DEPARTMENT OF INSURANCE

Affiliations

Name	Maverick Insurance, LLC	DOIID	553924	NAIC NPN	7333091

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Non Resident	Agent	Variable Life and Variable Annuities
Inactive	Non Resident	Agent	Life	10/14/2002	3/31/2014
Inactive	Non Resident	Agent	Health	10/14/2002	3/31/2014
Inactive	Non Resident	Agent	Casualty	9/24/2002	3/31/2014
Inactive	Non Resident	Agent	Property	9/24/2002	3/31/2014
Inactive	Non Resident	Property & Casualty Consultant	Not Applicable	1/22/2007	3/31/2014
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	12/29/2008	6/21/2012
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - Casualty	2/20/2008	12/16/2013
Inactive	ACE American Insurance Company	300625	Agent - Property	2/20/2008	12/16/2013
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	8/12/2004	2/7/2012
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	8/12/2004	2/7/2012
Inactive	AIG Assurance Company	300897	Agent - Casualty	1/8/2007	3/31/2014
Inactive	AIG Assurance Company	300897	Agent - Property	1/8/2007	3/31/2014
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	5/19/2008	3/31/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Health	5/19/2008	3/31/2014
Inactive	Aetna Life Insurance Company	301140	Agent - Life	5/19/2008	3/31/2014
Inactive	Allied Eastern Indemnity Company	683842	Agent - Casualty	9/15/2010	11/29/2011
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	4/12/2006	3/31/2014
Inactive	Allstate Indemnity Company	300778	Agent - Property	4/12/2006	3/31/2014
Inactive	Allstate Insurance Company	300773	Agent - Casualty	4/12/2006	3/31/2014
Inactive	Allstate Insurance Company	300773	Agent - Property	4/12/2006	3/31/2014
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	4/12/2006	3/31/2014
Inactive	Allstate Property and Casualty Insurance Company	300593	Agent - Property	4/12/2006	3/31/2014
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	4/30/2008	1/19/2010
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	4/30/2008	1/19/2010
Inactive	American Automobile Insurance Company	300953	Agent - Casualty	3/2/2011	12/11/2013
Inactive	American Automobile Insurance Company	300953	Agent - Property	3/2/2011	12/11/2013
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	2/17/2005	2/19/2013
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	2/17/2005	2/19/2013
Inactive	American Economy Insurance Company	300315	Agent - Casualty	9/8/2010	3/16/2012
Inactive	American Economy Insurance Company	300315	Agent - Property	9/8/2010	3/16/2012
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	3/19/2010	11/11/2011
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	2/21/2007	3/31/2014
Inactive	American Family Home Insurance Company	301817	Agent - Property	2/21/2007	3/31/2014
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	9/1/2010	5/4/2012
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	9/1/2010	5/4/2012
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	9/8/2010	3/16/2012
Inactive	American Fire and Casualty Company	300567	Agent - Property	9/8/2010	3/16/2012
Inactive	American General Life Insurance Company	301585	Agent - Health	9/8/2004	11/9/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	9/8/2004	11/9/2012
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	8/20/2007	2/22/2012
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	8/20/2007	2/22/2012
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	8/2/2007	10/10/2013
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	8/2/2007	10/10/2013
Inactive	American Home Assurance Company	300246	Agent - Casualty	10/29/2004	3/31/2014
Inactive	American Home Assurance Company	300246	Agent - Property	10/29/2004	3/31/2014
Inactive	American Interstate Insurance Company	301092	Agent - Casualty	6/3/2008	3/31/2014
Inactive	American Interstate Insurance Company	301092	Agent - Property	6/3/2008	3/31/2014
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	2/13/2008	3/31/2014
Inactive	American Modern Home Insurance Company	300791	Agent - Property	2/13/2008	3/31/2014
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	3/6/2007	3/31/2014
Inactive	American Modern Select Insurance Company	581481	Agent - Property	3/6/2007	3/31/2014
Inactive	American National Insurance Company	301861	Agent - Health	8/16/2007	3/31/2014
Inactive	American National Insurance Company	301861	Agent - Life	8/16/2007	3/31/2014
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	7/10/2008	10/26/2011
Inactive	American Reliable Insurance Company	301889	Agent - Property	7/10/2008	10/26/2011
Inactive	American Select Insurance Company	301229	Agent - Casualty	1/31/2008	12/15/2011
Inactive	American Select Insurance Company	301229	Agent - Property	1/31/2008	12/15/2011
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	2/13/2008	3/31/2014
Inactive	American Southern Home Insurance Company	626276	Agent - Property	2/13/2008	3/31/2014
Inactive	American States Insurance Company	301230	Agent - Casualty	9/8/2010	3/16/2012
Inactive	American States Insurance Company	301230	Agent - Property	9/8/2010	3/16/2012
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	7/9/2007	2/22/2012
Inactive	American Zurich Insurance Company	300592	Agent - Property	7/9/2007	2/22/2012
Inactive	Annuity Investors Life Insurance Company	300715	Agent - Life	5/6/2009	12/6/2011
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	3/17/2005	3/31/2014
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	3/17/2005	10/16/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/1/2005	3/31/2014
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/1/2005	3/31/2014
Inactive	Assurance Company of America	300432	Agent - Casualty	10/7/2004	2/22/2012
Inactive	Assurance Company of America	300432	Agent - Property	10/7/2004	2/22/2012
Inactive	Assurity Life Insurance Company	301099	Agent - Health	4/4/2005	12/14/2006
Inactive	Assurity Life Insurance Company	301099	Agent - Life	4/4/2005	12/14/2006
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	5/18/2009	6/26/2012
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	5/18/2009	6/26/2012
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	12/21/2004	2/24/2012
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	12/21/2004	2/24/2012
Inactive	BITCO General Insurance Corporation	301305	Agent - Casualty	8/15/2007	3/31/2014
Inactive	BITCO General Insurance Corporation	301305	Agent - Property	8/15/2007	3/31/2014
Inactive	BITCO National Insurance Company	301366	Agent - Casualty	8/15/2007	3/31/2014
Inactive	BITCO National Insurance Company	301366	Agent - Property	8/15/2007	3/31/2014
