DEPARTMENT OF INSURANCE

Affiliations

Name	Mariemont Insurance, Inc.	DOIID	524074	NAIC NPN	2444784

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/18/2001	3/31/2027
Active	Non Resident	Agent	Life	9/30/2003	3/31/2027
Active	Non Resident	Agent	Property	6/18/2001	3/31/2027
Active	Non Resident	Agent	Health	9/30/2003	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	01/15/2025	01/15/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/14/2018
Active	Aetna Life Insurance Company	301140	Agent - Health	9/14/2018
Active	Aetna Life Insurance Company	301140	Agent - Life	9/14/2018
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/19/2002	5/6/2004
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/19/2002	5/6/2004
Inactive	American Commerce Insurance Company	301665	Agent - Casualty	10/1/2016	3/31/2018
Inactive	American Commerce Insurance Company	301665	Agent - Property	10/1/2016	3/31/2018
Active	American Economy Insurance Company	300315	Agent - Casualty	4/8/2024
Active	American Economy Insurance Company	300315	Agent - Property	4/8/2024
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
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	6/22/2015	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	6/22/2015	11/14/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	1/13/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	1/13/2021
Inactive	American States Insurance Company	301230	Agent - Casualty	8/17/2001	3/29/2024
Inactive	American States Insurance Company	301230	Agent - Property	8/17/2001	3/29/2024
Active	American Strategic Insurance Corp	883540	Agent - Casualty	2/13/2018
Active	American Strategic Insurance Corp	883540	Agent - Property	2/13/2018
Active	Ansur America Insurance Company	520667	Agent - Casualty	2/18/2008
Active	Ansur America Insurance Company	520667	Agent - Property	2/18/2008
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	7/27/2001
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	7/27/2001
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	3/6/2018	11/21/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/6/2018	11/21/2019
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	7/23/2021	11/4/2022
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	7/23/2021	11/4/2022
Inactive	ClearPath Insurance Company	979815	Agent - Casualty	1/1/2018	2/7/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/25/2008	8/30/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/25/2008	6/26/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/25/2008	6/26/2013
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
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/19/2002	5/6/2004
Inactive	Continental Casualty Company	301019	Agent - Property	8/19/2002	5/6/2004
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	8/30/2013
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	9/14/2016	10/24/2017
Inactive	EMCASCO Insurance Company	842790	Agent - Property	9/14/2016	10/24/2017
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	9/14/2016	10/24/2017
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	9/14/2016	10/24/2017
Inactive	Farmington Casualty Company	301137	Agent - Casualty	5/9/2006	12/9/2009
Inactive	Farmington Casualty Company	301137	Agent - Property	5/9/2006	12/9/2009
Active	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	7/20/2022
Active	Fidelity and Guaranty Insurance Company	301009	Agent - Property	7/20/2022
Inactive	First National Insurance Company of America	301690	Agent - Casualty	7/25/2001	10/13/2022
Inactive	First National Insurance Company of America	301690	Agent - Property	7/25/2001	10/13/2022
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	2/8/2006
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	2/8/2006
Active	Frankenmuth Insurance Company	301481	Agent - Casualty	10/18/2007
Active	Frankenmuth Insurance Company	301481	Agent - Property	10/18/2007
Inactive	General Insurance Company of America	300261	Agent - Casualty	7/25/2001	3/29/2024
Inactive	General Insurance Company of America	300261	Agent - Property	7/25/2001	3/29/2024
Inactive	Hallmark National Insurance Company	300494	Agent - Casualty	8/29/2003	11/20/2017
Inactive	Hallmark National Insurance Company	300494	Agent - Property	8/29/2003	11/20/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	9/14/2016	10/24/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	9/14/2016	10/24/2017
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	2/1/2019	12/7/2020
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	2/1/2019	12/7/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2009	8/30/2013
