DEPARTMENT OF INSURANCE

Affiliations

Name	Payne, Misty Dawn	DOIID	593431	NAIC NPN	8184952

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	11/8/2005	1/31/2026
Active	Resident	Agent	Property	9/14/2004	1/31/2026
Active	Resident	Agent	Casualty	9/14/2004	1/31/2026
Active	Resident	Agent	Health	11/8/2005	1/31/2026
* 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
Active	AIG Assurance Company	300897	Agent - Casualty	9/25/2006
Active	AIG Assurance Company	300897	Agent - Property	9/25/2006
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	5/9/2013	12/17/2020
Inactive	Aegis Security Insurance Company	300492	Agent - Property	5/9/2013	12/17/2020
Inactive	American Economy Insurance Company	300315	Agent - Casualty	7/6/2021	6/5/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	7/6/2021	6/5/2024
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	1/18/2021
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	1/18/2021
Inactive	American General Life Insurance Company	301585	Agent - Health	4/8/2006	12/15/2008
Inactive	American General Life Insurance Company	301585	Agent - Life	4/8/2006	12/15/2008
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	6/23/2008	6/5/2009
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	6/23/2008	6/5/2009
Inactive	American Interstate Insurance Company	301092	Agent - Casualty	9/17/2015	1/12/2023
Inactive	American Interstate Insurance Company	301092	Agent - Property	9/17/2015	1/12/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	9/30/2015	12/13/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	9/30/2015	12/13/2023
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/2/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/2/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/30/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/30/2015	11/14/2021
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	10/30/2020
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	10/30/2020
Inactive	BITCO General Insurance Corporation	301305	Agent - Casualty	4/24/2016	6/5/2018
Inactive	BITCO General Insurance Corporation	301305	Agent - Property	4/24/2016	6/5/2018
Inactive	BITCO National Insurance Company	301366	Agent - Casualty	4/24/2016	6/5/2018
Inactive	BITCO National Insurance Company	301366	Agent - Property	4/24/2016	6/5/2018
Active	Bristol West Insurance Company	301655	Agent - Casualty	5/8/2007
Active	Bristol West Insurance Company	301655	Agent - Property	5/8/2007
Active	Clearcover Insurance Company	1118667	Agent - Casualty	9/8/2021
Active	Clearcover Insurance Company	1118667	Agent - Property	9/8/2021
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	1/18/2021
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	1/18/2021
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	11/27/2010
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	2/13/2015	10/14/2020
Inactive	EMCASCO Insurance Company	842790	Agent - Property	2/13/2015	10/14/2020
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	9/29/2014	10/14/2020
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	9/29/2014	10/14/2020
Active	Encompass Indemnity Company	546376	Agent - Casualty	7/27/2012
Active	Encompass Indemnity Company	546376	Agent - Property	7/27/2012
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	7/27/2012	12/13/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	7/27/2012	12/13/2018
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	2/24/2005	8/5/2013
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	2/24/2005	8/5/2013
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	2/24/2005	8/5/2013
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	2/24/2005	8/5/2013
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	2/24/2005	8/5/2013
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	2/24/2005	8/5/2013
Active	Farmington Casualty Company	301137	Agent - Casualty	10/30/2020
Active	Farmington Casualty Company	301137	Agent - Property	10/30/2020
Inactive	First Colony Life Insurance Company	301179	Agent - Health	5/30/2006	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	5/30/2006	1/1/2007
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/14/2009
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/14/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	4/3/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	4/3/2009
Inactive	Golden Rule Insurance Company	301943	Agent - Health	1/6/2016	10/26/2017
Inactive	Golden Rule Insurance Company	301943	Agent - Life	1/6/2016	10/26/2017
Active	Granite State Insurance Company	300818	Agent - Casualty	9/25/2006
Active	Granite State Insurance Company	300818	Agent - Property	9/25/2006
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	9/29/2014	12/20/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	9/29/2014	12/20/2017
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	7/18/2007	11/5/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	7/18/2007	11/5/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	7/18/2007	11/7/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	7/18/2007	11/7/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	7/18/2007	11/7/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	7/18/2007	11/7/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	7/18/2007	11/7/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	7/18/2007	11/7/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	7/18/2007	11/7/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	7/18/2007	11/7/2008
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2009	11/27/2010
Inactive	Humana Insurance Company	301104	Agent - Health	12/18/2007	11/27/2010
Inactive	Humana Insurance Company	301104	Agent - Life	12/18/2007	11/27/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	12/18/2007	11/27/2010
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	12/18/2007	11/27/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Health	12/18/2007	11/27/2010
Inactive	HumanaDental Insurance Company	301457	Agent - Life	12/18/2007	11/27/2010
