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DEPARTMENT OF INSURANCE
Affiliations
Name
PNC Insurance Agency, Inc.
DOIID
595561
NAIC NPN
1332668
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Denied
Non Resident
Agent
Limited Line Surety
Inactive
Non Resident
Agent
Casualty
12/21/2012
10/26/2021
Inactive
Non Resident
Agent
Personal Lines
6/27/2012
2/6/2014
Inactive
Non Resident
Agent
Variable Life and Variable Annuities
6/27/2012
10/26/2021
Inactive
Non Resident
Agent
Property
12/21/2012
10/26/2021
Inactive
Non Resident
Agent
Life
3/2/2005
10/26/2021
Inactive
Non Resident
Agent
Health
3/2/2005
10/26/2021
Inactive
Non Resident
Surplus Lines Broker
Not Applicable
1/4/2007
12/1/2008
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Notice:
The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
21st Century Centennial Insurance Company
301840
Agent - Casualty
4/10/2006
9/17/2011
Inactive
21st Century Centennial Insurance Company
301840
Agent - Property
4/10/2006
9/17/2011
Inactive
21st Century North America Insurance Company
300884
Agent - Casualty
2/21/2006
9/17/2011
Inactive
21st Century North America Insurance Company
300884
Agent - Property
2/21/2006
9/17/2011
Inactive
ACE American Insurance Company
300625
Agent - Casualty
10/6/2005
10/26/2012
Inactive
ACE American Insurance Company
300625
Agent - Property
10/6/2005
10/26/2012
Inactive
ACE Fire Underwriters Insurance Company
301679
Agent - Casualty
11/8/2007
6/26/2012
Inactive
ACE Fire Underwriters Insurance Company
301679
Agent - Property
11/8/2007
6/26/2012
Inactive
ACE Property and Casualty Insurance Company
300520
Agent - Casualty
11/8/2007
6/26/2012
Inactive
ACE Property and Casualty Insurance Company
300520
Agent - Property
11/8/2007
6/26/2012
Inactive
Aetna Health Inc.
300694
Agent - Health
4/18/2005
12/31/2007
Inactive
Aetna Health Inc. (PA)
660717
Agent - Health
12/31/2007
10/26/2021
Inactive
Aetna Life Insurance Company
301140
Agent - Health
4/18/2005
10/26/2021
Inactive
Aetna Life Insurance Company
301140
Agent - Life
4/18/2005
10/26/2021
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Health
8/16/2011
10/26/2021
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Life
8/16/2011
10/26/2021
Inactive
Allianz Life Insurance Company of North America
301791
Agent - Variable Life and Variable Annuities
5/28/2013
10/26/2021
Inactive
American Casualty Company of Reading, Pennsylvania
300956
Agent - Casualty
12/19/2005
5/24/2012
Inactive
American Casualty Company of Reading, Pennsylvania
300956
Agent - Property
12/19/2005
5/24/2012
Inactive
American Fire and Casualty Company
300567
Agent - Casualty
8/24/2011
10/26/2012
Inactive
American Fire and Casualty Company
300567
Agent - Property
8/24/2011
10/26/2012
Inactive
American General Life Insurance Company
301585
Agent - Life
12/31/2012
10/7/2021
Inactive
American General Life Insurance Company
301585
Agent - Variable Life and Variable Annuities
4/21/2016
10/7/2021
Inactive
American Home Assurance Company
300246
Agent - Casualty
2/21/2006
10/26/2012
Inactive
American Home Assurance Company
300246
Agent - Property
2/21/2006
10/26/2012
Inactive
American Modern Home Insurance Company
300791
Agent - Casualty
6/9/2014
10/26/2021
Inactive
