DEPARTMENT OF INSURANCE

Affiliations

Name	Complete Insurance Services, LLC	DOIID	594189	NAIC NPN	8204635

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	9/9/2004	2/1/2017
Inactive	Resident	Agent	Casualty	9/9/2004	2/1/2017
* 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	3/23/2005	2/1/2017
Inactive	American Economy Insurance Company	300315	Agent - Property	3/23/2005	2/1/2017
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/16/2008	2/1/2017
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/16/2008	2/1/2017
Inactive	American States Insurance Company	301230	Agent - Casualty	3/23/2005	2/1/2017
Inactive	American States Insurance Company	301230	Agent - Property	3/23/2005	2/1/2017
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	6/29/2007	12/9/2013
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	6/29/2007	12/9/2013
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	6/29/2007	12/9/2013
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	6/29/2007	12/9/2013
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/16/2008	2/1/2017
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/16/2008	2/1/2017
Inactive	Employers Assurance Company	300120	Agent - Casualty	1/31/2011	2/1/2017
Inactive	Employers Preferred Insurance Company	520656	Agent - Casualty	1/31/2011	2/1/2017
Inactive	Farmington Casualty Company	301137	Agent - Casualty	6/29/2007	12/9/2013
Inactive	Farmington Casualty Company	301137	Agent - Property	6/29/2007	12/9/2013
Inactive	First National Insurance Company of America	301690	Agent - Casualty	3/23/2005	2/1/2017
Inactive	First National Insurance Company of America	301690	Agent - Property	3/23/2005	2/1/2017
Inactive	General Insurance Company of America	300261	Agent - Casualty	3/23/2005	2/1/2017
Inactive	General Insurance Company of America	300261	Agent - Property	3/23/2005	2/1/2017
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/16/2008	2/1/2017
Inactive	Indiana Insurance Company	301909	Agent - Property	10/16/2008	2/1/2017
Inactive	Markel Insurance Company	301475	Agent - Casualty	12/4/2013	2/1/2017
Inactive	Markel Insurance Company	301475	Agent - Property	12/4/2013	2/1/2017
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/16/2008	2/1/2017
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/16/2008	2/1/2017
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/16/2008	2/1/2017
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/16/2008	2/1/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/16/2008	2/1/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/16/2008	2/1/2017
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/16/2008	2/1/2017
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/16/2008	2/1/2017
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/16/2008	2/1/2017
Inactive	Peerless Insurance Company	301910	Agent - Property	10/16/2008	2/1/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	3/23/2005	2/1/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	3/23/2005	2/1/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	3/23/2005	2/1/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	3/23/2005	2/1/2017
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	6/29/2009	12/9/2013
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	6/29/2009	12/9/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	6/29/2009	12/9/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	6/29/2009	12/9/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	6/29/2009	12/9/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	6/29/2009	12/9/2013
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	6/29/2007	1/24/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	6/29/2007	1/24/2017
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	6/29/2007	12/9/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Property	6/29/2007	12/9/2013
Inactive	TravCo Insurance Company	301828	Agent - Casualty	6/29/2007	12/9/2013
Inactive	TravCo Insurance Company	301828	Agent - Property	6/29/2007	12/9/2013
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	6/29/2007	12/9/2013
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	6/29/2007	12/9/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	6/29/2007	12/9/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	6/29/2007	12/9/2013
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	6/29/2007	12/9/2013
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	6/29/2007	12/9/2013
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	6/29/2007	8/2/2013
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	6/29/2007	8/2/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	6/29/2007	12/9/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	6/29/2007	12/9/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	6/29/2007	1/24/2017
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	6/29/2007	1/24/2017
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	6/29/2007	12/9/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	6/29/2007	12/9/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	6/29/2007	12/9/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	6/29/2007	12/9/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	6/29/2007	12/9/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	6/29/2007	12/9/2013
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	6/29/2007	12/9/2013
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	6/29/2007	12/9/2013
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	6/29/2007	12/9/2013
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	6/29/2007	12/9/2013
Inactive	West American Insurance Company	301112	Agent - Casualty	10/16/2008	2/1/2017
Inactive	West American Insurance Company	301112	Agent - Property	10/16/2008	2/1/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Derringer, David Eugene	359476	Agent - Casualty	9/9/2004	12/1/2016
Inactive	Derringer, David Eugene	359476	Agent - Property	9/9/2004	12/1/2016