DEPARTMENT OF INSURANCE
Affiliations
NameBrown & Brown of Tennessee IncDOIID534534NAIC NPN127379
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentLife7/14/2004 3/31/2025
ActiveNon ResidentAgentProperty8/14/2001 3/31/2025
ActiveNon ResidentAgentCasualty8/14/2001 3/31/2025
ActiveNon ResidentAgentHealth7/14/2004 3/31/2025
ActiveNon ResidentSurplus Lines BrokerNot Applicable5/26/2009 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   
Surplus Lines Broker01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveACE American Insurance Company300625Agent - Casualty9/13/20113/28/2024
InactiveACE American Insurance Company300625Agent - Property9/13/20113/28/2024
InactiveACE Fire Underwriters Insurance Company301679Agent - Casualty9/13/20113/28/2024
InactiveACE Fire Underwriters Insurance Company301679Agent - Property9/13/20113/28/2024
InactiveACE Property and Casualty Insurance Company300520Agent - Casualty9/13/20113/28/2024
InactiveACE Property and Casualty Insurance Company300520Agent - Property9/13/20113/28/2024
InactiveACUITY, A Mutual Insurance Company300095Agent - Casualty7/15/20213/26/2024
InactiveACUITY, A Mutual Insurance Company300095Agent - Property7/15/20213/26/2024
InactiveAGCS Marine Insurance Company300403Agent - Casualty7/19/20164/5/2024
InactiveAGCS Marine Insurance Company300403Agent - Property7/19/20164/5/2024
ActiveAIG Property Casualty Company300621Agent - Casualty2/17/2016 
ActiveAIG Property Casualty Company300621Agent - Property2/17/2016 
ActiveAccident Fund General Insurance Company626282Agent - Casualty6/16/2021 
ActiveAccident Fund Insurance Company of America518734Agent - Casualty6/16/2021 
ActiveAccident Fund National Insurance Company626286Agent - Casualty6/16/2021 
ActiveAddison Insurance Company874810Agent - Casualty4/13/2020 
ActiveAddison Insurance Company874810Agent - Property4/13/2020 
InactiveAetna Health Inc. (PA)660717Agent - Health12/27/20116/2/2024
InactiveAetna Life Insurance Company301140Agent - Health12/27/20116/2/2024
InactiveAetna Life Insurance Company301140Agent - Life12/27/20116/2/2024
ActiveAll Savers Insurance Company301940Agent - Health4/20/2022 
ActiveAll Savers Insurance Company301940Agent - Life4/20/2022 
ActiveAllied Insurance Company of America793586Agent - Casualty2/2/2022 
ActiveAllied Insurance Company of America793586Agent - Property2/2/2022 
ActiveAmFed Casualty Insurance Company889151Agent - Casualty8/7/2023 
InactiveAmTrust Insurance Company300179Agent - Casualty6/13/20177/6/2018
InactiveAmTrust Insurance Company300179Agent - Property6/13/20177/6/2018
InactiveAmerican Automobile Insurance Company300953Agent - Casualty3/4/200211/8/2011
InactiveAmerican Automobile Insurance Company300953Agent - Property3/4/200211/8/2011
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Casualty8/4/200411/14/2016
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Property8/4/200411/14/2016
ActiveAmerican Contractors Indemnity Company536843Agent - Casualty10/29/2021 
InactiveAmerican Economy Insurance Company300315Agent - Casualty5/17/20023/29/2024
InactiveAmerican Economy Insurance Company300315Agent - Property5/17/20023/29/2024
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health8/22/2019 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life8/22/2019 
InactiveAmerican Fire and Casualty Company300567Agent - Casualty10/15/20143/29/2024
InactiveAmerican Fire and Casualty Company300567Agent - Property10/15/20143/29/2024
InactiveAmerican General Life Insurance Company301585Agent - Health12/31/20121/18/2018
InactiveAmerican General Life Insurance Company301585Agent - Life12/31/20121/18/2018
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health2/24/200512/31/2012
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life2/24/200512/31/2012
InactiveAmerican Guarantee and Liability Insurance Company301216Agent - Casualty4/25/20163/27/2024
InactiveAmerican Guarantee and Liability Insurance Company301216Agent - Property4/25/20163/27/2024
ActiveAmerican Home Assurance Company300246Agent - Casualty3/25/2002 
ActiveAmerican Home Assurance Company300246Agent - Property3/25/2002 
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty10/2/201812/13/2023
InactiveAmerican Modern Home Insurance Company300791Agent - Property10/2/201812/13/2023
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty10/2/2018 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property10/2/2018 
