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	3/31/2025
Active	Non Resident	Agent	Life	5/25/2010	3/31/2025
Active	Non Resident	Agent	Property	5/29/2001	3/31/2025
Active	Non Resident	Agent	Casualty	5/29/2001	3/31/2025
Denied	Non Resident	Life & Health Consultant	Not Applicable
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/26/2017	3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
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
Active	Allied World Insurance Company	301336	Agent - Casualty	6/5/2013
Active	Allied World Insurance Company	301336	Agent - Property	6/5/2013
Active	Allied World National Assurance Company	611268	Agent - Casualty	6/5/2013
Active	Allied World National Assurance Company	611268	Agent - Property	6/5/2013
Active	Allied World Specialty Insurance Company	301088	Agent - Casualty	6/5/2013
Active	Allied World Specialty Insurance Company	301088	Agent - Property	6/5/2013
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 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	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
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/16/2008
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	10/16/2008
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	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
Active	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	12/22/2011
Active	Travelers Casualty Insurance Company of America	300522	Agent - Property	12/22/2011
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
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	11/1/2019
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Life	11/1/2019
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
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
Denied	Bowman, Teresa Bates	1016387	Agent - Casualty
Denied	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
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
Active	Hearl, Josh Lee	672608	Agent - Casualty	3/11/2020
Active	Hearl, Josh Lee	672608	Agent - Property	3/11/2020
Active	Henson, Rebecca Irene	983255	Agent - Casualty	12/4/2023
Active	Henson, Rebecca Irene	983255	Agent - Property	12/4/2023
Denied	Hicks, Brittany L	871281	Agent - Casualty
Denied	Hicks, Brittany L	871281	Agent - Property
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
Denied	Martin, Candice	1252828	Agent - Casualty
Denied	Martin, Candice	1252828	Agent - Property
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
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	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
Denied	Sims, Regina Kay	1169394	Agent - Casualty
Denied	Sims, Regina Kay	1169394	Agent - Property
Active	Sitton, Steven	948086	Agent - Casualty	12/4/2023
Active	Sitton, Steven	948086	Agent - Health	3/11/2020
Denied	Sitton, Steven	948086	Agent - Life
Active	Sitton, Steven	948086	Agent - Property	12/4/2023
Active	Smith, Jared Scott	957501	Agent - Casualty	3/11/2020
Denied	Smith, Jared Scott	957501	Agent - Health
Denied	Smith, Jared Scott	957501	Agent - Life
Active	Smith, Jared Scott	957501	Agent - Property	3/11/2020
Denied	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, 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
Denied	Thomas, William Morgan	880351	Agent - Health
Active	Thomas, William Morgan	323423	Agent - Life	5/25/2010
Denied	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	Wallace, Laura Diane	982745	Agent - Casualty	12/4/2023
Active	Wallace, Laura Diane	982745	Agent - Property	12/4/2023
Active	Werner, John J	933053	Agent - Casualty	3/11/2020
Denied	Werner, John J	933053	Agent - Health
Denied	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
Denied	Wixom, Siran	1016594	Agent - Casualty
Denied	Wixom, Siran	1016594	Agent - Property