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DEPARTMENT OF INSURANCE
Affiliations
Name
Flying J Ins Services Inc
DOIID
541663
NAIC NPN
1633012
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Health
6/27/2002
3/31/2011
Inactive
Non Resident
Agent
Life
6/27/2002
3/31/2011
Inactive
Non Resident
Agent
Casualty
12/10/2001
3/31/2011
Inactive
Non Resident
Agent
Property
12/10/2001
3/31/2011
Inactive
Non Resident
Surplus Lines Broker
Not Applicable
7/7/2008
2/1/2010
* 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
ACE American Insurance Company
300625
Agent - Health
3/16/2007
2/18/2010
Inactive
AIG Assurance Company
300897
Agent - Casualty
9/15/2005
7/6/2010
Inactive
AIG Assurance Company
300897
Agent - Property
9/15/2005
7/6/2010
Inactive
American Economy Insurance Company
300315
Agent - Casualty
7/14/2005
8/27/2009
Inactive
American Economy Insurance Company
300315
Agent - Property
7/14/2005
8/27/2009
Inactive
American Family Home Insurance Company
301817
Agent - Casualty
6/7/2007
3/31/2011
Inactive
American Family Home Insurance Company
301817
Agent - Property
6/7/2007
3/31/2011
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Health
8/21/2006
2/11/2010
Inactive
American Family Life Assurance Company of Columbus (AFLAC)
301781
Agent - Life
8/21/2006
2/11/2010
Inactive
American Fire and Casualty Company
300567
Agent - Casualty
10/16/2008
8/27/2009
Inactive
American Fire and Casualty Company
300567
Agent - Property
10/16/2008
8/27/2009
Inactive
American Modern Home Insurance Company
300791
Agent - Casualty
6/7/2007
3/31/2011
Inactive
American Modern Home Insurance Company
300791
Agent - Property
6/7/2007
3/31/2011
Inactive
American Modern Select Insurance Company
581481
Agent - Casualty
6/7/2007
3/31/2011
Inactive
American Modern Select Insurance Company
581481
Agent - Property
6/7/2007
3/31/2011
Inactive
American Southern Home Insurance Company
626276
Agent - Casualty
7/17/2008
3/31/2011
Inactive
American Southern Home Insurance Company
626276
Agent - Property
7/17/2008
3/31/2011
Inactive
American States Insurance Company
301230
Agent - Casualty
7/14/2005
8/27/2009
Inactive
American States Insurance Company
301230
Agent - Property
7/14/2005
8/27/2009
Inactive
Consolidated Insurance Company
300943
Agent - Casualty
10/16/2008
1/30/2010
Inactive
Consolidated Insurance Company
300943
Agent - Property
10/16/2008
1/30/2010
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
3/21/2009
3/10/2010
Inactive
Encompass Indemnity Company
546376
Agent - Casualty
12/8/2008
7/21/2009
Inactive
Encompass Indemnity Company
546376
Agent - Property
12/8/2008
7/21/2009
Inactive
First National Insurance Company of America
301690
Agent - Casualty
7/14/2005
1/30/2010
Inactive
First National Insurance Company of America
301690
Agent - Property
7/14/2005
1/30/2010
Inactive
General Insurance Company of America
300261
Agent - Casualty
7/14/2005
1/30/2010
Inactive
General Insurance Company of America
300261
Agent - Property
7/14/2005
1/30/2010
Inactive
Golden Rule Insurance Company
301943
Agent - Health
8/5/2002
2/2/2011
Inactive
Golden Rule Insurance Company
301943
Agent - Life
8/5/2002
2/2/2011
Inactive
Granite State Insurance Company
300818
Agent - Casualty
9/15/2005
7/6/2010
Inactive
Granite State Insurance Company