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty10/2/201811/14/2021
InactiveAmerican Modern Select Insurance Company581481Agent - Property10/2/201811/14/2021
ActiveAmerican Select Insurance Company301229Agent - Casualty6/17/2021 
ActiveAmerican Select Insurance Company301229Agent - Property6/17/2021 
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty10/3/201811/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Property10/3/201811/14/2021
InactiveAmerican States Insurance Company301230Agent - Casualty5/17/20023/29/2024
InactiveAmerican States Insurance Company301230Agent - Property5/17/20023/29/2024
InactiveAmerican United Life Insurance Company300498Agent - Health12/14/20216/25/2024
InactiveAmerican United Life Insurance Company300498Agent - Life12/14/20216/25/2024
InactiveAmerican Zurich Insurance Company300592Agent - Casualty4/25/20163/27/2024
InactiveAmerican Zurich Insurance Company300592Agent - Property4/25/20163/27/2024
InactiveAnsur America Insurance Company520667Agent - Casualty10/30/20204/12/2024
InactiveAnsur America Insurance Company520667Agent - Property10/30/20204/12/2024
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health12/2/2011 
InactiveAnthem Insurance Companies, Inc.300941Agent - Health12/2/201110/16/2012
InactiveAnthem Life Insurance Company301209Agent - Health12/2/20112/15/2017
InactiveAnthem Life Insurance Company301209Agent - Life12/2/20112/15/2017
ActiveArch Insurance Company300688Agent - Casualty11/2/2023 
ActiveArch Insurance Company300688Agent - Property11/2/2023 
InactiveAuto-Owners Insurance Company301480Agent - Casualty2/12/20143/26/2024
InactiveAuto-Owners Insurance Company301480Agent - Property2/12/20143/26/2024
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty8/22/2017 
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property8/22/2017 
InactiveBankers Standard Insurance Company301620Agent - Casualty9/13/20113/28/2024
InactiveBankers Standard Insurance Company301620Agent - Property9/13/20113/28/2024
InactiveBerkley Insurance Company301355Agent - Casualty11/5/20203/26/2024
InactiveBerkshire Life Insurance Company of America300983Agent - Health4/10/201510/5/2021
InactiveBerkshire Life Insurance Company of America300983Agent - Life4/10/201510/5/2021
InactiveBrickStreet Mutual Insurance Company709251Agent - Casualty1/29/20207/11/2024
ActiveBridgefield Casualty Insurance Company500013Agent - Casualty10/3/2012 
ActiveBrighthouse Life Insurance Company301829Agent - Life11/14/2014 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health12/3/2015 
ActiveCIGNA Health & Life Insurance Company301783Agent - Life12/3/2015 
ActiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty7/27/2012 
ActiveCharter Oak Fire Insurance Company (The)301501Agent - Property7/27/2012 
InactiveChubb Indemnity Insurance Company300438Agent - Casualty11/3/20203/28/2024
InactiveChubb Indemnity Insurance Company300438Agent - Property11/3/20203/28/2024
InactiveChubb National Insurance Company301392Agent - Casualty11/3/20203/28/2024
InactiveChubb National Insurance Company301392Agent - Property11/3/20203/28/2024
InactiveCincinnati Insurance Company301298Agent - Casualty3/15/20213/26/2024
InactiveCincinnati Insurance Company301298Agent - Property3/15/20213/26/2024
InactiveClearPath Insurance Company979815Agent - Casualty1/1/20184/1/2024
InactiveColonial Life and Accident Insurance Company300846Agent - Health11/15/20065/5/2022
InactiveColonial Life and Accident Insurance Company300846Agent - Life11/15/20065/5/2022
ActiveCommerce and Industry Insurance Company300881Agent - Casualty3/25/2002 
ActiveCommerce and Industry Insurance Company300881Agent - Property3/25/2002 
InactiveCompBenefits Dental, Inc.591692Agent - Health8/8/20123/14/2019
InactiveConsolidated Insurance Company300943Agent - Casualty10/15/201410/13/2022
InactiveConsolidated Insurance Company300943Agent - Property10/15/201410/13/2022
InactiveContinental Casualty Company301019Agent - Casualty8/19/20024/18/2024
InactiveContinental Casualty Company301019Agent - Property8/19/20024/18/2024
InactiveContinental General Insurance Company300691Agent - Health8/9/20181/25/2019
InactiveContinental General Insurance Company300691Agent - Life8/9/20181/25/2019
InactiveContinental Insurance Company (The)301242Agent - Casualty2/11/20194/18/2024
