DEPARTMENT OF INSURANCE

Affiliations

Name	Max Ins Agency Inc	DOIID	588185	NAIC NPN	7866920

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/7/2004		3/31/2026
Active	Non Resident	Agent	Property	6/7/2004		3/31/2026
Inactive	Non Resident	Agent	Health	7/2/2012	7/26/2013
Inactive	Non Resident	Agent	Life	7/2/2012	7/26/2013
* 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 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 Fire and Casualty Company	300567	Agent - Casualty	10/16/2008	7/13/2012
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/16/2008	7/13/2012
Active	American Zurich Insurance Company	300592	Agent - Casualty	9/13/2012
Active	American Zurich Insurance Company	300592	Agent - Property	9/13/2012
Inactive	Assurance Company of America	300432	Agent - Casualty	9/13/2012	12/6/2013
Inactive	Assurance Company of America	300432	Agent - Property	9/13/2012	12/6/2013
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	8/17/2021
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	8/17/2021
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	4/2/2021	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	4/2/2021	12/20/2024
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	11/8/2005	12/9/2009
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	11/8/2005	12/9/2009
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/16/2008	7/13/2012
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/16/2008	7/13/2012
Inactive	Farmington Casualty Company	301137	Agent - Casualty	5/9/2006	12/9/2009
Inactive	Farmington Casualty Company	301137	Agent - Property	5/9/2006	12/9/2009
Inactive	First National Insurance Company of America	301690	Agent - Casualty	6/15/2004	7/13/2012
Inactive	First National Insurance Company of America	301690	Agent - Property	6/15/2004	7/13/2012
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/19/2005
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/19/2005
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/20/2012	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/20/2012	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/20/2012	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/20/2012	8/29/2018
Inactive	General Insurance Company of America	300261	Agent - Casualty	3/8/2005	7/13/2012
Inactive	General Insurance Company of America	300261	Agent - Property	3/8/2005	7/13/2012
Active	GuideOne Elite Insurance Company	300490	Agent - Casualty	10/19/2004
Active	GuideOne Elite Insurance Company	300490	Agent - Property	10/19/2004
Active	GuideOne Insurance Company	301794	Agent - Casualty	10/19/2004
Active	GuideOne Insurance Company	301794	Agent - Property	10/19/2004
Active	GuideOne Specialty Insurance Company	300278	Agent - Casualty	10/19/2004
Active	GuideOne Specialty Insurance Company	300278	Agent - Property	10/19/2004
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	6/28/2017	9/27/2019
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	6/28/2017	9/27/2019
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	7/1/2004	11/7/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	7/1/2004	11/7/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	7/1/2004	11/7/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	7/1/2004	11/7/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	7/1/2004	11/7/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	7/1/2004	11/7/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	7/1/2004	11/7/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	7/1/2004	11/7/2008
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/16/2008	7/13/2012
Inactive	Indiana Insurance Company	301909	Agent - Property	10/16/2008	7/13/2012
Inactive	Maryland Casualty Company	301719	Agent - Casualty	9/13/2012	12/6/2013
Inactive	Maryland Casualty Company	301719	Agent - Property	9/13/2012	12/6/2013
Active	Milbank Insurance Company	925185	Agent - Casualty	5/15/2020
Active	Milbank Insurance Company	925185	Agent - Property	5/15/2020
Active	National General Insurance Company	300152	Agent - Casualty	10/7/2010
Active	National General Insurance Company	300152	Agent - Property	10/7/2010
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/16/2008	7/13/2012
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/16/2008	7/13/2012
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	9/13/2012	12/6/2013
Inactive	Northern Insurance Company of New York	301317	Agent - Property	9/13/2012	12/6/2013
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/16/2008	7/13/2012
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/16/2008	7/13/2012