Inactive	Humana Insurance Company	301104	Agent - Health	12/18/2003	8/30/2013
Inactive	Humana Insurance Company	301104	Agent - Life	12/18/2003	8/30/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	2/10/2012	8/30/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	2/10/2012	8/30/2013
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
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/10/2008	8/30/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/10/2008	8/30/2013
Active	MICO Insurance Company	301664	Agent - Casualty	5/26/2021
Active	MICO Insurance Company	301664	Agent - Property	5/26/2021
Active	Meridian Security Insurance Company	300423	Agent - Casualty	2/6/2007
Active	Meridian Security Insurance Company	300423	Agent - Property	2/6/2007
Active	Milbank Insurance Company	925185	Agent - Casualty	11/8/2017
Active	Milbank Insurance Company	925185	Agent - Property	11/8/2017
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	9/30/2019
Active	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	9/30/2019
Active	Motorists Mutual Insurance Company	300963	Agent - Casualty	12/23/2002
Active	Motorists Mutual Insurance Company	300963	Agent - Property	12/23/2002
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/19/2002	5/6/2004
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/19/2002	5/6/2004
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/16/2008	5/9/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/16/2008	5/9/2024
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	5/17/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Property	5/17/2024
Active	Ohio Security Insurance Company	300622	Agent - Casualty	4/15/2024
Active	Ohio Security Insurance Company	300622	Agent - Property	4/15/2024
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
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/24/2004
Active	Progressive Casualty Insurance Company	300696	Agent - Property	3/24/2004
Active	Progressive Northern Insurance Company	301378	Agent - Casualty	11/11/2002
Active	Progressive Northern Insurance Company	301378	Agent - Property	11/11/2002
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	10/31/2024
Active	SAFECO Insurance Company of America	300159	Agent - Property	10/31/2024
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/14/2024
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	6/14/2024
Inactive	SAFECO National Insurance Company	300989	Agent - Casualty	7/25/2001	12/4/2004
Inactive	SAFECO National Insurance Company	300989	Agent - Property	7/25/2001	12/4/2004
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	10/19/2012	12/5/2013
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	10/19/2012	12/5/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	10/19/2012	12/5/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	10/19/2012	12/5/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	10/19/2012	12/5/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	10/19/2012	12/5/2013
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	7/27/2001
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	7/27/2001
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	8/29/2003
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	8/29/2003
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	8/29/2003
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	8/29/2003
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Symetra Life Insurance Company	301691	Agent - Health	10/27/2003	5/16/2019
Inactive	Symetra Life Insurance Company	301691	Agent - Life	10/27/2003	5/16/2019
Active	The Phoenix Insurance Company	301502	Agent - Casualty	7/27/2001
Active	The Phoenix Insurance Company	301502	Agent - Property	7/27/2001
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	8/19/2002	5/6/2004
Inactive	Transcontinental Insurance Company	301731	Agent - Property	8/19/2002	5/6/2004
Inactive	Transportation Insurance Company	301575	Agent - Casualty	8/19/2002	5/6/2004
Inactive	Transportation Insurance Company	301575	Agent - Property	8/19/2002	5/6/2004
Inactive	TravCo Insurance Company	301828	Agent - Casualty	7/27/2001	12/5/2013
Inactive	TravCo Insurance Company	301828	Agent - Property	7/27/2001	12/5/2013
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	9/3/2002	12/9/2009
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	9/3/2002	12/9/2009
Active	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	5/9/2006
Active	Travelers Casualty Insurance Company of America	300522	Agent - Property	5/9/2006
Active	Travelers Casualty and Surety Company	301067	Agent - Casualty	3/10/2015
Active	Travelers Casualty and Surety Company	301067	Agent - Property	3/10/2015