InactiveContinental Insurance Company (The)301242Agent - Property2/11/20194/18/2024
ActiveCrestbrook Insurance Company805354Agent - Casualty3/18/2016 
ActiveCrestbrook Insurance Company805354Agent - Property3/18/2016 
ActiveDental Concern Inc. (The)301641Agent - Health10/27/2022 
InactiveEmployers Assurance Company300120Agent - Casualty8/3/20131/3/2024
InactiveEmployers Compensation Insurance Company797885Agent - Casualty8/6/20181/3/2024
ActiveEmployers Insurance Company of Wausau301813Agent - Casualty4/1/2010 
ActiveEmployers Insurance Company of Wausau301813Agent - Property4/1/2010 
InactiveEmployers Preferred Insurance Company520656Agent - Casualty8/3/20131/3/2024
ActiveEncompass Indemnity Company546376Agent - Casualty9/27/2007 
ActiveEncompass Indemnity Company546376Agent - Property9/27/2007 
InactiveEncompass Insurance Company of America556578Agent - Casualty11/22/201012/13/2018
InactiveEncompass Insurance Company of America556578Agent - Property11/22/201012/13/2018
ActiveFCCI Insurance Company557454Agent - Casualty12/9/2009 
ActiveFCCI Insurance Company557454Agent - Property12/9/2009 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Casualty4/24/2019 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Property4/24/2019 
ActiveFarmington Casualty Company301137Agent - Casualty5/9/2006 
ActiveFarmington Casualty Company301137Agent - Property5/9/2006 
InactiveFederal Insurance Company301144Agent - Casualty10/29/20073/28/2024
InactiveFederal Insurance Company301144Agent - Property10/29/20073/28/2024
InactiveFidelity and Deposit Company of Maryland300976Agent - Casualty3/19/20153/27/2024
InactiveFidelity and Deposit Company of Maryland300976Agent - Property3/19/20153/27/2024
InactiveFireman's Fund Insurance Company301423Agent - Casualty8/5/20214/5/2024
InactiveFireman's Fund Insurance Company301423Agent - Property8/5/20214/5/2024
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Casualty4/1/2010 
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Property4/1/2010 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty7/20/2011 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property7/20/2011 
InactiveForemost Property and Casualty Insurance Company300871Agent - Casualty2/13/20178/29/2018
InactiveForemost Property and Casualty Insurance Company300871Agent - Property2/13/20178/29/2018
InactiveForemost Signature Insurance Company300140Agent - Casualty2/13/20178/29/2018
InactiveForemost Signature Insurance Company300140Agent - Property2/13/20178/29/2018
InactiveFrankenmuth Insurance Company301481Agent - Casualty10/30/20204/12/2024
InactiveFrankenmuth Insurance Company301481Agent - Property10/30/20204/12/2024
ActiveGeneral Casualty Company of Wisconsin300930Agent - Casualty3/5/2020 
ActiveGeneral Casualty Company of Wisconsin300930Agent - Property3/5/2020 
InactiveGreat American Alliance Insurance Company301247Agent - Casualty6/6/20164/16/2024
InactiveGreat American Alliance Insurance Company301247Agent - Property6/6/20164/16/2024
InactiveGreat Northern Insurance Company301107Agent - Casualty10/8/20153/28/2024
InactiveGreat Northern Insurance Company301107Agent - Property10/8/20153/28/2024
InactiveGuardian Life Insurance Company of America301316Agent - Health4/10/201512/6/2022
InactiveGuardian Life Insurance Company of America301316Agent - Life4/10/201512/6/2022
ActiveGuideOne Elite Insurance Company300490Agent - Casualty5/9/2012 
ActiveGuideOne Elite Insurance Company300490Agent - Property5/9/2012 
ActiveGuideOne Insurance Company301794Agent - Casualty5/9/2012 
ActiveGuideOne Insurance Company301794Agent - Property5/9/2012 
ActiveGuideOne Specialty Insurance Company300278Agent - Casualty5/9/2012 
ActiveGuideOne Specialty Insurance Company300278Agent - Property5/9/2012 
ActiveHanover Insurance Company (The)300508Agent - Casualty10/28/2021 
ActiveHanover Insurance Company (The)300508Agent - Property10/28/2021 
ActiveHartford Accident and Indemnity Company301917Agent - Casualty11/14/2006 
ActiveHartford Accident and Indemnity Company301917Agent - Property11/14/2006 
ActiveHartford Casualty Insurance Company301332Agent - Casualty11/14/2006 
ActiveHartford Casualty Insurance Company301332Agent - Property11/14/2006 
ActiveHartford Fire Insurance Company300628Agent - Casualty11/14/2006 
ActiveHartford Fire Insurance Company300628Agent - Property11/14/2006 
