DEPARTMENT OF INSURANCE

Affiliations

Name	Patriot Group LLC	DOIID	535277	NAIC NPN	6999032

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	10/5/2009	3/31/2025
Active	Resident	Agent	Health	10/5/2009	3/31/2025
Active	Resident	Agent	Property	10/5/2009	3/31/2025
Active	Resident	Agent	Life	10/5/2009	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

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	3/13/2016
Active	ACE American Insurance Company	300625	Agent - Property	3/13/2016
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	7/7/2017
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	7/7/2017
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	3/13/2016
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	3/13/2016
Active	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	1/28/2019
Active	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	1/28/2019
Inactive	American Economy Insurance Company	300315	Agent - Casualty	3/11/2002	3/31/2009
Inactive	American Economy Insurance Company	300315	Agent - Property	3/11/2002	3/31/2009
Active	American Fire and Casualty Company	300567	Agent - Casualty	11/9/2024
Active	American Fire and Casualty Company	300567	Agent - Property	11/9/2024
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	11/18/2002	3/31/2009
Inactive	American States Insurance Company	301230	Agent - Casualty	3/11/2002	3/31/2009
Inactive	American States Insurance Company	301230	Agent - Property	3/11/2002	3/31/2009
Inactive	American States Life Insurance Company	301884	Agent - Health	9/10/2002	12/6/2004
Inactive	American States Life Insurance Company	301884	Agent - Life	9/10/2002	12/6/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/3/2002	3/31/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/3/2002	3/31/2009
Inactive	Assurance Company of America	300432	Agent - Casualty	11/5/2001	3/31/2009
Inactive	Assurance Company of America	300432	Agent - Property	11/5/2001	3/31/2009
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	9/23/2002	7/1/2003
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	9/23/2002	7/1/2003
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	7/7/2017
Active	Bankers Standard Insurance Company	301620	Agent - Property	7/7/2017
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	12/18/2014	3/31/2019
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	9/23/2002	7/1/2003
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	9/23/2002	7/1/2003
Active	Chubb Indemnity Insurance Company	300438	Agent - Casualty	2/19/2015
Active	Chubb Indemnity Insurance Company	300438	Agent - Property	2/19/2015
Active	Chubb National Insurance Company	301392	Agent - Casualty	6/21/2017
Active	Chubb National Insurance Company	301392	Agent - Property	6/21/2017
Active	ClearPath Insurance Company	979815	Agent - Casualty	1/1/2018
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Casualty	11/26/2001	3/31/2009
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Property	11/26/2001	3/31/2009
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	12/8/2015	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	12/8/2015	10/13/2022
Active	Continental Casualty Company	301019	Agent - Casualty	9/24/2015
Inactive	Continental Casualty Company	301019	Agent - Health	8/19/2002	11/14/2005
Active	Continental Casualty Company	301019	Agent - Property	9/24/2015
Active	Continental Insurance Company (The)	301242	Agent - Casualty	3/15/2016
Active	Continental Insurance Company (The)	301242	Agent - Property	3/15/2016
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	12/24/2015
Active	Employers Insurance Company of Wausau	301813	Agent - Property	12/24/2015
Active	Federal Insurance Company	301144	Agent - Casualty	10/25/2010
Active	Federal Insurance Company	301144	Agent - Health	5/27/2015
Active	Federal Insurance Company	301144	Agent - Property	10/25/2010
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	11/26/2001	3/31/2009
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	11/29/2001	3/31/2009
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	12/31/2015
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	12/31/2015
Inactive	First National Insurance Company of America	301690	Agent - Casualty	3/11/2002	3/31/2009
Inactive	First National Insurance Company of America	301690	Agent - Property	3/11/2002	3/31/2009
Inactive	General Insurance Company of America	300261	Agent - Casualty	3/11/2002	3/31/2009
Inactive	General Insurance Company of America	300261	Agent - Property	3/11/2002	3/31/2009
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	11/5/2001	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	11/5/2001	11/30/2007
Active	Great Northern Insurance Company	301107	Agent - Casualty	10/25/2010
Active	Great Northern Insurance Company	301107	Agent - Property	10/25/2010
Active	GuideOne Elite Insurance Company	300490	Agent - Casualty	5/14/2015
Active	GuideOne Elite Insurance Company	300490	Agent - Property	5/14/2015
Active	GuideOne Insurance Company	301794	Agent - Casualty	5/14/2015
Active	GuideOne Insurance Company	301794	Agent - Property	5/14/2015
Active	GuideOne Specialty Insurance Company	300278	Agent - Casualty	5/14/2015
Active	GuideOne Specialty Insurance Company	300278	Agent - Property	5/14/2015
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	3/13/2016
Active	Indemnity Insurance Company of North America	301760	Agent - Property	3/13/2016
Inactive	Indiana Insurance Company	301909	Agent - Casualty	12/8/2015	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	12/8/2015	2/3/2023
Active	LM Insurance Corporation	301061	Agent - Casualty	12/31/2015
Active	LM Insurance Corporation	301061	Agent - Property	12/31/2015
Active	Liberty Insurance Corporation	300444	Agent - Casualty	12/31/2015
Active	Liberty Insurance Corporation	300444	Agent - Property	12/31/2015
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	12/24/2015
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	12/24/2015
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	12/31/2015
Active	Liberty Mutual Insurance Company	301159	Agent - Property	12/31/2015
Inactive	Maryland Casualty Company	301719	Agent - Casualty	11/5/2001	3/31/2009
Inactive	Maryland Casualty Company	301719	Agent - Property	11/5/2001	3/31/2009
Active	National Fire Insurance Company of Hartford	301063	Agent - Casualty	3/7/2016
Active	National Fire Insurance Company of Hartford	301063	Agent - Property	3/7/2016
