DEPARTMENT OF INSURANCE

Affiliations

Name	Tis Ins Services Inc	DOIID	523150	NAIC NPN	1587852

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	5/25/2010	3/31/2027
Active	Non Resident	Agent	Life	5/25/2010	3/31/2027
Active	Non Resident	Agent	Property	5/29/2001	3/31/2027
Active	Non Resident	Agent	Casualty	5/29/2001	3/31/2027
Denied	Non Resident	Life & Health Consultant	Not Applicable
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/26/2017	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	01/06/2025	01/06/2025	Yes
Surplus Lines Broker	01/15/2025	03/31/2025	01/06/2025	01/06/2025	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	3/5/2005	9/24/2011
Inactive	21st Century North America Insurance Company	300884	Agent - Property	3/5/2005	9/24/2011
Active	ACE American Insurance Company	300625	Agent - Casualty	5/6/2003
Active	ACE American Insurance Company	300625	Agent - Property	5/6/2003
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	3/30/2012
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	3/30/2012
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	3/30/2012
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	3/30/2012
Active	AIG Property Casualty Company	300621	Agent - Casualty	9/29/2008
Active	AIG Property Casualty Company	300621	Agent - Property	9/29/2008
Active	AMCO Insurance Company	300204	Agent - Casualty	10/8/2020
Active	AMCO Insurance Company	300204	Agent - Property	10/8/2020
Active	Aetna Health Inc. (PA)	660717	Agent - Health	2/19/2020
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	4/26/2018
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	7/25/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	2/19/2020
Active	All Savers Insurance Company	301940	Agent - Health	10/6/2021
Active	All Savers Insurance Company	301940	Agent - Life	10/6/2021
Active	Allied Eastern Indemnity Company	683842	Agent - Casualty	4/30/2019
Active	Allied Insurance Company of America	793586	Agent - Casualty	10/8/2020
Active	Allied Insurance Company of America	793586	Agent - Property	10/8/2020
Active	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	10/8/2020
Active	Allied Property and Casualty Insurance Company	300279	Agent - Property	10/8/2020
Inactive	Allied World Insurance Company	301336	Agent - Casualty	6/5/2013	12/20/2024
Inactive	Allied World Insurance Company	301336	Agent - Property	6/5/2013	12/20/2024
Inactive	Allied World National Assurance Company	611268	Agent - Casualty	6/5/2013	12/20/2024
Inactive	Allied World National Assurance Company	611268	Agent - Property	6/5/2013	12/20/2024
Inactive	Allied World Specialty Insurance Company	301088	Agent - Casualty	6/5/2013	12/20/2024
Inactive	Allied World Specialty Insurance Company	301088	Agent - Property	6/5/2013	12/20/2024
Active	AmFed National Insurance Company	889152	Agent - Casualty	8/8/2023
Active	American Builders Insurance Company	677578	Agent - Casualty	1/20/2021
Active	American Builders Insurance Company	677578	Agent - Property	1/20/2021
Active	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	3/19/2018
Active	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	3/19/2018
Inactive	American Continental Insurance Company	643130	Agent - Life	4/26/2018	8/11/2021
Active	American Contractors Indemnity Company	536843	Agent - Casualty	10/9/2012
Inactive	American Economy Insurance Company	300315	Agent - Casualty	5/17/2002	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	5/17/2002	3/29/2024
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/16/2008	3/29/2024
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/16/2008	3/29/2024
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	8/6/2020
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	8/6/2020
Active	American Home Assurance Company	300246	Agent - Casualty	3/5/2005
Active	American Home Assurance Company	300246	Agent - Property	3/5/2005
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	5/29/2017	12/13/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	5/29/2017	12/13/2023
Inactive	American States Insurance Company	301230	Agent - Casualty	5/17/2002	3/29/2024
Inactive	American States Insurance Company	301230	Agent - Property	5/17/2002	3/29/2024
Active	American United Life Insurance Company	300498	Agent - Health	6/17/2024
Active	American United Life Insurance Company	300498	Agent - Life	6/17/2024
Active	American Zurich Insurance Company	300592	Agent - Casualty	8/6/2020
Active	American Zurich Insurance Company	300592	Agent - Property	8/6/2020
Active	Ameritas Life Insurance Corporation	300126	Agent - Health	1/10/2021
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	10/13/2021
Active	Anthem Life Insurance Company	301209	Agent - Health	10/13/2021
