DEPARTMENT OF INSURANCE

Affiliations

Name	Trisure Corporation	DOIID	588786	NAIC NPN	3144153

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	3/12/2012	8/26/2019
Inactive	Non Resident	Agent	Health	11/12/2004	8/26/2019
Inactive	Non Resident	Agent	Casualty	8/18/2004	8/26/2019
Inactive	Non Resident	Agent	Life	11/12/2004	8/26/2019
* 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	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	2/15/2017	8/21/2019
Inactive	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	2/15/2017	8/21/2019
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/29/2013	6/17/2019
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/29/2013	6/17/2019
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	3/5/2012	5/24/2019
Inactive	Cincinnati Insurance Company	301298	Agent - Property	3/21/2012	5/24/2019
Inactive	Employers Assurance Company	300120	Agent - Casualty	9/30/2013	8/26/2019
Inactive	Employers Compensation Insurance Company	797885	Agent - Casualty	8/6/2018	8/26/2019
Inactive	Employers Preferred Insurance Company	520656	Agent - Casualty	9/30/2013	8/26/2019
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	3/16/2015	6/17/2019
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	3/16/2015	6/17/2019
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Casualty	2/15/2017	8/21/2019
Inactive	Massachusetts Bay Insurance Company	300898	Agent - Property	2/15/2017	8/21/2019
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/29/2013	6/17/2019
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/29/2013	6/17/2019
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/30/2013	6/17/2019
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/30/2013	6/17/2019
Inactive	West American Insurance Company	301112	Agent - Casualty	10/31/2013	6/17/2019
Inactive	West American Insurance Company	301112	Agent - Property	10/31/2013	6/17/2019
Inactive	Western Surety Company	300283	Agent - Casualty	11/22/2016	4/29/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cramer, John L	880580	Agent - Casualty	3/14/2016	8/26/2019
Inactive	Cramer, John L	880580	Agent - Property	3/14/2016	8/26/2019
Inactive	Dawson, Wallace H	593971	Agent - Health	11/12/2004	8/26/2019
Inactive	Dawson, Wallace H	593971	Agent - Life	11/12/2004	8/26/2019
Inactive	Folger, Linda Johnson	581972	Agent - Casualty	8/18/2004	8/26/2019
Inactive	Folger, Linda Johnson	581972	Agent - Property	3/13/2012	8/26/2019