DEPARTMENT OF INSURANCE
Affiliations
NameMariemont Insurance, Inc.DOIID524074NAIC NPN2444784
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty6/18/2001 3/31/2025
ActiveNon ResidentAgentLife9/30/2003 3/31/2025
ActiveNon ResidentAgentHealth9/30/2003 3/31/2025
ActiveNon ResidentAgentProperty6/18/2001 3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAetna Health Inc. (PA)660717Agent - Health9/14/2018 
ActiveAetna Life Insurance Company301140Agent - Health9/14/2018 
ActiveAetna Life Insurance Company301140Agent - Life9/14/2018 
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Casualty8/19/20025/6/2004
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Property8/19/20025/6/2004
InactiveAmerican Commerce Insurance Company301665Agent - Casualty10/1/20163/31/2018
InactiveAmerican Commerce Insurance Company301665Agent - Property10/1/20163/31/2018
ActiveAmerican Economy Insurance Company300315Agent - Casualty4/8/2024 
ActiveAmerican Economy Insurance Company300315Agent - Property4/8/2024 
InactiveAmerican Fire and Casualty Company300567Agent - Casualty10/16/20083/29/2024
InactiveAmerican Fire and Casualty Company300567Agent - Property10/16/20083/29/2024
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty6/22/201511/14/2021
InactiveAmerican Modern Home Insurance Company300791Agent - Property6/22/201511/14/2021
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty1/13/2021 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property1/13/2021 
InactiveAmerican States Insurance Company301230Agent - Casualty8/17/20013/29/2024
InactiveAmerican States Insurance Company301230Agent - Property8/17/20013/29/2024
ActiveAmerican Strategic Insurance Corp883540Agent - Casualty2/13/2018 
ActiveAmerican Strategic Insurance Corp883540Agent - Property2/13/2018 
ActiveAnsur America Insurance Company520667Agent - Casualty2/18/2008 
ActiveAnsur America Insurance Company520667Agent - Property2/18/2008 
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty7/27/2001 
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property7/27/2001 
InactiveBrickStreet Mutual Insurance Company709251Agent - Casualty11/27/202111/27/2021
InactiveBristol West Insurance Company301655Agent - Casualty3/6/201811/21/2019
InactiveBristol West Insurance Company301655Agent - Property3/6/201811/21/2019
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty7/23/202111/4/2022
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property7/23/202111/4/2022
InactiveClearPath Insurance Company979815Agent - Casualty1/1/20182/7/2019
InactiveCompBenefits Dental, Inc.591692Agent - Health4/25/20088/30/2013
InactiveCompBenefits Insurance Company301864Agent - Health4/25/20086/26/2013
InactiveCompBenefits Insurance Company301864Agent - Life4/25/20086/26/2013
InactiveConsolidated Insurance Company300943Agent - Casualty10/16/200810/13/2022
InactiveConsolidated Insurance Company300943Agent - Property10/16/200810/13/2022
InactiveContinental Casualty Company301019Agent - Casualty8/19/20025/6/2004
InactiveContinental Casualty Company301019Agent - Property8/19/20025/6/2004
InactiveDental Concern Inc. (The)301641Agent - Health3/21/20098/30/2013
InactiveEMCASCO Insurance Company842790Agent - Casualty9/14/201610/24/2017
InactiveEMCASCO Insurance Company842790Agent - Property9/14/201610/24/2017
InactiveEmployers Mutual Casualty Company300202Agent - Casualty9/14/201610/24/2017
InactiveEmployers Mutual Casualty Company300202Agent - Property9/14/201610/24/2017
InactiveFarmington Casualty Company301137Agent - Casualty5/9/200612/9/2009
InactiveFarmington Casualty Company301137Agent - Property5/9/200612/9/2009
ActiveFidelity and Guaranty Insurance Company301009Agent - Casualty7/20/2022 
ActiveFidelity and Guaranty Insurance Company301009Agent - Property7/20/2022 