Active	Anthem Life Insurance Company	301209	Agent - Life	10/13/2021
Active	Arch Insurance Company	300688	Agent - Casualty	5/28/2024
Active	Arch Insurance Company	300688	Agent - Property	5/28/2024
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	5/4/2010
Active	Auto-Owners Insurance Company	301480	Agent - Property	5/4/2010
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	6/3/2010	11/4/2022
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	6/3/2010	11/4/2022
Active	BITCO General Insurance Corporation	301305	Agent - Casualty	1/25/2017
Active	BITCO General Insurance Corporation	301305	Agent - Property	1/25/2017
Active	BITCO National Insurance Company	301366	Agent - Casualty	1/25/2017
Active	BITCO National Insurance Company	301366	Agent - Property	1/25/2017
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	8/22/2019	12/18/2023
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	8/22/2019	12/18/2023
Active	Benchmark Insurance Company	300374	Agent - Casualty	12/12/2017
Active	Benchmark Insurance Company	300374	Agent - Property	12/12/2017
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	9/6/2011	6/5/2018
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	9/6/2011	6/5/2018
Active	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	10/3/2012
Active	BusinessFirst Insurance Company	722488	Agent - Casualty	7/6/2018
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	3/21/2023
Inactive	Carolina Casualty Insurance Company	300271	Agent - Casualty	1/8/2009	12/30/2013
Inactive	Carolina Casualty Insurance Company	300271	Agent - Property	1/8/2009	12/30/2013
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	1/16/2007	12/20/2018
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	1/16/2007	12/20/2018
Active	Chubb National Insurance Company	301392	Agent - Casualty	5/10/2016
Active	Chubb National Insurance Company	301392	Agent - Property	5/10/2016
Inactive	Church Mutual Insurance Company, S.I.	301554	Agent - Casualty	11/2/2017	3/24/2022
Inactive	Church Mutual Insurance Company, S.I.	301554	Agent - Property	11/2/2017	3/24/2022
Active	Cincinnati Casualty Company (The)	300308	Agent - Casualty	2/7/2024
Active	Cincinnati Casualty Company (The)	300308	Agent - Property	2/7/2024
Active	ClearPath Insurance Company	979815	Agent - Casualty	1/1/2018
Active	Commerce and Industry Insurance Company	300881	Agent - Casualty	9/29/2008
Active	Commerce and Industry Insurance Company	300881	Agent - Property	9/29/2008
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	3/25/2014	12/5/2014
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/16/2008	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/16/2008	10/13/2022
Active	Continental Casualty Company	301019	Agent - Casualty	5/29/2001
Active	Continental Casualty Company	301019	Agent - Property	5/29/2001
Active	Continental Insurance Company (The)	301242	Agent - Casualty	2/24/2006
Active	Continental Insurance Company (The)	301242	Agent - Property	2/24/2006
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/26/2018
Active	Country Mutual Insurance Company	301024	Agent - Casualty	3/20/2018
Active	Country Mutual Insurance Company	301024	Agent - Property	3/20/2018
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	8/31/2020	12/15/2020
Active	Depositors Insurance Company	301634	Agent - Casualty	10/8/2020
Active	Depositors Insurance Company	301634	Agent - Property	10/8/2020
Inactive	Developers Surety and Indemnity Company	516432	Agent - Casualty	5/10/2005	4/16/2019
Active	Eastern Advantage Assurance Company	692390	Agent - Casualty	4/30/2019
Active	Eastern Alliance Insurance Company	683841	Agent - Casualty	4/30/2019
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	3/16/2011
Active	Employers Insurance Company of Wausau	301813	Agent - Property	3/16/2011
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	12/4/2003	6/24/2014
Inactive	Encompass Indemnity Company	546376	Agent - Property	12/4/2003	6/24/2014
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	1/23/2004	6/24/2014
Inactive	Encompass Insurance Company of America	556578	Agent - Property	1/23/2004	6/24/2014
Active	FCCI Insurance Company	557454	Agent - Casualty	12/21/2007
Active	FCCI Insurance Company	557454	Agent - Property	12/21/2007
Active	Farmington Casualty Company	301137	Agent - Casualty	12/9/2014
Active	Farmington Casualty Company	301137	Agent - Property	12/9/2014
Active	Federal Insurance Company	301144	Agent - Casualty	5/13/2002
Inactive	Federal Insurance Company	301144	Agent - Health	5/13/2002	5/24/2004
Active	Federal Insurance Company	301144	Agent - Property	5/13/2002
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Casualty	8/19/2002	12/17/2002
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - Property	8/19/2002	12/17/2002
