DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Elkins Ins Group, LLC	DOIID	565425	NAIC NPN	7628310

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	4/16/2003	1/19/2005
Inactive	Resident	Agent	Property	7/23/2003	1/19/2005
Inactive	Resident	Agent	Casualty	7/23/2003	1/19/2005
Inactive	Resident	Agent	Life	4/16/2003	1/19/2005
* 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	CHA HMO, Inc.	300662	Agent - Health	5/20/2003	1/19/2005
Inactive	First National Insurance Company of America	301690	Agent - Casualty	7/24/2003	1/19/2005
Inactive	First National Insurance Company of America	301690	Agent - Property	7/24/2003	1/19/2005
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/18/2003	1/19/2005
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/18/2003	1/19/2005
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/24/2004	1/19/2005
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/24/2004	1/19/2005
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	7/23/2003	1/19/2005
Inactive	Progressive Max Insurance Company	301034	Agent - Property	7/23/2003	1/19/2005
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	7/23/2003	1/19/2005
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	7/23/2003	1/19/2005
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	7/23/2003	1/19/2005
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	7/23/2003	1/19/2005
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/23/2003	1/19/2005
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/23/2003	1/19/2005
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/24/2003	1/19/2005
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/24/2003	1/19/2005
Inactive	Symetra Life Insurance Company	301691	Agent - Health	8/5/2003	1/19/2005
Inactive	Symetra Life Insurance Company	301691	Agent - Life	8/5/2003	1/19/2005

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Hash, Edwin Anthony	302286	Agent - Health
Denied	Hash, Edwin Anthony	302286	Agent - Life
Denied	Hash, Edwin Anthony	302286	Agent - Property
Inactive	Hollon, Josie L	325521	Agent - Casualty	7/23/2003	1/19/2005
Inactive	Hollon, Josie L	325521	Agent - Health	5/20/2003	1/19/2005
Inactive	Hollon, Josie L	325521	Agent - Life	5/20/2003	1/19/2005
Inactive	Hollon, Josie L	325521	Agent - Property	7/23/2003	1/19/2005
Denied	Mays, Lisa Renee	542116	Agent - Health
Denied	Mays, Lisa Renee	542116	Agent - Life