DEPARTMENT OF INSURANCE

Affiliations

Name	CMS Ins Service Inc	DOIID	582547	NAIC NPN	3273516

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/29/2003		3/31/2027
Active	Non Resident	Agent	Property	12/29/2003		3/31/2027
Inactive	Non Resident	Agent	Health	5/17/2011	10/1/2021
Pending Replacement	Non Resident	Agent	Life	8/2/2004		3/31/2027
Active	Non Resident	Managing General Agent	Not Applicable	3/16/2016		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	03/10/2025	03/10/2025	Yes
Managing General Agent	01/15/2025	03/31/2025	03/10/2025	03/10/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Pending Replacement	Accendo Insurance Company	300312	Agent - Life	6/10/2020
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	3/17/2017	11/8/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	3/17/2017	11/8/2022
Inactive	Aetna Health and Life Insurance Company	300523	Agent - Health	4/20/2020	7/7/2020
Inactive	American Continental Insurance Company	643130	Agent - Life	4/20/2020	7/7/2020
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	3/29/2024
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	8/26/2008	11/14/2021
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/26/2008	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/26/2008	12/13/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/26/2008	12/13/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	5/28/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	5/28/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	8/26/2008	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/26/2008	11/14/2021
Active	American Select Insurance Company	301229	Agent - Casualty	3/9/2023
Active	American Select Insurance Company	301229	Agent - Property	3/9/2023
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	8/26/2008	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	8/26/2008	11/14/2021
Active	American Strategic Insurance Corp	883540	Agent - Casualty	3/8/2017
Active	American Strategic Insurance Corp	883540	Agent - Property	3/8/2017
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	11/8/2004	9/15/2014
Inactive	American Zurich Insurance Company	300592	Agent - Property	11/8/2004	9/15/2014
Inactive	Assurance Company of America	300432	Agent - Casualty	11/8/2004	9/15/2014
Inactive	Assurance Company of America	300432	Agent - Property	11/8/2004	9/15/2014
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	7/29/2009	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	7/29/2009	12/20/2024
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	4/20/2020	7/7/2020
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	4/7/2020	10/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	4/7/2020	10/3/2024
Inactive	Encova Life Insurance Company	301818	Agent - Life	8/16/2004	3/17/2010
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	12/20/2004	1/25/2006
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	12/20/2004	1/25/2006
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	6/4/2007	10/30/2008
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	6/4/2007	10/30/2008
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	12/17/2008	8/23/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	12/17/2008	8/23/2012
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	4/5/2012
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	4/5/2012
Inactive	Farmington Casualty Company	301137	Agent - Casualty	3/22/2013	11/26/2024
Inactive	Farmington Casualty Company	301137	Agent - Property	3/22/2013	11/26/2024
Active	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	12/1/2021
Active	Fidelity and Guaranty Insurance Company	301009	Agent - Property	12/1/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/14/2008
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/14/2008
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/21/2012	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/21/2012	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/21/2012	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/21/2012	8/29/2018
Active	Hartford Accident and Indemnity Company	301917	Agent - Casualty	7/18/2018
Active	Hartford Accident and Indemnity Company	301917	Agent - Property	7/18/2018
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	6/24/2014	12/10/2018
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	6/24/2014	12/10/2018
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	12/13/2011	8/22/2017
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	12/13/2011	8/22/2017
Active	Hartford Underwriters Insurance Company	301064	Agent - Casualty	2/6/2020
Active	Hartford Underwriters Insurance Company	301064	Agent - Property	2/6/2020
Pending Replacement	Loyal Christian Benefit Association	300958	Agent - Life	2/6/2023
Active	MICO Insurance Company	301664	Agent - Casualty	1/26/2024
Active	MICO Insurance Company	301664	Agent - Property	1/26/2024
Active	Markel Insurance Company	301475	Agent - Casualty	7/29/2014
Inactive	Markel Insurance Company	301475	Agent - Health	7/29/2014	10/1/2021
Active	Markel Insurance Company	301475	Agent - Property	7/29/2014
Inactive	Maryland Casualty Company	301719	Agent - Casualty	11/8/2004	9/15/2014
Inactive	Maryland Casualty Company	301719	Agent - Property	11/8/2004	9/15/2014
Active	Meridian Security Insurance Company	300423	Agent - Casualty	1/6/2017
Active	Meridian Security Insurance Company	300423	Agent - Property	1/6/2017
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	12/20/2004	1/25/2006
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	12/20/2004	1/25/2006