Active	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	8/6/2020
Active	Fidelity and Deposit Company of Maryland	300976	Agent - Property	8/6/2020
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	3/16/2011
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	3/16/2011
Inactive	First National Insurance Company of America	301690	Agent - Casualty	7/15/2002	10/13/2022
Inactive	First National Insurance Company of America	301690	Agent - Property	7/15/2002	10/13/2022
Inactive	First Sealord Surety, Inc.	301841	Agent - Casualty	3/31/2005	2/13/2012
Inactive	Glens Falls Insurance Company (The)	301922	Agent - Casualty	8/19/2002	12/17/2002
Inactive	Glens Falls Insurance Company (The)	301922	Agent - Property	8/19/2002	12/17/2002
Active	Globe Life and Accident Insurance Company	300639	Agent - Health	8/15/2024
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	8/2/2007
Active	Grange Indemnity Insurance Company	300793	Agent - Property	8/2/2007
Active	Grange Insurance Company	300234	Agent - Casualty	8/2/2007
Active	Grange Insurance Company	300234	Agent - Property	8/2/2007
Active	Great American Alliance Insurance Company	301247	Agent - Casualty	2/26/2019
Active	Great American Alliance Insurance Company	301247	Agent - Property	2/26/2019
Active	Great American Insurance Company	301586	Agent - Casualty	9/26/2007
Active	Great American Insurance Company	301586	Agent - Property	9/26/2007
Active	Great Midwest Insurance Company	301418	Agent - Casualty	10/29/2015
Active	Great Midwest Insurance Company	301418	Agent - Property	10/29/2015
Active	Great Northern Insurance Company	301107	Agent - Casualty	10/16/2002
Active	Great Northern Insurance Company	301107	Agent - Property	10/16/2002
Inactive	Guarantee Insurance Company	300611	Agent - Casualty	9/11/2013	12/18/2017
Inactive	Guarantee Insurance Company	300611	Agent - Property	9/11/2013	12/18/2017
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	12/29/2009	7/1/2020
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	12/29/2009	7/1/2020
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	12/29/2009	7/1/2020
Inactive	GuideOne Insurance Company	301794	Agent - Property	12/29/2009	7/1/2020
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	12/29/2009	7/1/2020
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	12/29/2009	7/1/2020
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	6/23/2011
Active	Hanover American Insurance Company (The)	300447	Agent - Property	6/23/2011
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	6/23/2011
Active	Hanover Insurance Company (The)	300508	Agent - Property	6/23/2011
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	1/12/2016	12/7/2018
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	1/12/2016	12/7/2018
Active	Hartford Fire Insurance Company	300628	Agent - Casualty	8/19/2012
Active	Hartford Fire Insurance Company	300628	Agent - Property	8/19/2012
Inactive	Hudson Insurance Company	523144	Agent - Casualty	11/8/2019	3/30/2023
Inactive	Hudson Insurance Company	523144	Agent - Property	11/8/2019	3/30/2023
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	3/25/2014	12/5/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	8/13/2020	12/15/2020
Inactive	Humana Insurance Company	301104	Agent - Health	8/13/2020	12/15/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/13/2020	12/15/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/13/2020	12/15/2020
Active	Illinois National Insurance Company	301367	Agent - Casualty	9/29/2008
Active	Illinois National Insurance Company	301367	Agent - Property	9/29/2008
Inactive	Imperium Insurance Company	300804	Agent - Casualty	10/29/2015	7/25/2023
Inactive	Imperium Insurance Company	300804	Agent - Property	10/29/2015	7/25/2023
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/16/2008	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	10/16/2008	2/3/2023
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	9/29/2008
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	9/29/2008
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	5/7/2014
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	5/7/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	1/22/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/10/2012	12/5/2014
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - Casualty	8/19/2002	12/15/2004
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - Property	8/19/2002	12/15/2004
Active	LM Insurance Corporation	301061	Agent - Casualty	3/16/2011
Active	LM Insurance Corporation	301061	Agent - Property	3/16/2011
Active	Liberty Insurance Corporation	300444	Agent - Casualty	3/16/2011
Active	Liberty Insurance Corporation	300444	Agent - Property	3/16/2011