ActiveHartford Insurance Company of the Midwest301918Agent - Casualty8/30/2022 
ActiveHartford Insurance Company of the Midwest301918Agent - Property8/30/2022 
InactiveHartford Life and Accident Insurance Company300878Agent - Health3/18/20144/25/2024
InactiveHartford Life and Accident Insurance Company300878Agent - Life3/18/20144/25/2024
ActiveHartford Underwriters Insurance Company301064Agent - Casualty11/14/2006 
ActiveHartford Underwriters Insurance Company301064Agent - Property11/14/2006 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health10/10/201412/19/2019
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health9/3/201912/19/2019
InactiveHumana Health Plan, Inc.300142Agent - Health11/2/202012/13/2022
InactiveHumana Insurance Company301104Agent - Health8/8/201212/13/2022
InactiveHumana Insurance Company301104Agent - Life8/8/201212/13/2022
ActiveHumana Insurance Company of Kentucky300826Agent - Health10/27/2022 
ActiveHumana Insurance Company of Kentucky300826Agent - Life10/27/2022 
InactiveHumana Medical Plan, Inc.801568Agent - Health10/10/201412/19/2019
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health12/5/201612/19/2019
InactiveHumanaDental Insurance Company301457Agent - Health8/8/20125/13/2013
InactiveIndemnity Insurance Company of North America301760Agent - Casualty9/13/20113/28/2024
InactiveIndemnity Insurance Company of North America301760Agent - Property9/13/20113/28/2024
InactiveIndiana Insurance Company301909Agent - Casualty10/15/20142/3/2023
InactiveIndiana Insurance Company301909Agent - Property10/15/20142/3/2023
InactiveKanawha Insurance Company300127Agent - Health7/17/20128/9/2018
InactiveKanawha Insurance Company300127Agent - Life7/17/20128/9/2018
ActiveKey Risk Insurance Company630687Agent - Casualty2/2/2012 
ActiveKey Risk Insurance Company630687Agent - Property2/2/2012 
ActiveLM Insurance Corporation301061Agent - Casualty4/1/2010 
ActiveLM Insurance Corporation301061Agent - Property4/1/2010 
ActiveLexon Insurance Company300352Agent - Casualty2/19/2015 
ActiveLiberty Insurance Corporation300444Agent - Casualty4/1/2010 
ActiveLiberty Insurance Corporation300444Agent - Property4/1/2010 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Casualty4/1/2010 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Property4/1/2010 
ActiveLiberty Mutual Insurance Company301159Agent - Casualty4/1/2010 
ActiveLiberty Mutual Insurance Company301159Agent - Property4/1/2010 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health3/4/2022 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life3/4/2022 
ActiveMerchants Bonding Company (Mutual)300170Agent - Casualty1/10/2020 
InactiveMeridian Security Insurance Company300423Agent - Casualty12/19/201110/16/2020
InactiveMeridian Security Insurance Company300423Agent - Property12/19/201110/16/2020
InactiveMetLife Investors USA Insurance Company300845Agent - Life4/24/201311/14/2014
InactiveMetropolitan General Insurance Company300709Agent - Casualty11/28/20075/5/2010
InactiveMetropolitan General Insurance Company300709Agent - Property11/28/20075/5/2010
ActiveMidland National Life Insurance Company300923Agent - Life8/28/2023 
InactiveMilford Casualty Insurance Company301460Agent - Casualty6/13/20177/6/2018
InactiveMilford Casualty Insurance Company301460Agent - Property6/13/20177/6/2018
ActiveMitsui Sumitomo Insurance Company of America301070Agent - Casualty10/6/2021 
ActiveMitsui Sumitomo Insurance Company of America301070Agent - Property10/6/2021 
ActiveMitsui Sumitomo Insurance USA Inc.301681Agent - Casualty10/6/2021 
ActiveMitsui Sumitomo Insurance USA Inc.301681Agent - Property10/6/2021 
InactiveMotorists Commercial Mutual Insurance Company301941Agent - Casualty11/4/20197/11/2024
InactiveMotorists Commercial Mutual Insurance Company301941Agent - Property11/4/20197/11/2024
ActiveMount Vernon Fire Insurance Company301397Agent - Casualty11/29/2018 
ActiveMount Vernon Fire Insurance Company301397Agent - Property11/29/2018 
InactiveNational Fire Insurance Company of Hartford301063Agent - Casualty2/11/20194/18/2024
InactiveNational Fire Insurance Company of Hartford301063Agent - Property2/11/20194/18/2024
ActiveNational Trust Insurance Company300367Agent - Casualty12/9/2009 
ActiveNational Trust Insurance Company300367Agent - Property12/9/2009 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty7/19/2016 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property7/19/2016 
