DEPARTMENT OF INSURANCE

Affiliations

Name	Willis of North Carolina, Inc.	DOIID	558918	NAIC NPN	1651851

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	9/7/2004	1/16/2020
Inactive	Non Resident	Agent	Health	1/16/2004	1/16/2020
Inactive	Non Resident	Agent	Casualty	9/7/2004	1/16/2020
Inactive	Non Resident	Agent	Life	1/16/2004	1/16/2020
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	5/4/2006	1/16/2020
* 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 - Casualty	6/6/2006	1/16/2020
Inactive	ACE American Insurance Company	300625	Agent - Health	8/26/2011	1/16/2020
Inactive	ACE American Insurance Company	300625	Agent - Property	6/6/2006	1/16/2020
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	12/15/2015	1/16/2020
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	12/15/2015	1/16/2020
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	12/15/2015	1/16/2020
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	12/15/2015	1/16/2020
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	10/3/2016	1/16/2020
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	10/3/2016	1/16/2020
Inactive	American Contractors Indemnity Company	536843	Agent - Casualty	6/15/2018	1/16/2020
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	2/24/2005	3/8/2007
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/24/2005	3/8/2007
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	4/27/2015	10/20/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/27/2015	10/20/2018
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/27/2015	10/20/2018
Inactive	Arch Insurance Company	300688	Agent - Casualty	3/30/2009	1/14/2020
Inactive	Arch Insurance Company	300688	Agent - Property	3/30/2009	1/14/2020
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	12/15/2015	1/16/2020
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	12/15/2015	1/16/2020
Inactive	Berkley Insurance Company	301355	Agent - Casualty	4/15/2013	1/16/2020
Inactive	Berkley Insurance Company	301355	Agent - Property	4/15/2013	1/16/2020
Inactive	Berkley National Insurance Company	515028	Agent - Casualty	5/15/2018	1/16/2020
Inactive	Berkley National Insurance Company	515028	Agent - Property	5/15/2018	1/16/2020
Inactive	Berkley Regional Insurance Company	300920	Agent - Casualty	4/15/2013	1/16/2020
Inactive	Berkley Regional Insurance Company	300920	Agent - Property	4/15/2013	1/16/2020
Inactive	Berkshire Hathaway Specialty Insurance Company	300908	Agent - Casualty	11/11/2014	1/16/2020
Inactive	Berkshire Hathaway Specialty Insurance Company	300908	Agent - Property	11/11/2014	1/16/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	3/17/2015	1/16/2020
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	3/17/2015	1/16/2020
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	8/23/2011	11/30/2017
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	8/23/2011	11/30/2017
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	10/2/2012	8/30/2013
Inactive	Continental Casualty Company	301019	Agent - Casualty	10/10/2016	1/16/2020
Inactive	Continental Casualty Company	301019	Agent - Property	10/10/2016	1/16/2020
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	3/7/2016	1/16/2020
Inactive	Continental Insurance Company (The)	301242	Agent - Property	3/7/2016	1/16/2020
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/2/2012	8/30/2013
Inactive	Farmington Casualty Company	301137	Agent - Casualty	8/23/2011	12/3/2014
Inactive	Farmington Casualty Company	301137	Agent - Property	8/23/2011	12/3/2014
Inactive	Federal Insurance Company	301144	Agent - Casualty	4/17/2013	1/16/2020
Inactive	Federal Insurance Company	301144	Agent - Property	4/17/2013	1/16/2020
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	10/28/2013	1/16/2020
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	10/28/2013	1/16/2020
Inactive	Harleysville Insurance Company	301462	Agent - Casualty	6/8/2016	1/16/2020
Inactive	Harleysville Insurance Company	301462	Agent - Property	6/8/2016	1/16/2020
Inactive	Harleysville Preferred Insurance Company	638415	Agent - Casualty	6/8/2016	1/16/2020
Inactive	Harleysville Preferred Insurance Company	638415	Agent - Property	6/8/2016	1/16/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/2/2012	8/30/2013
Inactive	Humana Insurance Company	301104	Agent - Health	10/2/2012	8/30/2013
Inactive	Humana Insurance Company	301104	Agent - Life	10/2/2012	8/30/2013
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	6/6/2006	1/16/2020
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	6/6/2006	1/16/2020
Inactive	Kanawha Insurance Company	300127	Agent - Health	10/2/2012	8/30/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	10/2/2012	8/30/2013
Inactive	Key Risk Insurance Company	630687	Agent - Casualty	2/2/2012	1/16/2020
Inactive	Key Risk Insurance Company	630687	Agent - Property	2/2/2012	1/16/2020
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	8/18/2015	1/16/2020
