DEPARTMENT OF INSURANCE

Affiliations

Name	Charity First Ins Services Inc	DOIID	572445	NAIC NPN	1330202

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	3/28/2013		3/31/2027
Active	Non Resident	Agent	Property	7/30/2003		3/31/2027
Active	Non Resident	Agent	Casualty	7/30/2003		3/31/2027
Inactive	Non Resident	Agent	Life	3/28/2013	12/9/2019
Active	Non Resident	Surplus Lines Broker	Not Applicable	9/30/2015		3/31/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025	02/13/2025	02/13/2025	Yes
Surplus Lines Broker	01/15/2025	03/31/2025	02/13/2025	02/13/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	10/18/2007
Active	ACE American Insurance Company	300625	Agent - Property	10/18/2007
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	10/18/2007
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	10/18/2007
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	10/18/2007
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	10/18/2007
Inactive	AmTrust Insurance Company	300179	Agent - Casualty	8/16/2016	2/12/2018
Inactive	AmTrust Insurance Company	300179	Agent - Property	8/16/2016	2/12/2018
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	6/14/2013	5/27/2016
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	6/14/2013	5/27/2016
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	6/14/2013	5/27/2016
Inactive	American Zurich Insurance Company	300592	Agent - Property	6/14/2013	5/27/2016
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	10/18/2007
Active	Bankers Standard Insurance Company	301620	Agent - Property	10/18/2007
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	9/3/2003	11/30/2017
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	9/3/2003	11/30/2017
Active	Great American Alliance Insurance Company	301247	Agent - Casualty	9/18/2014
Active	Great American Alliance Insurance Company	301247	Agent - Property	9/18/2014
Active	Great American Assurance Company	300327	Agent - Casualty	9/18/2014
Active	Great American Assurance Company	300327	Agent - Property	9/18/2014
Active	Great American Insurance Company	301586	Agent - Casualty	9/18/2014
Active	Great American Insurance Company	301586	Agent - Property	9/18/2014
Active	Great American Insurance Company of New York	301897	Agent - Casualty	9/18/2014
Active	Great American Insurance Company of New York	301897	Agent - Property	9/18/2014
Active	GuideOne Elite Insurance Company	300490	Agent - Casualty	1/29/2025
Active	GuideOne Elite Insurance Company	300490	Agent - Property	1/29/2025
Active	GuideOne Insurance Company	301794	Agent - Casualty	1/29/2025
Active	GuideOne Insurance Company	301794	Agent - Property	1/29/2025
Active	GuideOne Specialty Insurance Company	300278	Agent - Casualty	1/29/2025
Active	GuideOne Specialty Insurance Company	300278	Agent - Property	1/29/2025
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	10/18/2007
Active	Indemnity Insurance Company of North America	301760	Agent - Property	10/18/2007
Inactive	Milford Casualty Insurance Company	301460	Agent - Casualty	8/16/2016	2/12/2018
Inactive	Milford Casualty Insurance Company	301460	Agent - Property	8/16/2016	2/12/2018
Active	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	9/7/2023
Active	Mount Vernon Fire Insurance Company	301397	Agent - Property	9/7/2023
Active	NOVA Casualty Company	622806	Agent - Casualty	10/8/2016
Active	NOVA Casualty Company	622806	Agent - Property	10/8/2016
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	4/9/2013
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	10/18/2007
Active	Pacific Employers Insurance Company	301753	Agent - Property	10/18/2007
Inactive	Park National Insurance Company	692514	Agent - Casualty	8/16/2016	2/12/2018
Inactive	Park National Insurance Company	692514	Agent - Property	8/16/2016	2/12/2018
Inactive	Security National Insurance Company	301151	Agent - Casualty	8/16/2016	2/12/2018
Inactive	Security National Insurance Company	301151	Agent - Property	8/16/2016	2/12/2018
Inactive	Technology Insurance Company	613278	Agent - Casualty	8/16/2016	2/12/2018
Inactive	Technology Insurance Company	613278	Agent - Property	8/16/2016	2/12/2018
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	9/3/2003	12/5/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Property	9/3/2003	12/5/2013
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	9/3/2003	11/26/2024
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	9/3/2003	11/26/2024
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	9/3/2003	12/20/2018
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	9/3/2003	12/20/2018
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	8/30/2016	11/30/2017
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	8/30/2016	11/30/2017
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	9/3/2003	11/30/2017
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	9/3/2003	11/30/2017
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	9/3/2003	12/20/2018
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	9/3/2003	12/20/2018
Inactive	Wesco Insurance Company	300534	Agent - Casualty	8/16/2016	2/12/2018
Inactive	Wesco Insurance Company	300534	Agent - Property	8/16/2016	2/12/2018
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	6/14/2013	5/27/2016
Inactive	Zurich American Insurance Company	301121	Agent - Property	6/14/2013	5/27/2016
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	6/14/2013	5/27/2016
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	6/14/2013	5/27/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Binford, Benjamin Riley	394082	Agent - Casualty	2/25/2010	6/30/2023
Inactive	Binford, Benjamin Riley	394082	Agent - Property	2/25/2010	6/30/2023
Inactive	Binford, Benjamin Riley	394082	Surplus Lines Broker - Not Applicable	10/12/2015	6/30/2023
Active	Buckley, James	838267	Agent - Casualty	7/12/2023
Inactive	Buckley, James	838267	Agent - Health	7/12/2023	3/1/2024
Active	Buckley, James	838267	Agent - Property	7/12/2023
Active	Buckley, James	838267	Surplus Lines Broker - Not Applicable	7/12/2023
Active	Dyson, Maureen	1026443	Agent - Casualty	3/18/2019
Active	Dyson, Maureen	1026443	Agent - Property	3/18/2019
Active	Dyson, Maureen	1026443	Surplus Lines Broker - Not Applicable	9/15/2020
Inactive	Hawley, Cynthia Ann	570205	Agent - Casualty	1/21/2004	6/30/2021
Inactive	Hawley, Cynthia Ann	570205	Agent - Property	1/21/2004	6/30/2021
Active	Holliday, Robin	1104823	Agent - Casualty	12/15/2020
Active	Holliday, Robin	1104823	Agent - Health	12/15/2020
Active	Holliday, Robin	1104823	Agent - Property	12/15/2020
Inactive	Krier, Cheryl Christine	790567	Agent - Health	3/28/2013	11/30/2021
Denied	Krier, Cheryl Christine	790567	Agent - Life
Inactive	Scales, Jeffrey	500323	Agent - Casualty	7/30/2003	9/14/2006
Inactive	Scales, Jeffrey	500323	Agent - Property	7/30/2003	9/14/2006
Inactive	Snow, Theresa Anne	742101	Surplus Lines Broker - Not Applicable	9/30/2015	6/20/2016