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	3/12/2004
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	3/12/2004
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	5/9/2006	12/9/2009
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	5/9/2006	12/9/2009
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	7/27/2001	12/30/2002
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	7/27/2001	12/30/2002
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/19/2005
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/19/2005
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/12/2015
Active	Travelers Indemnity Company (The)	301855	Agent - Property	8/12/2015
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	3/10/2015	12/14/2016
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	3/10/2015	12/14/2016
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	3/10/2015	12/14/2016
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	3/10/2015	12/14/2016
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	6/28/2019
Active	Travelers Personal Insurance Company	705785	Agent - Property	6/28/2019
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	9/1/2011
Active	Travelers Property Casualty Company of America	301649	Agent - Property	9/1/2011
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	12/21/2009	12/5/2013
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	12/21/2009	12/5/2013
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	9/14/2016	10/24/2017
Inactive	Union Insurance Company of Providence	842791	Agent - Property	9/14/2016	10/24/2017
Active	United Financial Casualty Company	301886	Agent - Casualty	12/2/2005
Active	United Financial Casualty Company	301886	Agent - Property	12/2/2005
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	8/19/2002	5/6/2004
Inactive	Valley Forge Insurance Company	301052	Agent - Property	8/19/2002	5/6/2004
Active	West American Insurance Company	301112	Agent - Casualty	7/23/2024
Active	West American Insurance Company	301112	Agent - Property	7/23/2024
Active	Western Surety Company	300283	Agent - Casualty	1/7/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allen, Julian G	377590	Agent - Casualty	10/17/2002
Active	Allen, Julian G	377590	Agent - Property	10/17/2002
Inactive	Beach, Charles T	391980	Agent - Health	8/30/2011	4/2/2019
Inactive	Beach, Charles T	391980	Agent - Life	8/30/2011	4/2/2019
Inactive	Beauchamp, Jeffrey H	557761	Agent - Casualty	10/31/2002	9/3/2024
Inactive	Beauchamp, Jeffrey H	557761	Agent - Property	10/31/2002	9/3/2024
Inactive	Bromagen, Pamela A	557787	Agent - Casualty	1/21/2015	6/3/2020
Inactive	Bromagen, Pamela A	557787	Agent - Property	1/21/2015	6/3/2020
Inactive	Calhoun, Michelle Lynn	557773	Agent - Casualty	10/31/2002	5/31/2005
Inactive	Calhoun, Michelle Lynn	557773	Agent - Property	10/31/2002	5/31/2005
Inactive	Clemons, Clifford M	380040	Agent - Casualty	6/18/2001	9/27/2005
Inactive	Clemons, Clifford M	380040	Agent - Property	6/18/2001	9/27/2005
Inactive	Davis, Donald Eric	745012	Agent - Casualty	5/11/2012	7/26/2024
Inactive	Davis, Donald Eric	745012	Agent - Property	5/11/2012	7/26/2024
Pending Replacement	Detrick, Robert J	357933	Agent - Casualty	2/5/2016
Pending Replacement	Detrick, Robert J	357933	Agent - Property	2/5/2016
Inactive	Englehart, Susan Elaine	745060	Agent - Casualty	11/16/2018	12/31/2024
Inactive	Englehart, Susan Elaine	745060	Agent - Property	11/16/2018	12/31/2024
Active	Ferrall, Craig Robert	545979	Agent - Casualty	9/20/2002
Active	Ferrall, Craig Robert	545979	Agent - Health	4/9/2019
Active	Ferrall, Craig Robert	545979	Agent - Life	4/9/2019
Active	Ferrall, Craig Robert	545979	Agent - Property	9/20/2002
Inactive	Hofmann, Gerald Gordon	557774	Agent - Casualty	10/31/2002	12/19/2014
Inactive	Hofmann, Gerald Gordon	557774	Agent - Property	10/31/2002	12/19/2014
Active	Keller, Natalie Anne	866138	Agent - Casualty	1/27/2015
Active	Keller, Natalie Anne	866138	Agent - Property	1/27/2015
Inactive	Sado, John Michael	367489	Agent - Casualty	6/18/2001	12/15/2008
Inactive	Sado, John Michael	367489	Agent - Health	9/30/2003	12/15/2008
Inactive	Sado, John Michael	367489	Agent - Life	9/30/2003	12/15/2008
Inactive	Sado, John Michael	367489	Agent - Property	6/18/2001	12/15/2008
Active	Smith, Pamela M	791005	Agent - Casualty	9/28/2012
Denied	Smith, Pamela M	791005	Agent - Health
Denied	Smith, Pamela M	791005	Agent - Life
Active	Smith, Pamela M	791005	Agent - Property	3/20/2014
Inactive	Stewart, Deborah J	558228	Agent - Casualty	5/19/2003	3/31/2017
Inactive	Stewart, Deborah J	558228	Agent - Property	5/19/2003	3/31/2017