DEPARTMENT OF INSURANCE
Affiliations
NameWillis Of Maryland IncDOIID567051NAIC NPN66120
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentProperty4/1/20031/3/2020 
InactiveNon ResidentAgentHealth11/22/20161/3/2020 
InactiveNon ResidentAgentLife11/22/20161/3/2020 
InactiveNon ResidentAgentCasualty4/1/20031/3/2020 
InactiveNon ResidentSurplus Lines BrokerNot Applicable9/8/20061/3/2020 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
Inactive21st Century Centennial Insurance Company301840Agent - Casualty3/21/20069/24/2011
Inactive21st Century Centennial Insurance Company301840Agent - Property3/21/20069/24/2011
Inactive21st Century North America Insurance Company300884Agent - Casualty3/21/20069/24/2011
Inactive21st Century North America Insurance Company300884Agent - Property3/21/20069/24/2011
InactiveACE American Insurance Company300625Agent - Casualty9/22/20041/3/2020
InactiveACE American Insurance Company300625Agent - Property9/22/20041/3/2020
InactiveAIG Property Casualty Company300621Agent - Casualty12/2/20081/3/2020
InactiveAIG Property Casualty Company300621Agent - Property12/2/20081/3/2020
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Casualty2/23/201612/11/2017
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Property2/23/201612/11/2017
InactiveAmerican Contractors Indemnity Company536843Agent - Casualty11/3/20168/25/2017
InactiveAmerican Home Assurance Company300246Agent - Casualty3/21/20061/3/2020
InactiveAmerican Home Assurance Company300246Agent - Property3/21/20061/3/2020
InactiveArch Insurance Company300688Agent - Casualty3/27/20091/3/2020
InactiveArch Insurance Company300688Agent - Property3/27/20091/3/2020
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty9/7/20181/3/2020
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property9/7/20181/3/2020
InactiveBerkley Insurance Company301355Agent - Casualty4/11/201710/24/2017
InactiveBerkley National Insurance Company515028Agent - Casualty4/11/201710/24/2017
InactiveBerkley National Insurance Company515028Agent - Property4/11/201710/24/2017
InactiveBerkley Regional Insurance Company300920Agent - Casualty4/11/201710/24/2017
InactiveBerkley Regional Insurance Company300920Agent - Property4/11/201710/24/2017
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty4/24/20181/3/2020
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property4/24/20181/3/2020
InactiveContinental Casualty Company301019Agent - Casualty12/5/20161/3/2020
InactiveContinental Casualty Company301019Agent - Property12/5/20161/3/2020
InactiveContinental Insurance Company (The)301242Agent - Casualty3/7/20161/3/2020
InactiveContinental Insurance Company (The)301242Agent - Property3/7/20161/3/2020
InactiveDental Concern Inc. (The)301641Agent - Health8/18/201712/19/2019
InactiveEmployers Insurance Company of Wausau301813Agent - Casualty7/18/20171/3/2020
InactiveEmployers Insurance Company of Wausau301813Agent - Property7/18/20171/3/2020
InactiveFarmington Casualty Company301137Agent - Casualty4/24/20181/3/2020
InactiveFarmington Casualty Company301137Agent - Property4/24/20181/3/2020
InactiveFederal Insurance Company301144Agent - Casualty10/30/20031/3/2020
InactiveFederal Insurance Company301144Agent - Health11/23/20161/3/2020
InactiveFederal Insurance Company301144Agent - Property10/30/20031/3/2020
InactiveFidelity and Deposit Company of Maryland300976Agent - Casualty10/17/20131/3/2020
InactiveFidelity and Deposit Company of Maryland300976Agent - Property10/17/20131/3/2020
InactiveFirst Liberty Insurance Corporation (The)301060Agent - Casualty7/18/20171/3/2020
InactiveFirst Liberty Insurance Corporation (The)301060Agent - Property7/18/20171/3/2020
InactiveGreat American Insurance Company301586Agent - Casualty3/7/20161/3/2020
