31/2011 
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty9/15/201511/16/2023
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property9/15/201511/16/2023
ActiveBankers Standard Insurance Company301620Agent - Casualty8/30/2006 
ActiveBankers Standard Insurance Company301620Agent - Property8/30/2006 
ActiveBanner Life Insurance Company301696Agent - Life1/28/2013 
InactiveBaptist Health Plan, Inc.300157Agent - Health5/28/20103/31/2019
ActiveBerkley Casualty Company300731Agent - Casualty2/10/2020 
ActiveBerkley Casualty Company300731Agent - Property2/10/2020 
ActiveBerkley Regional Insurance Company300920Agent - Casualty9/16/2021 
ActiveBerkley Regional Insurance Company300920Agent - Property9/16/2021 
InactiveBerkshire Life Insurance Company of America300983Agent - Health3/3/20109/13/2013
InactiveBerkshire Life Insurance Company of America300983Agent - Life3/3/20109/13/2013
InactiveBlackboard Insurance Company301640Agent - Casualty10/7/200211/30/2007
InactiveBlackboard Insurance Company301640Agent - Property10/7/200211/30/2007
ActiveBrickStreet Mutual Insurance Company709251Agent - Casualty7/30/2021 
ActiveCIGNA Dental Health of Kentucky, Inc.300904Agent - Health5/12/2023 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health5/12/2023 
ActiveCarolina Casualty Insurance Company300271Agent - Casualty2/10/2020 
ActiveCarolina Casualty Insurance Company300271Agent - Property2/10/2020 
ActiveCentral Mutual Insurance Company300965Agent - Casualty11/7/2022 
ActiveCentral Mutual Insurance Company300965Agent - Property11/7/2022 
ActiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty1/11/2012 
ActiveCharter Oak Fire Insurance Company (The)301501Agent - Property1/11/2012 
ActiveChubb Indemnity Insurance Company300438Agent - Casualty11/5/2021 
ActiveChubb Indemnity Insurance Company300438Agent - Property11/5/2021 
ActiveCincinnati Casualty Company (The)300308Agent - Casualty8/3/2022 
ActiveCincinnati Casualty Company (The)300308Agent - Property8/3/2022 
ActiveCincinnati Indemnity Company (The)301566Agent - Casualty8/3/2022 
ActiveCincinnati Indemnity Company (The)301566Agent - Property8/3/2022 
ActiveCincinnati Insurance Company301298Agent - Casualty8/3/2022 
ActiveCincinnati Insurance Company301298Agent - Property8/3/2022 
InactiveCincinnati Life Insurance Company (The)300601Agent - Health8/28/200910/26/2015
InactiveCincinnati Life Insurance Company (The)300601Agent - Life8/28/200910/26/2015
InactiveClearPath Insurance Company979815Agent - Casualty1/1/20182/7/2019
ActiveColonial Life and Accident Insurance Company300846Agent - Health7/13/2020 
ActiveColonial Life and Accident Insurance Company300846Agent - Life7/13/2020 
InactiveCompBenefits Dental, Inc.591692Agent - Health7/23/201312/13/2016
InactiveCompBenefits Insurance Company301864Agent - Health4/25/20088/1/2008
InactiveCompBenefits Insurance Company301864Agent - Life4/25/20088/1/2008
InactiveConsolidated Insurance Company300943Agent - Casualty10/16/200810/13/2022
InactiveConsolidated Insurance Company300943Agent - Property10/16/200810/13/2022
ActiveContinental American Insurance Company301700Agent - Health12/13/2017 
ActiveContinental American Insurance Company301700Agent - Life12/13/2017 
ActiveContinental Casualty Company301019Agent - Casualty8/19/2002 
ActiveContinental Casualty Company301019Agent - Property8/19/2002 
ActiveContinental Insurance Company (The)301242Agent - Casualty1/22/2019 
ActiveContinental Insurance Company (The)301242Agent - Property1/22/2019 
ActiveCrestbrook Insurance Company805354Agent - Casualty3/25/2016 
ActiveCrestbrook Insurance Company805354Agent - Property3/25/2016 
InactiveDental Concern Inc. (The)301641Agent - Health7/23/201312/13/2016
ActiveDepositors Insurance Company301634Agent - Casualty1/29/2018 
ActiveDepositors Insurance Company301634Agent - Property1/29/2018 