ActiveNationwide Assurance Company300166Agent - Casualty1/12/2020 
ActiveNationwide General Insurance Company300603Agent - Casualty8/15/2019 
ActiveNationwide General Insurance Company300603Agent - Property8/15/2019 
ActiveNationwide Insurance Company of America300333Agent - Casualty8/15/2019 
ActiveNationwide Insurance Company of America300333Agent - Property8/15/2019 
ActiveNationwide Mutual Insurance Company301749Agent - Casualty5/13/2014 
ActiveNationwide Mutual Insurance Company301749Agent - Property5/13/2014 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Casualty1/12/2020 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Property1/12/2020 
InactiveNetherlands Insurance Company (The)300339Agent - Casualty10/15/20145/10/2024
InactiveNetherlands Insurance Company (The)300339Agent - Property10/15/20145/10/2024
InactiveNorthStone Insurance Company818905Agent - Casualty1/29/20207/11/2024
InactiveOhio Casualty Insurance Company301492Agent - Casualty10/15/20143/29/2024
InactiveOhio Casualty Insurance Company301492Agent - Property10/15/20143/29/2024
InactiveOhio Security Insurance Company300622Agent - Casualty10/15/20143/29/2024
InactiveOhio Security Insurance Company300622Agent - Property10/15/20143/29/2024
ActiveOld Guard Insurance Company533854Agent - Casualty6/9/2021 
ActiveOld Guard Insurance Company533854Agent - Property6/9/2021 
InactiveOwners Insurance Company300796Agent - Casualty2/12/20143/26/2024
InactiveOwners Insurance Company300796Agent - Property2/12/20143/26/2024
InactivePacific Employers Insurance Company301753Agent - Casualty9/13/20113/28/2024
InactivePacific Employers Insurance Company301753Agent - Property9/13/20113/28/2024
InactivePacific Indemnity Company301610Agent - Casualty11/3/20203/28/2024
InactivePacific Indemnity Company301610Agent - Property11/3/20203/28/2024
InactivePark National Insurance Company692514Agent - Casualty6/13/20177/6/2018
InactivePark National Insurance Company692514Agent - Property6/13/20177/6/2018
ActivePeerless Indemnity Insurance Company571682Agent - Casualty10/15/2014 
ActivePeerless Indemnity Insurance Company571682Agent - Property10/15/2014 
ActivePeerless Insurance Company301910Agent - Casualty10/15/2014 
ActivePeerless Insurance Company301910Agent - Property10/15/2014 
InactivePie Insurance Company (The)300514Agent - Casualty4/3/20189/21/2022
InactivePie Insurance Company (The)300514Agent - Property4/3/20189/21/2022
InactivePinnaclePoint Insurance Company819085Agent - Casualty1/29/20207/11/2024
ActivePrincipal Life Insurance Company300129Agent - Health1/6/2020 
ActivePrincipal Life Insurance Company300129Agent - Life1/6/2020 
ActivePrivilege Underwriters Reciprocal Exchange769657Agent - Casualty10/15/2017 
ActivePrivilege Underwriters Reciprocal Exchange769657Agent - Property10/15/2017 
ActiveProgressive Casualty Insurance Company300696Agent - Casualty12/29/2004 
ActiveProgressive Casualty Insurance Company300696Agent - Property12/29/2004 
InactiveProgressive Northern Insurance Company301378Agent - Casualty12/29/200411/5/2018
InactiveProgressive Northern Insurance Company301378Agent - Property12/29/200411/5/2018
InactiveProtective Insurance Company301117Agent - Casualty4/4/20185/22/2019
InactiveProtective Insurance Company301117Agent - Property4/4/20185/22/2019
ActiveProvident Life and Accident Insurance Company301525Agent - Health5/25/2006 
ActiveProvident Life and Accident Insurance Company301525Agent - Life5/25/2006 
ActivePruco Life Insurance Company300954Agent - Life8/17/2023 
ActiveRLI Insurance Company301217Agent - Casualty8/17/2017 
ActiveRLI Insurance Company301217Agent - Property8/17/2017 
ActiveRegent Insurance Company300411Agent - Casualty3/5/2020 
ActiveRegent Insurance Company300411Agent - Property3/5/2020 
ActiveReliaStar Life Insurance Company301712Agent - Health4/18/2022 
ActiveReliaStar Life Insurance Company301712Agent - Life4/18/2022 
InactiveSAFECO Insurance Company of America300159Agent - Casualty2/23/20163/29/2024
InactiveSAFECO Insurance Company of America300159Agent - Property2/23/20163/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty2/23/20163/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Property2/23/20163/29/2024
InactiveSagamore Insurance Company300942Agent - Casualty4/4/20185/22/2019