American Modern Home Insurance Company
300791
Agent - Property
6/9/2014
10/26/2021
Inactive
Auto-Owners Insurance Company
301480
Agent - Casualty
6/9/2011
5/14/2012
Inactive
Auto-Owners Insurance Company
301480
Agent - Property
6/9/2011
5/14/2012
Inactive
Automobile Insurance Company of Hartford, Connecticut
300630
Agent - Casualty
6/7/2013
12/3/2014
Inactive
Automobile Insurance Company of Hartford, Connecticut
300630
Agent - Property
6/7/2013
12/3/2014
Inactive
BCS Insurance Company
300294
Agent - Casualty
10/23/2007
2/18/2008
Inactive
BCS Insurance Company
300294
Agent - Property
10/23/2007
2/18/2008
Inactive
Bankers Standard Insurance Company
301620
Agent - Casualty
1/11/2010
10/26/2012
Inactive
Bankers Standard Insurance Company
301620
Agent - Property
1/11/2010
10/26/2012
Inactive
Banner Life Insurance Company
301696
Agent - Life
3/15/2006
10/26/2021
Inactive
Brighthouse Life Insurance Company
301829
Agent - Health
11/14/2014
10/26/2021
Inactive
Brighthouse Life Insurance Company
301829
Agent - Life
11/14/2014
10/26/2021
Inactive
CMFG Life Insurance Company
300929
Agent - Health
11/27/2018
10/26/2021
Inactive
CMFG Life Insurance Company
300929
Agent - Life
11/27/2018
10/26/2021
Inactive
CMFG Life Insurance Company
300929
Agent - Variable Life and Variable Annuities
11/27/2018
10/26/2021
Inactive
Central Insurance Company
300965
Agent - Casualty
11/5/2008
10/26/2012
Inactive
Central Insurance Company
300965
Agent - Property
11/5/2008
10/26/2012
Inactive
Charter Oak Fire Insurance Company (The)
301501
Agent - Casualty
4/20/2005
10/26/2012
Inactive
Charter Oak Fire Insurance Company (The)
301501
Agent - Property
4/20/2005
10/26/2012
Inactive
Chubb Indemnity Insurance Company
300438
Agent - Casualty
4/15/2010
10/26/2012
Inactive
Chubb Indemnity Insurance Company
300438
Agent - Property
4/15/2010
10/26/2012
Inactive
Chubb National Insurance Company
301392
Agent - Casualty
4/15/2010
10/26/2012
Inactive
Chubb National Insurance Company
301392
Agent - Property
4/15/2010
10/26/2012
Inactive
Commonwealth Annuity and Life Insurance Company
300798
Agent - Life
3/6/2013
10/26/2021
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
4/13/2012
7/30/2012
Inactive
Continental Casualty Company
301019
Agent - Casualty
12/19/2005
5/24/2012
Inactive
Continental Casualty Company
301019
Agent - Property
12/19/2005
5/24/2012
Inactive
Continental Insurance Company (The)
301242
Agent - Casualty
12/19/2005
5/24/2012
Inactive
Continental Insurance Company (The)
301242
Agent - Property
12/19/2005
5/24/2012
Inactive
Dental Concern Inc. (The)
301641
Agent - Health
5/27/2011
7/19/2012
Inactive
Eagle Life Insurance Company
701261
Agent - Life
6/24/2014
9/7/2021
Inactive
Employers Assurance Company
300120
Agent - Casualty
4/13/2009
10/26/2012
Inactive
Employers Preferred Insurance Company
520656
Agent - Casualty
4/13/2009
10/26/2012
Inactive
Everest National Insurance Company
301319
Agent - Casualty
11/17/2005
11/14/2006
Inactive
Everest National Insurance Company
301319
Agent - Property
11/17/2005
11/14/2006
Inactive
Everlake Life Insurance Company
300873
Agent - Life
6/5/2008
12/19/2013
Inactive
Executive Risk Indemnity Inc.
301510
Agent - Casualty
4/15/2010
10/26/2012
Inactive
Executive Risk Indemnity Inc.