300818
Agent - Property
9/15/2005
7/6/2010
Inactive
Great American Assurance Company
300327
Agent - Casualty
12/10/2001
3/31/2011
Inactive
Great American Assurance Company
300327
Agent - Property
12/10/2001
3/31/2011
Inactive
Great American Insurance Company
301586
Agent - Casualty
1/14/2005
3/31/2011
Inactive
Great American Insurance Company
301586
Agent - Property
1/14/2005
3/31/2011
Inactive
Great American Insurance Company of New York
301897
Agent - Casualty
6/19/2003
3/31/2011
Inactive
Great American Insurance Company of New York
301897
Agent - Property
6/19/2003
3/31/2011
Inactive
Hartford Accident and Indemnity Company
301917
Agent - Casualty
10/14/2005
11/7/2008
Inactive
Hartford Accident and Indemnity Company
301917
Agent - Property
10/14/2005
11/7/2008
Inactive
Hartford Casualty Insurance Company
301332
Agent - Casualty
10/14/2005
11/7/2008
Inactive
Hartford Casualty Insurance Company
301332
Agent - Property
10/14/2005
11/7/2008
Inactive
Hartford Fire Insurance Company
300628
Agent - Casualty
10/14/2005
11/7/2008
Inactive
Hartford Fire Insurance Company
300628
Agent - Property
10/14/2005
11/7/2008
Inactive
Hartford Insurance Company of the Midwest
301918
Agent - Casualty
10/14/2005
11/7/2008
Inactive
Hartford Insurance Company of the Midwest
301918
Agent - Property
10/14/2005
11/7/2008
Inactive
Hartford Underwriters Insurance Company
301064
Agent - Casualty
10/14/2005
11/7/2008
Inactive
Hartford Underwriters Insurance Company
301064
Agent - Property
10/14/2005
11/7/2008
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
3/26/2009
3/10/2010
Inactive
Humana Insurance Company
301104
Agent - Health
2/19/2007
3/10/2010
Inactive
Humana Insurance Company
301104
Agent - Life
2/19/2007
3/10/2010
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
2/19/2007
3/10/2010
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
2/19/2007
3/10/2010
Inactive
HumanaDental Insurance Company
301457
Agent - Health
2/19/2007
3/10/2010
Inactive
HumanaDental Insurance Company
301457
Agent - Life
2/19/2007
3/10/2010
Inactive
Illinois National Insurance Company
301367
Agent - Casualty
1/8/2007
7/6/2010
Inactive
Illinois National Insurance Company
301367
Agent - Property
1/8/2007
7/6/2010
Inactive
Indiana Insurance Company
301909
Agent - Casualty
10/16/2008
1/30/2010
Inactive
Indiana Insurance Company
301909
Agent - Property
10/16/2008
1/30/2010
Inactive
Insurance Company of the State of Pennsylvania
300807
Agent - Casualty
5/19/2004
3/31/2011
Inactive
Insurance Company of the State of Pennsylvania
300807
Agent - Property
5/19/2004
3/31/2011
Inactive
Lancer Insurance Company
300483
Agent - Casualty
8/14/2006
12/20/2010
Inactive
Lancer Insurance Company
300483
Agent - Property
8/14/2006
12/20/2010
Inactive
Lincoln General Insurance Company
301580
Agent - Casualty
8/26/2004
5/10/2007
Inactive
Lincoln General Insurance Company
301580
Agent - Property
8/26/2004
5/10/2007
Inactive
MEGA Life and Health Insurance Company (The)
300751
Agent - Health
9/13/2002
1/19/2004
Inactive
MEGA Life and Health Insurance Company (The)
300751
Agent - Life
9/13/2002
1/19/2004
Inactive
Netherlands Insurance Company (The)
300339
Agent - Casualty
10/16/2008
1/30/2010
Inactive
Netherlands Insurance Company (The)
300339
Agent - Property