Inactive	Banner Life Insurance Company	301696	Agent - Life	3/11/2005	3/31/2014
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	12/6/2005	3/31/2014
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	1/25/2006	12/12/2012
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	1/25/2006	12/12/2012
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	6/16/2011	10/7/2013
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	7/28/2009	11/7/2013
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	4/9/2008	8/2/2013
Inactive	Bristol West Insurance Company	301655	Agent - Property	4/9/2008	8/2/2013
Inactive	CIGNA Dental Health of Kentucky, Inc.	300904	Agent - Health	4/26/2006	3/31/2014
Inactive	Catawba Insurance Company	581090	Agent - Casualty	8/17/2006	9/3/2010
Inactive	Catawba Insurance Company	581090	Agent - Property	8/17/2006	9/3/2010
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	1/6/2006	12/3/2010
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Property	1/6/2006	12/3/2010
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	1/11/2011	2/24/2012
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	1/11/2011	2/24/2012
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	11/19/2004	3/31/2014
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	11/19/2004	3/31/2014
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Casualty	7/9/2007	3/19/2010
Inactive	Colonial American Casualty & Surety Company	300769	Agent - Property	7/9/2007	3/19/2010
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	5/16/2011	1/23/2012
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	5/16/2011	1/23/2012
Inactive	Commerce and Industry Insurance Company	300881	Agent - Casualty	10/29/2004	3/31/2014
Inactive	Commerce and Industry Insurance Company	300881	Agent - Property	10/29/2004	3/31/2014
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/18/2008	4/18/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Health	7/18/2008	4/18/2012
Inactive	CompBenefits Insurance Company	301864	Agent - Life	7/18/2008	4/18/2012
Inactive	Companion Life Insurance Company	300191	Agent - Health	10/5/2006	10/23/2013
Inactive	Companion Life Insurance Company	300191	Agent - Life	10/5/2006	10/23/2013
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	4/26/2006	3/31/2014
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	4/26/2006	3/31/2014
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	12/6/2010	3/16/2012
Inactive	Consolidated Insurance Company	300943	Agent - Property	12/6/2010	3/16/2012
Inactive	Continental Casualty Company	301019	Agent - Casualty	2/17/2005	2/19/2013
Inactive	Continental Casualty Company	301019	Agent - Property	2/17/2005	2/19/2013
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	1/30/2006	2/19/2013
Inactive	Continental Insurance Company (The)	301242	Agent - Property	1/30/2006	2/19/2013
Inactive	Countryway Insurance Company	300809	Agent - Casualty	5/15/2006	2/10/2014
Inactive	Countryway Insurance Company	300809	Agent - Property	5/15/2006	2/10/2014
Inactive	Dearborn Life Insurance Company	300401	Agent - Health	4/9/2008	3/31/2014
Inactive	Dearborn Life Insurance Company	300401	Agent - Life	4/9/2008	3/31/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/23/2007	4/18/2012
Inactive	Eastern Advantage Assurance Company	692390	Agent - Casualty	9/15/2010	11/29/2011
Inactive	Eastern Alliance Insurance Company	683841	Agent - Casualty	9/15/2010	11/29/2011
Inactive	Employers Insurance Company of Wausau	301813	Agent - Casualty	12/29/2011	3/31/2014
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	12/29/2011	3/31/2014
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	6/5/2006	5/20/2014
Inactive	Encompass Indemnity Company	546376	Agent - Property	6/5/2006	5/20/2014
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	4/21/2009	5/20/2014
Inactive	Encompass Insurance Company of America	556578	Agent - Property	4/21/2009	5/20/2014
Inactive	Everlake Life Insurance Company	300873	Agent - Health	4/12/2006	3/31/2014
Inactive	Everlake Life Insurance Company	300873	Agent - Life	4/12/2006	3/31/2014
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	8/9/2013	3/31/2014
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	8/9/2013	3/31/2014
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	8/9/2013	3/31/2014
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	8/9/2013	3/31/2014
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	2/15/2007	8/23/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	2/15/2007	8/23/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	8/9/2013	3/31/2014
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	8/9/2013	3/31/2014
Inactive	Farmington Casualty Company	301137	Agent - Casualty	1/11/2011	2/24/2012
Inactive	Farmington Casualty Company	301137	Agent - Property	1/11/2011	2/24/2012
Inactive	Farmland Mutual Insurance Company	301468	Agent - Casualty	4/13/2005	3/31/2014
Inactive	Farmland Mutual Insurance Company	301468	Agent - Property	4/13/2005	3/31/2014
Inactive	Federal Insurance Company	301144	Agent - Casualty	8/30/2004	7/19/2012
Inactive	Federal Insurance Company	301144	Agent - Property	8/30/2004	7/19/2012
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	7/9/2007	3/19/2010
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	7/9/2007	3/19/2010
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	4/1/2009	12/11/2013
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	4/1/2009	12/11/2013
Inactive	First Colony Life Insurance Company	301179	Agent - Life	7/19/2005	1/1/2007
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	12/29/2011	3/31/2014
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	12/29/2011	3/31/2014
Inactive	First National Insurance Company of America	301690	Agent - Casualty	9/8/2010	3/16/2012
Inactive	First National Insurance Company of America	301690	Agent - Property	9/8/2010	3/16/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/7/2005	8/2/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/7/2005	8/2/2013
Inactive	Gateway Insurance Company	300136	Agent - Casualty	6/6/2007	8/14/2009
Inactive	Gateway Insurance Company	300136	Agent - Property	6/6/2007	4/10/2008
Inactive	General Insurance Company of America	300261	Agent - Casualty	9/8/2010	3/16/2012
Inactive	General Insurance Company of America	300261	Agent - Property	9/8/2010	3/16/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	4/22/2009	3/31/2014
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	3/31/2014