301510
Agent - Property
12/21/2012
6/12/2015
Inactive
Farmington Casualty Company
301137
Agent - Casualty
5/9/2006
10/26/2012
Inactive
Farmington Casualty Company
301137
Agent - Property
5/9/2006
10/26/2012
Inactive
Federal Insurance Company
301144
Agent - Casualty
4/15/2010
10/26/2012
Inactive
Federal Insurance Company
301144
Agent - Property
4/15/2010
10/26/2012
Inactive
Forethought Life Insurance Company
301407
Agent - Health
3/12/2013
10/26/2021
Inactive
Forethought Life Insurance Company
301407
Agent - Life
3/12/2013
10/26/2021
Inactive
Forethought Life Insurance Company
301407
Agent - Variable Life and Variable Annuities
3/12/2013
10/26/2021
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Life
7/18/2012
10/26/2021
Inactive
Fortitude Life Insurance & Annuity Company
301503
Agent - Variable Life and Variable Annuities
7/18/2012
10/26/2021
Inactive
Great Northern Insurance Company
301107
Agent - Casualty
4/15/2010
10/26/2012
Inactive
Great Northern Insurance Company
301107
Agent - Property
4/15/2010
10/26/2012
Inactive
Guardian Insurance & Annuity Company Inc. (The)
301920
Agent - Life
7/27/2007
4/10/2015
Inactive
Hartford Accident and Indemnity Company
301917
Agent - Casualty
12/16/2005
11/12/2009
Inactive
Hartford Accident and Indemnity Company
301917
Agent - Property
12/16/2005
11/12/2009
Inactive
Hartford Casualty Insurance Company
301332
Agent - Casualty
12/16/2005
11/12/2009
Inactive
Hartford Casualty Insurance Company
301332
Agent - Property
12/16/2005
11/12/2009
Inactive
Hartford Fire Insurance Company
300628
Agent - Casualty
12/16/2005
11/12/2009
Inactive
Hartford Fire Insurance Company
300628
Agent - Property
12/16/2005
11/12/2009
Inactive
Hartford Insurance Company of the Midwest
301918
Agent - Casualty
12/16/2005
11/12/2009
Inactive
Hartford Insurance Company of the Midwest
301918
Agent - Property
12/16/2005
11/12/2009
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Health
9/19/2008
10/26/2021
Inactive
Hartford Life and Accident Insurance Company
300878
Agent - Life
9/19/2008
10/26/2021
Inactive
Hartford Underwriters Insurance Company
301064
Agent - Casualty
12/16/2005
11/12/2009
Inactive
Hartford Underwriters Insurance Company
301064
Agent - Property
12/16/2005
11/12/2009
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
5/27/2011
7/19/2012
Inactive
Humana Insurance Company
301104
Agent - Health
6/28/2010
7/19/2012
Inactive
Humana Insurance Company
301104
Agent - Life
6/28/2010
7/19/2012
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
4/13/2012
7/30/2012
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
4/13/2012
7/30/2012
Inactive
HumanaDental Insurance Company
301457
Agent - Health
4/23/2012
7/30/2012
Inactive
HumanaDental Insurance Company
301457
Agent - Life
4/23/2012
7/30/2012
Inactive
Indemnity Insurance Company of North America
301760
Agent - Casualty
1/11/2010
10/26/2012
Inactive
Indemnity Insurance Company of North America
301760
Agent - Property
1/11/2010
10/26/2012
Inactive
Integrity Life Insurance Company
301687
Agent - Life
2/16/2018
10/26/2021
Inactive
Integrity Life Insurance Company
301687
Agent - Variable Life and Variable Annuities
2/16/2018
10/26/2021
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
12/6/2012
10/26/2021
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
12/6/2012
10/26/2021
Inactive
Jefferson Insurance Company
301127
Agent - Casualty
10/10/2007
2/18/2008
Inactive
Jefferson Insurance Company
301127
Agent - Property
10/10/2007
2/18/2008
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Health
9/20/2013
10/26/2021
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Life
9/20/2013
10/26/2021
Inactive
John Hancock Life Insurance Company (U.S.A.)
