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	Health	10/5/2009	3/31/2027
Active	Resident	Agent	Property	10/5/2009	3/31/2027
Active	Resident	Agent	Life	10/5/2009	3/31/2027
Active	Resident	Agent	Casualty	10/5/2009	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

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
Inactive	Peerless Insurance Company	301910	Agent - Casualty	12/8/2015	5/8/2025
Inactive	Peerless Insurance Company	301910	Agent - Property	12/8/2015	5/8/2025
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