DEPARTMENT OF INSURANCE

Affiliations

Name	Siegmann, Bruce J	DOIID	553727	NAIC NPN	327961

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	7/12/2002	9/30/2022
Inactive	Non Resident	Agent	Health	10/19/2004	9/30/2022
Inactive	Non Resident	Agent	Life	10/19/2004	9/30/2022
Inactive	Non Resident	Agent	Property	7/12/2002	9/30/2022
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	9/14/2006	12/11/2018
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	11/10/2006	9/30/2022
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	11/10/2006	9/30/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/20/2017	9/30/2022
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/20/2017	9/30/2022
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	10/31/2005	12/21/2009
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	10/31/2005	12/21/2009
Inactive	Employers Insurance Company of Wausau	301813	Agent - Casualty	8/19/2008	9/30/2022
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	8/19/2008	9/30/2022
Inactive	FCCI Insurance Company	557454	Agent - Casualty	3/5/2014	9/30/2022
Inactive	FCCI Insurance Company	557454	Agent - Property	3/5/2014	9/30/2022
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	1/22/2009	9/30/2022
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	1/22/2009	9/30/2022
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	4/8/2004	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	4/8/2004	11/5/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	4/8/2004	11/23/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	4/8/2004	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	4/8/2004	11/23/2009
Inactive	LM Insurance Corporation	301061	Agent - Casualty	1/22/2009	9/30/2022
Inactive	LM Insurance Corporation	301061	Agent - Property	1/22/2009	9/30/2022
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	1/22/2009	9/30/2022
Inactive	Liberty Insurance Corporation	300444	Agent - Property	1/22/2009	9/30/2022
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	1/22/2009	9/30/2022
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	1/22/2009	9/30/2022
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	1/22/2009	9/30/2022
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	1/22/2009	9/30/2022
Inactive	National Trust Insurance Company	300367	Agent - Casualty	3/27/2014	9/30/2022
Inactive	National Trust Insurance Company	300367	Agent - Property	3/27/2014	9/30/2022
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	7/12/2002	10/21/2009
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	7/12/2002	10/21/2009
Inactive	Omni Indemnity Company	301456	Agent - Casualty	4/8/2004	10/8/2009
Inactive	Owners Insurance Company	300796	Agent - Casualty	10/14/2004	12/21/2009
Inactive	Owners Insurance Company	300796	Agent - Property	10/14/2004	12/21/2009
Inactive	Tower Insurance Company of New York	624823	Agent - Casualty	11/23/2011	6/8/2016
Inactive	Tower Insurance Company of New York	624823	Agent - Property	11/23/2011	6/8/2016
Inactive	Tower National Insurance Company	300972	Agent - Casualty	11/23/2011	6/6/2016
Inactive	Tower National Insurance Company	300972	Agent - Property	11/23/2011	6/6/2016
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	4/8/2004	11/5/2008
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	8/19/2008	3/31/2015
Inactive	Wausau Business Insurance Company	301476	Agent - Property	8/19/2008	3/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	8/19/2008	8/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	8/19/2008	8/31/2015
Inactive	Westfield Insurance Company	301950	Agent - Casualty	7/12/2002	1/23/2020
Inactive	Westfield Insurance Company	301950	Agent - Property	7/12/2002	1/23/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brown & Brown of Indiana, LLC	552587	Agent - Casualty	3/5/2014	9/30/2022
Inactive	Brown & Brown of Indiana, LLC	552587	Agent - Property	8/19/2008	9/30/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Health	4/20/2017	9/30/2022
Inactive	Designated Agent Company Inc.	681257	Agent - Life	4/20/2017	9/30/2022