300132
Agent - Variable Life and Variable Annuities
10/15/2013
10/26/2021
Inactive
Kanawha Insurance Company
300127
Agent - Health
5/7/2010
7/19/2012
Inactive
Kanawha Insurance Company
300127
Agent - Life
5/7/2010
7/19/2012
Inactive
Liberty Mutual Insurance Company
301159
Agent - Casualty
2/9/2011
10/26/2012
Inactive
Lincoln Life Assurance Company of Boston
301915
Agent - Life
4/7/2015
10/29/2019
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Health
8/26/2015
10/26/2021
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Life
8/26/2015
10/26/2021
Inactive
Lincoln National Life Insurance Company (The)
301382
Agent - Variable Life and Variable Annuities
8/26/2015
10/26/2021
Inactive
MassMutual Ascend Life Insurance Company
300320
Agent - Life
6/8/2018
10/26/2021
Inactive
MetLife Investors Insurance Company
301872
Agent - Health
6/16/2010
11/14/2014
Inactive
MetLife Investors Insurance Company
301872
Agent - Life
6/16/2010
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Health
6/16/2010
11/14/2014
Inactive
MetLife Investors USA Insurance Company
300845
Agent - Life
6/16/2010
11/14/2014
Inactive
Metropolitan Life Insurance Company
301948
Agent - Health
6/16/2010
10/26/2021
Inactive
Metropolitan Life Insurance Company
301948
Agent - Life
6/16/2010
10/26/2021
Inactive
Midland National Life Insurance Company
300923
Agent - Life
1/29/2019
10/26/2021
Inactive
Minnesota Life Insurance Company
300488
Agent - Health
10/5/2017
10/26/2021
Inactive
Minnesota Life Insurance Company
300488
Agent - Life
10/5/2017
10/26/2021
Inactive
Minnesota Life Insurance Company
300488
Agent - Variable Life and Variable Annuities
10/5/2017
10/26/2021
Inactive
National Fire Insurance Company of Hartford
301063
Agent - Casualty
12/19/2005
5/24/2012
Inactive
National Fire Insurance Company of Hartford
301063
Agent - Property
12/19/2005
5/24/2012
Inactive
National Western Life Insurance Company
301515
Agent - Life
6/12/2012
10/26/2021
Inactive
Nationwide Life Insurance Company
300495
Agent - Health
7/11/2012
10/26/2021
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
7/11/2012
10/26/2021
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
7/11/2012
10/26/2021
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Health
7/11/2012
10/26/2021
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
7/11/2012
10/26/2021
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
7/11/2012
10/26/2021
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
8/5/2009
10/26/2021
Inactive
Ohio Casualty Insurance Company
301492
Agent - Casualty
8/24/2011
10/26/2012
Inactive
Ohio Casualty Insurance Company
301492
Agent - Property
8/24/2011
10/26/2012
Inactive
Ohio Security Insurance Company
300622
Agent - Casualty
8/24/2011
10/26/2012
Inactive
Ohio Security Insurance Company
300622
Agent - Property
8/24/2011
10/26/2012
Inactive
Old Republic Insurance Company
301225
Agent - Casualty
5/20/2005
11/15/2010
Inactive
Old Republic Insurance Company
301225
Agent - Property
5/20/2005
11/15/2010
Inactive
Owners Insurance Company
300796
Agent - Casualty
6/9/2011
5/14/2012
Inactive
Owners Insurance Company
300796
Agent - Property
6/9/2011
5/14/2012
Inactive
Pacific Employers Insurance Company
301753
Agent - Casualty
1/11/2010
10/26/2012
Inactive
Pacific Employers Insurance Company
301753
Agent - Property
1/11/2010
10/26/2012
Inactive
Pacific Indemnity Company
301610
Agent - Casualty
4/15/2010
10/26/2012
Inactive
Pacific Indemnity Company
301610
Agent - Property
4/15/2010
10/26/2012
Inactive
Pacific Life Insurance Company
301848
Agent - Life
8/4/2014
10/26/2021
Inactive
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
8/4/2014
10/26/2021
Inactive
Progressive Casualty Insurance Company
300696
Agent - Casualty
6/16/2008
10/26/2012
Inactive
Progressive Casualty Insurance Company
300696
Agent - Property
6/16/2008
10/26/2012
Inactive
Progressive Northern Insurance Company
301378
Agent - Casualty
6/16/2008
10/26/2012
Inactive
Progressive Northern Insurance Company
301378
Agent - Property
6/16/2008
10/26/2012
Inactive
Property and Casualty Insurance Company of Hartford
301409
Agent - Casualty
12/16/2005
11/12/2009
Inactive
Property and Casualty Insurance Company of Hartford
301409
Agent - Property
12/16/2005
11/12/2009
Inactive
Protective Life Insurance Company
300638
Agent - Health