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	3/16/2011
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	3/16/2011
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	3/16/2011
Active	Liberty Mutual Insurance Company	301159	Agent - Property	3/16/2011
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	4/1/2024
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	4/1/2024
Active	Markel American Insurance Company	300377	Agent - Casualty	7/21/2016
Active	Markel American Insurance Company	300377	Agent - Health	7/21/2016
Active	Markel American Insurance Company	300377	Agent - Property	7/21/2016
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	6/23/2011
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	6/23/2011
Active	Merchants Bonding Company (Mutual)	300170	Agent - Casualty	2/22/2010
Active	Merchants National Bonding Inc.	787525	Agent - Casualty	10/8/2012
Active	Meridian Security Insurance Company	300423	Agent - Casualty	9/11/2012
Active	Meridian Security Insurance Company	300423	Agent - Property	9/11/2012
Active	Milbank Insurance Company	925185	Agent - Casualty	11/8/2017
Active	Milbank Insurance Company	925185	Agent - Property	11/8/2017
Active	Monroe Guaranty Insurance Company	300771	Agent - Casualty	12/21/2007
Active	Monroe Guaranty Insurance Company	300771	Agent - Property	12/21/2007
Active	National Builders Insurance Company	677579	Agent - Casualty	1/20/2021
Active	National Builders Insurance Company	677579	Agent - Property	1/20/2021
Active	National Casualty Company	301483	Agent - Casualty	2/5/2018
Active	National Casualty Company	301483	Agent - Property	2/5/2018
Active	National Fire Insurance Company of Hartford	301063	Agent - Casualty	11/5/2019
Active	National Fire Insurance Company of Hartford	301063	Agent - Property	11/5/2019
Inactive	National Surety Corporation	300087	Agent - Casualty	9/17/2003	3/25/2021
Inactive	National Surety Corporation	300087	Agent - Property	9/17/2003	3/25/2021
Active	National Trust Insurance Company	300367	Agent - Casualty	12/21/2007
Active	National Trust Insurance Company	300367	Agent - Property	12/21/2007
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	9/29/2008
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	9/29/2008
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	10/8/2020
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	10/8/2020
Active	Nationwide Assurance Company	300166	Agent - Casualty	10/8/2020
Active	Nationwide General Insurance Company	300603	Agent - Casualty	10/8/2020
Active	Nationwide General Insurance Company	300603	Agent - Property	10/8/2020
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	10/8/2020
Active	Nationwide Insurance Company of America	300333	Agent - Property	10/8/2020
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	2/5/2018
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	2/5/2018
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	10/8/2020
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	10/8/2020
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/16/2008	5/10/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/16/2008	5/10/2024
Active	New Hampshire Insurance Company	301670	Agent - Casualty	9/29/2008
Active	New Hampshire Insurance Company	301670	Agent - Property	9/29/2008
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/16/2008	3/29/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/16/2008	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/16/2008	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/16/2008	3/29/2024
Active	Owners Insurance Company	300796	Agent - Casualty	5/7/2010
Active	Owners Insurance Company	300796	Agent - Property	5/7/2010
Active	Pacific Indemnity Company	301610	Agent - Casualty	10/16/2002
Active	Pacific Indemnity Company	301610	Agent - Property	10/16/2002
Active	Pacific Life Insurance Company	301848	Agent - Health	1/5/2024
Active	Pacific Life Insurance Company	301848	Agent - Life	1/5/2024
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/16/2008	9/26/2024
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/16/2008	9/26/2024
Active	Peerless Insurance Company	301910	Agent - Casualty	10/16/2008
Active	Peerless Insurance Company	301910	Agent - Property	10/16/2008
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Casualty	9/1/2004
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Property	9/1/2004
Active	Pennsylvania National Mutual Casualty Insurance Company	301395	Agent - Casualty	12/29/2008
Active	Pennsylvania National Mutual Casualty Insurance Company	301395	Agent - Property	12/29/2008
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	6/6/2024
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	6/6/2024
Inactive	Pinnacle National Insurance Company	300698	Agent - Casualty	4/20/2016	10/24/2016