InactiveDevelopers Surety and Indemnity Company516432Agent - Casualty10/16/200812/13/2022
ActiveEmployers Insurance Company of Wausau301813Agent - Casualty10/25/2011 
ActiveEmployers Insurance Company of Wausau301813Agent - Property10/25/2011 
ActiveEncompass Indemnity Company546376Agent - Casualty12/4/2003 
ActiveEncompass Indemnity Company546376Agent - Property12/4/2003 
InactiveEncompass Insurance Company of America556578Agent - Casualty1/23/200412/13/2018
InactiveEncompass Insurance Company of America556578Agent - Property1/23/200412/13/2018
InactiveEverest National Insurance Company301319Agent - Casualty3/23/200411/15/2006
InactiveEverest National Insurance Company301319Agent - Property3/23/200411/15/2006
InactiveFarmers Casualty Insurance Company301616Agent - Casualty9/28/200512/27/2013
InactiveFarmers Casualty Insurance Company301616Agent - Property9/28/200512/27/2013
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Casualty9/28/200512/27/2013
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Property9/28/200512/27/2013
ActiveFarmers Property and Casualty Insurance Company301237Agent - Casualty7/11/2018 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Property7/11/2018 
InactiveFarmington Casualty Company301137Agent - Casualty5/9/200612/9/2009
InactiveFarmington Casualty Company301137Agent - Property5/9/200612/9/2009
ActiveFederal Insurance Company301144Agent - Casualty7/3/2001 
InactiveFederal Insurance Company301144Agent - Health12/19/20058/1/2008
ActiveFederal Insurance Company301144Agent - Property7/3/2001 
InactiveFidelity and Casualty Company of New York (The)300160Agent - Casualty8/19/200212/22/2005
InactiveFidelity and Casualty Company of New York (The)300160Agent - Property8/19/200212/22/2005
ActiveFidelity and Deposit Company of Maryland300976Agent - Casualty12/24/2013 
ActiveFidelity and Deposit Company of Maryland300976Agent - Property12/24/2013 
InactiveFireman's Fund Insurance Company301423Agent - Casualty2/26/200112/8/2015
InactiveFireman's Fund Insurance Company301423Agent - Property2/26/200112/8/2015
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Casualty10/25/2011 
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Property10/25/2011 
InactiveFirst National Insurance Company of America301690Agent - Casualty7/10/200310/13/2022
InactiveFirst National Insurance Company of America301690Agent - Property7/10/200310/13/2022
InactiveGeneral Insurance Company of America300261Agent - Casualty7/10/20033/29/2024
InactiveGeneral Insurance Company of America300261Agent - Property7/10/20033/29/2024
InactiveGlens Falls Insurance Company (The)301922Agent - Casualty8/19/200212/17/2002
InactiveGlens Falls Insurance Company (The)301922Agent - Property8/19/200212/17/2002
InactiveGrange Indemnity Insurance Company300793Agent - Casualty9/23/200911/19/2020
InactiveGrange Indemnity Insurance Company300793Agent - Property9/23/200911/19/2020
InactiveGrange Insurance Company300234Agent - Casualty9/23/200911/19/2020
InactiveGrange Insurance Company300234Agent - Property9/23/200911/19/2020
ActiveGreat American Alliance Insurance Company301247Agent - Casualty5/22/2013 
ActiveGreat American Alliance Insurance Company301247Agent - Property5/22/2013 
ActiveGreat American Assurance Company300327Agent - Casualty5/22/2013 
ActiveGreat American Assurance Company300327Agent - Property5/22/2013 
ActiveGreat American Insurance Company301586Agent - Casualty5/22/2013 
ActiveGreat American Insurance Company301586Agent - Property5/22/2013 
InactiveGreat American Insurance Company of New York301897Agent - Casualty5/22/20131/11/2022
InactiveGreat American Insurance Company of New York301897Agent - Property5/22/20131/11/2022
InactiveGreat Midwest Insurance Company301418Agent - Casualty8/1/20176/26/2023
InactiveGreat Midwest Insurance Company301418Agent - Property8/1/20176/26/2023