10/16/2008
1/30/2010
Inactive
Ohio Casualty Insurance Company
301492
Agent - Casualty
10/16/2008
3/31/2011
Inactive
Ohio Casualty Insurance Company
301492
Agent - Property
10/16/2008
3/31/2011
Inactive
Ohio Security Insurance Company
300622
Agent - Casualty
10/16/2008
3/31/2011
Inactive
Ohio Security Insurance Company
300622
Agent - Property
10/16/2008
3/31/2011
Inactive
Pan-American Life Insurance Company
301530
Agent - Health
4/29/2008
6/23/2009
Inactive
Pan-American Life Insurance Company
301530
Agent - Life
4/29/2008
6/23/2009
Inactive
Peerless Indemnity Insurance Company
571682
Agent - Casualty
10/16/2008
1/30/2010
Inactive
Peerless Indemnity Insurance Company
571682
Agent - Property
10/16/2008
1/30/2010
Inactive
Peerless Insurance Company
301910
Agent - Casualty
10/16/2008
1/30/2010
Inactive
Peerless Insurance Company
301910
Agent - Property
10/16/2008
1/30/2010
Inactive
Plymouth Rock Assurance Preferred Corporation
301834
Agent - Casualty
9/11/2007
7/6/2010
Inactive
Plymouth Rock Assurance Preferred Corporation
301834
Agent - Property
9/11/2007
7/6/2010
Inactive
Progressive Casualty Insurance Company
300696
Agent - Casualty
1/24/2007
2/18/2010
Inactive
Progressive Casualty Insurance Company
300696
Agent - Property
1/24/2007
2/18/2010
Inactive
Progressive Northern Insurance Company
301378
Agent - Casualty
8/21/2003
2/18/2010
Inactive
Progressive Northern Insurance Company
301378
Agent - Property
8/21/2003
2/18/2010
Inactive
SAFECO Insurance Company of America
300159
Agent - Casualty
7/14/2005
1/30/2010
Inactive
SAFECO Insurance Company of America
300159
Agent - Property
7/14/2005
1/30/2010
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - Casualty
7/14/2005
1/30/2010
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - Property
7/14/2005
1/30/2010
Inactive
Sentinel Insurance Company, Limited
501696
Agent - Casualty
10/14/2005
11/7/2008
Inactive
Sentinel Insurance Company, Limited
501696
Agent - Property
10/14/2005
11/7/2008
Inactive
Standard Security Life Insurance Company of NY
301487
Agent - Health
2/13/2009
1/20/2010
Inactive
Standard Security Life Insurance Company of NY
301487
Agent - Life
2/13/2009
1/20/2010
Inactive
Time Insurance Company
300683
Agent - Health
6/27/2002
1/19/2010
Inactive
Time Insurance Company
300683
Agent - Life
6/27/2002
1/19/2010
Inactive
Twin City Fire Insurance Company
300721
Agent - Casualty
10/14/2005
11/7/2008
Inactive
Twin City Fire Insurance Company
300721
Agent - Property
10/14/2005
11/7/2008
Inactive
United Financial Casualty Company
301886
Agent - Casualty
12/2/2005
2/18/2010
Inactive
United Financial Casualty Company
301886
Agent - Property
12/2/2005
2/18/2010
Inactive
West American Insurance Company
301112
Agent - Casualty
10/16/2008
8/27/2009
Inactive
West American Insurance Company
301112
Agent - Property
10/16/2008
8/27/2009
Inactive
Western Surety Company
300283
Agent - Casualty
9/6/2005
10/22/2010
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Allen, Kathy Lynn
513318
Agent - Casualty
1/20/2004
5/27/2005
Inactive
Allen, Kathy Lynn
513318
Agent - Health
1/20/2004
5/27/2005
Inactive
Allen, Kathy Lynn
513318
Agent - Life
1/20/2004
5/27/2005
Inactive
Allen, Kathy Lynn
513318
Agent - Property
1/20/2004
5/27/2005
Inactive
Byers, Eric C
333224
