DEPARTMENT OF INSURANCE
Affiliations
NameBlack/White & Associates Insurance Brokers, Inc.DOIID556967NAIC NPN53180
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentProperty9/16/20022/1/2013 
InactiveNon ResidentAgentCasualty9/16/20022/1/2013 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmerican Economy Insurance Company300315Agent - Casualty5/27/20052/1/2013
InactiveAmerican Economy Insurance Company300315Agent - Property5/27/20052/1/2013
InactiveAmerican Fire and Casualty Company300567Agent - Casualty2/27/20082/1/2013
InactiveAmerican Fire and Casualty Company300567Agent - Property2/27/20082/1/2013
InactiveAmerican States Insurance Company301230Agent - Casualty5/27/20052/1/2013
InactiveAmerican States Insurance Company301230Agent - Property5/27/20052/1/2013
InactiveConsolidated Insurance Company300943Agent - Casualty1/20/20052/1/2013
InactiveConsolidated Insurance Company300943Agent - Property1/20/20052/1/2013
InactiveFirst National Insurance Company of America301690Agent - Casualty5/27/20052/1/2013
InactiveFirst National Insurance Company of America301690Agent - Property5/27/20052/1/2013
InactiveGeneral Insurance Company of America300261Agent - Casualty5/27/20052/1/2013
InactiveGeneral Insurance Company of America300261Agent - Property5/27/20052/1/2013
InactiveHartford Accident and Indemnity Company301917Agent - Casualty9/9/200511/7/2007
InactiveHartford Accident and Indemnity Company301917Agent - Property9/9/200511/7/2007
InactiveHartford Casualty Insurance Company301332Agent - Casualty9/9/20054/21/2008
InactiveHartford Casualty Insurance Company301332Agent - Property9/9/20054/21/2008
InactiveHartford Fire Insurance Company300628Agent - Casualty9/9/20054/21/2008
InactiveHartford Fire Insurance Company300628Agent - Property9/9/20054/21/2008
InactiveHartford Insurance Company of the Midwest301918Agent - Casualty9/9/20054/21/2008
InactiveHartford Insurance Company of the Midwest301918Agent - Property9/9/20054/21/2008
InactiveHartford Underwriters Insurance Company301064Agent - Casualty9/9/200511/7/2007
InactiveHartford Underwriters Insurance Company301064Agent - Property9/9/200511/7/2007
InactiveIndiana Insurance Company301909Agent - Casualty1/20/20052/1/2013
InactiveIndiana Insurance Company301909Agent - Property1/20/20052/1/2013
InactiveNetherlands Insurance Company (The)300339Agent - Casualty1/20/20052/1/2013
InactiveNetherlands Insurance Company (The)300339Agent - Property1/20/20052/1/2013
InactiveOhio Casualty Insurance Company301492Agent - Casualty11/26/20072/1/2013
InactiveOhio Casualty Insurance Company301492Agent - Property11/26/20072/1/2013
InactivePeerless Insurance Company301910Agent - Casualty1/20/20052/1/2013
InactivePeerless Insurance Company301910Agent - Property1/20/20052/1/2013
InactiveProperty and Casualty Insurance Company of Hartford301409Agent - Casualty9/9/200511/7/2007
InactiveProperty and Casualty Insurance Company of Hartford301409Agent - Property9/9/200511/7/2007
InactiveSAFECO Insurance Company of America300159Agent - Casualty5/27/20052/1/2013
InactiveSAFECO Insurance Company of America300159Agent - Property5/27/20052/1/2013
InactiveSentinel Insurance Company, Limited501696Agent - Casualty9/9/20054/21/2008
InactiveSentinel Insurance Company, Limited501696Agent - Property9/9/20054/21/2008
InactiveTwin City Fire Insurance Company300721Agent - Casualty9/9/20054/21/2008
InactiveTwin City Fire Insurance Company300721Agent - Property9/9/20054/21/2008
InactiveWest American Insurance Company301112Agent - Casualty2/27/20082/1/2013
InactiveWest American Insurance Company301112Agent - Property2/27/20082/1/2013
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedBartolome, Linda Ong 599940Agent - Casualty  
DeniedBartolome, Linda Ong 599940Agent - Property  
InactiveHarris, Sheila Jean 608244Agent - Casualty3/26/200711/30/2012
InactiveHarris, Sheila Jean 608244Agent - Property3/26/200711/30/2012
InactiveNelson, Gloria Jean 559573Agent - Casualty1/5/20044/30/2007
InactiveNelson, Gloria Jean 559573Agent - Property1/5/20044/30/2007
InactiveWhite, Paul Lawrence 330107Agent - Casualty9/16/20025/5/2005
InactiveWhite, Paul Lawrence 330107Agent - Property9/16/20025/5/2005

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