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DEPARTMENT OF INSURANCE
Affiliations
Name
Security Insurance, Inc. II
DOIID
571204
NAIC NPN
963296
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Denied
Non Resident
Agent
Health
Denied
Non Resident
Agent
Life
Inactive
Non Resident
Agent
Casualty
12/15/2003
1/29/2009
Inactive
Non Resident
Agent
Property
12/15/2003
1/29/2009
* 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
ACE American Insurance Company
300625
Agent - Casualty
4/12/2005
1/29/2009
Inactive
ACE American Insurance Company
300625
Agent - Property
4/12/2005
1/29/2009
Inactive
ACE Fire Underwriters Insurance Company
301679
Agent - Casualty
2/7/2007
1/29/2009
Inactive
ACE Fire Underwriters Insurance Company
301679
Agent - Property
2/7/2007
1/29/2009
Inactive
ACE Property and Casualty Insurance Company
300520
Agent - Casualty
2/7/2007
1/29/2009
Inactive
ACE Property and Casualty Insurance Company
300520
Agent - Property
2/7/2007
1/29/2009
Inactive
American Interstate Insurance Company
301092
Agent - Casualty
2/22/2005
1/29/2009
Inactive
American Interstate Insurance Company
301092
Agent - Property
2/22/2005
1/29/2009
Inactive
Bankers Standard Insurance Company
301620
Agent - Casualty
2/7/2007
1/29/2009
Inactive
Bankers Standard Insurance Company
301620
Agent - Property
2/7/2007
1/29/2009
Inactive
Federal Insurance Company
301144
Agent - Casualty
4/23/2004
9/15/2008
Inactive
Federal Insurance Company
301144
Agent - Property
4/23/2004
9/15/2008
Denied
Fireman's Fund Insurance Company
301423
Agent - Casualty
Denied
Fireman's Fund Insurance Company
301423
Agent - Property
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Casualty
6/26/2007
9/18/2008
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Property
6/26/2007
9/18/2008
Inactive
Great American Insurance Company
301586
Agent - Casualty
3/1/2004
4/17/2008
Inactive
Great American Insurance Company
301586
Agent - Property
3/1/2004
4/17/2008
Inactive
Indemnity Insurance Company of North America
301760
Agent - Casualty
4/12/2005
1/29/2009
Inactive
Indemnity Insurance Company of North America
301760
Agent - Property
4/12/2005
1/29/2009
Inactive
Lincoln General Insurance Company
301580
Agent - Casualty
2/27/2007
5/24/2007
Inactive
Lincoln General Insurance Company
301580
Agent - Property
2/27/2007
5/24/2007
Inactive
Pacific Employers Insurance Company
301753
Agent - Casualty
2/7/2007
1/29/2009
Inactive
Pacific Employers Insurance Company
301753
Agent - Property
2/7/2007
1/29/2009
Inactive
Progressive Casualty Insurance Company
300696
Agent - Casualty
8/17/2004
5/30/2008
Inactive
Progressive Casualty Insurance Company
300696
Agent - Property
8/17/2004
5/30/2008
Inactive
Progressive Northern Insurance Company
301378
Agent - Casualty
8/17/2004
5/30/2008
Inactive
Progressive Northern Insurance Company
301378
Agent - Property
8/17/2004
5/30/2008
Inactive
RLI Insurance Company
301217
Agent - Casualty
12/29/2003
1/29/2009
Inactive
RLI Insurance Company
301217
Agent - Property
12/29/2003
1/29/2009
Inactive
Technology Insurance Company
613278
Agent - Casualty
6/15/2006
1/29/2009
Inactive
Technology Insurance Company
613278
Agent - Property
6/15/2006
1/29/2009
Inactive
United Financial Casualty Company
301886
Agent - Casualty
12/2/2005
5/30/2008
Inactive
United Financial Casualty Company
301886
Agent - Property
12/2/2005
5/30/2008
Inactive
Westchester Fire Insurance Company
301414
Agent - Casualty
4/12/2005
1/29/2009
Inactive
Westchester Fire Insurance Company
301414
Agent - Property
4/12/2005
1/29/2009
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Alexander, Robert P
362258
Agent - Casualty
1/18/2005
1/29/2009
Inactive
Alexander, Robert P
362258
Agent - Property
1/18/2005
1/29/2009
Inactive
Burnett, Sharon Renea
628899
Agent - Casualty
2/15/2007
1/29/2009
Inactive
Burnett, Sharon Renea
628899
Agent - Property
2/15/2007
1/29/2009
Denied
De Pasquale, Joseph A
586559
Agent - Casualty
Denied
De Pasquale, Joseph A
586559
Agent - Property
Inactive
Fulk, Charles Samuel
611049
Agent - Casualty
1/22/2007
1/29/2009
Inactive
Fulk, Charles Samuel
611049
Agent - Property
1/22/2007
1/29/2009
Inactive
Light, Tracy Lee
583936
Agent - Casualty
1/24/2005
1/29/2009
Inactive
Light, Tracy Lee
583936
Agent - Property
1/24/2005
1/29/2009
Inactive
Maynard, Roosevelt Dick
586570
Agent - Casualty
1/22/2007
1/29/2009
Inactive
Maynard, Roosevelt Dick
586570
Agent - Property
1/22/2007
1/29/2009
Inactive
Viehmann, Oscar Fred
353000
Agent - Casualty
12/15/2003
4/30/2008
Inactive
Viehmann, Oscar Fred
353000
Agent - Property
12/15/2003
4/30/2008
Denied
Webb, Roy Daniel
599372
Agent - Casualty
Denied
Webb, Roy Daniel
599372
Agent - Property
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