ActiveGreat Northern Insurance Company301107Agent - Casualty7/3/2001 
ActiveGreat Northern Insurance Company301107Agent - Property7/3/2001 
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life3/3/201010/5/2021
ActiveGuardian Life Insurance Company of America301316Agent - Health3/3/2010 
ActiveGuardian Life Insurance Company of America301316Agent - Life3/3/2010 
ActiveHDI Global Insurance Company676678Agent - Casualty8/9/2023 
ActiveHDI Global Insurance Company676678Agent - Property8/9/2023 
ActiveHanover Insurance Company (The)300508Agent - Casualty3/11/2021 
ActiveHanover Insurance Company (The)300508Agent - Property3/11/2021 
ActiveHarco National Insurance Company300706Agent - Casualty3/13/2019 
InactiveHarleysville Mutual Insurance Company301393Agent - Casualty9/17/20085/1/2012
InactiveHarleysville Mutual Insurance Company301393Agent - Property9/17/20085/1/2012
InactiveHartford Casualty Insurance Company301332Agent - Casualty11/10/20089/27/2019
InactiveHartford Casualty Insurance Company301332Agent - Property11/10/20089/27/2019
InactiveHartford Fire Insurance Company300628Agent - Casualty8/11/20088/21/2017
InactiveHartford Fire Insurance Company300628Agent - Property8/11/20088/21/2017
ActiveHartford Life and Accident Insurance Company300878Agent - Health2/8/2011 
ActiveHartford Life and Accident Insurance Company300878Agent - Life2/8/2011 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health1/14/201512/13/2016
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health1/17/201312/13/2016
InactiveHumana Health Plan, Inc.300142Agent - Health10/21/201912/15/2020
InactiveHumana Insurance Company301104Agent - Health1/17/201312/13/2016
InactiveHumana Insurance Company301104Agent - Life2/20/20048/1/2008
InactiveHumana Insurance Company of Kentucky300826Agent - Health1/17/201312/13/2016
InactiveHumana Medical Plan, Inc.801568Agent - Health1/14/201512/13/2016
InactiveImperium Insurance Company300804Agent - Casualty8/1/20177/25/2023
InactiveImperium Insurance Company300804Agent - Property8/1/20177/25/2023
ActiveIndemnity Insurance Company of North America301760Agent - Casualty9/21/2011 
ActiveIndemnity Insurance Company of North America301760Agent - Property9/21/2011 
InactiveIndiana Insurance Company301909Agent - Casualty10/16/20082/3/2023
InactiveIndiana Insurance Company301909Agent - Property10/16/20082/3/2023
ActiveInternational Fidelity Insurance Company301131Agent - Casualty11/30/2006 
InactiveJohn Alden Life Insurance Company300573Agent - Health3/19/20028/1/2008
InactiveJohn Alden Life Insurance Company300573Agent - Life3/19/20028/1/2008
InactiveKanawha Insurance Company300127Agent - Health7/12/201210/22/2015
InactiveKanawha Insurance Company300127Agent - Life7/12/201210/22/2015
InactiveKansas City Fire and Marine Insurance Company301936Agent - Casualty8/19/200212/15/2004
InactiveKansas City Fire and Marine Insurance Company301936Agent - Property8/19/200212/15/2004
ActiveKey Risk Insurance Company630687Agent - Casualty2/10/2020 
ActiveKey Risk Insurance Company630687Agent - Property2/10/2020 
ActiveLM Insurance Corporation301061Agent - Casualty10/25/2011 
ActiveLM Insurance Corporation301061Agent - Property10/25/2011 
ActiveLiberty Insurance Corporation300444Agent - Casualty10/25/2011 
ActiveLiberty Insurance Corporation300444Agent - Property10/25/2011 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Casualty10/25/2011 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Property10/25/2011 
ActiveLiberty Mutual Insurance Company301159Agent - Casualty10/25/2011 
ActiveLiberty Mutual Insurance Company301159Agent - Property10/25/2011 
ActiveLife Insurance Company of North America300711Agent - Health8/31/2017 
ActiveLife Insurance Company of North America300711Agent - Life8/31/2017 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health9/30/2022 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life9/30/2022 