InactiveFirst National Insurance Company of America301690Agent - Casualty7/25/200110/13/2022
InactiveFirst National Insurance Company of America301690Agent - Property7/25/200110/13/2022
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty2/8/2006 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property2/8/2006 
ActiveFrankenmuth Insurance Company301481Agent - Casualty10/18/2007 
ActiveFrankenmuth Insurance Company301481Agent - Property10/18/2007 
InactiveGeneral Insurance Company of America300261Agent - Casualty7/25/20013/29/2024
InactiveGeneral Insurance Company of America300261Agent - Property7/25/20013/29/2024
InactiveHallmark National Insurance Company300494Agent - Casualty8/29/200311/20/2017
InactiveHallmark National Insurance Company300494Agent - Property8/29/200311/20/2017
InactiveHamilton Mutual Insurance Company301111Agent - Casualty9/14/201610/24/2017
InactiveHamilton Mutual Insurance Company301111Agent - Property9/14/201610/24/2017
InactiveHartford Underwriters Insurance Company301064Agent - Casualty2/1/201912/7/2020
InactiveHartford Underwriters Insurance Company301064Agent - Property2/1/201912/7/2020
InactiveHumana Health Plan, Inc.300142Agent - Health3/20/20098/30/2013
InactiveHumana Insurance Company301104Agent - Health12/18/20038/30/2013
InactiveHumana Insurance Company301104Agent - Life12/18/20038/30/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Health2/10/20128/30/2013
InactiveHumana Insurance Company of Kentucky300826Agent - Life2/10/20128/30/2013
InactiveIndiana Insurance Company301909Agent - Casualty10/16/20082/3/2023
InactiveIndiana Insurance Company301909Agent - Property10/16/20082/3/2023
InactiveKanawha Insurance Company300127Agent - Health4/10/20088/30/2013
InactiveKanawha Insurance Company300127Agent - Life4/10/20088/30/2013
ActiveMICO Insurance Company301664Agent - Casualty5/26/2021 
ActiveMICO Insurance Company301664Agent - Property5/26/2021 
ActiveMeridian Security Insurance Company300423Agent - Casualty2/6/2007 
ActiveMeridian Security Insurance Company300423Agent - Property2/6/2007 
ActiveMilbank Insurance Company925185Agent - Casualty11/8/2017 
ActiveMilbank Insurance Company925185Agent - Property11/8/2017 
ActiveMotorists Commercial Mutual Insurance Company301941Agent - Casualty9/30/2019 
ActiveMotorists Commercial Mutual Insurance Company301941Agent - Property9/30/2019 
ActiveMotorists Mutual Insurance Company300963Agent - Casualty12/23/2002 
ActiveMotorists Mutual Insurance Company300963Agent - Property12/23/2002 
InactiveNational Fire Insurance Company of Hartford301063Agent - Casualty8/19/20025/6/2004
InactiveNational Fire Insurance Company of Hartford301063Agent - Property8/19/20025/6/2004
InactiveNetherlands Insurance Company (The)300339Agent - Casualty10/16/20085/9/2024
InactiveNetherlands Insurance Company (The)300339Agent - Property10/16/20085/9/2024
InactiveNorthStone Insurance Company818905Agent - Casualty11/27/202111/27/2021
ActiveOhio Casualty Insurance Company301492Agent - Casualty5/17/2024 
ActiveOhio Casualty Insurance Company301492Agent - Property5/17/2024 
ActiveOhio Security Insurance Company300622Agent - Casualty4/15/2024 
ActiveOhio Security Insurance Company300622Agent - Property4/15/2024 
InactivePeerless Indemnity Insurance Company571682Agent - Casualty10/16/20089/26/2024
InactivePeerless Indemnity Insurance Company571682Agent - Property10/16/20089/26/2024
ActivePeerless Insurance Company301910Agent - Casualty10/16/2008 
ActivePeerless Insurance Company301910Agent - Property10/16/2008 
InactivePinnaclePoint Insurance Company819085Agent - Casualty11/27/202111/27/2021
ActiveProgressive Casualty Insurance Company300696Agent - Casualty3/24/2004 
ActiveProgressive Casualty Insurance Company300696Agent - Property3/24/2004 
ActiveProgressive Northern Insurance Company301378Agent - Casualty11/11/2002 