Inactive	Pinnacle National Insurance Company	300698	Agent - Property	4/20/2016	10/24/2016
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/24/2004
Active	Progressive Casualty Insurance Company	300696	Agent - Property	3/24/2004
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	2/3/2004	12/9/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	2/3/2004	12/9/2013
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	3/21/2011
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	3/21/2011
Active	RLI Insurance Company	301217	Agent - Casualty	3/20/2018
Active	RLI Insurance Company	301217	Agent - Property	3/20/2018
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	4/15/2011
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	4/15/2011
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/15/2002	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/15/2002	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/15/2002	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/15/2002	3/29/2024
Active	Scottsdale Indemnity Company	300232	Agent - Casualty	2/5/2018
Active	Scottsdale Indemnity Company	300232	Agent - Property	2/5/2018
Active	Selective Insurance Company of America	500018	Agent - Casualty	6/5/2008
Active	Selective Insurance Company of America	500018	Agent - Property	6/5/2008
Active	Selective Insurance Company of South Carolina	500012	Agent - Casualty	6/5/2008
Active	Selective Insurance Company of South Carolina	500012	Agent - Property	6/5/2008
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	6/5/2008
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	6/5/2008
Active	Seneca Insurance Company Inc.	301762	Agent - Casualty	5/5/2021
Active	Seneca Insurance Company Inc.	301762	Agent - Property	5/5/2021
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	6/29/2015	8/22/2017
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	6/29/2015	8/22/2017
Active	SilverScript Insurance Company	663526	Agent - Health	10/18/2019
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	12/9/2014	12/21/2015
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	12/9/2014	12/21/2015
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	12/9/2014	12/21/2015
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	12/9/2014	12/21/2015
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	12/9/2014	12/21/2015
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	12/9/2014	12/21/2015
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	10/30/2013
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	10/30/2013
Active	Standard Insurance Company	300185	Agent - Health	11/23/2020
Active	Standard Insurance Company	300185	Agent - Life	11/23/2020
Active	Starmount Life Insurance Company	628031	Agent - Health	10/8/2021
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	9/11/2012
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	9/11/2012
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	9/11/2012
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	9/11/2012
Active	Symetra Life Insurance Company	301691	Agent - Health	1/16/2025
Active	Symetra Life Insurance Company	301691	Agent - Life	1/16/2025
Active	The Phoenix Insurance Company	301502	Agent - Casualty	11/22/2011
Active	The Phoenix Insurance Company	301502	Agent - Property	11/22/2011
Inactive	Time Insurance Company	300683	Agent - Health	10/11/2002	5/24/2004
Inactive	Time Insurance Company	300683	Agent - Life	10/11/2002	5/24/2004
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	9/3/2002	9/27/2007
Inactive	Transcontinental Insurance Company	301731	Agent - Property	9/3/2002	9/27/2007
Inactive	Transportation Insurance Company	301575	Agent - Casualty	1/23/2017	12/11/2017
Inactive	Transportation Insurance Company	301575	Agent - Property	1/23/2017	12/11/2017
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	12/22/2011	11/26/2024
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	12/22/2011	11/26/2024
Active	Travelers Casualty and Surety Company	301067	Agent - Casualty	12/9/2014
Active	Travelers Casualty and Surety Company	301067	Agent - Property	12/9/2014
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	12/5/2013
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	12/5/2013
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	9/2/2011
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	9/2/2011
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/1/2011
Active	Travelers Indemnity Company (The)	301855	Agent - Property	8/1/2011
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	12/9/2014
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	12/9/2014
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	10/14/2005	11/4/2022
