DEPARTMENT OF INSURANCE
Affiliations
NameMariemont Insurance, Inc.DOIID524074NAIC NPN2444784
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty6/18/2001 3/31/2027
ActiveNon ResidentAgentHealth9/30/2003 3/31/2027
ActiveNon ResidentAgentLife9/30/2003 3/31/2027
ActiveNon ResidentAgentCasualty6/18/2001 3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
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
InactivePeerless Insurance Company301910Agent - Casualty10/16/20085/8/2025
InactivePeerless Insurance Company301910Agent - Property10/16/20085/8/2025
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 
ActiveSAFECO Insurance Company of America300159Agent - Casualty10/31/2024 
ActiveSAFECO Insurance Company of America300159Agent - Property10/31/2024 
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 
InactiveEnglehart, Susan Elaine 745060Agent - Casualty11/16/201812/31/2024
InactiveEnglehart, Susan Elaine 745060Agent - Property11/16/201812/31/2024
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 
PendingMoorman, Lindsey 1388010Agent - Casualty  
PendingMoorman, Lindsey 1388010Agent - Property  
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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