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/14/2009	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/14/2009	12/26/2012
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	10/7/2004	11/30/2007
Inactive	Glatfelter Insurance Company	301640	Agent - Property	10/7/2004	11/30/2007
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/5/2005	10/5/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/5/2005	10/5/2012
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	3/5/2008	3/31/2014
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	3/5/2008	3/31/2014
Inactive	Grange Insurance Company	300234	Agent - Casualty	3/5/2008	3/31/2014
Inactive	Grange Insurance Company	300234	Agent - Property	3/5/2008	3/31/2014
Inactive	Grange Life Insurance Company	300128	Agent - Health	3/5/2008	3/31/2014
Inactive	Grange Life Insurance Company	300128	Agent - Life	3/5/2008	3/31/2014
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	9/17/2008	3/31/2014
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	9/17/2008	3/31/2014
Inactive	Granite State Insurance Company	300818	Agent - Casualty	2/24/2006	3/31/2014
Inactive	Granite State Insurance Company	300818	Agent - Property	2/24/2006	3/31/2014
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	3/31/2010	3/31/2014
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	3/31/2010	3/31/2014
Inactive	Great American Assurance Company	300327	Agent - Casualty	3/31/2010	3/31/2014
Inactive	Great American Assurance Company	300327	Agent - Property	3/31/2010	3/31/2014
Inactive	Great American Insurance Company	301586	Agent - Casualty	3/31/2010	3/31/2014
Inactive	Great American Insurance Company	301586	Agent - Property	3/31/2010	3/31/2014
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	3/31/2010	3/31/2014
Inactive	Great American Insurance Company of New York	301897	Agent - Property	3/31/2010	3/31/2014
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	3/10/2005	7/19/2012
Inactive	Great Northern Insurance Company	301107	Agent - Property	3/10/2005	7/19/2012
Inactive	Greenwich Insurance Company	301754	Agent - Casualty	11/11/2008	12/30/2013
Inactive	Greenwich Insurance Company	301754	Agent - Property	11/11/2008	12/30/2013
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	1/25/2006	12/12/2012
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	1/25/2006	12/12/2012
Inactive	HDI Global Select Insurance Company	301205	Agent - Casualty	9/22/2008	3/31/2014
Inactive	HDI Global Select Insurance Company	301205	Agent - Property	9/22/2008	3/31/2014
Inactive	Hallmark National Insurance Company	300494	Agent - Casualty	9/9/2004	3/31/2014
Inactive	Hallmark National Insurance Company	300494	Agent - Property	9/9/2004	3/31/2014
Inactive	Hanover Insurance Company (The)	300508	Agent - Casualty	1/26/2005	1/11/2012
Inactive	Hanover Insurance Company (The)	300508	Agent - Property	1/26/2005	1/11/2012
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	10/12/2010	3/31/2014
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	10/12/2010	3/31/2014
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	2/16/2005	3/31/2014
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	2/16/2005	3/31/2014
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	2/16/2005	3/31/2014
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	2/16/2005	3/31/2014
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	2/16/2005	3/31/2014
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	2/16/2005	3/31/2014
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	2/16/2005	3/31/2014
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	2/16/2005	3/31/2014
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/18/2008	4/18/2012
Inactive	Humana Insurance Company	301104	Agent - Health	10/9/2006	4/18/2012
Inactive	Humana Insurance Company	301104	Agent - Life	10/9/2006	4/18/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/3/2007	4/18/2012
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/3/2007	4/18/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Health	12/8/2006	4/18/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	12/8/2006	4/18/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	4/30/2008	11/18/2008
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	4/30/2008	11/18/2008
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/8/2007	3/31/2014
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/8/2007	3/31/2014
Inactive	Indiana Insurance Company	301909	Agent - Casualty	12/6/2010	3/16/2012
Inactive	Indiana Insurance Company	301909	Agent - Property	12/6/2010	3/16/2012
Inactive	Infinity Insurance Company	300416	Agent - Casualty	6/14/2007	3/31/2014
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	1/17/2008	3/31/2014
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Property	1/17/2008	3/31/2014
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	7/28/2005	3/19/2008
Inactive	John Alden Life Insurance Company	300573	Agent - Health	10/17/2007	9/25/2012
Inactive	John Alden Life Insurance Company	300573	Agent - Life	10/17/2007	9/25/2012
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	6/3/2009	3/31/2014
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	6/3/2009	3/31/2014
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/18/2008	4/18/2012
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/18/2008	4/18/2012
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	4/15/2008	3/31/2014
Inactive	Kentucky National Insurance Company	301625	Agent - Property	4/15/2008	3/31/2014
Inactive	LM Insurance Corporation	301061	Agent - Casualty	12/29/2011	3/16/2012
Inactive	LM Insurance Corporation	301061	Agent - Property	12/29/2011	3/16/2012
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	12/29/2011	3/31/2014
Inactive	Liberty Insurance Corporation	300444	Agent - Property	12/29/2011	3/31/2014
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	12/29/2011	3/16/2012
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	12/29/2011	3/16/2012
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	12/29/2011	3/16/2012
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	12/29/2011	3/16/2012
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	12/20/2005	2/29/2012
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	12/20/2005	2/29/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	8/31/2004	1/3/2011
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	8/31/2004	1/3/2011
Inactive	Maryland Casualty Company	301719	Agent - Casualty	10/7/2004	2/22/2012
Inactive	Maryland Casualty Company	301719	Agent - Property	10/7/2004	2/22/2012
