DEPARTMENT OF INSURANCE

Affiliations

Name	Black, Sharon E	DOIID	586812	NAIC NPN	2827132

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	3/25/2004	9/30/2021
Inactive	Non Resident	Agent	Casualty	3/25/2004	9/30/2021
* 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	ACE American Insurance Company	300625	Agent - Casualty	7/13/2005	7/21/2008
Inactive	ACE American Insurance Company	300625	Agent - Property	7/13/2005	7/21/2008
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	9/30/2021
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	9/30/2021
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	8/22/2014	10/15/2021
Inactive	American Fire and Casualty Company	300567	Agent - Property	8/22/2014	10/15/2021
Inactive	Ansur America Insurance Company	520667	Agent - Casualty	3/21/2012	9/30/2021
Inactive	Ansur America Insurance Company	520667	Agent - Property	3/21/2012	9/30/2021
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Casualty	10/12/2012	2/20/2014
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Property	10/12/2012	2/20/2014
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/22/2014	9/30/2021
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/22/2014	9/30/2021
Inactive	FCCI Insurance Company	557454	Agent - Casualty	12/29/2017	12/17/2019
Inactive	FCCI Insurance Company	557454	Agent - Property	12/29/2017	12/17/2019
Inactive	Frankenmuth Insurance Company	301481	Agent - Casualty	3/21/2012	9/30/2021
Inactive	Frankenmuth Insurance Company	301481	Agent - Property	3/21/2012	9/30/2021
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/22/2014	9/30/2021
Inactive	Indiana Insurance Company	301909	Agent - Property	8/22/2014	9/30/2021
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	6/7/2012	9/30/2021
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Property	6/7/2012	9/30/2021
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/22/2014	9/30/2021
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/22/2014	9/30/2021
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/22/2014	9/30/2021
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	8/22/2014	9/30/2021
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	8/22/2014	10/15/2021
Inactive	Ohio Security Insurance Company	300622	Agent - Property	8/22/2014	10/15/2021
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	8/22/2014	9/30/2021
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	8/22/2014	9/30/2021
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/22/2014	9/30/2021
Inactive	Peerless Insurance Company	301910	Agent - Property	8/22/2014	9/30/2021
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/25/2016	9/30/2021
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/25/2016	9/30/2021
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/25/2016	10/15/2021
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/25/2016	10/15/2021
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	7/1/2005	9/30/2021
Inactive	Selective Insurance Company of America	500018	Agent - Property	7/1/2005	9/30/2021
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	7/1/2005	9/30/2021
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	7/1/2005	9/30/2021
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	7/1/2005	9/30/2021
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	7/1/2005	9/30/2021
Inactive	West American Insurance Company	301112	Agent - Casualty	8/22/2014	9/30/2021
Inactive	West American Insurance Company	301112	Agent - Property	8/22/2014	9/30/2021
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	7/13/2005	7/21/2008
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	7/13/2005	7/21/2008
Inactive	Westfield Insurance Company	301950	Agent - Casualty	11/11/2020	9/30/2021
Inactive	Westfield Insurance Company	301950	Agent - Property	11/11/2020	9/30/2021
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	6/28/2017	1/30/2018
Inactive	Westfield National Insurance Company	301036	Agent - Property	6/28/2017	1/30/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brown & Brown Of Ohio Llc	553188	Agent - Casualty	8/1/2005	4/29/2021
Inactive	Brown & Brown Of Ohio Llc	553188	Agent - Property	8/1/2005	4/29/2021