Agent - Casualty
12/10/2001
2/1/2010
Inactive
Byers, Eric C
333224
Agent - Health
6/27/2002
2/1/2010
Inactive
Byers, Eric C
333224
Agent - Life
6/27/2002
2/1/2010
Inactive
Byers, Eric C
333224
Agent - Property
12/10/2001
2/1/2010
Inactive
Byers, Eric C
333224
Surplus Lines Broker - Not Applicable
7/7/2008
2/1/2010
Inactive
Deyoung, Jonathan
636139
Agent - Casualty
8/21/2006
2/28/2009
Inactive
Deyoung, Jonathan
636139
Agent - Health
8/21/2006
2/28/2009
Inactive
Deyoung, Jonathan
636139
Agent - Life
8/21/2006
2/28/2009
Inactive
Deyoung, Jonathan
636139
Agent - Property
8/21/2006
2/28/2009
Inactive
Grill, Stephanie R
633229
Agent - Casualty
8/21/2006
6/25/2008
Inactive
Grill, Stephanie R
633229
Agent - Health
8/21/2006
6/25/2008
Inactive
Grill, Stephanie R
633229
Agent - Life
8/21/2006
6/25/2008
Inactive
Grill, Stephanie R
633229
Agent - Property
8/21/2006
6/25/2008
Inactive
Hodges, Douglas Edward
651479
Agent - Health
4/20/2007
12/31/2008
Inactive
Hodges, Douglas Edward
651479
Agent - Life
4/20/2007
12/31/2008
Inactive
Lewis, Nancie Kay
636132
Agent - Casualty
2/26/2007
7/31/2010
Inactive
Lewis, Nancie Kay
636132
Agent - Health
2/26/2007
7/31/2010
Inactive
Lewis, Nancie Kay
636132
Agent - Life
2/26/2007
7/31/2010
Inactive
Lewis, Nancie Kay
636132
Agent - Property
2/26/2007
7/31/2010
Inactive
London, Katie Snyder
592972
Agent - Casualty
8/7/2006
3/31/2011
Inactive
London, Katie Snyder
592972
Agent - Health
1/31/2005
3/31/2011
Inactive
London, Katie Snyder
592972
Agent - Life
1/31/2005
3/31/2011
Inactive
London, Katie Snyder
592972
Agent - Property
8/7/2006
3/31/2011
Denied
McDowell, Aimee Michelle
593986
Agent - Casualty
Denied
McDowell, Aimee Michelle
593986
Agent - Health
Denied
McDowell, Aimee Michelle
593986
Agent - Life
Denied
McDowell, Aimee Michelle
593986
Agent - Property
Inactive
Nicholson, Hillary D
634180
Agent - Casualty
8/21/2006
6/30/2010
Inactive
Nicholson, Hillary D
634180
Agent - Health
8/21/2006
6/30/2010
Inactive
Nicholson, Hillary D
634180
Agent - Life
8/21/2006
6/30/2010
Inactive
Nicholson, Hillary D
634180
Agent - Property
8/21/2006
6/30/2010
Inactive
Robbins, Merrilee G
367913
Agent - Casualty
12/10/2001
8/7/2006
Inactive
Robbins, Merrilee G
367913
Agent - Property
12/10/2001
8/7/2006
Denied
Scaminace, Joseph Michael
643813
Agent - Casualty
Inactive
Scaminace, Joseph Michael
643813
Agent - Health
1/29/2007
3/31/2009
Inactive
Scaminace, Joseph Michael
643813
Agent - Life
1/29/2007
3/31/2009
Denied
Scaminace, Joseph Michael
643813
Agent - Property
Inactive
Siddoway, Cindy Jeanne
634244
Agent - Casualty
8/7/2006
12/31/2010
Inactive
Siddoway, Cindy Jeanne
634244
Agent - Property
8/7/2006
12/31/2010
Inactive
Slack, Timothy H
634241
Agent - Casualty
8/21/2006
3/31/2010
Inactive
Slack, Timothy H
634241
Agent - Health
8/21/2006
3/31/2010
Inactive
Slack, Timothy H
634241
Agent - Life
8/21/2006
3/31/2010
Inactive
Slack, Timothy H
634241
Agent - Property
8/21/2006
3/31/2010
Inactive
Smith, Darren K
634178
Agent - Casualty
8/21/2006
3/31/2009
Inactive
Smith, Darren K
634178
Agent - Health
8/21/2006
3/31/2009
Inactive
Smith, Darren K
634178
Agent - Life
8/21/2006
3/31/2009
Inactive
Smith, Darren K
634178
Agent - Property
8/21/2006
3/31/2009
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