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	5/6/2009	12/26/2012
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Casualty	1/26/2005	1/11/2012
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Property	1/26/2005	1/11/2012
Inactive	MedAmerica Insurance Company	301568	Agent - Health	6/22/2007	12/1/2010
Inactive	Meridian Citizens Mutual Insurance Company	300935	Agent - Casualty	2/3/2006	1/26/2012
Inactive	Meridian Citizens Mutual Insurance Company	300935	Agent - Property	2/3/2006	1/26/2012
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	2/6/2007	1/26/2012
Inactive	Meridian Security Insurance Company	300423	Agent - Property	2/6/2007	1/26/2012
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	9/24/2008	1/7/2010
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	9/24/2008	1/7/2010
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	8/9/2013	3/31/2014
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	8/9/2013	3/31/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	12/29/2005	3/31/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	12/29/2005	3/31/2014
Inactive	Middlesex Mutual Assurance Company	569442	Agent - Casualty	3/30/2009	4/1/2012
Inactive	Middlesex Mutual Assurance Company	569442	Agent - Property	3/30/2009	4/1/2012
Inactive	Midland National Life Insurance Company	300923	Agent - Health	9/17/2008	10/29/2010
Inactive	Midland National Life Insurance Company	300923	Agent - Life	9/17/2008	10/29/2010
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/18/2006	12/26/2012
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	2/17/2005	2/19/2013
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	2/17/2005	2/19/2013
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	10/29/2004	3/31/2014
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	4/2/2008	3/31/2014
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	10/29/2004	3/31/2014
Inactive	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	4/13/2005	3/31/2014
Inactive	Nationwide Agribusiness Insurance Company	301008	Agent - Property	4/13/2005	3/31/2014
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	12/6/2010	3/16/2012
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	12/6/2010	3/16/2012
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	7/6/2007	3/31/2014
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	7/12/2011	8/16/2011
Inactive	North Pointe Insurance Company	301029	Agent - Casualty	3/29/2011	2/29/2012
Inactive	North Pointe Insurance Company	301029	Agent - Property	3/29/2011	2/29/2012
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	10/7/2004	2/22/2012
Inactive	Northern Insurance Company of New York	301317	Agent - Property	10/7/2004	2/22/2012
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	12/6/2010	3/16/2012
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	12/6/2010	3/16/2012
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	1/31/2008	12/15/2011
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	1/31/2008	12/15/2011
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	9/8/2010	3/16/2012
Inactive	Ohio Security Insurance Company	300622	Agent - Property	9/8/2010	3/16/2012
Inactive	Old Republic Insurance Company	301225	Agent - Casualty	3/13/2008	12/16/2013
Inactive	Old Republic Insurance Company	301225	Agent - Property	5/12/2010	12/16/2013
Inactive	Omni Indemnity Company	301456	Agent - Casualty	2/16/2005	10/20/2009
Inactive	Omni Indemnity Company	301456	Agent - Property	2/16/2005	10/20/2009
Inactive	Omni Insurance Company	301545	Agent - Casualty	2/16/2005	10/28/2009
Inactive	Omni Insurance Company	301545	Agent - Property	2/16/2005	10/28/2009
Inactive	Owners Insurance Company	300796	Agent - Casualty	5/18/2009	6/26/2012
Inactive	Owners Insurance Company	300796	Agent - Property	5/18/2009	6/26/2012
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	4/2/2007	11/25/2008
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Life	4/2/2007	11/25/2008
Inactive	Pacific Indemnity Company	301610	Agent - Casualty	3/10/2005	7/19/2012
Inactive	Pacific Indemnity Company	301610	Agent - Property	3/10/2005	7/19/2012
Inactive	Park National Insurance Company	692514	Agent - Casualty	4/7/2009	4/5/2012
Inactive	Park National Insurance Company	692514	Agent - Property	4/7/2009	4/5/2012
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2010	3/16/2012
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2010	3/16/2012
Inactive	Peerless Insurance Company	301910	Agent - Casualty	12/6/2010	3/16/2012
Inactive	Peerless Insurance Company	301910	Agent - Property	12/6/2010	3/16/2012
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	2/4/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	2/4/2011
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	3/29/2011	2/29/2012
Inactive	Praetorian Insurance Company	301021	Agent - Property	3/29/2011	2/29/2012
Inactive	Principal Life Insurance Company	300129	Agent - Health	10/18/2006	3/31/2014
Inactive	Principal Life Insurance Company	300129	Agent - Life	10/18/2006	3/31/2014
Inactive	Principal National Life Insurance Company	301926	Agent - Life	2/14/2011	3/31/2014
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	9/2/2004	5/4/2012
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	9/2/2004	5/4/2012
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	9/21/2004	11/27/2007
Inactive	Progressive Max Insurance Company	301034	Agent - Property	9/21/2004	11/27/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	9/2/2004	5/4/2012
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	9/2/2004	5/4/2012
Inactive	Progressive Specialty Insurance Company	300797	Agent - Casualty	9/21/2004	11/27/2007
Inactive	Progressive Specialty Insurance Company	300797	Agent - Property	9/21/2004	11/27/2007
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/15/2011	3/31/2014
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/15/2011	3/31/2014
Inactive	Pruco Life Insurance Company	300954	Agent - Health	2/8/2005	10/24/2013
Inactive	Pruco Life Insurance Company	300954	Agent - Life	2/8/2005	10/24/2013
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	3/29/2011	2/29/2012
Inactive	QBE Insurance Corporation	300515	Agent - Property	3/29/2011	2/29/2012
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	4/21/2009	3/31/2014
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	4/21/2009	3/31/2014
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Casualty	5/9/2005	8/21/2009
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Property	5/9/2005	8/21/2009