InactiveMaryland Casualty Company301719Agent - Casualty10/7/200212/17/2014
InactiveMaryland Casualty Company301719Agent - Property10/7/200212/17/2014
ActiveMassachusetts Bay Insurance Company300898Agent - Casualty3/11/2021 
ActiveMassachusetts Bay Insurance Company300898Agent - Property3/11/2021 
ActiveMerchants Bonding Company (Mutual)300170Agent - Casualty7/28/2005 
InactiveMerchants National Bonding Inc.787525Agent - Casualty10/5/20122/1/2019
InactiveMeridian Security Insurance Company300423Agent - Casualty5/30/201212/4/2020
InactiveMeridian Security Insurance Company300423Agent - Property5/30/201212/4/2020
InactiveMetropolitan General Insurance Company300709Agent - Casualty9/28/200512/27/2013
InactiveMetropolitan General Insurance Company300709Agent - Property9/28/200512/27/2013
ActiveMetropolitan Life Insurance Company301948Agent - Health12/29/2021 
ActiveMetropolitan Life Insurance Company301948Agent - Life12/29/2021 
ActiveMidwest Employers Casualty Company300124Agent - Casualty2/10/2020 
ActiveMidwest Employers Casualty Company300124Agent - Property2/10/2020 
InactiveMilbank Insurance Company925185Agent - Casualty11/8/201712/4/2020
InactiveMilbank Insurance Company925185Agent - Property11/8/201712/4/2020
ActiveMitsui Sumitomo Insurance Company of America301070Agent - Casualty3/19/2008 
ActiveMitsui Sumitomo Insurance Company of America301070Agent - Property3/19/2008 
ActiveMitsui Sumitomo Insurance USA Inc.301681Agent - Casualty3/19/2008 
ActiveMitsui Sumitomo Insurance USA Inc.301681Agent - Property3/19/2008 
ActiveMotorists Commercial Mutual Insurance Company301941Agent - Casualty9/1/2021 
ActiveMotorists Commercial Mutual Insurance Company301941Agent - Property9/1/2021 
ActiveMutual of Omaha Insurance Company301012Agent - Health9/25/2019 
ActiveNational Casualty Company301483Agent - Casualty2/23/2016 
ActiveNational Casualty Company301483Agent - Property2/23/2016 
ActiveNational Fire Insurance Company of Hartford301063Agent - Casualty5/14/2018 
ActiveNational Fire Insurance Company of Hartford301063Agent - Property5/14/2018 
ActiveNational Guardian Life Insurance Company300596Agent - Health1/12/2018 
ActiveNationwide Agribusiness Insurance Company301008Agent - Casualty1/29/2018 
ActiveNationwide Agribusiness Insurance Company301008Agent - Property1/29/2018 
ActiveNationwide Assurance Company300166Agent - Casualty3/4/2020 
ActiveNationwide General Insurance Company300603Agent - Casualty2/6/2020 
ActiveNationwide General Insurance Company300603Agent - Property2/6/2020 
ActiveNationwide Insurance Company of America300333Agent - Casualty2/2/2022 
ActiveNationwide Insurance Company of America300333Agent - Property2/2/2022 
ActiveNationwide Mutual Insurance Company301749Agent - Casualty5/1/2012 
ActiveNationwide Mutual Insurance Company301749Agent - Property5/1/2012 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Casualty2/2/2022 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Property2/2/2022 
InactiveNetherlands Insurance Company (The)300339Agent - Casualty10/16/20085/10/2024
InactiveNetherlands Insurance Company (The)300339Agent - Property10/16/20085/10/2024
ActiveNorthStone Insurance Company818905Agent - Casualty7/30/2021 
InactiveNorthern Insurance Company of New York301317Agent - Casualty10/7/200212/17/2014
InactiveNorthern Insurance Company of New York301317Agent - Property10/7/200212/17/2014
InactiveOhio Casualty Insurance Company301492Agent - Casualty10/16/20083/29/2024
InactiveOhio Casualty Insurance Company301492Agent - Property10/16/20083/29/2024
InactiveOhio Security Insurance Company300622Agent - Casualty10/16/20083/29/2024
InactiveOhio Security Insurance Company300622Agent - Property10/16/20083/29/2024
ActiveOwners Insurance Company300796Agent - Casualty1/31/2011 
