DEPARTMENT OF INSURANCE

Affiliations

Name	Phelps, Dorr R	DOIID	525837	NAIC NPN	330798

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	5/25/2001	11/30/2024
Active	Non Resident	Agent	Property	5/25/2001	11/30/2024
Active	Non Resident	Agent	Life	5/25/2001	11/30/2024
Active	Non Resident	Agent	Casualty	5/25/2001	11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Accendo Insurance Company	300312	Agent - Life	4/13/2021
Active	Aetna Health Inc. (PA)	660717	Agent - Health	9/10/2019
Active	Aetna Health and Life Insurance Company	300523	Agent - Health	4/13/2021
Active	Aetna Health of Ohio Inc.	1065035	Agent - Health	8/6/2020
Active	Aetna Life Insurance Company	301140	Agent - Health	9/10/2019
Inactive	AmTrust Insurance Company	300179	Agent - Casualty	1/16/2019	8/2/2019
Inactive	AmTrust Insurance Company	300179	Agent - Property	1/16/2019	8/2/2019
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/13/2021
Active	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	4/13/2021
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	5/11/2005	3/15/2021
Inactive	Golden Rule Insurance Company	301943	Agent - Health	8/19/2005	11/6/2006
Inactive	Golden Rule Insurance Company	301943	Agent - Life	8/19/2005	11/6/2006
Active	GuideOne Elite Insurance Company	300490	Agent - Casualty	9/2/2004
Active	GuideOne Elite Insurance Company	300490	Agent - Property	9/2/2004
Active	GuideOne Insurance Company	301794	Agent - Casualty	9/2/2004
Active	GuideOne Insurance Company	301794	Agent - Property	9/2/2004
Inactive	GuideOne Life Insurance Company	300098	Agent - Health	5/25/2001	9/30/2003
Inactive	GuideOne Life Insurance Company	300098	Agent - Life	5/25/2001	9/30/2003
Active	GuideOne Specialty Insurance Company	300278	Agent - Casualty	9/2/2004
Active	GuideOne Specialty Insurance Company	300278	Agent - Property	9/2/2004
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	1/23/2006	11/5/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	1/23/2006	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	1/23/2006	12/13/2012
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	1/23/2006	12/13/2012
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	1/23/2006	12/23/2015
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	1/23/2006	12/23/2015
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	1/23/2006	12/23/2015
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	1/23/2006	12/23/2015
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	1/23/2006	4/15/2016
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	1/23/2006	4/15/2016
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/14/2012	8/30/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/14/2012	8/30/2013
Active	Kansas City Life Insurance Company	301444	Agent - Health	4/18/2005
Active	Kansas City Life Insurance Company	301444	Agent - Life	4/18/2005
Inactive	Milford Casualty Insurance Company	301460	Agent - Casualty	1/16/2019	8/2/2019
Inactive	Milford Casualty Insurance Company	301460	Agent - Property	1/16/2019	8/2/2019
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/23/2006	10/15/2007
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	6/30/2004	1/18/2016
Inactive	Park National Insurance Company	692514	Agent - Casualty	1/16/2019	8/2/2019
Inactive	Park National Insurance Company	692514	Agent - Property	1/16/2019	8/2/2019
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	12/18/2003	1/9/2006
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	12/18/2003	1/9/2006
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	1/23/2006	11/5/2008
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	1/23/2006	11/5/2008
Inactive	Security National Insurance Company	301151	Agent - Casualty	1/16/2019	8/2/2019
Inactive	Security National Insurance Company	301151	Agent - Property	1/16/2019	8/2/2019
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	1/23/2006	11/7/2008
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	1/23/2006	11/7/2008
Active	SilverScript Insurance Company	663526	Agent - Health	8/23/2019
Inactive	Technology Insurance Company	613278	Agent - Casualty	1/16/2019	8/2/2019
Inactive	Technology Insurance Company	613278	Agent - Property	1/16/2019	8/2/2019
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	1/23/2006	4/15/2016
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	1/23/2006	4/15/2016
Inactive	United World Life Insurance Company	300532	Agent - Health	2/23/2006	10/15/2007
Inactive	WellCare Prescription Insurance Inc.	654329	Agent - Health	3/8/2019	4/8/2021
Inactive	Wesco Insurance Company	300534	Agent - Casualty	1/16/2019	8/2/2019
Inactive	Wesco Insurance Company	300534	Agent - Property	1/16/2019	8/2/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Career General Agency Inc.	399050	Agent - Health	5/2/2005
Active	Career General Agency Inc.	399050	Agent - Property	12/15/2003
Active	Career General Agency Inc.	399050	Agent - Casualty	12/15/2003
Active	Career General Agency Inc.	399050	Agent - Life	12/15/2003
Active	Phelps Financial Services, Inc.	526175	Agent - Health	4/21/2005
Active	Phelps Financial Services, Inc.	526175	Agent - Property	4/21/2005
Active	Phelps Financial Services, Inc.	526175	Agent - Casualty	4/21/2005
Active	Phelps Financial Services, Inc.	526175	Agent - Life	4/21/2005