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	10/14/2005	11/4/2022
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	7/16/2019
Active	Travelers Personal Insurance Company	705785	Agent - Property	7/16/2019
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	10/14/2005
Active	Travelers Property Casualty Company of America	301649	Agent - Property	10/14/2005
Active	Trustgard Insurance Company	300104	Agent - Casualty	8/2/2007
Active	Trustgard Insurance Company	300104	Agent - Property	8/2/2007
Active	U.S. Specialty Insurance Company	300186	Agent - Casualty	4/24/2015
Active	U.S. Specialty Insurance Company	300186	Agent - Property	4/24/2015
Active	UNUM Life Insurance Company of America	300817	Agent - Health	3/21/2011
Active	UNUM Life Insurance Company of America	300817	Agent - Life	3/21/2011
Active	United Financial Casualty Company	301886	Agent - Casualty	12/2/2005
Active	United Financial Casualty Company	301886	Agent - Property	12/2/2005
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	11/1/2019
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	11/1/2019
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/12/2023
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Life	11/1/2019
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/1/2019	12/17/2024
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Life	11/1/2019	12/17/2024
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	3/21/2023
Active	Unum Insurance Company	301499	Agent - Health	10/8/2021
Active	Unum Insurance Company	301499	Agent - Life	10/8/2021
Active	Valley Forge Insurance Company	301052	Agent - Casualty	9/3/2002
Active	Valley Forge Insurance Company	301052	Agent - Property	9/3/2002
Active	Vigilant Insurance Company	301143	Agent - Casualty	10/16/2002
Active	Vigilant Insurance Company	301143	Agent - Property	10/16/2002
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	3/16/2011	3/30/2015
Inactive	Wausau Business Insurance Company	301476	Agent - Property	3/16/2011	3/30/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	3/16/2011	8/27/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	3/16/2011	8/27/2015
Active	WellCare Health Insurance Company of Kentucky, Inc.	301478	Agent - Health	12/23/2023
Active	WellCare Prescription Insurance Inc.	654329	Agent - Health	12/23/2023
Inactive	West American Insurance Company	301112	Agent - Casualty	10/16/2008	3/29/2024
Inactive	West American Insurance Company	301112	Agent - Property	10/16/2008	3/29/2024
Active	Western Surety Company	300283	Agent - Casualty	12/6/2005
Active	Westfield Insurance Company	301950	Agent - Casualty	7/7/2011
Active	Westfield Insurance Company	301950	Agent - Property	7/7/2011
Active	Westfield National Insurance Company	301036	Agent - Casualty	4/20/2012
Active	Westfield National Insurance Company	301036	Agent - Property	4/20/2012
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	5/29/2001	5/24/2004
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	5/29/2001	5/24/2004
Active	Zurich American Insurance Company	301121	Agent - Casualty	8/6/2020
Active	Zurich American Insurance Company	301121	Agent - Property	8/6/2020
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	8/6/2020
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	8/6/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Adkins, Peggy J	880348	Agent - Health
Denied	Adkins, Peggy J	880348	Agent - Life
Active	Aponte, Cassandra Lynn	1274398	Agent - Casualty	3/6/2025
Active	Aponte, Cassandra Lynn	1274398	Agent - Property	3/6/2025
Inactive	Baker, Lisa Diann	680329	Agent - Casualty	12/4/2023	12/11/2023
Inactive	Baker, Lisa Diann	680329	Agent - Property	12/4/2023	12/11/2023
Pending	Bowman, Teresa Bates	1016387	Agent - Casualty
Pending	Bowman, Teresa Bates	1016387	Agent - Property
Denied	Buttram, Jessica	1029857	Agent - Casualty
Denied	Buttram, Jessica	1029857	Agent - Property
Inactive	Carter, Amy Leigh	880306	Agent - Casualty	3/11/2020	10/22/2020
Inactive	Carter, Amy Leigh	880306	Agent - Property	3/11/2020	10/22/2020
Active	Chamberlain, Lisa Pratt	880309	Agent - Casualty	4/7/2021
Active	Chamberlain, Lisa Pratt	880309	Agent - Property	4/7/2021
Active	Chamberlain, Lisa Pratt	880309	Surplus Lines Broker - Not Applicable	4/7/2021
Denied	Childress, Laura Lynn	1253966	Agent - Casualty
Denied	Childress, Laura Lynn	1253966	Agent - Property
Denied	Clark-Kinkead, Debra Elaine	615882	Agent - Casualty
Denied	Clark-Kinkead, Debra Elaine	615882	Agent - Property
Inactive	Clark-Kinkead, Debra Elaine	615882	Surplus Lines Broker - Not Applicable	4/7/2021	12/4/2023
Active	Douglas, Stacy Renea	690520	Agent - Casualty	5/8/2023
Active	Douglas, Stacy Renea	690520	Agent - Property	5/8/2023