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	9/8/2010	3/16/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	9/8/2010	3/16/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	9/8/2010	3/16/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/8/2010	3/16/2012
Inactive	SECURA Insurance Company	301656	Agent - Casualty	12/6/2004	2/24/2012
Inactive	SECURA Insurance Company	301656	Agent - Property	12/6/2004	2/24/2012
Inactive	SECURA Supreme Insurance Company	645533	Agent - Casualty	6/28/2011	2/24/2012
Inactive	SECURA Supreme Insurance Company	645533	Agent - Property	6/28/2011	2/24/2012
Inactive	Sagamore Insurance Company	300942	Agent - Casualty	10/6/2009	4/12/2012
Inactive	Sagamore Insurance Company	300942	Agent - Property	10/6/2009	4/12/2012
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	1/1/2007	3/31/2014
Inactive	Selective Insurance Company of America	500018	Agent - Property	1/1/2007	3/31/2014
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	1/1/2007	3/31/2014
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	1/1/2007	3/31/2014
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	1/1/2007	3/31/2014
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	1/1/2007	3/31/2014
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	2/16/2005	3/31/2014
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	2/16/2005	3/31/2014
Inactive	Silver Oak Casualty, Inc.	517101	Agent - Casualty	6/3/2008	12/3/2010
Inactive	Silver Oak Casualty, Inc.	517101	Agent - Property	6/3/2008	12/3/2010
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	2/15/2012	2/24/2012
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	2/15/2012	2/24/2012
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	7/25/2008	1/4/2011
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	7/25/2008	1/4/2011
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	9/1/2011	2/24/2012
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	9/1/2011	2/24/2012
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	12/21/2004	2/24/2012
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	12/21/2004	2/24/2012
Inactive	Standard Insurance Company	300185	Agent - Health	9/16/2008	3/31/2014
Inactive	Standard Insurance Company	300185	Agent - Life	9/16/2008	3/31/2014
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	9/9/2004	1/26/2012
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	9/9/2004	1/26/2012
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	9/9/2004	1/26/2012
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	9/9/2004	1/26/2012
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	7/17/2009	9/12/2012
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	7/17/2009	9/12/2012
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	7/17/2009	8/22/2011
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	7/17/2009	8/22/2011
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	12/4/2009	11/29/2012
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	12/4/2009	11/29/2012
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	12/21/2004	2/24/2012
Inactive	The Phoenix Insurance Company	301502	Agent - Property	12/21/2004	2/24/2012
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	10/11/2010	3/31/2014
Inactive	Time Insurance Company	300683	Agent - Health	9/18/2012	10/3/2012
Inactive	Time Insurance Company	300683	Agent - Life	9/18/2012	10/3/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2008	3/12/2013
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	1/27/2005	10/1/2008
Inactive	Transcontinental Insurance Company	301731	Agent - Casualty	2/17/2005	9/27/2007
Inactive	Transcontinental Insurance Company	301731	Agent - Property	2/17/2005	9/27/2007
Inactive	Transportation Insurance Company	301575	Agent - Casualty	2/17/2005	2/19/2013
Inactive	Transportation Insurance Company	301575	Agent - Property	2/17/2005	2/19/2013
Inactive	TravCo Insurance Company	301828	Agent - Casualty	12/21/2004	2/24/2012
Inactive	TravCo Insurance Company	301828	Agent - Property	12/21/2004	2/24/2012
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	1/11/2011	2/24/2012
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	1/11/2011	2/24/2012
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	1/11/2011	2/24/2012
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	1/11/2011	2/24/2012
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	1/11/2011	2/24/2012
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	1/11/2011	2/24/2012
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	1/11/2011	2/24/2012
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	1/11/2011	2/24/2012
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	5/9/2006	12/9/2009
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	5/9/2006	12/9/2009
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	1/11/2011	2/24/2012
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	1/11/2011	2/24/2012
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/19/2005	2/24/2012
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/19/2005	2/24/2012
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	3/14/2005	2/24/2012
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	3/14/2005	2/24/2012
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	12/21/2004	2/24/2012
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	12/21/2004	2/24/2012
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	1/11/2011	2/24/2012
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	1/11/2011	2/24/2012
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	1/11/2011	2/24/2012
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	1/11/2011	2/24/2012
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	12/21/2009	2/24/2012
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	12/21/2009	2/24/2012
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	5/19/2008	3/31/2014
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/8/2007	8/23/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/8/2007	8/23/2012
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	12/27/2012	3/31/2014
Inactive	Trumbull Insurance Company	300242	Agent - Property	12/27/2012	3/31/2014
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	3/5/2008	3/31/2014
Inactive	Trustgard Insurance Company	300104	Agent - Property	3/5/2008	3/31/2014
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	2/16/2005	3/31/2014
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	2/16/2005	3/31/2014
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	3/14/2005	10/24/2007
