DEPARTMENT OF INSURANCE
Affiliations
NameCMS Ins Service IncDOIID582547NAIC NPN3273516
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty12/29/2003 3/31/2025
ActiveNon ResidentAgentLife8/2/2004 3/31/2025
ActiveNon ResidentAgentProperty12/29/2003 3/31/2025
InactiveNon ResidentAgentHealth5/17/201110/1/2021 
ActiveNon ResidentManaging General AgentNot Applicable3/16/2016 3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Managing General Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
InactiveAegis Security Insurance Company300492Agent - Casualty3/17/201711/8/2022
InactiveAegis Security Insurance Company300492Agent - Property3/17/201711/8/2022
InactiveAetna Health and Life Insurance Company300523Agent - Health4/20/20207/7/2020
InactiveAmerican Continental Insurance Company643130Agent - Life4/20/20207/7/2020
InactiveAmerican Economy Insurance Company300315Agent - Casualty11/9/20193/29/2024
InactiveAmerican Economy Insurance Company300315Agent - Property11/9/20193/29/2024
InactiveAmerican Family Home Insurance Company301817Agent - Casualty8/26/200811/14/2021
InactiveAmerican Family Home Insurance Company301817Agent - Property8/26/200811/14/2021
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty8/26/200812/13/2023
InactiveAmerican Modern Home Insurance Company300791Agent - Property8/26/200812/13/2023
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty5/28/2018 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property5/28/2018 
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty8/26/200811/14/2021
InactiveAmerican Modern Select Insurance Company581481Agent - Property8/26/200811/14/2021
ActiveAmerican Select Insurance Company301229Agent - Casualty3/9/2023 
ActiveAmerican Select Insurance Company301229Agent - Property3/9/2023 
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty8/26/200811/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Property8/26/200811/14/2021
ActiveAmerican Strategic Insurance Corp883540Agent - Casualty3/8/2017 
ActiveAmerican Strategic Insurance Corp883540Agent - Property3/8/2017 
InactiveAmerican Zurich Insurance Company300592Agent - Casualty11/8/20049/15/2014
InactiveAmerican Zurich Insurance Company300592Agent - Property11/8/20049/15/2014
InactiveAssurance Company of America300432Agent - Casualty11/8/20049/15/2014
InactiveAssurance Company of America300432Agent - Property11/8/20049/15/2014
InactiveBrickStreet Mutual Insurance Company709251Agent - Casualty11/27/202111/27/2021
ActiveBristol West Insurance Company301655Agent - Casualty7/29/2009 
ActiveBristol West Insurance Company301655Agent - Property7/29/2009 
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health4/20/20207/7/2020
ActiveEncompass Indemnity Company546376Agent - Casualty4/7/2020 
ActiveEncompass Indemnity Company546376Agent - Property4/7/2020 
InactiveEncova Life Insurance Company301818Agent - Life8/16/20043/17/2010
InactiveFarmers Casualty Insurance Company301616Agent - Casualty12/20/20041/25/2006
InactiveFarmers Casualty Insurance Company301616Agent - Property12/20/20041/25/2006
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Casualty6/4/200710/30/2008
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Property6/4/200710/30/2008
InactiveFarmers Insurance Exchange300336Agent - Casualty12/17/20088/23/2012
InactiveFarmers Insurance Exchange300336Agent - Property12/17/20088/23/2012
ActiveFarmers Property and Casualty Insurance Company301237Agent - Casualty4/5/2012 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Property4/5/2012 
ActiveFarmington Casualty Company301137Agent - Casualty3/22/2013 
ActiveFarmington Casualty Company301137Agent - Property3/22/2013 
ActiveFidelity and Guaranty Insurance Company301009Agent - Casualty12/1/2021 
ActiveFidelity and Guaranty Insurance Company301009Agent - Property12/1/2021 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty11/14/2008 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property11/14/2008 