InactiveSagamore Insurance Company300942Agent - Property4/4/20185/22/2019
InactiveSecurity National Insurance Company301151Agent - Casualty6/13/20177/6/2018
InactiveSecurity National Insurance Company301151Agent - Property6/13/20177/6/2018
ActiveSelective Insurance Company of America500018Agent - Casualty7/30/2008 
ActiveSelective Insurance Company of America500018Agent - Property7/30/2008 
ActiveSelective Insurance Company of South Carolina500012Agent - Casualty7/30/2008 
ActiveSelective Insurance Company of South Carolina500012Agent - Property7/30/2008 
ActiveSelective Insurance Company of the Southeast300381Agent - Casualty7/30/2008 
ActiveSelective Insurance Company of the Southeast300381Agent - Property7/30/2008 
ActiveSentinel Insurance Company, Limited501696Agent - Casualty11/14/2006 
ActiveSentinel Insurance Company, Limited501696Agent - Property11/14/2006 
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty7/27/201212/5/2013
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Property7/27/201212/5/2013
InactiveSt. Paul Guardian Insurance Company301372Agent - Casualty7/27/201212/5/2013
InactiveSt. Paul Guardian Insurance Company301372Agent - Property7/27/201212/5/2013
InactiveSt. Paul Mercury Insurance Company300783Agent - Casualty7/27/201212/3/2014
InactiveSt. Paul Mercury Insurance Company300783Agent - Property7/27/201212/3/2014
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty7/28/2003 
ActiveStandard Fire Insurance Company (The)301068Agent - Property7/28/2003 
ActiveStarNet Insurance Company502746Agent - Casualty2/2/2012 
ActiveStarNet Insurance Company502746Agent - Property2/2/2012 
InactiveState Auto Property & Casualty Insurance Company301953Agent - Casualty12/19/201110/16/2020
InactiveState Auto Property & Casualty Insurance Company301953Agent - Property12/19/201110/16/2020
ActiveState Automobile Mutual Insurance Company301824Agent - Casualty2/8/2022 
ActiveState Automobile Mutual Insurance Company301824Agent - Property2/8/2022 
InactiveSummitPoint Insurance Company819084Agent - Casualty1/29/20207/11/2024
ActiveSwiss Re Corporate Solutions America Insurance Corporation300338Agent - Casualty3/15/2023 
ActiveSwiss Re Corporate Solutions America Insurance Corporation300338Agent - Property3/15/2023 
ActiveSwiss Re Corporate Solutions Premier Insurance Corporation300479Agent - Casualty3/15/2023 
ActiveSwiss Re Corporate Solutions Premier Insurance Corporation300479Agent - Property3/15/2023 
InactiveTechnology Insurance Company613278Agent - Casualty6/13/20177/6/2018
InactiveTechnology Insurance Company613278Agent - Property6/13/20177/6/2018
ActiveThe Phoenix Insurance Company301502Agent - Casualty7/28/2003 
ActiveThe Phoenix Insurance Company301502Agent - Property7/28/2003 
InactiveTranscontinental Insurance Company301731Agent - Casualty8/4/20049/26/2007
InactiveTranscontinental Insurance Company301731Agent - Property8/4/20049/26/2007
InactiveTransportation Insurance Company301575Agent - Casualty8/4/200412/11/2017
InactiveTransportation Insurance Company301575Agent - Property8/4/200412/11/2017
InactiveTravCo Insurance Company301828Agent - Casualty7/28/200312/5/2013
InactiveTravCo Insurance Company301828Agent - Property7/28/200312/5/2013
InactiveTravelers Casualty Company of Connecticut301505Agent - Casualty7/28/200312/5/2013
InactiveTravelers Casualty Company of Connecticut301505Agent - Property7/28/200312/5/2013
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty5/9/200612/14/2016
InactiveTravelers Casualty Insurance Company of America300522Agent - Property5/9/200612/14/2016
ActiveTravelers Casualty and Surety Company301067Agent - Casualty4/24/2009 
ActiveTravelers Casualty and Surety Company301067Agent - Property4/24/2009 
ActiveTravelers Casualty and Surety Company of America301334Agent - Casualty5/23/2007 
ActiveTravelers Casualty and Surety Company of America301334Agent - Property5/23/2007 
InactiveTravelers Commercial Casualty Company301695Agent - Casualty5/9/20068/2/2013
InactiveTravelers Commercial Casualty Company301695Agent - Property5/9/20068/2/2013
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty6/25/2005 
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Property6/25/2005 
ActiveTravelers Indemnity Company (The)301855Agent - Casualty1/11/2021 
ActiveTravelers Indemnity Company (The)301855Agent - Property1/11/2021 