Inactive	U.S. Specialty Insurance Company	300186	Agent - Casualty	12/6/2011	4/16/2012
Inactive	U.S. Specialty Insurance Company	300186	Agent - Property	12/6/2011	4/16/2012
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	11/15/2011	3/31/2014
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	11/15/2011	3/31/2014
Inactive	United Financial Casualty Company	301886	Agent - Casualty	12/2/2005	5/4/2012
Inactive	United Financial Casualty Company	301886	Agent - Property	12/2/2005	5/4/2012
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	1/11/2011	2/24/2012
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	1/11/2011	2/24/2012
Inactive	United World Life Insurance Company	300532	Agent - Health	4/18/2006	12/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/18/2006	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/18/2006	12/26/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	7/13/2005	11/25/2008
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	7/13/2005	11/25/2008
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	7/13/2005	5/11/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	7/13/2005	3/8/2011
Inactive	Universal Insurance Company	686754	Agent - Casualty	10/28/2008	1/15/2013
Inactive	Universal Insurance Company	686754	Agent - Property	10/28/2008	1/15/2013
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	2/17/2005	2/19/2013
Inactive	Valley Forge Insurance Company	301052	Agent - Property	2/17/2005	2/19/2013
Inactive	Vigilant Insurance Company	301143	Agent - Casualty	3/10/2005	7/19/2012
Inactive	Vigilant Insurance Company	301143	Agent - Property	3/10/2005	7/19/2012
Inactive	WCF Select Insurance Company	301898	Agent - Casualty	1/11/2005	12/18/2007
Inactive	WCF Select Insurance Company	301898	Agent - Property	1/11/2005	12/18/2007
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	12/29/2011	3/31/2014
Inactive	Wausau Business Insurance Company	301476	Agent - Property	12/29/2011	3/31/2014
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	12/29/2011	3/31/2014
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	12/29/2011	3/31/2014
Inactive	West American Insurance Company	301112	Agent - Casualty	9/8/2010	3/16/2012
Inactive	West American Insurance Company	301112	Agent - Property	9/8/2010	3/16/2012
Inactive	West Coast Life Insurance Company	301607	Agent - Life	9/21/2004	12/20/2006
Inactive	Western Surety Company	300283	Agent - Casualty	9/30/2004	12/14/2011
Inactive	Westfield Insurance Company	301950	Agent - Casualty	1/31/2008	1/27/2014
Inactive	Westfield Insurance Company	301950	Agent - Property	1/31/2008	1/27/2014
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	1/31/2008	1/27/2014
Inactive	Westfield National Insurance Company	301036	Agent - Property	1/31/2008	1/27/2014
Inactive	XL Specialty Insurance Company	301605	Agent - Casualty	2/19/2008	12/30/2013
Inactive	XL Specialty Insurance Company	301605	Agent - Property	2/19/2008	12/30/2013
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	8/20/2007	2/22/2012
Inactive	Zurich American Insurance Company	301121	Agent - Property	8/20/2007	2/22/2012
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	8/20/2007	2/22/2012
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	8/20/2007	2/22/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arnold, Karen L	636669	Agent - Health	9/17/2007	11/30/2013
Inactive	Arnold, Karen L	636669	Agent - Life	9/17/2007	11/30/2013
Inactive	Barry, Joseph R	692369	Agent - Casualty	1/16/2009	3/31/2014
Inactive	Barry, Joseph R	692369	Agent - Property	1/16/2009	3/31/2014
Inactive	Bizer, Mark Randall	329549	Agent - Casualty	12/18/2007	3/31/2014
Inactive	Bizer, Mark Randall	329549	Agent - Health	12/18/2007	3/31/2014
Inactive	Bizer, Mark Randall	329549	Agent - Life	12/18/2007	3/31/2014
Inactive	Bizer, Mark Randall	329549	Agent - Property	12/18/2007	3/31/2014
Inactive	Bizer, Mark Randall	329549	Property & Casualty Consultant - Not Applicable	12/18/2007	3/31/2014
Inactive	Boling, James T	340493	Agent - Casualty	3/25/2005	1/30/2008
Inactive	Boling, James T	340493	Agent - Health	3/25/2005	11/1/2007
Inactive	Boling, James T	340493	Agent - Life	3/25/2005	11/1/2007
Inactive	Boling, James T	340493	Agent - Property	3/25/2005	1/30/2008
Inactive	Booker, Teejan A	321432	Agent - Casualty	10/31/2005	7/20/2009
Inactive	Booker, Teejan A	321432	Agent - Property	10/31/2005	7/20/2009
Inactive	Brady, Venesa E	660365	Agent - Casualty	9/25/2009	11/12/2012
Denied	Brady, Venesa E	660365	Agent - Health
Denied	Brady, Venesa E	660365	Agent - Life
Inactive	Brady, Venesa E	660365	Agent - Property	9/25/2009	11/12/2012
Inactive	Bramlett, Robert Charles	595713	Agent - Casualty	3/25/2005	4/30/2005
Inactive	Bramlett, Robert Charles	595713	Agent - Property	3/25/2005	4/30/2005
Inactive	Brocato-Skaggs, Angela Marie	595569	Agent - Casualty	7/15/2005	7/20/2009
Inactive	Brocato-Skaggs, Angela Marie	595569	Agent - Property	7/15/2005	7/20/2009
Inactive	Brown, Thomas L	318395	Agent - Casualty	12/16/2005	2/29/2008
Inactive	Brown, Thomas L	318395	Agent - Property	12/16/2005	2/29/2008
Inactive	Byers, Tara Desha	682565	Agent - Casualty	10/1/2008	4/30/2010
Inactive	Byers, Tara Desha	682565	Agent - Property	10/1/2008	4/30/2010
Inactive	Cardwell, Everett Holeman	390889	Agent - Casualty	12/21/2010	11/14/2011
Inactive	Cardwell, Everett Holeman	390889	Agent - Health	12/21/2010	11/14/2011
Inactive	Cardwell, Everett Holeman	390889	Agent - Life	12/21/2010	11/14/2011
Inactive	Cardwell, Everett Holeman	390889	Agent - Property	12/21/2010	11/14/2011
Inactive	Carver, Beth A	320540	Agent - Casualty	7/15/2005	9/5/2006
Inactive	Carver, Beth A	320540	Agent - Health	5/2/2005	9/8/2006
Inactive	Carver, Beth A	320540	Agent - Life	5/2/2005	9/8/2006
Inactive	Carver, Beth A	320540	Agent - Property	7/15/2005	9/5/2006
Inactive	Chattin, Shandy Mae	626485	Agent - Casualty	1/16/2009	7/12/2010
Inactive	Chattin, Shandy Mae	626485	Agent - Property	1/16/2009	7/12/2010
Inactive	Chilton, Nancy P	347695	Agent - Casualty	6/8/2006	3/31/2014
Inactive	Chilton, Nancy P	347695	Agent - Property	6/8/2006	3/31/2014
Inactive	Cook, Eugene D	355811	Agent - Casualty	6/8/2006	12/29/2009
Inactive	Cook, Eugene D	355811	Agent - Health	6/8/2006	12/29/2009
Inactive	Cook, Eugene D	355811	Agent - Life	6/8/2006	12/29/2009
Inactive	Cook, Eugene D	355811	Agent - Property	6/8/2006	12/29/2009
Inactive	Cooper, Edward Culpepper	349298	Agent - Casualty	6/25/2007	3/31/2014
Inactive	Cooper, Edward Culpepper	349298	Agent - Health	6/25/2007	3/31/2014
Inactive	Cooper, Edward Culpepper	349298	Agent - Life	6/25/2007	3/31/2014