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Property	8/18/2015	1/16/2020
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	2/24/2015	1/16/2020
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	8/18/2015	1/16/2020
Inactive	Mitsui Sumitomo Insurance Company of America	301070	Agent - Casualty	7/30/2019	1/16/2020
Inactive	Mitsui Sumitomo Insurance Company of America	301070	Agent - Property	7/30/2019	1/16/2020
Inactive	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Casualty	7/30/2019	1/16/2020
Inactive	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Property	7/30/2019	1/16/2020
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	1/23/2017	1/16/2020
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	1/23/2017	1/16/2020
Inactive	National Indemnity Company	301929	Agent - Casualty	11/11/2014	2/4/2016
Inactive	National Indemnity Company	301929	Agent - Property	11/11/2014	2/4/2016
Inactive	National Liability & Fire Insurance Company	300213	Agent - Casualty	11/11/2014	2/4/2016
Inactive	National Liability & Fire Insurance Company	300213	Agent - Property	11/11/2014	2/4/2016
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	8/15/2019	1/16/2020
Inactive	Nationwide General Insurance Company	300603	Agent - Property	8/15/2019	1/16/2020
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	8/15/2019	1/16/2020
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	8/15/2019	1/16/2020
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	6/8/2016	1/16/2020
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	6/8/2016	1/16/2020
Inactive	New Hampshire Insurance Company	301670	Agent - Casualty	7/31/2014	1/16/2020
Inactive	New Hampshire Insurance Company	301670	Agent - Property	7/31/2014	1/16/2020
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	12/15/2015	1/16/2020
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	12/15/2015	1/16/2020
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	3/1/2017	1/16/2020
Inactive	Pie Insurance Company (The)	300514	Agent - Property	3/1/2017	1/16/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	4/15/2004	1/16/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	4/15/2004	1/16/2020
Inactive	Riverport Insurance Company	301714	Agent - Casualty	4/11/2017	10/24/2017
Inactive	Riverport Insurance Company	301714	Agent - Property	4/11/2017	10/24/2017
Inactive	Safety National Casualty Corporation	300390	Agent - Casualty	9/30/2013	1/16/2020
Inactive	Safety National Casualty Corporation	300390	Agent - Property	9/30/2013	1/16/2020
Inactive	Samsung Fire & Marine Insurance Co., Ltd (US Branch)	752518	Agent - Casualty	4/25/2014	12/5/2017
Inactive	Samsung Fire & Marine Insurance Co., Ltd (US Branch)	752518	Agent - Property	4/25/2014	12/5/2017
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	8/23/2011	12/5/2013
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	8/23/2011	12/5/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	8/23/2011	12/5/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	8/23/2011	12/5/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	8/23/2011	12/5/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	8/23/2011	12/5/2013
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/23/2011	12/5/2013
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/23/2011	12/5/2013
Inactive	StarNet Insurance Company	502746	Agent - Casualty	2/2/2012	1/16/2020
Inactive	StarNet Insurance Company	502746	Agent - Property	2/2/2012	1/16/2020
Inactive	Starr Indemnity and Liability Company	301685	Agent - Casualty	3/7/2012	12/30/2019
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	3/7/2012	12/30/2019
Inactive	Starr Indemnity and Liability Company	301685	Agent - Property	3/7/2012	12/30/2019
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/23/2011	12/5/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/23/2011	12/5/2013
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	9/20/2013	1/16/2020
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	9/20/2013	1/16/2020
Inactive	Transportation Insurance Company	301575	Agent - Casualty	1/23/2017	12/11/2017
Inactive	Transportation Insurance Company	301575	Agent - Property	1/23/2017	12/11/2017
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	8/23/2011	12/5/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	8/23/2011	12/5/2013
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	8/23/2011	1/16/2020
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	8/23/2011	1/16/2020
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/23/2011	1/16/2020
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/23/2011	1/16/2020
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	8/23/2011	12/5/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	8/23/2011	12/5/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	8/23/2011	1/16/2020
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	8/23/2011	1/16/2020
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	8/23/2011	1/16/2020