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/16/2008	7/13/2012
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/16/2008	7/13/2012
Inactive	Omni Indemnity Company	301456	Agent - Casualty	7/1/2004	4/22/2008
Inactive	Omni Indemnity Company	301456	Agent - Property	7/1/2004	4/22/2008
Inactive	Omni Insurance Company	301545	Agent - Casualty	7/1/2004	4/22/2008
Inactive	Omni Insurance Company	301545	Agent - Property	7/1/2004	4/22/2008
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/16/2008	7/13/2012
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/16/2008	7/13/2012
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/16/2008	7/13/2012
Inactive	Peerless Insurance Company	301910	Agent - Property	10/16/2008	7/13/2012
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	6/29/2004
Active	Progressive Casualty Insurance Company	300696	Agent - Property	6/29/2004
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	6/29/2004	12/9/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	6/29/2004	12/9/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/27/2012	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/27/2012	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/27/2012	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/27/2012	3/29/2024
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	7/1/2004	11/7/2008
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	7/1/2004	11/7/2008
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	7/1/2004	12/9/2009
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	7/1/2004	12/9/2009
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	2/21/2014	12/21/2015
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	2/21/2014	12/21/2015
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	2/21/2014	12/21/2015
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	2/21/2014	12/21/2015
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/12/2021
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	8/12/2021
Inactive	Star Insurance Company	301553	Agent - Casualty	10/27/2004	11/29/2010
Inactive	Star Insurance Company	301553	Agent - Property	10/27/2004	11/29/2010
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	7/23/2012	12/9/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Property	7/23/2012	12/9/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	5/22/2017	10/5/2021
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	5/22/2017	10/5/2021
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	7/23/2012	12/20/2018
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	7/23/2012	12/20/2018
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	11/8/2005	12/9/2009
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	11/8/2005	12/9/2009
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	5/9/2006	12/9/2009
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	5/9/2006	12/9/2009
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	5/25/2017
Active	Travelers Indemnity Company (The)	301855	Agent - Property	5/25/2017
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	7/23/2012	11/4/2022
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	7/23/2012	11/4/2022
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	7/23/2012	11/16/2023
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	7/23/2012	11/16/2023
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	7/2/2021
Active	Travelers Personal Insurance Company	705785	Agent - Property	7/2/2021
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	7/23/2012	12/3/2014
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	7/23/2012	12/3/2014
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	7/1/2004	11/7/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	7/1/2004	11/7/2008
Active	United Financial Casualty Company	301886	Agent - Casualty	12/2/2005
Active	United Financial Casualty Company	301886	Agent - Property	12/2/2005
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	7/1/2004	12/9/2009
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	7/1/2004	12/9/2009
Inactive	West American Insurance Company	301112	Agent - Casualty	10/16/2008	7/13/2012
Inactive	West American Insurance Company	301112	Agent - Property	10/16/2008	7/13/2012
Inactive	Williamsburg National Insurance Company	301825	Agent - Casualty	3/17/2008	11/29/2010
Inactive	Williamsburg National Insurance Company	301825	Agent - Property	3/17/2008	11/29/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Adair, Sean	1115035	Agent - Casualty	11/19/2022	2/19/2025
Inactive	Adair, Sean	1115035	Agent - Property	11/19/2022	2/19/2025
