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DEPARTMENT OF INSURANCE
Affiliations
Name
Ins Exchange Inc
DOIID
569342
NAIC NPN
721472
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Casualty
3/14/2005
3/31/2021
Inactive
Non Resident
Agent
Life
3/28/2012
3/31/2021
Inactive
Non Resident
Agent
Health
3/28/2012
3/31/2021
Inactive
Non Resident
Agent
Property
3/14/2005
3/31/2021
* 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
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
ACE American Insurance Company
300625
Agent - Casualty
4/26/2007
5/29/2019
Inactive
ACE American Insurance Company
300625
Agent - Property
4/26/2007
5/29/2019
Inactive
ACE Fire Underwriters Insurance Company
301679
Agent - Casualty
9/18/2014
5/29/2019
Inactive
ACE Fire Underwriters Insurance Company
301679
Agent - Property
9/18/2014
5/29/2019
Inactive
ACE Property and Casualty Insurance Company
300520
Agent - Casualty
9/18/2014
5/29/2019
Inactive
ACE Property and Casualty Insurance Company
300520
Agent - Property
9/18/2014
5/29/2019
Inactive
Allmerica Financial Benefit Insurance Company
301223
Agent - Casualty
8/18/2015
4/11/2019
Inactive
Allmerica Financial Benefit Insurance Company
301223
Agent - Property
8/18/2015
4/11/2019
Inactive
American Casualty Company of Reading, Pennsylvania
300956
Agent - Casualty
3/29/2016
6/24/2019
Inactive
American Casualty Company of Reading, Pennsylvania
300956
Agent - Property
3/29/2016
6/24/2019
Inactive
Automobile Insurance Company of Hartford, Connecticut
300630
Agent - Casualty
4/8/2005
12/9/2009
Inactive
Automobile Insurance Company of Hartford, Connecticut
300630
Agent - Property
4/8/2005
12/9/2009
Inactive
Charter Oak Fire Insurance Company (The)
301501
Agent - Casualty
4/8/2005
12/9/2009
Inactive
Charter Oak Fire Insurance Company (The)
301501
Agent - Property
4/8/2005
12/9/2009
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
2/25/2016
5/2/2017
Inactive
Continental Casualty Company
301019
Agent - Casualty
5/10/2016
6/24/2019
Inactive
Continental Casualty Company
301019
Agent - Property
5/10/2016
6/24/2019
Inactive
Continental Insurance Company (The)
301242
Agent - Casualty
7/5/2016
6/24/2019
Inactive
Continental Insurance Company (The)
301242
Agent - Property
7/5/2016
6/24/2019
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
2/25/2016
5/2/2017
Inactive
Farmington Casualty Company
301137
Agent - Casualty
5/9/2006
12/9/2009
Inactive
Farmington Casualty Company
301137
Agent - Property
5/9/2006
12/9/2009
Inactive
Hanover Insurance Company (The)
300508
Agent - Casualty
8/18/2015
4/11/2019
Inactive
Hanover Insurance Company (The)
300508
Agent - Property
8/18/2015
4/11/2019
Inactive
Hartford Accident and Indemnity Company
301917
Agent - Casualty
11/15/2011
5/10/2019
Inactive
Hartford Accident and Indemnity Company
301917
Agent - Property
11/15/2011
5/10/2019
Inactive
Humana Insurance Company
301104
Agent - Health
4/16/2012
5/2/2017
Inactive
Humana Insurance Company
301104
Agent - Life
4/16/2012
5/2/2017
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
2/25/2016
5/2/2017
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
2/25/2016
5/2/2017
Inactive
Kanawha Insurance Company
300127
Agent - Health
4/16/2012
4/25/2017
Inactive
Kanawha Insurance Company
300127
Agent - Life
4/16/2012
4/25/2017
Inactive
Massachusetts Bay Insurance Company
300898
Agent - Casualty
8/18/2015
4/11/2019
Inactive
Massachusetts Bay Insurance Company
300898
Agent - Property
8/18/2015
4/11/2019
Inactive
Mount Vernon Fire Insurance Company
301397
Agent - Casualty
2/13/2013
3/31/2021
Inactive
Mount Vernon Fire Insurance Company
301397
Agent - Property
2/13/2013
3/31/2021
Inactive
National Fire Insurance Company of Hartford
301063
Agent - Casualty
5/23/2016
11/14/2016
Inactive
National Fire Insurance Company of Hartford
301063
Agent - Property
5/23/2016
11/14/2016
Inactive
Pacific Employers Insurance Company
301753
Agent - Casualty
9/18/2014
5/29/2019
Inactive
Pacific Employers Insurance Company