Inactive	Cooper, Edward Culpepper	349298	Agent - Property	6/25/2007	3/31/2014
Denied	Cummings, Troy	609560	Agent - Casualty
Denied	Cummings, Troy	609560	Agent - Property
Inactive	Davis, David William	633846	Agent - Casualty	4/17/2007	6/11/2008
Inactive	Davis, David William	633846	Agent - Health	8/9/2007	1/16/2009
Inactive	Davis, David William	633846	Agent - Life	8/9/2007	1/16/2009
Inactive	Davis, David William	633846	Agent - Property	4/17/2007	6/11/2008
Inactive	Dodson, Crystal	618885	Agent - Casualty	6/8/2006	7/5/2007
Inactive	Dodson, Crystal	618885	Agent - Property	6/8/2006	7/5/2007
Denied	Eslinger, Sheri Lynn	502984	Agent - Casualty
Denied	Eslinger, Sheri Lynn	502984	Agent - Property
Inactive	Fetz, Keith A	603503	Agent - Health	5/2/2005	3/1/2007
Inactive	Fetz, Keith A	603503	Agent - Life	5/2/2005	3/1/2007
Inactive	Gibson, Paula	658684	Agent - Casualty	4/13/2011	12/5/2011
Inactive	Gibson, Paula	658684	Agent - Property	4/13/2011	12/5/2011
Inactive	Gooch, James A	391676	Agent - Casualty	2/1/2008	5/29/2009
Inactive	Gooch, James A	391676	Agent - Health	1/8/2008	5/29/2009
Inactive	Gooch, James A	391676	Agent - Life	1/8/2008	5/29/2009
Inactive	Gooch, James A	391676	Agent - Property	2/1/2008	5/29/2009
Inactive	Gupton, Bethany Anne	653655	Agent - Casualty	7/5/2007	3/31/2014
Inactive	Gupton, Bethany Anne	653655	Agent - Property	7/5/2007	3/31/2014
Inactive	Hall, Tommy D	388965	Agent - Casualty	7/25/2007	3/31/2014
Inactive	Hall, Tommy D	388965	Agent - Property	7/25/2007	3/31/2014
Inactive	Hall, Tommy Duran	390176	Agent - Casualty	11/11/2008	3/31/2014
Inactive	Hall, Tommy Duran	390176	Agent - Health	11/4/2008	3/31/2014
Inactive	Hall, Tommy Duran	390176	Agent - Life	10/27/2008	3/31/2014
Inactive	Hall, Tommy Duran	390176	Agent - Property	11/11/2008	3/31/2014
Inactive	Hall, Tommy Duran	390176	Surplus Lines Broker - Not Applicable	12/29/2008	7/25/2012
Inactive	Hamilton, Diana Ruth	581015	Agent - Casualty	1/16/2009	9/13/2011
Inactive	Hamilton, Diana Ruth	581015	Agent - Property	1/16/2009	9/13/2011
Inactive	Hartlage, Leonard Anthony	549681	Agent - Casualty	3/25/2005	3/31/2014
Inactive	Hartlage, Leonard Anthony	549681	Agent - Health	4/1/2005	3/31/2014
Inactive	Hartlage, Leonard Anthony	549681	Agent - Life	4/1/2005	3/31/2014
Inactive	Hartlage, Leonard Anthony	549681	Agent - Property	3/25/2005	3/31/2014
Inactive	Hasselo, Robert D	311192	Agent - Casualty	2/19/2008	3/31/2014
Inactive	Hasselo, Robert D	311192	Agent - Property	2/19/2008	3/31/2014
Inactive	Hatton, Jill R	580776	Agent - Casualty	9/17/2007	3/31/2014
Inactive	Hatton, Jill R	580776	Agent - Property	9/17/2007	3/31/2014
Inactive	Hendren, Tricia M	630824	Agent - Casualty	12/18/2007	4/22/2010
Inactive	Hendren, Tricia M	630824	Agent - Property	12/18/2007	4/22/2010
Inactive	Hinkle, Beverly Ann	336489	Agent - Casualty	7/2/2007	3/31/2014
Inactive	Hinkle, Beverly Ann	336489	Agent - Health	8/11/2008	3/31/2014
Inactive	Hinkle, Beverly Ann	336489	Agent - Life	8/11/2008	3/31/2014
Inactive	Hinkle, Beverly Ann	336489	Agent - Property	7/2/2007	3/31/2014
Inactive	Hoke, Terry W	384469	Agent - Casualty	1/16/2009	3/31/2014
Inactive	Hoke, Terry W	384469	Agent - Property	1/16/2009	3/31/2014
Inactive	Jennings, Joel Waymon	341295	Agent - Casualty	9/17/2007	1/16/2009
Inactive	Jennings, Joel Waymon	341295	Agent - Health	9/17/2007	1/16/2009
Inactive	Jennings, Joel Waymon	341295	Agent - Life	9/17/2007	1/16/2009
Inactive	Jennings, Joel Waymon	341295	Agent - Property	9/17/2007	1/16/2009
Inactive	Johnson, Benjamin P	718314	Agent - Casualty	9/22/2011	6/1/2013
Inactive	Johnson, Benjamin P	718314	Agent - Property	9/22/2011	6/1/2013
Inactive	Johnson, Christopher Barry	581053	Agent - Casualty	1/24/2008	11/14/2011
Inactive	Johnson, Christopher Barry	581053	Agent - Health	1/24/2008	11/14/2011
Inactive	Johnson, Christopher Barry	581053	Agent - Life	1/24/2008	11/14/2011
Inactive	Johnson, Christopher Barry	581053	Agent - Property	1/24/2008	11/14/2011
Inactive	Johnson, Delena L	602954	Agent - Health	1/24/2008	7/20/2009
Inactive	Jones, Nancy Caroline	541530	Agent - Health	9/17/2007	1/16/2009
Inactive	Jones, Nancy Caroline	541530	Agent - Life	9/17/2007	1/16/2009
Inactive	Kemp, Judith D	337288	Agent - Casualty	8/29/2005	3/24/2014
Inactive	Kemp, Judith D	337288	Agent - Property	8/29/2005	3/24/2014
Inactive	Kleer, Gregg M	367213	Agent - Casualty	7/15/2008	3/31/2014
Inactive	Kleer, Gregg M	367213	Agent - Health	7/15/2008	3/31/2014
Inactive	Kleer, Gregg M	367213	Agent - Life	7/15/2008	3/31/2014
Inactive	Kleer, Gregg M	367213	Agent - Property	7/15/2008	3/31/2014
Inactive	Korte, Kristi Kathryn	609631	Agent - Casualty	9/17/2007	3/21/2011
Inactive	Korte, Kristi Kathryn	609631	Agent - Property	9/17/2007	3/21/2011
Inactive	Krekeler, S Kevin	359853	Agent - Casualty	4/26/2007	3/31/2014
Inactive	Krekeler, S Kevin	359853	Agent - Property	4/26/2007	3/31/2014
Inactive	Laub, Joe Vincent	393115	Agent - Casualty	6/8/2006	3/21/2011
Denied	Laub, Joe Vincent	393115	Agent - Health
Denied	Laub, Joe Vincent	393115	Agent - Life
Inactive	Laub, Joe Vincent	393115	Agent - Property	6/8/2006	3/21/2011
Inactive	Leist, Stephen Patrick	310826	Agent - Casualty	11/14/2011	3/31/2014
Inactive	Leist, Stephen Patrick	310826	Agent - Property	11/14/2011	3/31/2014
Inactive	Livingston, Michele Irene	658199	Agent - Casualty	10/26/2007	2/17/2008
Inactive	Livingston, Michele Irene	658199	Agent - Property	10/26/2007	2/17/2008
Inactive	Lyles, James Ralph	308713	Agent - Casualty	6/8/2006	5/29/2009
Inactive	Lyles, James Ralph	308713	Agent - Health	6/8/2006	5/29/2009
Inactive	Lyles, James Ralph	308713	Agent - Life	6/8/2006	5/29/2009
Inactive	Lyles, James Ralph	308713	Agent - Property	6/8/2006	5/29/2009
Inactive	Maddox, Betty L	718702	Agent - Casualty	9/13/2011	3/31/2014
Denied	Maddox, Betty L	718702	Agent - Health
Denied	Maddox, Betty L	718702	Agent - Life
Inactive	Maddox, Betty L	718702	Agent - Property	9/13/2011	3/31/2014
Inactive	Manley, Elizabeth Mae	378479	Agent - Casualty	12/18/2007	3/31/2014
Inactive	Manley, Elizabeth Mae	378479	Agent - Property	12/18/2007	3/31/2014
Inactive	Mauller, Matthew Fredrick	635214	Agent - Casualty	11/5/2007	3/31/2014
Inactive	Mauller, Matthew Fredrick	635214	Agent - Health	11/5/2007	3/31/2014
Inactive	Mauller, Matthew Fredrick	635214	Agent - Life	8/6/2008	3/31/2014
Inactive	Mauller, Matthew Fredrick	635214	Agent - Property	11/5/2007	3/31/2014
Inactive	Neace, Gary Wayne	389397	Agent - Casualty	8/26/2004	3/31/2014
Inactive	Neace, Gary Wayne	389397	Agent - Health	8/26/2004	3/31/2014