InactiveGreat American Insurance Company301586Agent - Property3/7/20161/3/2020
InactiveGreat Northern Insurance Company301107Agent - Casualty5/26/20091/3/2020
InactiveGreat Northern Insurance Company301107Agent - Property5/26/20091/3/2020
InactiveGreenwich Insurance Company301754Agent - Property5/24/20061/3/2020
InactiveGreenwood Insurance Company301069Agent - Casualty12/2/20086/12/2012
InactiveGreenwood Insurance Company301069Agent - Property12/2/20086/12/2012
InactiveHumana Health Plan, Inc.300142Agent - Health8/8/201712/19/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Health8/8/201712/19/2019
InactiveHumana Insurance Company of Kentucky300826Agent - Life8/8/201712/19/2019
InactiveIndemnity Insurance Company of North America301760Agent - Casualty9/22/20041/3/2020
InactiveIndemnity Insurance Company of North America301760Agent - Property9/22/20041/3/2020
InactiveInsurance Company of the State of Pennsylvania300807Agent - Casualty10/23/20181/3/2020
InactiveInsurance Company of the State of Pennsylvania300807Agent - Property10/23/20181/3/2020
InactiveLM Insurance Corporation301061Agent - Casualty7/18/20171/3/2020
InactiveLM Insurance Corporation301061Agent - Property7/18/20171/3/2020
InactiveLiberty Insurance Corporation300444Agent - Casualty7/18/20171/3/2020
InactiveLiberty Insurance Corporation300444Agent - Property7/18/20171/3/2020
InactiveLiberty Mutual Fire Insurance Company301913Agent - Casualty7/18/20171/3/2020
InactiveLiberty Mutual Fire Insurance Company301913Agent - Property7/18/20171/3/2020
InactiveLiberty Mutual Insurance Company301159Agent - Casualty3/16/20151/3/2020
InactiveLiberty Mutual Insurance Company301159Agent - Property3/16/20151/3/2020
InactiveLincoln National Life Insurance Company (The)301382Agent - Health4/3/20191/3/2020
InactiveLincoln National Life Insurance Company (The)301382Agent - Life4/3/20191/3/2020
InactiveMerchants Bonding Company (Mutual)300170Agent - Casualty3/31/20091/31/2011
InactiveNational Fire Insurance Company of Hartford301063Agent - Casualty2/23/20161/3/2020
InactiveNational Fire Insurance Company of Hartford301063Agent - Property2/23/20161/3/2020
InactivePacific Indemnity Company301610Agent - Casualty6/4/20091/3/2020
InactivePacific Indemnity Company301610Agent - Property6/4/20091/3/2020
InactiveProvident Life and Accident Insurance Company301525Agent - Health9/30/20117/25/2016
InactiveProvident Life and Accident Insurance Company301525Agent - Life9/30/20117/25/2016
InactiveRiverport Insurance Company301714Agent - Casualty4/11/201710/24/2017
InactiveRiverport Insurance Company301714Agent - Property4/11/201710/24/2017
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty4/24/20181/3/2020
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Property4/24/20181/3/2020
InactiveSt. Paul Guardian Insurance Company301372Agent - Casualty4/24/20181/3/2020
InactiveSt. Paul Guardian Insurance Company301372Agent - Property4/24/20181/3/2020
InactiveSt. Paul Mercury Insurance Company300783Agent - Casualty4/24/20181/3/2020
InactiveSt. Paul Mercury Insurance Company300783Agent - Property4/24/20181/3/2020
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty4/24/20181/3/2020
InactiveStandard Fire Insurance Company (The)301068Agent - Property4/24/20181/3/2020
InactiveStarNet Insurance Company502746Agent - Casualty4/11/201710/24/2017
InactiveStarNet Insurance Company502746Agent - Property4/11/201710/24/2017
InactiveThe Phoenix Insurance Company301502Agent - Casualty4/24/20181/3/2020
InactiveThe Phoenix Insurance Company301502Agent - Property4/24/20181/3/2020
InactiveTransportation Insurance Company301575Agent - Casualty1/30/20171/3/2020