Inactive	Citrano Bronder, Kimberly Ann	746681	Agent - Casualty	4/1/2011	11/19/2022
Inactive	Citrano Bronder, Kimberly Ann	746681	Agent - Health		8/9/2013
Inactive	Citrano Bronder, Kimberly Ann	746681	Agent - Life		8/9/2013
Inactive	Citrano Bronder, Kimberly Ann	746681	Agent - Property	4/1/2011	11/19/2022
Inactive	Delawder, Susan E	601944	Agent - Casualty	3/30/2005	7/10/2006
Inactive	Delawder, Susan E	601944	Agent - Property	3/30/2005	7/10/2006
Inactive	Dittman, Brandie Marie	759066	Agent - Casualty	7/5/2012	7/26/2013
Inactive	Dittman, Brandie Marie	759066	Agent - Health	7/2/2012	7/26/2013
Inactive	Dittman, Brandie Marie	759066	Agent - Life	7/2/2012	7/26/2013
Inactive	Dittman, Brandie Marie	759066	Agent - Property	7/5/2012	7/26/2013
Inactive	Eberly, Brent William	518799	Agent - Casualty	10/18/2005	11/17/2009
Inactive	Eberly, Brent William	518799	Agent - Property	10/18/2005	11/17/2009
Inactive	Elyard, Barbara Ann	601806	Agent - Casualty	3/30/2005	7/10/2006
Inactive	Elyard, Barbara Ann	601806	Agent - Property	3/30/2005	7/10/2006
Inactive	Gallagher, Terria Jean	1093129	Agent - Casualty	9/30/2020	1/30/2024
Inactive	Gallagher, Terria Jean	1093129	Agent - Property	9/30/2020	1/30/2024
Inactive	Gant, Edward Sherley	614366	Agent - Casualty	10/18/2005	6/1/2009
Inactive	Gant, Edward Sherley	614366	Agent - Property	10/18/2005	6/1/2009
Inactive	Hebdon, Diane Christine	812135	Agent - Casualty	8/1/2013	11/19/2022
Inactive	Hebdon, Diane Christine	812135	Agent - Property	8/1/2013	11/19/2022
Inactive	Hennegin, Tyler J	746699	Agent - Casualty	4/1/2011	12/6/2019
Inactive	Hennegin, Tyler J	746699	Agent - Health		8/9/2013
Inactive	Hennegin, Tyler J	746699	Agent - Life		8/9/2013
Inactive	Hennegin, Tyler J	746699	Agent - Property	4/1/2011	12/6/2019
Inactive	Herring, Laura D	1206932	Agent - Casualty	7/22/2022	9/20/2023
Inactive	Herring, Laura D	1206932	Agent - Property	7/22/2022	9/20/2023
Inactive	Hochstedler, Wayne Lee	518900	Agent - Casualty	7/2/2004	7/26/2013
Inactive	Hochstedler, Wayne Lee	518900	Agent - Property	7/2/2004	7/26/2013
Inactive	Kauffman, D Dean	333408	Agent - Casualty	6/7/2004	5/30/2018
Inactive	Kauffman, D Dean	333408	Agent - Property	6/7/2004	5/30/2018
Inactive	Laposha, Amy L	746767	Agent - Casualty	3/18/2011	10/28/2021
Inactive	Laposha, Amy L	746767	Agent - Property	3/18/2011	10/28/2021
Inactive	Larsen, Zakary Dane	838723	Agent - Casualty	1/3/2018	2/14/2019
Inactive	Larsen, Zakary Dane	838723	Agent - Property	1/3/2018	2/14/2019
Inactive	Marks, Christopher S	922666	Agent - Casualty	8/8/2016	1/24/2019
Inactive	Marks, Christopher S	922666	Agent - Property	8/8/2016	1/24/2019
Inactive	Mcgee, Sara M	1026190	Agent - Casualty	2/14/2019	5/7/2019
Inactive	Mcgee, Sara M	1026190	Agent - Property	2/14/2019	5/7/2019
Inactive	Myer, Alexi L	918164	Agent - Casualty	6/30/2016	7/13/2020
Inactive	Myer, Alexi L	918164	Agent - Property	6/30/2016	7/13/2020
Inactive	Pollock, Pamela L	737435	Agent - Casualty	10/15/2010	12/28/2011
Inactive	Pollock, Pamela L	737435	Agent - Property	10/15/2010	12/28/2011
Inactive	Schoutko, Samuel Wasilly	830628	Agent - Casualty	7/18/2014	6/10/2016
Inactive	Schoutko, Samuel Wasilly	830628	Agent - Property	7/18/2014	6/10/2016
Inactive	Scrivo, Rachael Kathleen	839340	Agent - Casualty	7/18/2014	6/10/2016
Inactive	Scrivo, Rachael Kathleen	839340	Agent - Property	7/18/2014	6/10/2016
Inactive	Shrum, Brad Ken	585320	Agent - Casualty	6/29/2004	11/19/2022
Inactive	Shrum, Brad Ken	585320	Agent - Property	6/29/2004	11/19/2022
Inactive	Smith, Anna Kumari	782585	Agent - Casualty	8/27/2012	9/10/2019
Denied	Smith, Anna Kumari	782585	Agent - Life
Inactive	Smith, Anna Kumari	782585	Agent - Property	8/27/2012	9/10/2019
Inactive	Smith, Nicholas Leonard	1090665	Agent - Casualty	8/26/2020	11/19/2022
Inactive	Smith, Nicholas Leonard	1090665	Agent - Property	8/26/2020	11/19/2022
Inactive	Stockton, Gabriel Preston	758574	Agent - Casualty	7/5/2012	2/14/2019
Inactive	Stockton, Gabriel Preston	758574	Agent - Property	7/5/2012	2/14/2019
Inactive	Thurston, Jeremy D	737433	Agent - Casualty	10/15/2010	7/26/2013
Inactive	Thurston, Jeremy D	737433	Agent - Property	10/15/2010	7/26/2013
Inactive	Trivisonno, James A	963937	Agent - Casualty	9/13/2017	11/28/2018
Inactive	Trivisonno, James A	963937	Agent - Property	9/13/2017	11/28/2018
Active	Tucker, Todd Dewitt	584679	Agent - Casualty	9/13/2012
Active	Tucker, Todd Dewitt	584679	Agent - Property	9/13/2012
Inactive	Wright, Katelyn Nicole	936053	Agent - Casualty	9/12/2017	4/19/2021
Inactive	Wright, Katelyn Nicole	936053	Agent - Property	9/12/2017	4/19/2021