DEPARTMENT OF INSURANCE

Affiliations

Name	First Merchants Ins Services Inc	DOIID	572790	NAIC NPN	2837372

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Non Resident	Agent	Life
Denied	Non Resident	Agent	Health
Inactive	Non Resident	Agent	Property	7/17/2009	3/31/2017
Inactive	Non Resident	Agent	Casualty	7/17/2009	3/31/2017
* 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	American Family Home Insurance Company	301817	Agent - Casualty	12/21/2016	3/31/2017
Inactive	American Family Home Insurance Company	301817	Agent - Property	12/21/2016	3/31/2017
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	12/21/2016	3/31/2017
Inactive	American Modern Home Insurance Company	300791	Agent - Property	12/21/2016	3/31/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	12/21/2016	3/31/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Property	12/21/2016	3/31/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	12/21/2016	3/31/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Property	12/21/2016	3/31/2017
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	2/18/2014	9/23/2015
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	2/18/2014	9/23/2015
Inactive	Owners Insurance Company	300796	Agent - Casualty	2/18/2014	9/23/2015
Inactive	Owners Insurance Company	300796	Agent - Property	2/18/2014	9/23/2015
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	7/21/2009	7/17/2015
Inactive	Selective Insurance Company of America	500018	Agent - Property	7/21/2009	7/17/2015
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	7/21/2009	7/17/2015
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	7/21/2009	7/17/2015
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	7/21/2009	7/17/2015
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	7/21/2009	7/17/2015
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	1/30/2015	1/8/2016
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	1/30/2015	1/8/2016
Inactive	Western Surety Company	300283	Agent - Casualty	2/2/2010	7/15/2015
Inactive	Westfield Insurance Company	301950	Agent - Casualty	7/29/2009	10/26/2015
Inactive	Westfield Insurance Company	301950	Agent - Property	7/29/2009	10/26/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Damler, Charles J	323645	Agent - Health	6/29/2009	8/19/2012
Inactive	Damler, Charles J	323645	Agent - Life	6/29/2009	8/19/2012
Inactive	Stephenson, Curtis L	632101	Agent - Casualty	7/17/2009	3/31/2017
Inactive	Stephenson, Curtis L	632101	Agent - Property	7/17/2009	3/31/2017
Denied	Van Treese, Danny Martin	390818	Agent - Casualty
Denied	Van Treese, Danny Martin	390818	Agent - Property