ActiveTravelers Indemnity Company of America (The)301093Agent - Casualty1/11/2021 
ActiveTravelers Indemnity Company of America (The)301093Agent - Property1/11/2021 
ActiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty1/11/2021 
ActiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property1/11/2021 
ActiveTravelers Personal Insurance Company705785Agent - Casualty6/8/2020 
ActiveTravelers Personal Insurance Company705785Agent - Property6/8/2020 
ActiveTravelers Property Casualty Company of America301649Agent - Casualty7/18/2006 
ActiveTravelers Property Casualty Company of America301649Agent - Property7/18/2006 
InactiveTravelers Property Casualty Insurance Company301508Agent - Casualty7/28/200312/5/2013
InactiveTravelers Property Casualty Insurance Company301508Agent - Property7/28/200312/5/2013
ActiveTrumbull Insurance Company300242Agent - Casualty3/2/2015 
ActiveTrumbull Insurance Company300242Agent - Property3/2/2015 
ActiveTwin City Fire Insurance Company300721Agent - Casualty9/1/2015 
ActiveTwin City Fire Insurance Company300721Agent - Property9/1/2015 
ActiveU.S. Specialty Insurance Company300186Agent - Casualty10/29/2021 
ActiveUNUM Life Insurance Company of America300817Agent - Health11/8/2006 
ActiveUNUM Life Insurance Company of America300817Agent - Life11/8/2006 
ActiveUnited Financial Casualty Company301886Agent - Casualty12/2/2005 
ActiveUnited Financial Casualty Company301886Agent - Property12/2/2005 
ActiveUnited Fire & Casualty Company301374Agent - Casualty4/13/2020 
ActiveUnited Fire & Casualty Company301374Agent - Property4/13/2020 
InactiveUnited States Fire Insurance Company582240Agent - Casualty1/23/20077/16/2024
InactiveUnited States Fire Insurance Company582240Agent - Property1/23/20077/16/2024
ActiveUnited Wisconsin Insurance Company301103Agent - Casualty6/16/2021 
ActiveUnited of Omaha Life Insurance Company300156Agent - Health1/14/2014 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life1/14/2014 
ActiveUnitedHealthcare Insurance Company300946Agent - Health8/7/2017 
ActiveUnitedHealthcare Insurance Company300946Agent - Life8/7/2017 
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health8/7/2017 
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/25/2022 
InactiveUtica Mutual Insurance Company301933Agent - Casualty2/2/20214/26/2024
InactiveUtica Mutual Insurance Company301933Agent - Property2/2/20214/26/2024
InactiveValley Forge Insurance Company301052Agent - Casualty1/3/201712/11/2017
InactiveValley Forge Insurance Company301052Agent - Property1/3/201712/11/2017
InactiveVigilant Insurance Company301143Agent - Casualty8/10/20153/28/2024
InactiveVigilant Insurance Company301143Agent - Property8/10/20153/28/2024
InactiveWCF Select Insurance Company301898Agent - Casualty10/27/20162/8/2022
InactiveWCF Select Insurance Company301898Agent - Property10/27/20162/8/2022
InactiveWausau Business Insurance Company301476Agent - Casualty4/1/20103/30/2015
InactiveWausau Business Insurance Company301476Agent - Property4/1/20103/30/2015
InactiveWausau Underwriters Insurance Company301105Agent - Casualty4/1/20108/27/2015
InactiveWausau Underwriters Insurance Company301105Agent - Property4/1/20108/27/2015
ActiveWellpoint Life and Health Insurance Company300469Agent - Health8/16/2022 
ActiveWellpoint Life and Health Insurance Company300469Agent - Life8/16/2022 
InactiveWesco Insurance Company300534Agent - Casualty6/13/20177/6/2018
InactiveWesco Insurance Company300534Agent - Property6/13/20177/6/2018
InactiveWest American Insurance Company301112Agent - Casualty10/15/20143/29/2024
InactiveWest American Insurance Company301112Agent - Property10/15/20143/29/2024
InactiveWestchester Fire Insurance Company301414Agent - Casualty10/18/20071/1/2011
InactiveWestchester Fire Insurance Company300990Agent - Casualty1/1/20118/31/2011
InactiveWestchester Fire Insurance Company301414Agent - Property10/18/20071/1/2011
InactiveWestchester Fire Insurance Company300990Agent - Property1/1/20118/31/2011
InactiveWestern Surety Company300283Agent - Casualty6/18/20106/21/2024
ActiveWestfield Champion Insurance Company1054839Agent - Casualty6/9/2021 
ActiveWestfield Champion Insurance Company1054839Agent - Property6/9/2021 
ActiveWestfield Insurance Company301950Agent - Casualty1/23/2018 
ActiveWestfield Insurance Company301950Agent - Property1/23/2018 
ActiveWestfield Premier Insurance Company1055055Agent - Casualty6/9/2021 