InactiveForemost Property and Casualty Insurance Company300871Agent - Casualty11/21/20128/29/2018
InactiveForemost Property and Casualty Insurance Company300871Agent - Property11/21/20128/29/2018
InactiveForemost Signature Insurance Company300140Agent - Casualty11/21/20128/29/2018
InactiveForemost Signature Insurance Company300140Agent - Property11/21/20128/29/2018
ActiveHartford Accident and Indemnity Company301917Agent - Casualty7/18/2018 
ActiveHartford Accident and Indemnity Company301917Agent - Property7/18/2018 
InactiveHartford Casualty Insurance Company301332Agent - Casualty6/24/201412/10/2018
InactiveHartford Casualty Insurance Company301332Agent - Property6/24/201412/10/2018
InactiveHartford Fire Insurance Company300628Agent - Casualty12/13/20118/22/2017
InactiveHartford Fire Insurance Company300628Agent - Property12/13/20118/22/2017
ActiveHartford Underwriters Insurance Company301064Agent - Casualty2/6/2020 
ActiveHartford Underwriters Insurance Company301064Agent - Property2/6/2020 
ActiveLoyal Christian Benefit Association300958Agent - Life2/6/2023 
ActiveMICO Insurance Company301664Agent - Casualty1/26/2024 
ActiveMICO Insurance Company301664Agent - Property1/26/2024 
ActiveMarkel Insurance Company301475Agent - Casualty7/29/2014 
InactiveMarkel Insurance Company301475Agent - Health7/29/201410/1/2021
ActiveMarkel Insurance Company301475Agent - Property7/29/2014 
InactiveMaryland Casualty Company301719Agent - Casualty11/8/20049/15/2014
InactiveMaryland Casualty Company301719Agent - Property11/8/20049/15/2014
ActiveMeridian Security Insurance Company300423Agent - Casualty1/6/2017 
ActiveMeridian Security Insurance Company300423Agent - Property1/6/2017 
InactiveMetropolitan General Insurance Company300709Agent - Casualty12/20/20041/25/2006
InactiveMetropolitan General Insurance Company300709Agent - Property12/20/20041/25/2006
ActiveMilbank Insurance Company925185Agent - Casualty11/8/2017 
ActiveMilbank Insurance Company925185Agent - Property11/8/2017 
ActiveMotorists Mutual Insurance Company300963Agent - Casualty3/20/2024 
ActiveMotorists Mutual Insurance Company300963Agent - Property3/20/2024 
ActiveNGM Insurance Company583837Agent - Casualty4/19/2012 
ActiveNGM Insurance Company583837Agent - Property4/19/2012 
InactiveNorthStone Insurance Company818905Agent - Casualty11/27/202111/27/2021
InactiveNorthern Insurance Company of New York301317Agent - Casualty11/8/20049/15/2014
InactiveNorthern Insurance Company of New York301317Agent - Property11/8/20049/15/2014
InactiveOhio Casualty Insurance Company301492Agent - Casualty7/1/20203/29/2024
InactiveOhio Casualty Insurance Company301492Agent - Property7/1/20203/29/2024
ActiveOhio Farmers Insurance Company301667Agent - Casualty3/9/2023 
ActiveOhio Farmers Insurance Company301667Agent - Property3/9/2023 
InactiveOhio Security Insurance Company300622Agent - Casualty5/13/20193/29/2024
InactiveOhio Security Insurance Company300622Agent - Property5/13/20193/29/2024
ActiveOld Guard Insurance Company533854Agent - Casualty3/9/2023 
ActiveOld Guard Insurance Company533854Agent - Property3/9/2023 
InactivePinnaclePoint Insurance Company819085Agent - Casualty11/27/202111/27/2021
InactiveProperty and Casualty Insurance Company of Hartford301409Agent - Casualty4/3/20147/18/2023
InactiveProperty and Casualty Insurance Company of Hartford301409Agent - Property4/3/20147/18/2023
InactiveSAFECO Insurance Company of America300159Agent - Casualty4/3/20173/29/2024
InactiveSAFECO Insurance Company of America300159Agent - Property4/3/20173/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty4/3/20173/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Property4/3/20173/29/2024
ActiveSentinel Insurance Company, Limited501696Agent - Casualty2/4/2013 
ActiveSentinel Insurance Company, Limited501696Agent - Property2/4/2013 
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty9/29/2023 
ActiveStandard Fire Insurance Company (The)301068Agent - Property9/29/2023 
ActiveState Auto Property & Casualty Insurance Company301953Agent - Casualty1/6/2017 