301753
Agent - Property
9/18/2014
5/29/2019
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
1/29/2013
5/28/2019
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
1/29/2013
5/28/2019
Inactive
Prudential Insurance Company of America
300784
Agent - Health
5/22/2012
9/18/2019
Inactive
Prudential Insurance Company of America
300784
Agent - Life
5/22/2012
9/18/2019
Inactive
Sentinel Insurance Company, Limited
501696
Agent - Casualty
12/28/2010
5/10/2019
Inactive
Sentinel Insurance Company, Limited
501696
Agent - Property
12/28/2010
5/10/2019
Inactive
Standard Fire Insurance Company (The)
301068
Agent - Casualty
4/8/2005
12/9/2009
Inactive
Standard Fire Insurance Company (The)
301068
Agent - Property
4/8/2005
12/9/2009
Inactive
The Phoenix Insurance Company
301502
Agent - Casualty
4/8/2005
12/9/2009
Inactive
The Phoenix Insurance Company
301502
Agent - Property
4/8/2005
12/9/2009
Inactive
TravCo Insurance Company
301828
Agent - Casualty
4/8/2005
12/9/2009
Inactive
TravCo Insurance Company
301828
Agent - Property
4/8/2005
12/9/2009
Inactive
Travelers Casualty Company of Connecticut
301505
Agent - Casualty
4/8/2005
12/9/2009
Inactive
Travelers Casualty Company of Connecticut
301505
Agent - Property
4/8/2005
12/9/2009
Inactive
Travelers Casualty Insurance Company of America
300522
Agent - Casualty
5/9/2006
12/5/2013
Inactive
Travelers Casualty Insurance Company of America
300522
Agent - Property
5/9/2006
12/5/2013
Inactive
Travelers Casualty and Surety Company
301067
Agent - Casualty
4/8/2005
12/9/2009
Inactive
Travelers Casualty and Surety Company
301067
Agent - Property
4/8/2005
12/9/2009
Inactive
Travelers Commercial Casualty Company
301695
Agent - Casualty
5/9/2006
12/9/2009
Inactive
Travelers Commercial Casualty Company
301695
Agent - Property
5/9/2006
12/9/2009
Inactive
Travelers Home and Marine Insurance Company (The)
301802
Agent - Casualty
5/23/2007
12/5/2013
Inactive
Travelers Home and Marine Insurance Company (The)
301802
Agent - Property
5/23/2007
12/5/2013
Inactive
Travelers Indemnity Company (The)
301855
Agent - Casualty
4/8/2005
12/9/2009
Inactive
Travelers Indemnity Company (The)
301855
Agent - Property
4/8/2005
12/9/2009
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Casualty
4/8/2005
12/9/2009
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Property
4/8/2005
12/9/2009
Inactive
Travelers Indemnity Company of Connecticut (The)
301591
Agent - Casualty
4/8/2005
12/5/2013
Inactive
Travelers Indemnity Company of Connecticut (The)
301591
Agent - Property
4/8/2005
12/5/2013
Inactive
Travelers Property Casualty Company of America
301649
Agent - Casualty
4/8/2005
12/14/2016
Inactive
Travelers Property Casualty Company of America
301649
Agent - Property
4/8/2005
12/14/2016
Inactive
Travelers Property Casualty Insurance Company
301508
Agent - Casualty
4/8/2005
12/9/2009
Inactive
Travelers Property Casualty Insurance Company
301508
Agent - Property
4/8/2005
12/9/2009
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
1/29/2013
5/28/2019
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
1/29/2013
5/28/2019
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Health
3/9/2016
7/11/2019
Inactive
UnitedHealthcare Insurance Company
300946
Agent - Life
3/9/2016
7/11/2019
Inactive
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
3/9/2016
7/11/2019
Inactive
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
3/9/2016
4/30/2018
Inactive
Valley Forge Insurance Company
301052
Agent - Casualty
1/9/2017
6/24/2019
Inactive
Valley Forge Insurance Company
301052
Agent - Property
1/9/2017
6/24/2019
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Brown, Joseph Edmond
562353
Agent - Casualty
3/14/2005
3/31/2021
Inactive
Brown, Joseph Edmond
562353
Agent - Property
3/14/2005
3/31/2021
Inactive
Buyalos, Joseph W
675849
Agent - Health
3/28/2012
3/31/2021
Inactive
Buyalos, Joseph W
675849
Agent - Life
3/28/2012
3/31/2021
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