ActiveOwners Insurance Company300796Agent - Property1/31/2011 
ActivePacific Employers Insurance Company301753Agent - Casualty8/30/2006 
ActivePacific Employers Insurance Company301753Agent - Property8/30/2006 
ActivePacific Indemnity Company301610Agent - Casualty5/25/2011 
ActivePacific Indemnity Company301610Agent - Property5/25/2011 
ActivePeerless Indemnity Insurance Company571682Agent - Casualty10/16/2008 
ActivePeerless Indemnity Insurance Company571682Agent - Property10/16/2008 
ActivePeerless Insurance Company301910Agent - Casualty10/16/2008 
ActivePeerless Insurance Company301910Agent - Property10/16/2008 
ActivePinnaclePoint Insurance Company819085Agent - Casualty7/30/2021 
ActivePrincipal Life Insurance Company300129Agent - Health10/7/2021 
ActivePrincipal Life Insurance Company300129Agent - Life10/7/2021 
ActivePrivilege Underwriters Reciprocal Exchange769657Agent - Casualty10/2/2018 
ActivePrivilege Underwriters Reciprocal Exchange769657Agent - Property10/2/2018 
ActiveProgressive Casualty Insurance Company300696Agent - Casualty3/24/2004 
ActiveProgressive Casualty Insurance Company300696Agent - Property3/24/2004 
InactiveProgressive Northern Insurance Company301378Agent - Casualty6/26/200312/9/2013
InactiveProgressive Northern Insurance Company301378Agent - Property6/26/200312/9/2013
ActiveProvident Life and Accident Insurance Company301525Agent - Health10/4/2010 
ActiveProvident Life and Accident Insurance Company301525Agent - Life10/4/2010 
InactivePruco Life Insurance Company300954Agent - Life12/22/201611/25/2020
ActivePrudential Insurance Company of America300784Agent - Health10/8/2019 
ActivePrudential Insurance Company of America300784Agent - Life10/8/2019 
ActiveRLI Insurance Company301217Agent - Casualty3/27/2007 
ActiveRLI Insurance Company301217Agent - Property3/27/2007 
ActiveRockwood Casualty Insurance Company585116Agent - Casualty3/10/2004 
ActiveRockwood Casualty Insurance Company585116Agent - Property12/1/2009 
InactiveSAFECO Insurance Company of America300159Agent - Casualty10/13/20043/29/2024
InactiveSAFECO Insurance Company of America300159Agent - Property10/13/20043/29/2024
InactiveSelective Insurance Company of America500018Agent - Casualty10/30/200211/19/2009
InactiveSelective Insurance Company of America500018Agent - Property10/30/200211/19/2009
InactiveSelective Insurance Company of South Carolina500012Agent - Casualty10/30/200211/19/2009
InactiveSelective Insurance Company of South Carolina500012Agent - Property10/30/200211/19/2009
ActiveSelective Insurance Company of the Southeast300381Agent - Casualty8/17/2021 
ActiveSelective Insurance Company of the Southeast300381Agent - Property8/17/2021 
InactiveSompo America Insurance Company300149Agent - Casualty1/14/201312/20/2018
InactiveSompo America Insurance Company300149Agent - Property1/14/201312/20/2018
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty9/17/2015 
ActiveStandard Fire Insurance Company (The)301068Agent - Property9/17/2015 
ActiveStandard Insurance Company300185Agent - Health6/22/2021 
ActiveStandard Insurance Company300185Agent - Life6/22/2021 
ActiveStar Insurance Company301553Agent - Casualty1/12/2021 
ActiveStar Insurance Company301553Agent - Property1/12/2021 
ActiveStarNet Insurance Company502746Agent - Casualty2/10/2020 
ActiveStarNet Insurance Company502746Agent - Property2/10/2020 
ActiveStarmount Life Insurance Company628031Agent - Health10/26/2022 
ActiveStarr Indemnity and Liability Company301685Agent - Casualty11/1/2013 
ActiveStarr Indemnity and Liability Company301685Agent - Property11/1/2013 
InactiveState Auto Property & Casualty Insurance Company301953Agent - Casualty5/30/201212/4/2020
InactiveState Auto Property & Casualty Insurance Company301953Agent - Property5/30/201212/4/2020