Active	Illinois National Insurance Company	301367	Agent - Casualty	1/16/2007
Active	Illinois National Insurance Company	301367	Agent - Property	1/16/2007
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	1/18/2021
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	1/18/2021
Inactive	Kentucky Health Cooperative, Inc.	798780	Agent - Health	9/26/2013	10/29/2015
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	2/24/2005	8/5/2013
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	2/24/2005	8/5/2013
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	1/18/2021
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	1/18/2021
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	1/18/2021
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	1/18/2021
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	1/18/2021
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	1/18/2021
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008	1/18/2021
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008	1/18/2021
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008	1/18/2021
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2008	1/18/2021
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/10/2007	1/25/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/10/2007	1/25/2011
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/28/2021
Active	Progressive Casualty Insurance Company	300696	Agent - Property	7/28/2021
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/6/2021	6/5/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/6/2021	6/5/2024
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	7/18/2007	11/7/2008
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	7/18/2007	11/7/2008
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	10/30/2020
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	10/30/2020
Active	The Phoenix Insurance Company	301502	Agent - Casualty	10/30/2020
Active	The Phoenix Insurance Company	301502	Agent - Property	10/30/2020
Active	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2020
Active	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/1/2014	10/1/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/1/2014	10/1/2020
Active	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	10/30/2020
Active	Travelers Casualty Insurance Company of America	300522	Agent - Property	10/30/2020
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	10/30/2020
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	10/30/2020
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	10/30/2020
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	10/30/2020
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	10/30/2020
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	10/30/2020
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	10/30/2020
Active	Travelers Property Casualty Company of America	301649	Agent - Property	10/30/2020
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	7/18/2007	11/7/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	7/18/2007	11/7/2008
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	2/13/2015	10/14/2020
Inactive	Union Insurance Company of Providence	842791	Agent - Property	2/13/2015	10/14/2020
Active	United Financial Casualty Company	301886	Agent - Casualty	7/28/2021
Active	United Financial Casualty Company	301886	Agent - Property	7/28/2021
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/12/2022	4/24/2023
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/12/2022	4/24/2023
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	1/6/2016	11/4/2016
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	1/6/2016	11/4/2016
Active	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	7/3/2007
Active	Unitrin Auto and Home Insurance Company	301538	Agent - Property	7/3/2007
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	7/3/2007	12/2/2013
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	7/3/2007	12/2/2013
Active	Unitrin Safeguard Insurance Company	301371	Agent - Casualty	10/11/2018
Active	Unitrin Safeguard Insurance Company	301371	Agent - Property	10/11/2018
Inactive	Universal Insurance Company	686754	Agent - Casualty	10/20/2011	11/22/2011
Inactive	Universal Insurance Company	686754	Agent - Property	10/20/2011	11/22/2011
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/6/2011	8/4/2011
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/6/2011	8/4/2011
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	1/18/2021
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	1/18/2021
Inactive	West Coast Life Insurance Company	301607	Agent - Health	6/6/2008	11/16/2011
Inactive	West Coast Life Insurance Company	301607	Agent - Life	6/6/2008	11/16/2011
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	3/26/2009	10/1/2014
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	3/26/2009	10/1/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Designated Agent Company Inc.	681257	Agent - Health	12/12/2013
Active	Designated Agent Company Inc.	681257	Agent - Life	12/12/2013
Inactive	Perennial Insurance Group LLC	398659	Agent - Health	2/7/2008	10/29/2013
Inactive	Perennial Insurance Group LLC	398659	Agent - Life	2/7/2008	10/29/2013
Active	StoneBridge Insurance Services, Inc	398862	Agent - Health	4/8/2006
Active	StoneBridge Insurance Services, Inc	398862	Agent - Life	4/8/2006
Inactive	Worth Insurance Group INC	398245	Agent - Casualty	7/27/2006	9/21/2021
Inactive	Worth Insurance Group INC	398245	Agent - Property	7/27/2006	9/21/2021
Inactive	Worth Insurance Group INC	398245	Agent - Health	7/27/2006	9/21/2021
Inactive	Worth Insurance Group INC	398245	Agent - Life	7/27/2006	9/21/2021
Inactive	Worth Insurance Group LLC	684698	Agent - Casualty	2/13/2009	3/31/2010
Inactive	Worth Insurance Group LLC	684698	Agent - Property	2/13/2009	3/31/2010
Inactive	Worth Insurance Group LLC	684698	Agent - Health	2/13/2009	3/31/2010
Inactive	Worth Insurance Group LLC	684698	Agent - Life	2/13/2009	3/31/2010