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	12/13/2002	3/31/2009
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	12/13/2002	3/31/2009
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	12/8/2015	5/9/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	12/8/2015	5/9/2024
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	11/5/2001	3/31/2009
Inactive	Northern Insurance Company of New York	301317	Agent - Property	11/5/2001	3/31/2009
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	9/7/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Property	9/7/2024
Active	Ohio Security Insurance Company	300622	Agent - Casualty	5/17/2024
Active	Ohio Security Insurance Company	300622	Agent - Property	5/17/2024
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	7/7/2017
Active	Pacific Employers Insurance Company	301753	Agent - Property	7/7/2017
Active	Pacific Indemnity Company	301610	Agent - Casualty	10/25/2010
Active	Pacific Indemnity Company	301610	Agent - Property	10/25/2010
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	12/8/2015	9/26/2024
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	12/8/2015	9/26/2024
Active	Peerless Insurance Company	301910	Agent - Casualty	12/8/2015
Active	Peerless Insurance Company	301910	Agent - Property	12/8/2015
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	3/8/2021
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	3/8/2021
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/16/2019
Active	Progressive Casualty Insurance Company	300696	Agent - Property	7/16/2019
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	3/6/2002	12/28/2005
Inactive	Progressive Max Insurance Company	301034	Agent - Property	3/6/2002	12/28/2005
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	3/6/2002	9/18/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	3/6/2002	9/18/2007
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	3/6/2002	12/28/2005
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	3/6/2002	12/28/2005
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	9/24/2001	9/20/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	9/24/2001	9/20/2004
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	3/11/2002	3/31/2009
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	3/11/2002	3/31/2009
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	3/11/2002	3/31/2009
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	3/11/2002	3/31/2009
Inactive	SAFECO National Insurance Company	300989	Agent - Casualty	3/11/2002	12/4/2004
Inactive	SAFECO National Insurance Company	300989	Agent - Property	3/11/2002	12/4/2004
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	5/6/2019
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	5/6/2019
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	12/22/2009	12/5/2013
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	12/22/2009	12/5/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	10/1/2004	3/31/2009
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	10/1/2004	3/31/2009
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	10/1/2004	3/31/2009
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	10/1/2004	3/31/2009
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	9/23/2002	7/1/2003
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	9/23/2002	7/1/2003
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	11/21/2023
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	11/21/2023
Inactive	Symetra Life Insurance Company	301691	Agent - Health	3/25/2002	4/17/2009
Inactive	Symetra Life Insurance Company	301691	Agent - Life	3/25/2002	4/17/2009
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	9/23/2002	7/1/2003
Inactive	The Phoenix Insurance Company	301502	Agent - Property	9/23/2002	7/1/2003
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	10/15/2003	9/27/2007
Inactive	Transcontinental Insurance Company	301731	Agent - Property	10/15/2003	9/27/2007
Inactive	Transportation Insurance Company	301575	Agent - Casualty	12/7/2009	9/12/2013
Inactive	Transportation Insurance Company	301575	Agent - Property	12/7/2009	9/12/2013
Inactive	TravCo Insurance Company	301828	Agent - Casualty	9/23/2002	7/1/2003
Inactive	TravCo Insurance Company	301828	Agent - Property	9/23/2002	7/1/2003
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	11/5/2001	7/1/2003
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	11/5/2001	7/1/2003
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	12/22/2009	3/11/2019
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	12/22/2009	3/11/2019
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	9/23/2002	7/1/2003
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	9/23/2002	7/1/2003
Active	United Financial Casualty Company	301886	Agent - Casualty	7/16/2019
Active	United Financial Casualty Company	301886	Agent - Property	7/16/2019
Active	Valley Forge Insurance Company	301052	Agent - Casualty	1/9/2017
Active	Valley Forge Insurance Company	301052	Agent - Property	1/9/2017
Active	Vigilant Insurance Company	301143	Agent - Casualty	10/25/2010
Active	Vigilant Insurance Company	301143	Agent - Property	10/25/2010
Inactive	West American Insurance Company	301112	Agent - Casualty	12/8/2015	3/29/2024
Inactive	West American Insurance Company	301112	Agent - Property	12/8/2015	3/29/2024
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	3/13/2016
Active	Westchester Fire Insurance Company	300990	Agent - Property	3/13/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Barnes, Bruce Wayne	359935	Agent - Casualty	9/27/2002	12/30/2003
Inactive	Barnes, Bruce Wayne	359935	Agent - Health	9/27/2002	12/30/2003
Inactive	Barnes, Bruce Wayne	359935	Agent - Life	9/27/2002	12/30/2003
Inactive	Barnes, Bruce Wayne	359935	Agent - Property	9/27/2002	12/30/2003
Active	Britt, Mary P	385021	Agent - Casualty	9/25/2015
Active	Britt, Mary P	385021	Agent - Property	9/25/2015
Inactive	Gorin, George Danforth	547506	Agent - Casualty	9/12/2002	12/30/2003
Inactive	Gorin, George Danforth	547506	Agent - Property	9/12/2002	12/30/2003
Active	Herring, Lawrence Anthony	333975	Agent - Casualty	10/5/2009
Active	Herring, Lawrence Anthony	333975	Agent - Health	10/5/2009
Active	Herring, Lawrence Anthony	333975	Agent - Life	10/5/2009
Active	Herring, Lawrence Anthony	333975	Agent - Property	10/5/2009