ActiveProgressive Northern Insurance Company301378Agent - Property11/11/2002 
InactiveSAFECO Insurance Company of America300159Agent - Casualty7/25/20013/29/2024
InactiveSAFECO Insurance Company of America300159Agent - Property7/25/20013/29/2024
ActiveSAFECO Insurance Company of Illinois301350Agent - Casualty6/14/2024 
ActiveSAFECO Insurance Company of Illinois301350Agent - Property6/14/2024 
InactiveSAFECO National Insurance Company300989Agent - Casualty7/25/200112/4/2004
InactiveSAFECO National Insurance Company300989Agent - Property7/25/200112/4/2004
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty10/19/201212/5/2013
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Property10/19/201212/5/2013
InactiveSt. Paul Guardian Insurance Company301372Agent - Casualty10/19/201212/5/2013
InactiveSt. Paul Guardian Insurance Company301372Agent - Property10/19/201212/5/2013
InactiveSt. Paul Mercury Insurance Company300783Agent - Casualty10/19/201212/5/2013
InactiveSt. Paul Mercury Insurance Company300783Agent - Property10/19/201212/5/2013
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty7/27/2001 
ActiveStandard Fire Insurance Company (The)301068Agent - Property7/27/2001 
ActiveState Auto Property & Casualty Insurance Company301953Agent - Casualty8/29/2003 
ActiveState Auto Property & Casualty Insurance Company301953Agent - Property8/29/2003 
ActiveState Automobile Mutual Insurance Company301824Agent - Casualty8/29/2003 
ActiveState Automobile Mutual Insurance Company301824Agent - Property8/29/2003 
InactiveSummitPoint Insurance Company819084Agent - Casualty11/27/202111/27/2021
InactiveSymetra Life Insurance Company301691Agent - Health10/27/20035/16/2019
InactiveSymetra Life Insurance Company301691Agent - Life10/27/20035/16/2019
ActiveThe Phoenix Insurance Company301502Agent - Casualty7/27/2001 
ActiveThe Phoenix Insurance Company301502Agent - Property7/27/2001 
InactiveTranscontinental Insurance Company301731Agent - Casualty8/19/20025/6/2004
InactiveTranscontinental Insurance Company301731Agent - Property8/19/20025/6/2004
InactiveTransportation Insurance Company301575Agent - Casualty8/19/20025/6/2004
InactiveTransportation Insurance Company301575Agent - Property8/19/20025/6/2004
InactiveTravCo Insurance Company301828Agent - Casualty7/27/200112/5/2013
InactiveTravCo Insurance Company301828Agent - Property7/27/200112/5/2013
InactiveTravelers Casualty Company of Connecticut301505Agent - Casualty9/3/200212/9/2009
InactiveTravelers Casualty Company of Connecticut301505Agent - Property9/3/200212/9/2009
ActiveTravelers Casualty Insurance Company of America300522Agent - Casualty5/9/2006 
ActiveTravelers Casualty Insurance Company of America300522Agent - Property5/9/2006 
ActiveTravelers Casualty and Surety Company301067Agent - Casualty3/10/2015 
ActiveTravelers Casualty and Surety Company301067Agent - Property3/10/2015 
ActiveTravelers Casualty and Surety Company of America301334Agent - Casualty3/12/2004 
ActiveTravelers Casualty and Surety Company of America301334Agent - Property3/12/2004 
InactiveTravelers Commercial Casualty Company301695Agent - Casualty5/9/200612/9/2009
InactiveTravelers Commercial Casualty Company301695Agent - Property5/9/200612/9/2009
InactiveTravelers Commercial Insurance Company301506Agent - Casualty7/27/200112/30/2002
InactiveTravelers Commercial Insurance Company301506Agent - Property7/27/200112/30/2002
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty7/19/2005 
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Property7/19/2005 
ActiveTravelers Indemnity Company (The)301855Agent - Casualty8/12/2015 
ActiveTravelers Indemnity Company (The)301855Agent - Property8/12/2015 
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty3/10/201512/14/2016