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty5/30/201212/4/2020
InactiveState Automobile Mutual Insurance Company301824Agent - Property5/30/201212/4/2020
ActiveSummitPoint Insurance Company819084Agent - Casualty7/30/2021 
ActiveSun Life Assurance Company of Canada301811Agent - Health9/7/2011 
ActiveSun Life Assurance Company of Canada301811Agent - Life9/7/2011 
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Health2/14/20078/1/2008
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Life2/14/20078/1/2008
InactiveTalcott Resolution Life Insurance Company301759Agent - Health11/12/20048/1/2008
InactiveTalcott Resolution Life Insurance Company301759Agent - Life11/12/20048/1/2008
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health11/12/20048/1/2008
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life11/12/20048/1/2008
ActiveThe Phoenix Insurance Company301502Agent - Casualty9/10/2015 
ActiveThe Phoenix Insurance Company301502Agent - Property9/10/2015 
InactiveTranscontinental Insurance Company301731Agent - Casualty8/19/20029/27/2007
InactiveTranscontinental Insurance Company301731Agent - Property8/19/20029/27/2007
ActiveTransportation Insurance Company301575Agent - Casualty5/30/2017 
ActiveTransportation Insurance Company301575Agent - Property5/30/2017 
ActiveTravelers Casualty Insurance Company of America300522Agent - Casualty6/12/2015 
ActiveTravelers Casualty Insurance Company of America300522Agent - Property6/12/2015 
ActiveTravelers Casualty and Surety Company of America301334Agent - Casualty1/24/2006 
ActiveTravelers Casualty and Surety Company of America301334Agent - Property1/24/2006 
InactiveTravelers Commercial Casualty Company301695Agent - Casualty5/9/200612/9/2009
InactiveTravelers Commercial Casualty Company301695Agent - Property5/9/200612/9/2009
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty9/8/201511/16/2023
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property9/8/201511/16/2023
ActiveTravelers Indemnity Company (The)301855Agent - Casualty7/16/2020 
ActiveTravelers Indemnity Company (The)301855Agent - Property7/16/2020 
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty7/8/202011/16/2023
InactiveTravelers Indemnity Company of America (The)301093Agent - Property7/8/202011/16/2023
ActiveTravelers Personal Insurance Company705785Agent - Casualty8/11/2021 
ActiveTravelers Personal Insurance Company705785Agent - Property8/11/2021 
ActiveTravelers Property Casualty Company of America301649Agent - Casualty5/13/2002 
ActiveTravelers Property Casualty Company of America301649Agent - Property5/13/2002 
InactiveTrustgard Insurance Company300104Agent - Casualty9/23/200911/19/2020
InactiveTrustgard Insurance Company300104Agent - Property9/23/200911/19/2020
InactiveTwin City Fire Insurance Company300721Agent - Casualty8/11/200811/5/2009
InactiveTwin City Fire Insurance Company300721Agent - Property8/11/200811/5/2009
ActiveU.S. Specialty Insurance Company300186Agent - Casualty8/29/2016 
ActiveU.S. Specialty Insurance Company300186Agent - Property8/29/2016 
ActiveUNUM Life Insurance Company of America300817Agent - Health10/4/2010 
ActiveUNUM Life Insurance Company of America300817Agent - Life10/4/2010 
InactiveUnion Security Insurance Company301844Agent - Health1/4/201612/31/2020
InactiveUnion Security Insurance Company301844Agent - Life1/4/201612/31/2020
ActiveUnited Financial Casualty Company301886Agent - Casualty12/2/2005 
ActiveUnited Financial Casualty Company301886Agent - Property12/2/2005 
InactiveUnited Fire & Casualty Company301374Agent - Casualty11/23/20163/2/2017
InactiveUnited Fire & Casualty Company301374Agent - Property11/23/20163/2/2017
ActiveUnited World Life Insurance Company300532Agent - Health9/25/2019 
ActiveUnited of Omaha Life Insurance Company300156Agent - Health9/25/2019 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life9/25/2019 