Inactive	Neace, Gary Wayne	389397	Agent - Life	8/26/2004	3/31/2014
Inactive	Neace, Gary Wayne	389397	Agent - Property	8/26/2004	3/31/2014
Inactive	Neace, John Frederick	389398	Agent - Casualty	9/24/2002	9/30/2008
Inactive	Neace, John Frederick	389398	Agent - Health	10/14/2002	9/30/2008
Inactive	Neace, John Frederick	389398	Agent - Life	10/14/2002	9/30/2008
Inactive	Neace, John Frederick	389398	Agent - Property	9/24/2002	9/30/2008
Inactive	Neace, John Frederick	389398	Property & Casualty Consultant - Not Applicable	1/22/2007	3/31/2014
Inactive	Neafus, John Leslie	638863	Agent - Casualty	1/16/2009	8/28/2009
Inactive	Neafus, John Leslie	638863	Agent - Property	1/16/2009	8/28/2009
Inactive	Neal, Charles Frederick	564211	Agent - Health	8/28/2006	9/13/2011
Inactive	Neal, Charles Frederick	564211	Agent - Life	8/28/2006	9/13/2011
Inactive	Nugent, Jennifer Sue	330704	Agent - Casualty	8/26/2004	3/31/2014
Inactive	Nugent, Jennifer Sue	330704	Agent - Health	8/26/2004	1/3/2013
Inactive	Nugent, Jennifer Sue	330704	Agent - Life	8/26/2004	1/3/2013
Inactive	Nugent, Jennifer Sue	330704	Agent - Property	8/26/2004	3/31/2014
Inactive	Osbourne, Taylor Leigh	721232	Agent - Casualty	12/22/2010	9/13/2011
Inactive	Osbourne, Taylor Leigh	721232	Agent - Property	12/13/2010	9/13/2011
Inactive	Otten, David A	378281	Agent - Casualty	2/8/2008	9/13/2011
Denied	Otten, David A	378281	Agent - Property
Inactive	Perkins, Gary William	309243	Agent - Casualty	8/26/2004	9/13/2011
Inactive	Perkins, Gary William	309243	Agent - Health	8/26/2004	9/13/2011
Inactive	Perkins, Gary William	309243	Agent - Life	8/26/2004	9/13/2011
Inactive	Perkins, Gary William	309243	Agent - Property	8/26/2004	9/13/2011
Inactive	Peyton, William Scott	648389	Agent - Casualty	1/16/2009	3/31/2014
Inactive	Peyton, William Scott	648389	Agent - Health	1/16/2009	12/15/2009
Inactive	Peyton, William Scott	648389	Agent - Life	1/16/2009	12/15/2009
Inactive	Peyton, William Scott	648389	Agent - Property	1/16/2009	3/31/2014
Inactive	Pratt, Michael J	604101	Agent - Casualty	1/16/2009	3/31/2014
Inactive	Pratt, Michael J	604101	Agent - Property	1/16/2009	3/31/2014
Inactive	Price, Tamara A	595711	Agent - Casualty	11/9/2004	5/10/2010
Inactive	Price, Tamara A	595711	Agent - Property	11/9/2004	5/10/2010
Inactive	Raisor, Bryan D	555205	Agent - Casualty	4/30/2010	3/31/2014
Inactive	Raisor, Bryan D	555205	Agent - Health	4/30/2010	8/7/2013
Inactive	Raisor, Bryan D	555205	Agent - Life	4/30/2010	8/7/2013
Inactive	Raisor, Bryan D	555205	Agent - Property	4/30/2010	3/31/2014
Inactive	Schaefer, Larry Paul	307364	Agent - Casualty	6/8/2006	3/31/2014
Inactive	Schaefer, Larry Paul	307364	Agent - Property	6/8/2006	3/31/2014
Inactive	Schaefer, Larry Paul	307364	Property & Casualty Consultant - Not Applicable	1/30/2007	3/31/2014
Inactive	Schneider, Mary W	369048	Agent - Casualty	8/26/2004	8/28/2009
Inactive	Schneider, Mary W	369048	Agent - Health	10/27/2004	8/28/2009
Inactive	Schneider, Mary W	369048	Agent - Life	10/27/2004	8/28/2009
Inactive	Schneider, Mary W	369048	Agent - Property	8/26/2004	8/28/2009
Inactive	Schultz, Nicholas J	350151	Agent - Casualty	1/16/2009	10/2/2013
Inactive	Schultz, Nicholas J	350151	Agent - Property	1/16/2009	10/2/2013
Inactive	Schwartz, Joan M	337042	Agent - Casualty	8/26/2004	3/31/2014
Inactive	Schwartz, Joan M	337042	Agent - Property	8/26/2004	3/31/2014
Inactive	Smith, Layne Alan	362583	Agent - Casualty	6/7/2006	8/29/2007
Inactive	Smith, Layne Alan	362583	Agent - Health	8/28/2006	8/29/2007
Inactive	Smith, Layne Alan	362583	Agent - Life	8/28/2006	8/29/2007
Inactive	Smith, Layne Alan	362583	Agent - Property	6/7/2006	8/29/2007
Inactive	Snyder, Judith C	364742	Agent - Casualty	6/8/2006	3/21/2011
Inactive	Snyder, Judith C	364742	Agent - Health	6/8/2006	3/21/2011
Inactive	Snyder, Judith C	364742	Agent - Life	6/8/2006	3/21/2011
Inactive	Snyder, Judith C	364742	Agent - Property	6/8/2006	3/21/2011
Inactive	Spears, Danita Gail	314126	Agent - Casualty	1/16/2009	3/31/2014
Inactive	Spears, Danita Gail	314126	Agent - Property	1/16/2009	3/31/2014
Inactive	Stocksdale, Todd A	359387	Agent - Casualty	5/24/2011	3/31/2014
Denied	Stocksdale, Todd A	359387	Agent - Health
Denied	Stocksdale, Todd A	359387	Agent - Life
Inactive	Stocksdale, Todd A	359387	Agent - Property	5/24/2011	3/31/2014
Inactive	Stubblefield, Andrew B	671814	Agent - Casualty	8/23/2010	3/31/2014
Inactive	Stubblefield, Andrew B	671814	Agent - Health	8/23/2010	3/31/2014
Inactive	Stubblefield, Andrew B	671814	Agent - Life	8/23/2010	3/31/2014
Inactive	Stubblefield, Andrew B	671814	Agent - Property	8/23/2010	3/31/2014
Inactive	Vasseur, Richard Raymond	364348	Agent - Casualty	6/8/2006	5/29/2009
Inactive	Vasseur, Richard Raymond	364348	Agent - Health	6/8/2006	5/29/2009
Inactive	Vasseur, Richard Raymond	364348	Agent - Property	6/8/2006	5/29/2009
Inactive	Wheatley, Joseph Leo	598016	Agent - Casualty	10/25/2010	3/31/2014
Denied	Wheatley, Joseph Leo	598016	Agent - Health
Denied	Wheatley, Joseph Leo	598016	Agent - Life
Inactive	Wheatley, Joseph Leo	598016	Agent - Property	10/25/2010	3/31/2014
Inactive	Wheatley, Joseph Leo	598016	Property & Casualty Consultant - Not Applicable	10/25/2010	3/31/2014
Inactive	White, Dana Culpepper Cooper	677657	Agent - Health	1/29/2009	3/31/2014
Inactive	White, Dana Culpepper Cooper	677657	Agent - Life	1/29/2009	3/31/2014
Inactive	White, Melody Kaye	568357	Agent - Casualty	8/27/2007	11/14/2011
Inactive	White, Melody Kaye	568357	Agent - Property	8/27/2007	11/14/2011
Inactive	Williams, Amanda Marie	568890	Agent - Casualty	12/18/2007	3/31/2014
Inactive	Williams, Amanda Marie	568890	Agent - Property	12/18/2007	3/31/2014
Inactive	Williams, Richard Dee	393537	Agent - Casualty	8/27/2009	3/31/2014
Denied	Williams, Richard Dee	393537	Agent - Health
Denied	Williams, Richard Dee	393537	Agent - Life
Inactive	Williams, Richard Dee	393537	Agent - Property	8/27/2009	3/31/2014
Inactive	Willis, David Wayne	388502	Agent - Casualty	11/14/2011	3/31/2014
Inactive	Willis, David Wayne	388502	Agent - Property	11/14/2011	3/31/2014
Inactive	Young, Michael Paul	382510	Agent - Casualty	8/26/2004	9/13/2011
Inactive	Young, Michael Paul	382510	Agent - Health	8/26/2004	9/13/2011
Inactive	Young, Michael Paul	382510	Agent - Life	8/26/2004	9/13/2011
Inactive	Young, Michael Paul	382510	Agent - Property	8/26/2004	9/13/2011
Inactive	Young, Scott Burton	329404	Agent - Casualty	10/30/2009	3/31/2014
Denied	Young, Scott Burton	329404	Agent - Health
Denied	Young, Scott Burton	329404	Agent - Life
Inactive	Young, Scott Burton	329404	Agent - Property	10/30/2009	3/31/2014