InactiveTravelers Indemnity Company of America (The)301093Agent - Property3/10/201512/14/2016
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty3/10/201512/14/2016
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property3/10/201512/14/2016
ActiveTravelers Personal Insurance Company705785Agent - Casualty6/28/2019 
ActiveTravelers Personal Insurance Company705785Agent - Property6/28/2019 
ActiveTravelers Property Casualty Company of America301649Agent - Casualty9/1/2011 
ActiveTravelers Property Casualty Company of America301649Agent - Property9/1/2011 
InactiveTravelers Property Casualty Insurance Company301508Agent - Casualty12/21/200912/5/2013
InactiveTravelers Property Casualty Insurance Company301508Agent - Property12/21/200912/5/2013
InactiveUnion Insurance Company of Providence842791Agent - Casualty9/14/201610/24/2017
InactiveUnion Insurance Company of Providence842791Agent - Property9/14/201610/24/2017
ActiveUnited Financial Casualty Company301886Agent - Casualty12/2/2005 
ActiveUnited Financial Casualty Company301886Agent - Property12/2/2005 
InactiveValley Forge Insurance Company301052Agent - Casualty8/19/20025/6/2004
InactiveValley Forge Insurance Company301052Agent - Property8/19/20025/6/2004
ActiveWest American Insurance Company301112Agent - Casualty7/23/2024 
ActiveWest American Insurance Company301112Agent - Property7/23/2024 
ActiveWestern Surety Company300283Agent - Casualty1/7/2009 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllen, Julian G 377590Agent - Casualty10/17/2002 
ActiveAllen, Julian G 377590Agent - Property10/17/2002 
InactiveBeach, Charles T 391980Agent - Health8/30/20114/2/2019
InactiveBeach, Charles T 391980Agent - Life8/30/20114/2/2019
InactiveBeauchamp, Jeffrey H 557761Agent - Casualty10/31/20029/3/2024
InactiveBeauchamp, Jeffrey H 557761Agent - Property10/31/20029/3/2024
InactiveBromagen, Pamela A 557787Agent - Casualty1/21/20156/3/2020
InactiveBromagen, Pamela A 557787Agent - Property1/21/20156/3/2020
InactiveCalhoun, Michelle Lynn 557773Agent - Casualty10/31/20025/31/2005
InactiveCalhoun, Michelle Lynn 557773Agent - Property10/31/20025/31/2005
InactiveClemons, Clifford M 380040Agent - Casualty6/18/20019/27/2005
InactiveClemons, Clifford M 380040Agent - Property6/18/20019/27/2005
InactiveDavis, Donald Eric 745012Agent - Casualty5/11/20127/26/2024
InactiveDavis, Donald Eric 745012Agent - Property5/11/20127/26/2024
ActiveDetrick, Robert J 357933Agent - Casualty2/5/2016 
ActiveDetrick, Robert J 357933Agent - Property2/5/2016 
ActiveEnglehart, Susan Elaine 745060Agent - Casualty11/16/2018 
ActiveEnglehart, Susan Elaine 745060Agent - Property11/16/2018 
ActiveFerrall, Craig Robert 545979Agent - Casualty9/20/2002 
ActiveFerrall, Craig Robert 545979Agent - Health4/9/2019 
ActiveFerrall, Craig Robert 545979Agent - Life4/9/2019 
ActiveFerrall, Craig Robert 545979Agent - Property9/20/2002 
InactiveHofmann, Gerald Gordon 557774Agent - Casualty10/31/200212/19/2014
InactiveHofmann, Gerald Gordon 557774Agent - Property10/31/200212/19/2014
ActiveKeller, Natalie Anne 866138Agent - Casualty1/27/2015 
ActiveKeller, Natalie Anne 866138Agent - Property1/27/2015 
InactiveSado, John Michael 367489Agent - Casualty6/18/200112/15/2008
InactiveSado, John Michael 367489Agent - Health9/30/200312/15/2008
InactiveSado, John Michael 367489Agent - Life9/30/200312/15/2008
InactiveSado, John Michael 367489Agent - Property6/18/200112/15/2008
ActiveSmith, Pamela M 791005Agent - Casualty9/28/2012 
DeniedSmith, Pamela M 791005Agent - Health  
DeniedSmith, Pamela M 791005Agent - Life  
ActiveSmith, Pamela M 791005Agent - Property3/20/2014 
InactiveStewart, Deborah J 558228Agent - Casualty5/19/20033/31/2017
InactiveStewart, Deborah J 558228Agent - Property5/19/20033/31/2017

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