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	8/23/2011	1/16/2020
Inactive	Tri-State Insurance Company of Minnesota	663528	Agent - Casualty	4/11/2017	10/24/2017
Inactive	Tri-State Insurance Company of Minnesota	663528	Agent - Property	4/11/2017	10/24/2017
Inactive	U.S. Specialty Insurance Company	300186	Agent - Casualty	6/15/2018	1/16/2020
Inactive	U.S. Specialty Insurance Company	300186	Agent - Property	6/15/2018	1/16/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	12/29/2009	1/16/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	12/29/2009	1/16/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/5/2018	1/16/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/5/2018	1/16/2020
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	1/5/2018	1/16/2020
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	1/5/2018	4/30/2018
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	6/6/2006	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	1/1/2011	1/16/2020
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	6/6/2006	1/1/2011
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	1/1/2011	1/16/2020
Inactive	XL Reinsurance America Inc.	300723	Agent - Casualty	3/18/2019	1/16/2020
Inactive	XL Reinsurance America Inc.	300723	Agent - Property	3/18/2019	1/16/2020
Inactive	XL Specialty Insurance Company	301605	Agent - Casualty	3/18/2019	1/16/2020
Inactive	XL Specialty Insurance Company	301605	Agent - Property	3/18/2019	1/16/2020
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	10/28/2013	1/16/2020
Inactive	Zurich American Insurance Company	301121	Agent - Property	10/28/2013	1/16/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Akers, Elaine	683017	Agent - Casualty	12/1/2017	1/16/2020
Inactive	Akers, Elaine	683017	Agent - Health	12/1/2017	1/16/2020
Inactive	Akers, Elaine	683017	Agent - Life	12/1/2017	1/16/2020
Inactive	Akers, Elaine	683017	Agent - Property	12/1/2017	1/16/2020
Inactive	Beam, John G	870422	Agent - Casualty	3/24/2015	1/16/2020
Inactive	Beam, John G	870422	Agent - Health	3/25/2015	1/16/2020
Denied	Beam, John G	870422	Agent - Life
Inactive	Beam, John G	870422	Agent - Property	3/24/2015	1/16/2020
Inactive	Brown, Jacob Benjamin	660337	Agent - Health	8/26/2011	9/28/2011
Denied	Brown, Jacob Benjamin	660337	Agent - Life
Inactive	Buchanan, Gary Wallace	367039	Agent - Casualty	8/4/2003	11/30/2003
Inactive	Buchanan, Gary Wallace	367039	Agent - Property	8/4/2003	11/30/2003
Inactive	Card, Carol S	757672	Agent - Casualty	8/22/2011	8/22/2018
Inactive	Card, Carol S	757672	Agent - Property	8/22/2011	8/22/2018
Inactive	Dunn, Jenifer J	742024	Agent - Health	8/28/2011	1/16/2020
Inactive	Dunn, Jenifer J	742024	Agent - Life	9/9/2011	1/16/2020
Inactive	Evans, Teresa	628204	Agent - Casualty	12/15/2015	1/16/2020
Inactive	Evans, Teresa	628204	Agent - Property	12/15/2015	1/16/2020
Inactive	Evans, Teresa	628204	Surplus Lines Broker - Not Applicable	5/4/2006	7/8/2020
Inactive	Foley, Brian K	574548	Agent - Health	1/16/2004	1/16/2020
Inactive	Foley, Brian K	574548	Agent - Life	1/16/2004	1/16/2020
Inactive	Goode, Mark Alan	591971	Agent - Casualty	8/24/2011	1/16/2020
Inactive	Goode, Mark Alan	591971	Agent - Property	8/24/2011	1/16/2020
Inactive	Gullett, Jennifer	754647	Agent - Casualty	8/24/2011	1/16/2020
Inactive	Gullett, Jennifer	754647	Agent - Property	8/24/2011	1/16/2020
Inactive	Honeycutt, Michael R	575351	Agent - Casualty	8/24/2011	1/16/2020
Inactive	Honeycutt, Michael R	575351	Agent - Property	8/24/2011	1/16/2020
Inactive	Johnston, Andrew B	763855	Agent - Casualty	10/20/2011	12/10/2015
Inactive	Johnston, Andrew B	763855	Agent - Property	10/20/2011	12/10/2015
Inactive	Johnston, Andrew B	763855	Surplus Lines Broker - Not Applicable	9/28/2011	12/10/2015
Inactive	Page, Brenda A	698145	Agent - Casualty	8/5/2011	1/28/2014
Inactive	Page, Brenda A	698145	Agent - Property	8/5/2011	1/28/2014
Denied	Pierce, Noah William	948234	Agent - Casualty
Denied	Pierce, Noah William	948234	Agent - Property
Inactive	Seagraves, John D	589700	Agent - Casualty	8/5/2011	10/2/2017
Inactive	Seagraves, John D	589700	Agent - Property	8/5/2011	10/2/2017
Inactive	Short, C David	586784	Agent - Casualty	8/5/2011	1/13/2017
Inactive	Short, C David	586784	Agent - Property	8/5/2011	1/13/2017
Inactive	Thomas, John	691192	Agent - Casualty	4/26/2017	1/16/2020
Inactive	Thomas, John	691192	Agent - Property	4/26/2017	1/16/2020
Inactive	Varner, Matthew Wayne	575451	Agent - Casualty	9/7/2004	4/5/2017
Inactive	Varner, Matthew Wayne	575451	Agent - Property	9/7/2004	4/5/2017
Inactive	Verian, Michael G	979330	Agent - Casualty	1/3/2018	1/16/2020
Inactive	Verian, Michael G	979330	Agent - Property	1/3/2018	1/16/2020
Inactive	Whitehead, Jynell Marie	964597	Agent - Casualty	4/30/2019	1/16/2020
Inactive	Whitehead, Jynell Marie	964597	Agent - Property	4/30/2019	1/16/2020
Inactive	Wilkerson, Harold J	314352	Agent - Casualty	8/24/2011	10/31/2012
Inactive	Wilkerson, Harold J	314352	Agent - Property	8/24/2011	10/31/2012