DEPARTMENT OF INSURANCE
Affiliations
NameIns Exchange IncDOIID569342NAIC NPN721472
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentCasualty3/14/20053/31/2021 
InactiveNon ResidentAgentLife3/28/20123/31/2021 
InactiveNon ResidentAgentHealth3/28/20123/31/2021 
InactiveNon ResidentAgentProperty3/14/20053/31/2021 
* 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
InactiveACE American Insurance Company300625Agent - Casualty4/26/20075/29/2019
InactiveACE American Insurance Company300625Agent - Property4/26/20075/29/2019
InactiveACE Fire Underwriters Insurance Company301679Agent - Casualty9/18/20145/29/2019
InactiveACE Fire Underwriters Insurance Company301679Agent - Property9/18/20145/29/2019
InactiveACE Property and Casualty Insurance Company300520Agent - Casualty9/18/20145/29/2019
InactiveACE Property and Casualty Insurance Company300520Agent - Property9/18/20145/29/2019
InactiveAllmerica Financial Benefit Insurance Company301223Agent - Casualty8/18/20154/11/2019
InactiveAllmerica Financial Benefit Insurance Company301223Agent - Property8/18/20154/11/2019
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Casualty3/29/20166/24/2019
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Property3/29/20166/24/2019
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty4/8/200512/9/2009
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property4/8/200512/9/2009
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty4/8/200512/9/2009
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property4/8/200512/9/2009
InactiveCompBenefits Dental, Inc.591692Agent - Health2/25/20165/2/2017
InactiveContinental Casualty Company301019Agent - Casualty5/10/20166/24/2019
InactiveContinental Casualty Company301019Agent - Property5/10/20166/24/2019
InactiveContinental Insurance Company (The)301242Agent - Casualty7/5/20166/24/2019
InactiveContinental Insurance Company (The)301242Agent - Property7/5/20166/24/2019
InactiveDental Concern Inc. (The)301641Agent - Health2/25/20165/2/2017
InactiveFarmington Casualty Company301137Agent - Casualty5/9/200612/9/2009
InactiveFarmington Casualty Company301137Agent - Property5/9/200612/9/2009
InactiveHanover Insurance Company (The)300508Agent - Casualty8/18/20154/11/2019
InactiveHanover Insurance Company (The)300508Agent - Property8/18/20154/11/2019
InactiveHartford Accident and Indemnity Company301917Agent - Casualty11/15/20115/10/2019
InactiveHartford Accident and Indemnity Company301917Agent - Property11/15/20115/10/2019
InactiveHumana Insurance Company301104Agent - Health4/16/20125/2/2017
InactiveHumana Insurance Company301104Agent - Life4/16/20125/2/2017
InactiveHumana Insurance Company of Kentucky300826Agent - Health2/25/20165/2/2017
InactiveHumana Insurance Company of Kentucky300826Agent - Life2/25/20165/2/2017
InactiveKanawha Insurance Company300127Agent - Health4/16/20124/25/2017
InactiveKanawha Insurance Company300127Agent - Life4/16/20124/25/2017
InactiveMassachusetts Bay Insurance Company300898Agent - Casualty8/18/20154/11/2019
InactiveMassachusetts Bay Insurance Company300898Agent - Property8/18/20154/11/2019
InactiveMount Vernon Fire Insurance Company301397Agent - Casualty2/13/20133/31/2021
InactiveMount Vernon Fire Insurance Company301397Agent - Property2/13/20133/31/2021
InactiveNational Fire Insurance Company of Hartford301063Agent - Casualty5/23/201611/14/2016
InactiveNational Fire Insurance Company of Hartford301063Agent - Property5/23/201611/14/2016
InactivePacific Employers Insurance Company301753Agent - Casualty9/18/20145/29/2019
InactivePacific Employers Insurance Company301753Agent - Property9/18/20145/29/2019
InactiveProvident Life and Accident Insurance Company301525Agent - Health1/29/20135/28/2019
InactiveProvident Life and Accident Insurance Company301525Agent - Life1/29/20135/28/2019
InactivePrudential Insurance Company of America300784Agent - Health5/22/20129/18/2019
InactivePrudential Insurance Company of America300784Agent - Life5/22/20129/18/2019
InactiveSentinel Insurance Company, Limited501696Agent - Casualty12/28/20105/10/2019
InactiveSentinel Insurance Company, Limited501696Agent - Property12/28/20105/10/2019
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty4/8/200512/9/2009
InactiveStandard Fire Insurance Company (The)301068Agent - Property4/8/200512/9/2009
InactiveThe Phoenix Insurance Company301502Agent - Casualty4/8/200512/9/2009
InactiveThe Phoenix Insurance Company301502Agent - Property4/8/200512/9/2009
InactiveTravCo Insurance Company301828Agent - Casualty4/8/200512/9/2009
InactiveTravCo Insurance Company301828Agent - Property4/8/200512/9/2009
InactiveTravelers Casualty Company of Connecticut301505Agent - Casualty4/8/200512/9/2009
InactiveTravelers Casualty Company of Connecticut301505Agent - Property4/8/200512/9/2009
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty5/9/200612/5/2013
InactiveTravelers Casualty Insurance Company of America300522Agent - Property5/9/200612/5/2013
InactiveTravelers Casualty and Surety Company301067Agent - Casualty4/8/200512/9/2009
InactiveTravelers Casualty and Surety Company301067Agent - Property4/8/200512/9/2009
InactiveTravelers Commercial Casualty Company301695Agent - Casualty5/9/200612/9/2009
InactiveTravelers Commercial Casualty Company301695Agent - Property5/9/200612/9/2009
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty5/23/200712/5/2013
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property5/23/200712/5/2013
InactiveTravelers Indemnity Company (The)301855Agent - Casualty4/8/200512/9/2009
InactiveTravelers Indemnity Company (The)301855Agent - Property4/8/200512/9/2009
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty4/8/200512/9/2009
InactiveTravelers Indemnity Company of America (The)301093Agent - Property4/8/200512/9/2009
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty4/8/200512/5/2013
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property4/8/200512/5/2013
InactiveTravelers Property Casualty Company of America301649Agent - Casualty4/8/200512/14/2016
InactiveTravelers Property Casualty Company of America301649Agent - Property4/8/200512/14/2016
InactiveTravelers Property Casualty Insurance Company301508Agent - Casualty4/8/200512/9/2009
InactiveTravelers Property Casualty Insurance Company301508Agent - Property4/8/200512/9/2009
InactiveUNUM Life Insurance Company of America300817Agent - Health1/29/20135/28/2019
InactiveUNUM Life Insurance Company of America300817Agent - Life1/29/20135/28/2019
InactiveUnitedHealthcare Insurance Company300946Agent - Health3/9/20167/11/2019
InactiveUnitedHealthcare Insurance Company300946Agent - Life3/9/20167/11/2019
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/9/20167/11/2019
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/9/20164/30/2018
InactiveValley Forge Insurance Company301052Agent - Casualty1/9/20176/24/2019
InactiveValley Forge Insurance Company301052Agent - Property1/9/20176/24/2019
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBrown, Joseph Edmond 562353Agent - Casualty3/14/20053/31/2021
InactiveBrown, Joseph Edmond 562353Agent - Property3/14/20053/31/2021
InactiveBuyalos, Joseph W 675849Agent - Health3/28/20123/31/2021
InactiveBuyalos, Joseph W 675849Agent - Life3/28/20123/31/2021

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