ActiveState Auto Property & Casualty Insurance Company301953Agent - Property1/6/2017 
ActiveState Automobile Mutual Insurance Company301824Agent - Casualty1/6/2017 
ActiveState Automobile Mutual Insurance Company301824Agent - Property1/6/2017 
InactiveSummitPoint Insurance Company819084Agent - Casualty11/27/202111/27/2021
InactiveThe Phoenix Insurance Company301502Agent - Casualty1/9/201711/4/2022
InactiveThe Phoenix Insurance Company301502Agent - Property1/9/201711/4/2022
InactiveTitan Indemnity Company300556Agent - Casualty3/2/20116/22/2017
InactiveTitan Indemnity Company300556Agent - Property3/2/20116/22/2017
ActiveTravelers Casualty Insurance Company of America300522Agent - Casualty11/14/2011 
ActiveTravelers Casualty Insurance Company of America300522Agent - Property11/14/2011 
ActiveTravelers Casualty and Surety Company of America301334Agent - Casualty12/13/2018 
ActiveTravelers Casualty and Surety Company of America301334Agent - Property12/13/2018 
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty7/3/2018 
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Property7/3/2018 
ActiveTravelers Indemnity Company (The)301855Agent - Casualty12/4/2013 
ActiveTravelers Indemnity Company (The)301855Agent - Property12/4/2013 
ActiveTravelers Indemnity Company of America (The)301093Agent - Casualty11/15/2011 
ActiveTravelers Indemnity Company of America (The)301093Agent - Property11/15/2011 
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty5/7/201212/21/2015
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property5/7/201212/21/2015
InactiveTravelers Property Casualty Company of America301649Agent - Casualty7/8/201412/15/2020
InactiveTravelers Property Casualty Company of America301649Agent - Property7/8/201412/15/2020
InactiveTruck Insurance Exchange300335Agent - Casualty12/17/20088/23/2012
InactiveTruck Insurance Exchange300335Agent - Property12/17/20088/23/2012
InactiveTrumbull Insurance Company300242Agent - Casualty10/30/20187/18/2023
InactiveTrumbull Insurance Company300242Agent - Property10/30/20187/18/2023
ActiveTwin City Fire Insurance Company300721Agent - Casualty3/20/2013 
ActiveTwin City Fire Insurance Company300721Agent - Property3/20/2013 
InactiveVictoria Fire & Casualty Company300313Agent - Casualty8/19/20106/22/2017
InactiveVictoria Fire & Casualty Company300313Agent - Property8/19/20106/22/2017
ActiveWestfield Champion Insurance Company1054839Agent - Casualty3/9/2023 
ActiveWestfield Champion Insurance Company1054839Agent - Property3/9/2023 
ActiveWestfield Insurance Company301950Agent - Casualty3/9/2023 
ActiveWestfield Insurance Company301950Agent - Property3/9/2023 
ActiveWestfield National Insurance Company301036Agent - Casualty3/9/2023 
ActiveWestfield National Insurance Company301036Agent - Property3/9/2023 
ActiveWestfield Premier Insurance Company1055055Agent - Casualty3/9/2023 
ActiveWestfield Premier Insurance Company1055055Agent - Property3/9/2023 
ActiveWestfield Superior Insurance Company1054978Agent - Casualty3/9/2023 
ActiveWestfield Superior Insurance Company1054978Agent - Property3/9/2023 
ActiveWestfield Touchstone Insurance Company1055057Agent - Casualty3/9/2023 
ActiveWestfield Touchstone Insurance Company1055057Agent - Property3/9/2023 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveJohnson, Brian Wesley 505207Agent - Health8/2/20041/31/2011
InactiveJohnson, Brian Wesley 505207Agent - Life8/2/20041/31/2011
ActiveJohnson, Conn Douglas 326583Agent - Casualty12/29/2003 
ActiveJohnson, Conn Douglas 326583Agent - Property12/29/2003 
InactiveJohnson, Lynn Robert 356300Agent - Health5/17/20117/31/2021
ActiveJohnson, Mark Douglas 353584Agent - Casualty12/29/2003 
ActiveJohnson, Mark Douglas 353584Agent - Property12/29/2003 
ActiveSiddens, Robert T 354250Agent - Casualty12/29/2003 
ActiveSiddens, Robert T 354250Agent - Life4/7/2011 
ActiveSiddens, Robert T 354250Agent - Property12/29/2003 

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