Active	Douglas, Stacy Renea	690520	Surplus Lines Broker - Not Applicable	5/8/2023
Denied	Dove, Kimberly R	1250958	Agent - Casualty
Denied	Dove, Kimberly R	1250958	Agent - Property
Active	Dove, Kimberly R	1250958	Surplus Lines Broker - Not Applicable	2/17/2023
Active	Dugger, Lindsey	1019266	Agent - Casualty	12/4/2023
Active	Dugger, Lindsey	1019266	Agent - Property	12/4/2023
Active	Eldridge, Robert Coulter	812437	Agent - Casualty	3/11/2020
Active	Eldridge, Robert Coulter	812437	Agent - Property	3/11/2020
Active	Eldridge, Robert Coulter	812437	Surplus Lines Broker - Not Applicable	3/6/2025
Inactive	Erlbacher, Mickey Jean	677007	Agent - Casualty	3/11/2020	7/31/2020
Inactive	Erlbacher, Mickey Jean	677007	Agent - Property	3/11/2020	7/31/2020
Inactive	Fasano, Crystal S	1183016	Agent - Casualty	4/20/2022	6/2/2023
Inactive	Fasano, Crystal S	1183016	Agent - Property	4/20/2022	6/2/2023
Denied	Fillyaw, Janis Elaine	1016573	Agent - Casualty
Denied	Fillyaw, Janis Elaine	1016573	Agent - Property
Active	Fisher, Bethani	1016587	Agent - Casualty	12/4/2023
Active	Fisher, Bethani	1016587	Agent - Property	12/4/2023
Inactive	Frantz, Dana Lynne	1119945	Agent - Casualty	11/15/2021	8/10/2023
Inactive	Frantz, Dana Lynne	1119945	Agent - Property	11/15/2021	8/10/2023
Active	Fritts, John Payton	711035	Agent - Casualty	8/12/2011
Active	Fritts, John Payton	711035	Agent - Property	8/18/2011
Denied	Gibbs, Jodi	779508	Agent - Casualty
Denied	Gibbs, Jodi	779508	Agent - Property
Pending	Grossbard, Joshua Michael	1378667	Agent - Health
Pending	Grossbard, Joshua Michael	1378667	Agent - Life
Pending	Hammons, Amy Leanne	1332791	Agent - Casualty
Pending	Hammons, Amy Leanne	1332791	Agent - Property
Active	Hearl, Josh Lee	672608	Agent - Casualty	3/11/2020
Active	Hearl, Josh Lee	672608	Agent - Property	3/11/2020
Active	Hearl, Josh Lee	672608	Surplus Lines Broker - Not Applicable	3/6/2025
Active	Henson, Rebecca Irene	983255	Agent - Casualty	12/4/2023
Active	Henson, Rebecca Irene	983255	Agent - Property	12/4/2023
Active	Henson, Rebecca Irene	983255	Surplus Lines Broker - Not Applicable	2/14/2025
Denied	Hicks, Brittany L	871281	Agent - Casualty
Denied	Hicks, Brittany L	871281	Agent - Property
Pending	Hines, Sandra K	1381415	Agent - Casualty
Pending	Hines, Sandra K	1381415	Agent - Property
Active	Hines, Sandra K	1381415	Surplus Lines Broker - Not Applicable	3/3/2025
Inactive	Howard, Linda	1044862	Agent - Casualty	4/7/2021	1/10/2024
Inactive	Howard, Linda	1044862	Agent - Property	4/7/2021	1/10/2024
Denied	Johnson, Sherri	1070793	Agent - Casualty
Denied	Johnson, Sherri	1070793	Agent - Property
Active	Kelly, Benjamin Lane	1123088	Agent - Health	11/15/2021
Active	Kelly, Benjamin Lane	1123088	Agent - Life	11/15/2021
Inactive	Kinley Lawrence, Jennifer E	810701	Agent - Health	3/11/2020	7/31/2020
Inactive	Kinley Lawrence, Jennifer E	810701	Agent - Life	3/11/2020	7/31/2020
Active	Lawson, Lisa Kay	1031185	Agent - Casualty	12/4/2023
Active	Lawson, Lisa Kay	1031185	Agent - Property	12/4/2023
Pending	Martin, Candice	1252828	Agent - Casualty
Pending	Martin, Candice	1252828	Agent - Property
Active	Martin, Candice	1252828	Surplus Lines Broker - Not Applicable	3/6/2025
Active	Martin, Charles Carlisle	772911	Agent - Casualty	3/11/2020
Active	Martin, Charles Carlisle	772911	Agent - Property	3/11/2020
Inactive	Mccutcheon, Kristen K	1031333	Agent - Casualty	3/11/2020	11/15/2021
Inactive	Mccutcheon, Kristen K	1031333	Agent - Property	3/11/2020	11/15/2021
Active	Mccutcheon, Richard Arnold	880327	Agent - Casualty	3/11/2020
Active	Mccutcheon, Richard Arnold	880327	Agent - Property	3/11/2020
Active	Mccutcheon, Richard Arnold	880327	Surplus Lines Broker - Not Applicable	3/6/2025
Inactive	Mcfalls, Vivian Jett	887512	Agent - Casualty	3/11/2020	12/5/2022
Inactive	Mcfalls, Vivian Jett	887512	Agent - Property	3/11/2020	12/5/2022
Inactive	Mcmillin, Robert Woodson	880343	Agent - Casualty	3/11/2020	7/31/2020
Denied	Mcmillin, Robert Woodson	880343	Agent - Health
Denied	Mcmillin, Robert Woodson	880343	Agent - Life
Inactive	Mcmillin, Robert Woodson	880343	Agent - Property	3/11/2020	7/31/2020
Denied	Melton-Cate, Jan	560226	Agent - Casualty
Denied	Melton-Cate, Jan	560226	Agent - Health
Denied	Melton-Cate, Jan	560226	Agent - Life
Denied	Melton-Cate, Jan	560226	Agent - Property
Denied	Morgan, Lori M	815749	Agent - Casualty
Denied	Morgan, Lori M	815749	Agent - Property
Active	Nelson, Spencer	1185027	Agent - Casualty	4/20/2022
Active	Nelson, Spencer	1185027	Agent - Property	4/20/2022
Active	Nelson, Spencer	1185027	Surplus Lines Broker - Not Applicable	3/29/2022
Active	Oakes, James Fowler	772798	Agent - Casualty	3/11/2020
Active	Oakes, James Fowler	772798	Agent - Property	3/11/2020
Active	Oakes, Raymond Leslie	390933	Agent - Casualty	3/11/2020
