DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Sipple, Connie Francis	DOIID	583127	NAIC NPN	7977412

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Property	3/23/2004	2/28/2008
Inactive	Resident	Agent	Casualty	3/23/2004	2/28/2008
* 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 Select Insurance Company	301229	Agent - Casualty	5/9/2005	9/14/2006
Inactive	American Select Insurance Company	301229	Agent - Property	5/9/2005	9/14/2006
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	7/1/2005	8/24/2006
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	7/1/2005	8/24/2006
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	7/1/2005	8/24/2006
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	7/1/2005	8/24/2006
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	5/9/2005	9/14/2006
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	5/9/2005	9/14/2006
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Casualty	7/1/2005	2/28/2008
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Property	7/1/2005	2/28/2008
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	3/23/2004	12/18/2007
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	3/23/2004	12/18/2007
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	3/23/2004	12/18/2007
Inactive	State Farm General Insurance Company	301122	Agent - Property	3/23/2004	12/18/2007
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	3/23/2004	12/18/2007
Inactive	Westfield Insurance Company	301950	Agent - Casualty	5/9/2005	9/14/2006
Inactive	Westfield Insurance Company	301950	Agent - Property	5/9/2005	9/14/2006
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	5/9/2005	9/14/2006
Inactive	Westfield National Insurance Company	301036	Agent - Property	5/9/2005	9/14/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Frank Gross Insurance Agency Inc.	398821	Agent - Casualty	3/17/2005	3/31/2007
Inactive	Frank Gross Insurance Agency Inc.	398821	Agent - Property	3/17/2005	3/31/2007