InactiveUnitedHealthcare Insurance Company300946Agent - Health8/21/20205/31/2022
InactiveUnitedHealthcare Insurance Company300946Agent - Life8/21/20205/31/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health8/21/20205/31/2022
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/21/20205/31/2022
ActiveUnum Insurance Company301499Agent - Health10/26/2022 
ActiveUnum Insurance Company301499Agent - Life10/26/2022 
ActiveValley Forge Insurance Company301052Agent - Casualty8/19/2002 
ActiveValley Forge Insurance Company301052Agent - Property8/19/2002 
ActiveVigilant Insurance Company301143Agent - Casualty7/3/2001 
ActiveVigilant Insurance Company301143Agent - Property7/3/2001 
ActiveVision Service Plan Insurance Company300526Agent - Health6/14/2010 
ActiveVoya Retirement Insurance and Annuity Company300643Agent - Health7/8/2011 
ActiveVoya Retirement Insurance and Annuity Company300643Agent - Life7/8/2011 
InactiveWausau Business Insurance Company301476Agent - Casualty10/25/20113/30/2015
InactiveWausau Business Insurance Company301476Agent - Property10/25/20113/30/2015
InactiveWausau Underwriters Insurance Company301105Agent - Casualty10/25/20118/27/2015
InactiveWausau Underwriters Insurance Company301105Agent - Property10/25/20118/27/2015
InactiveWest American Insurance Company301112Agent - Casualty10/16/20083/29/2024
InactiveWest American Insurance Company301112Agent - Property10/16/20083/29/2024
InactiveWestchester Fire Insurance Company301414Agent - Casualty8/30/20061/23/2009
ActiveWestchester Fire Insurance Company300990Agent - Casualty3/4/2016 
InactiveWestchester Fire Insurance Company301414Agent - Property8/30/20061/23/2009
ActiveWestchester Fire Insurance Company300990Agent - Property3/4/2016 
ActiveWestern Surety Company300283Agent - Casualty8/12/2002 
ActiveWestfield Insurance Company301950Agent - Casualty12/21/2000 
ActiveWestfield Insurance Company301950Agent - Property12/21/2000 
InactiveWestport Insurance Corporation300448Agent - Casualty6/28/200112/5/2007
ActiveWilliamsburg National Insurance Company301825Agent - Casualty1/12/2021 
ActiveWilliamsburg National Insurance Company301825Agent - Property1/12/2021 
InactiveXL Specialty Insurance Company301605Agent - Casualty10/6/20109/13/2013
InactiveXL Specialty Insurance Company301605Agent - Property10/6/20109/13/2013
ActiveZurich American Insurance Company301121Agent - Casualty6/8/2009 
ActiveZurich American Insurance Company301121Agent - Property6/8/2009 
ActiveZurich American Insurance Company of Illinois301805Agent - Casualty6/8/2009 
ActiveZurich American Insurance Company of Illinois301805Agent - Property6/8/2009 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBill, Jude 521429Agent - Health1/16/20127/31/2018
InactiveBill, Jude 521429Agent - Life1/16/20127/31/2018
ActiveCrossland, Frank Thomas 337740Agent - Health6/6/2018 
ActiveCrossland, Frank Thomas 337740Agent - Life6/6/2018 
ActiveMacnab, John Colin 341667Agent - Casualty7/21/2018 
ActiveMacnab, John Colin 341667Agent - Property7/21/2018 
ActiveOrr, Daniel Christopher 981234Agent - Health1/14/2019 
ActiveOrr, Daniel Christopher 981234Agent - Life1/14/2019 
ActivePerkins, Joseph Allen 363727Agent - Health8/30/2017 
ActivePerkins, Joseph Allen 363727Agent - Life8/30/2017 
DeniedShrout, Britni 895567Agent - Casualty  
DeniedShrout, Britni 895567Agent - Property  
DeniedSpencer, Eric Joseph 855881Agent - Casualty  
DeniedSpencer, Eric Joseph 855881Agent - Property  
ActiveStellhorn, Cindy H 306042Agent - Casualty8/15/2000 
ActiveStellhorn, Cindy H 306042Agent - Health6/10/2009 
ActiveStellhorn, Cindy H 306042Agent - Life6/10/2009 
ActiveStellhorn, Cindy H 306042Agent - Property8/15/2000 
ActiveStellhorn, Cindy H 306042Surplus Lines Broker - Not Applicable2/14/2007 

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