Active	Milbank Insurance Company	925185	Agent - Casualty	11/8/2017
Active	Milbank Insurance Company	925185	Agent - Property	11/8/2017
Active	Motorists Mutual Insurance Company	300963	Agent - Casualty	3/20/2024
Active	Motorists Mutual Insurance Company	300963	Agent - Property	3/20/2024
Active	NGM Insurance Company	583837	Agent - Casualty	4/19/2012
Active	NGM Insurance Company	583837	Agent - Property	4/19/2012
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	11/8/2004	9/15/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	11/8/2004	9/15/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	7/1/2020	3/29/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	7/1/2020	3/29/2024
Active	Ohio Farmers Insurance Company	301667	Agent - Casualty	3/9/2023
Active	Ohio Farmers Insurance Company	301667	Agent - Property	3/9/2023
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	5/13/2019	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Property	5/13/2019	3/29/2024
Active	Old Guard Insurance Company	533854	Agent - Casualty	3/9/2023
Active	Old Guard Insurance Company	533854	Agent - Property	3/9/2023
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	4/3/2014	7/18/2023
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	4/3/2014	7/18/2023
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	4/3/2017	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	4/3/2017	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	4/3/2017	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	4/3/2017	3/29/2024
Active	Sentinel Insurance Company, Limited	501696	Agent - Casualty	2/4/2013
Active	Sentinel Insurance Company, Limited	501696	Agent - Property	2/4/2013
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	9/29/2023
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	9/29/2023
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	1/6/2017
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	1/6/2017
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	1/6/2017
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	1/6/2017
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	1/9/2017	11/4/2022
Inactive	The Phoenix Insurance Company	301502	Agent - Property	1/9/2017	11/4/2022
Inactive	Titan Indemnity Company	300556	Agent - Casualty	3/2/2011	6/22/2017
Inactive	Titan Indemnity Company	300556	Agent - Property	3/2/2011	6/22/2017
Active	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	11/14/2011
Active	Travelers Casualty Insurance Company of America	300522	Agent - Property	11/14/2011
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	12/13/2018
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	12/13/2018
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/3/2018	11/26/2024
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/3/2018	11/26/2024
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	12/4/2013	11/26/2024
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	12/4/2013	11/26/2024
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	11/15/2011
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	11/15/2011
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	5/7/2012	12/21/2015
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	5/7/2012	12/21/2015
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	7/8/2014	12/15/2020
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	7/8/2014	12/15/2020
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	12/17/2008	8/23/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	12/17/2008	8/23/2012
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	10/30/2018	7/18/2023
Inactive	Trumbull Insurance Company	300242	Agent - Property	10/30/2018	7/18/2023
Active	Twin City Fire Insurance Company	300721	Agent - Casualty	3/20/2013
Active	Twin City Fire Insurance Company	300721	Agent - Property	3/20/2013
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	8/19/2010	6/22/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	8/19/2010	6/22/2017
Active	Westfield Champion Insurance Company	1054839	Agent - Casualty	3/9/2023
Active	Westfield Champion Insurance Company	1054839	Agent - Property	3/9/2023
Active	Westfield Insurance Company	301950	Agent - Casualty	3/9/2023
Active	Westfield Insurance Company	301950	Agent - Property	3/9/2023
Active	Westfield National Insurance Company	301036	Agent - Casualty	3/9/2023
Active	Westfield National Insurance Company	301036	Agent - Property	3/9/2023
Active	Westfield Premier Insurance Company	1055055	Agent - Casualty	3/9/2023
Active	Westfield Premier Insurance Company	1055055	Agent - Property	3/9/2023
Active	Westfield Superior Insurance Company	1054978	Agent - Casualty	3/9/2023
Active	Westfield Superior Insurance Company	1054978	Agent - Property	3/9/2023
Active	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	3/9/2023
Active	Westfield Touchstone Insurance Company	1055057	Agent - Property	3/9/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Johnson, Brian Wesley	505207	Agent - Health	8/2/2004	1/31/2011
Inactive	Johnson, Brian Wesley	505207	Agent - Life	8/2/2004	1/31/2011
Active	Johnson, Conn Douglas	326583	Agent - Casualty	12/29/2003
Active	Johnson, Conn Douglas	326583	Agent - Property	12/29/2003
Inactive	Johnson, Lynn Robert	356300	Agent - Health	5/17/2011	7/31/2021
Active	Johnson, Mark Douglas	353584	Agent - Casualty	12/29/2003
Active	Johnson, Mark Douglas	353584	Agent - Property	12/29/2003
Inactive	Siddens, Robert T	354250	Agent - Casualty	12/29/2003	1/31/2025
Inactive	Siddens, Robert T	354250	Agent - Life	4/7/2011	1/31/2025
Inactive	Siddens, Robert T	354250	Agent - Property	12/29/2003	1/31/2025