Active	Oakes, Raymond Leslie	390933	Agent - Property	3/11/2020
Active	Oakes, Stuart Fitzgerald	711037	Agent - Casualty	3/11/2020
Active	Oakes, Stuart Fitzgerald	711037	Agent - Property	3/11/2020
Active	Oakes, Stuart Fitzgerald	711037	Surplus Lines Broker - Not Applicable	3/6/2025
Active	Patterson, Teckla Dixon	1070781	Agent - Health	6/30/2020
Active	Patterson, Teckla Dixon	1070781	Agent - Life	6/30/2020
Inactive	Preston, Charles Taylor	689106	Agent - Casualty	3/11/2020	7/31/2020
Inactive	Preston, Charles Taylor	689106	Agent - Health	3/11/2020	7/31/2020
Inactive	Preston, Charles Taylor	689106	Agent - Life	3/11/2020	7/31/2020
Inactive	Preston, Charles Taylor	689106	Agent - Property	3/11/2020	7/31/2020
Active	Ragan, Lawrence Alan	983953	Agent - Casualty	3/12/2020
Active	Ragan, Lawrence Alan	983953	Agent - Property	3/12/2020
Denied	Russell, Andrea M	1071954	Agent - Casualty
Denied	Russell, Andrea M	1071954	Agent - Property
Inactive	Rutan, Heather	1065395	Agent - Casualty	4/12/2021	8/10/2023
Denied	Rutan, Heather	1065395	Agent - Property
Active	Sherrod, Kathryn Lavonne	910162	Agent - Casualty	3/11/2020
Active	Sherrod, Kathryn Lavonne	910162	Agent - Property	3/11/2020
Active	Shires, Kevin Paul	880356	Agent - Casualty	12/4/2023
Active	Shires, Kevin Paul	880356	Agent - Health	7/2/2020
Active	Shires, Kevin Paul	880356	Agent - Life	7/2/2020
Active	Shires, Kevin Paul	880356	Agent - Property	12/4/2023
Inactive	Sims, Edward B	387704	Surplus Lines Broker - Not Applicable	1/26/2017	4/7/2021
Inactive	Sims, John Edward	814934	Agent - Casualty	3/11/2020	7/31/2020
Inactive	Sims, John Edward	814934	Agent - Property	3/11/2020	7/31/2020
Pending	Sims, Regina Kay	1169394	Agent - Casualty
Pending	Sims, Regina Kay	1169394	Agent - Property
Active	Sims, Regina Kay	1169394	Surplus Lines Broker - Not Applicable	2/14/2025
Active	Sitton, Steven	948086	Agent - Casualty	12/4/2023
Active	Sitton, Steven	948086	Agent - Health	3/11/2020
Active	Sitton, Steven	948086	Agent - Life	3/6/2025
Active	Sitton, Steven	948086	Agent - Property	12/4/2023
Active	Smith, Jared Scott	957501	Agent - Casualty	3/11/2020
Pending	Smith, Jared Scott	957501	Agent - Health
Pending	Smith, Jared Scott	957501	Agent - Life
Active	Smith, Jared Scott	957501	Agent - Property	3/11/2020
Pending	Sprenz, Robin Inez	559574	Agent - Casualty
Pending	Sprenz, Robin Inez	559574	Agent - Property
Pending	Starkey, Bradley	1168055	Agent - Health
Active	Starkey, Bradley	1168055	Agent - Life	12/4/2023
Active	Strang, Kianna Shante'	753156	Agent - Health	11/9/2023
Active	Strang, Kianna Shante'	753156	Agent - Life	11/9/2023
Active	Thomas, Carson	1313381	Agent - Casualty	3/6/2025
Active	Thomas, Carson	1313381	Agent - Property	3/6/2025
Active	Thomas, Carter	1378067	Agent - Casualty	2/14/2025
Active	Thomas, Carter	1378067	Agent - Property	2/14/2025
Active	Thomas, Reese K	957500	Agent - Casualty	3/11/2020
Active	Thomas, Reese K	957500	Agent - Health	1/5/2024
Active	Thomas, Reese K	957500	Agent - Life	1/5/2024
Active	Thomas, Reese K	957500	Agent - Property	3/11/2020
Active	Thomas, Reese K	957500	Surplus Lines Broker - Not Applicable	4/7/2021
Active	Thomas, William Morgan	323423	Agent - Casualty	5/29/2001
Active	Thomas, William Morgan	880351	Agent - Casualty	3/11/2020
Active	Thomas, William Morgan	323423	Agent - Health	5/25/2010
Pending	Thomas, William Morgan	880351	Agent - Health
Active	Thomas, William Morgan	323423	Agent - Life	5/25/2010
Pending	Thomas, William Morgan	880351	Agent - Life
Active	Thomas, William Morgan	323423	Agent - Property	5/29/2001
Active	Thomas, William Morgan	880351	Agent - Property	3/11/2020
Active	Thomas, William Morgan	880351	Surplus Lines Broker - Not Applicable	7/31/2020
Active	Thomas, William Morgan	323423	Surplus Lines Broker - Not Applicable	4/7/2021
Active	Wake, Donald Bruce	311489	Agent - Casualty	3/11/2020
Active	Wake, Donald Bruce	311489	Agent - Property	3/11/2020
Active	Wake, Donald Bruce	311489	Surplus Lines Broker - Not Applicable	3/6/2025
Active	Wallace, Laura Diane	982745	Agent - Casualty	12/4/2023
Active	Wallace, Laura Diane	982745	Agent - Property	12/4/2023
Denied	Wathen, Ashley	1353490	Agent - Property
Active	Werner, John J	933053	Agent - Casualty	3/11/2020
Pending	Werner, John J	933053	Agent - Health
Pending	Werner, John J	933053	Agent - Life
Active	Werner, John J	933053	Agent - Property	3/11/2020
Active	Werner, John J	933053	Surplus Lines Broker - Not Applicable	5/8/2023
Active	Wilk, Frank Amalon	1378686	Agent - Casualty	2/20/2025
Active	Wilk, Frank Amalon	1378686	Agent - Property	2/20/2025
Active	Wilk, Frank Amalon	1378686	Surplus Lines Broker - Not Applicable	2/14/2025
Denied	Wixom, Siran	1016594	Agent - Casualty
Denied	Wixom, Siran	1016594	Agent - Property