DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Grothaus, Marjorie Ann	DOIID	560607	NAIC NPN	7513392

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	4/2/2003	1/28/2009
Inactive	Resident	Agent	Casualty	4/2/2003	1/28/2009
* 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	American Fire and Casualty Company	300567	Agent - Casualty	4/19/2004	8/22/2007
Inactive	American Fire and Casualty Company	300567	Agent - Property	4/19/2004	8/22/2007
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	1/27/2005	8/10/2007
Inactive	Consolidated Insurance Company	300943	Agent - Property	1/27/2005	8/10/2007
Inactive	Indiana Insurance Company	301909	Agent - Casualty	1/27/2005	8/10/2007
Inactive	Indiana Insurance Company	301909	Agent - Property	1/27/2005	8/10/2007
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	1/27/2005	8/10/2007
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	1/27/2005	8/10/2007
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	4/19/2004	8/22/2007
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	4/19/2004	8/22/2007
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	4/19/2004	8/22/2007
Inactive	Ohio Security Insurance Company	300622	Agent - Property	4/19/2004	8/22/2007
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	1/27/2005	8/10/2007
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	1/27/2005	8/10/2007
Inactive	Peerless Insurance Company	301910	Agent - Casualty	1/27/2005	8/10/2007
Inactive	Peerless Insurance Company	301910	Agent - Property	1/27/2005	8/10/2007
Inactive	West American Insurance Company	301112	Agent - Casualty	4/19/2004	8/22/2007
Inactive	West American Insurance Company	301112	Agent - Property	4/19/2004	8/22/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Chas. H. Bilz Insurance Agency Inc.	398379	Agent - Casualty	1/13/2005	8/9/2007
Inactive	Chas. H. Bilz Insurance Agency Inc.	398379	Agent - Property	1/13/2005	8/9/2007
Denied	Gateway-Potter & Associates, LLC	399586	Agent - Casualty
Denied	Gateway-Potter & Associates, LLC	399586	Agent - Property