InactiveTransportation Insurance Company301575Agent - Property1/30/20171/3/2020
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty4/24/20181/3/2020
InactiveTravelers Casualty Insurance Company of America300522Agent - Property4/24/20181/3/2020
InactiveTravelers Casualty and Surety Company301067Agent - Casualty4/24/20181/3/2020
InactiveTravelers Casualty and Surety Company301067Agent - Property4/24/20181/3/2020
InactiveTravelers Casualty and Surety Company of America301334Agent - Casualty4/24/20181/3/2020
InactiveTravelers Casualty and Surety Company of America301334Agent - Property4/24/20181/3/2020
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty9/7/20181/3/2020
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property9/7/20181/3/2020
InactiveTravelers Indemnity Company (The)301855Agent - Casualty4/16/20131/3/2020
InactiveTravelers Indemnity Company (The)301855Agent - Property4/16/20131/3/2020
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty4/24/20181/3/2020
InactiveTravelers Indemnity Company of America (The)301093Agent - Property4/24/20181/3/2020
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty4/24/20181/3/2020
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property4/24/20181/3/2020
InactiveTravelers Property Casualty Company of America301649Agent - Casualty12/30/20081/3/2020
InactiveTravelers Property Casualty Company of America301649Agent - Property12/30/20081/3/2020
InactiveTri-State Insurance Company of Minnesota663528Agent - Casualty4/11/201710/24/2017
InactiveTri-State Insurance Company of Minnesota663528Agent - Property4/11/201710/24/2017
InactiveU.S. Specialty Insurance Company300186Agent - Casualty11/3/20168/25/2017
InactiveUNUM Life Insurance Company of America300817Agent - Health9/30/20117/25/2016
InactiveUNUM Life Insurance Company of America300817Agent - Life9/30/20117/25/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Health7/23/20191/3/2020
InactiveUnitedHealthcare Insurance Company300946Agent - Life7/23/20191/3/2020
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health7/23/20191/3/2020
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Life7/23/20191/3/2020
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health7/23/20191/3/2020
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Life7/23/20191/3/2020
InactiveValley Forge Insurance Company301052Agent - Casualty9/7/20161/3/2020
InactiveValley Forge Insurance Company301052Agent - Property9/7/20161/3/2020
InactiveVigilant Insurance Company301143Agent - Casualty6/4/20091/3/2020
InactiveVigilant Insurance Company301143Agent - Property6/4/20091/3/2020
InactiveWestchester Fire Insurance Company301414Agent - Casualty9/22/20041/1/2011
InactiveWestchester Fire Insurance Company300990Agent - Casualty1/1/20111/3/2020
InactiveWestchester Fire Insurance Company301414Agent - Property9/22/20041/1/2011
InactiveWestchester Fire Insurance Company300990Agent - Property1/1/20111/3/2020
InactiveWestern Surety Company300283Agent - Casualty12/14/20041/3/2020
InactiveXL Insurance America, Inc.300182Agent - Property5/24/20061/3/2020
InactiveXL Specialty Insurance Company301605Agent - Casualty3/31/20051/3/2020
InactiveXL Specialty Insurance Company301605Agent - Property3/31/20051/3/2020
InactiveZurich American Insurance Company301121Agent - Casualty10/17/20131/3/2020
InactiveZurich American Insurance Company301121Agent - Property10/17/20131/3/2020
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAmos, Milton Edward 647213Agent - Casualty3/7/200711/22/2013
InactiveAmos, Milton Edward 647213Agent - Property3/7/200711/22/2013
InactiveAmos, Milton Edward 647213Surplus Lines Broker - Not Applicable2/28/200712/27/2013
InactiveArchambault, Toby J 785287Agent - Casualty4/12/20135/24/2013