ActiveWestfield Premier Insurance Company1055055Agent - Property6/9/2021 
ActiveWestfield Superior Insurance Company1054978Agent - Casualty6/9/2021 
ActiveWestfield Superior Insurance Company1054978Agent - Property6/9/2021 
ActiveWestfield Touchstone Insurance Company1055057Agent - Casualty6/9/2021 
ActiveWestfield Touchstone Insurance Company1055057Agent - Property6/9/2021 
InactiveZurich American Insurance Company301121Agent - Casualty3/19/20153/27/2024
InactiveZurich American Insurance Company301121Agent - Property3/19/20153/27/2024
InactiveZurich American Insurance Company of Illinois301805Agent - Casualty4/25/20163/27/2024
InactiveZurich American Insurance Company of Illinois301805Agent - Property4/25/20163/27/2024
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAldridge, Roger Craig 313610Agent - Casualty5/30/20131/28/2016
InactiveAldridge, Roger Craig 313610Agent - Property5/30/20131/28/2016
InactiveAldridge, Roger Craig 313610Surplus Lines Broker - Not Applicable5/30/20136/25/2014
InactiveAnderson, George James 363652Agent - Casualty8/14/20019/7/2010
InactiveAnderson, George James 363652Agent - Property8/14/20019/7/2010
InactiveBenson, Stephen Alexander 349539Agent - Casualty12/10/200810/26/2011
InactiveBenson, Stephen Alexander 349539Agent - Property12/10/200810/26/2011
InactiveBrooks, Doris Jean 601980Agent - Casualty10/18/20076/15/2009
InactiveBrooks, Doris Jean 601980Agent - Property10/18/20076/15/2009
ActiveCook, Sam Lee 656573Agent - Casualty5/30/2013 
DeniedCook, Sam Lee 656573Agent - Health  
DeniedCook, Sam Lee 656573Agent - Life  
ActiveCook, Sam Lee 656573Agent - Property5/30/2013 
InactiveDonnelly, Brian James 514326Agent - Health10/26/20119/4/2013
InactiveDonnelly, Brian James 514326Agent - Life10/26/20119/4/2013
InactiveErnst, Dale Arlo 372245Agent - Health10/26/20111/28/2016
InactiveErnst, Dale Arlo 372245Agent - Life10/26/20111/28/2016
InactiveEubanks, John W 390071Agent - Health7/14/20041/31/2007
InactiveEubanks, John W 390071Agent - Life7/14/20041/31/2007
InactiveHartnett, Christopher J 715826Agent - Health10/26/20114/30/2012
InactiveHartnett, Christopher J 715826Agent - Life10/26/20114/30/2012
InactiveHite, Daniel Durand 370919Agent - Casualty6/2/20064/5/2016
InactiveHite, Daniel Durand 370919Agent - Property6/2/20064/5/2016
InactiveLight, Tracy Lee 583936Agent - Casualty10/26/20115/31/2015
InactiveLight, Tracy Lee 583936Agent - Property10/26/20115/31/2015
ActiveMassey, David McMurray 567129Agent - Health12/5/2008 
ActiveMassey, David McMurray 567129Agent - Life12/5/2008 
ActiveMathis, Robin Kevin 555441Agent - Health7/14/2004 
ActiveMathis, Robin Kevin 555441Agent - Life7/14/2004 
InactiveMcclintock, Robert 715824Agent - Casualty10/26/201112/17/2014
InactiveMcclintock, Robert 715824Agent - Property10/26/201112/17/2014
InactiveMorgan, David Ronald 715814Agent - Casualty10/26/20111/28/2016
DeniedMorgan, David Ronald 715814Agent - Property  
DeniedPhillips, Alton W 715834Agent - Casualty  
DeniedPhillips, Alton W 715834Agent - Property  
InactivePhillips, Alton Warren 394129Agent - Casualty10/26/20116/30/2023
InactivePhillips, Alton Warren 394129Agent - Health10/26/20113/31/2019
DeniedPhillips, Alton Warren 394129Agent - Life  
InactivePhillips, Alton Warren 394129Agent - Property10/26/20116/30/2023
InactivePolk, Marshall T 702167Surplus Lines Broker - Not Applicable5/26/20096/27/2023
ActiveRitter, Randal I 349074Surplus Lines Broker - Not Applicable5/26/2009 
ActiveRothrock, Ryan P 903643Agent - Casualty4/5/2016 
DeniedRothrock, Ryan P 903643Agent - Health  
DeniedRothrock, Ryan P 903643Agent - Life  
ActiveRothrock, Ryan P 903643Agent - Property4/5/2016 
ActiveRothrock, Ryan P 903643Surplus Lines Broker - Not Applicable4/5/2016 
ActiveRoussel, Robert P 715829Agent - Health10/26/2011 
ActiveRoussel, Robert P 715829Agent - Life10/26/2011 
InactiveSimmerman, Danny Lewis 684420Agent - Casualty6/13/20112/25/2013
InactiveSimmerman, Danny Lewis 684420Agent - Property6/13/20112/25/2013
InactiveTaylor, William Howard 523704Agent - Health12/5/20081/28/2016
InactiveTaylor, William Howard 523704Agent - Life12/5/20081/28/2016
InactiveThompson, Donna Louise 700177Agent - Health10/26/20114/30/2024
InactiveThompson, Donna Louise 700177Agent - Life10/26/20114/30/2024

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