DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Advantage Truck Insurance, Inc.	DOIID	536933	NAIC NPN	5907310

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/2/2003	1/8/2004
Inactive	Non Resident	Agent	Health	1/2/2003	5/31/2003
Inactive	Non Resident	Agent	Property	9/12/2001	1/8/2004
Inactive	Non Resident	Agent	Casualty	9/12/2001	1/8/2004
* 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
Inactive	Great West Casualty Company	301015	Agent - Casualty	9/12/2001	1/8/2004
Inactive	Great West Casualty Company	301015	Agent - Property	9/12/2001	1/8/2004
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	5/7/2003	1/8/2004
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	5/7/2003	1/8/2004
Inactive	Old Republic Life Insurance Company	301214	Agent - Health	3/25/2003	5/31/2003
Inactive	Old Republic Life Insurance Company	301214	Agent - Life	3/25/2003	9/30/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Branson, Karen Denise	522750	Agent - Casualty	6/12/2003	1/8/2004
Inactive	Branson, Karen Denise	522750	Agent - Property	6/12/2003	1/8/2004
Denied	Dalton, James Michael	541958	Agent - Health
Inactive	Dalton, James Michael	541958	Agent - Life	1/2/2003	1/8/2004
Inactive	Honken, Ronald Oltman	535949	Agent - Casualty	6/12/2003	1/8/2004
Inactive	Honken, Ronald Oltman	535949	Agent - Property	6/12/2003	1/8/2004
Inactive	Kidwell, James D	374896	Agent - Casualty	6/12/2003	1/8/2004
Inactive	Kidwell, James D	374896	Agent - Property	6/12/2003	1/8/2004
Inactive	Ritter, Carl Albert	354499	Agent - Casualty	9/12/2001	1/8/2004
Inactive	Ritter, Carl Albert	354499	Agent - Property	9/12/2001	1/8/2004
Inactive	Sherritze, Kevin Scott	343701	Agent - Casualty	6/12/2003	1/8/2004
Inactive	Sherritze, Kevin Scott	343701	Agent - Property	6/12/2003	1/8/2004
Inactive	Viagas, Howard A	523087	Agent - Casualty	6/12/2003	1/8/2004
Inactive	Viagas, Howard A	523087	Agent - Property	6/12/2003	1/8/2004
Inactive	Worley, Toshia Noel	522749	Agent - Casualty	6/12/2003	1/8/2004
Inactive	Worley, Toshia Noel	522749	Agent - Property	6/12/2003	1/8/2004