InactiveArchambault, Toby J 785287Agent - Property4/12/20135/24/2013
InactiveBaird, William J 504763Agent - Casualty4/1/20031/31/2006
InactiveBaird, William J 504763Agent - Property4/1/20031/31/2006
InactiveBaker, William R 375903Agent - Casualty3/9/20153/21/2017
InactiveBaker, William R 375903Agent - Property3/9/20153/21/2017
InactiveBarsoum, Michael James 963606Agent - Health10/5/20171/3/2020
InactiveBarsoum, Michael James 963606Agent - Life10/5/20171/3/2020
DeniedChlada, Robert Ambrose 593291Agent - Casualty  
InactiveChlada, Robert Ambrose 593291Agent - Property4/26/20062/28/2007
InactiveChlada, Robert Ambrose 593291Surplus Lines Broker - Not Applicable9/8/20062/11/2009
InactiveCondon, Laura 612719Agent - Casualty5/16/200611/22/2013
InactiveCondon, Laura 612719Agent - Property5/16/200611/22/2013
InactiveElkhoury, Omar M 922487Agent - Health11/22/20161/3/2020
InactiveElkhoury, Omar M 922487Agent - Life11/22/20161/3/2020
InactiveEstelle, Peter W 546668Agent - Casualty10/26/200610/26/2006
InactiveEstelle, Peter W 546668Agent - Property10/26/200610/26/2006
InactiveGallagher, Peter 634832Agent - Casualty1/22/20151/3/2020
InactiveGallagher, Peter 634832Agent - Property1/22/20151/3/2020
InactiveHocknell, William B 1057960Agent - Casualty11/11/20191/3/2020
InactiveHocknell, William B 1057960Agent - Property11/11/20191/3/2020
DeniedKilleen, Lynn E 625474Agent - Casualty  
DeniedKilleen, Lynn E 625474Agent - Property  
InactiveMcumber, Arlyn Hoefer 920715Agent - Casualty10/26/20161/3/2020
InactiveMcumber, Arlyn Hoefer 920715Agent - Property10/26/20161/3/2020
InactiveMcumber, Arlyn Hoefer 920715Surplus Lines Broker - Not Applicable10/16/20177/7/2020
InactiveMina, John F 701165Agent - Casualty8/8/20134/19/2017
InactiveMina, John F 701165Agent - Property8/8/20134/19/2017
InactiveMina, John F 701165Surplus Lines Broker - Not Applicable8/8/20137/7/2020
InactiveMurphy, Michael Robert 520615Agent - Casualty1/27/201412/9/2016
InactiveMurphy, Michael Robert 520615Agent - Property1/27/201412/9/2016
InactiveMurphy, Michael Robert 520615Surplus Lines Broker - Not Applicable1/27/201412/9/2016
InactivePerrin, James D 1051051Agent - Casualty9/16/20191/3/2020
InactivePerrin, James D 1051051Agent - Health9/16/20191/3/2020
InactivePerrin, James D 1051051Agent - Life9/16/20191/3/2020
InactivePerrin, James D 1051051Agent - Property9/16/20191/3/2020
InactivePulford, Christine M 823580Agent - Health10/18/20137/25/2016
InactivePulford, Christine M 823580Agent - Life10/18/20137/25/2016
InactiveRussell, Simon J 1011757Agent - Casualty11/6/20181/3/2020
InactiveRussell, Simon J 1011757Agent - Property11/6/20181/3/2020
InactiveSalmon, Robert F 569717Agent - Casualty2/11/20091/25/2010
InactiveSalmon, Robert F 569717Agent - Property2/11/20091/25/2010
InactiveSeaborg, Eric Nelson 1004492Agent - Casualty8/23/20181/3/2020
InactiveSeaborg, Eric Nelson 1004492Agent - Property8/23/20181/3/2020
InactiveShuster, Michael J 761667Agent - Health2/27/20181/3/2020
InactiveShuster, Michael J 761667Agent - Life2/27/20181/3/2020
InactiveThaler, Stephen Michael 1031892Agent - Casualty3/27/20191/3/2020
InactiveThaler, Stephen Michael 1031892Agent - Health3/27/20191/3/2020
InactiveThaler, Stephen Michael 1031892Agent - Life3/27/20191/3/2020
InactiveThaler, Stephen Michael 1031892Agent - Property3/27/20191/3/2020
InactiveWilson, John Howard 347029Agent - Casualty11/22/20137/20/2016
DeniedWilson, John Howard 347029Agent - Health  
DeniedWilson, John Howard 347029Agent - Life  
InactiveWilson, John Howard 347029Agent - Property11/22/20137/20/2016
InactiveWilson, John Howard 347029Surplus Lines Broker - Not Applicable11/22/20139/14/2016

© Commonwealth of Kentucky. All rights reserved.