7/17/2009
10/26/2021
Inactive
Protective Life Insurance Company
300638
Agent - Life
7/17/2009
10/26/2021
Inactive
Pruco Life Insurance Company
300954
Agent - Life
7/18/2012
10/26/2021
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
7/18/2012
10/26/2021
Inactive
Prudential Insurance Company of America
300784
Agent - Life
7/18/2012
10/26/2021
Inactive
Prudential Insurance Company of America
300784
Agent - Variable Life and Variable Annuities
7/18/2012
10/26/2021
Inactive
QBE Insurance Corporation
300515
Agent - Casualty
2/13/2014
5/27/2015
Inactive
QBE Insurance Corporation
300515
Agent - Property
2/13/2014
5/27/2015
Inactive
ReliaStar Life Insurance Company
301712
Agent - Health
11/7/2008
10/5/2012
Inactive
ReliaStar Life Insurance Company
301712
Agent - Life
11/7/2008
10/5/2012
Inactive
Reliance Standard Life Insurance Company
300584
Agent - Life
4/1/2013
10/26/2021
Inactive
Security Benefit Life Insurance Company
300583
Agent - Life
2/15/2013
10/26/2021
Inactive
Security Benefit Life Insurance Company
300583
Agent - Variable Life and Variable Annuities
2/15/2013
10/26/2021
Inactive
Security Life of Denver Insurance Company
300648
Agent - Health
11/7/2008
9/29/2012
Inactive
Security Life of Denver Insurance Company
300648
Agent - Life
11/7/2008
9/29/2012
Inactive
Sentinel Insurance Company, Limited
501696
Agent - Casualty
12/16/2005
11/12/2009
Inactive
Sentinel Insurance Company, Limited
501696
Agent - Property
12/16/2005
11/12/2009
Inactive
St. Paul Fire and Marine Insurance Company
300782
Agent - Casualty
12/27/2012
12/5/2013
Inactive
St. Paul Fire and Marine Insurance Company
300782
Agent - Property
12/27/2012
12/5/2013
Inactive
St. Paul Guardian Insurance Company
301372
Agent - Casualty
12/27/2012
12/5/2013
Inactive
St. Paul Guardian Insurance Company
301372
Agent - Property
12/27/2012
12/5/2013
Inactive
St. Paul Mercury Insurance Company
300783
Agent - Casualty
12/27/2012
12/5/2013
Inactive
St. Paul Mercury Insurance Company
300783
Agent - Property
12/27/2012
12/5/2013
Inactive
Standard Fire Insurance Company (The)
301068
Agent - Casualty
6/7/2013
12/3/2014
Inactive
Standard Fire Insurance Company (The)
301068
Agent - Property
6/7/2013
12/3/2014
Inactive
State Life Insurance Company
301497
Agent - Health
7/2/2008
10/26/2021
Inactive
State Life Insurance Company
301497
Agent - Life
7/2/2008
10/26/2021
Inactive
Symetra Life Insurance Company
301691
Agent - Health
3/18/2015
8/24/2021
Inactive
Symetra Life Insurance Company
301691
Agent - Life
3/18/2015
8/24/2021
Inactive
Symetra Life Insurance Company
301691
Agent - Variable Life and Variable Annuities
3/18/2015
8/24/2021
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Health
9/19/2008
10/26/2021
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
9/19/2008
10/26/2021
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Health
9/19/2008
10/26/2021
Inactive
Talcott Resolution Life and Annuity Insurance Company
300932
Agent - Life
9/19/2008
10/26/2021
Inactive
The Phoenix Insurance Company
301502
Agent - Casualty
6/7/2013
12/3/2014
Inactive
The Phoenix Insurance Company
301502
Agent - Property
6/7/2013
12/3/2014
Inactive
Transamerica Life Insurance Company
300571
Agent - Life
6/13/2011
10/26/2021
Inactive
Transcontinental Insurance Company
301731
Agent - Casualty
12/19/2005
9/26/2007
Inactive
Transcontinental Insurance Company
301731
Agent - Property
12/19/2005
9/26/2007
Inactive
Transportation Insurance Company
301575
Agent - Casualty
12/19/2005
5/24/2012
Inactive
Transportation Insurance Company
301575
Agent - Property
12/19/2005
5/24/2012
Inactive
TravCo Insurance Company
301828
Agent - Casualty
4/20/2005
10/26/2012
Inactive
TravCo Insurance Company
301828
Agent - Property
4/20/2005
10/26/2012
Inactive
Travelers Casualty Company of Connecticut
301505
Agent - Casualty
4/20/2005
10/26/2012
Inactive
Travelers Casualty Company of Connecticut
301505
Agent - Property
4/20/2005
10/26/2012
Inactive
Travelers Casualty Insurance Company of America
300522
Agent - Casualty
5/9/2006
10/26/2012
Inactive
Travelers Casualty Insurance Company of America
300522
Agent - Property
5/9/2006
10/26/2012
Inactive
Travelers Casualty and Surety Company
301067
Agent - Casualty
4/20/2005
10/26/2012
Inactive
Travelers Casualty and Surety Company
301067
Agent - Property
4/20/2005
10/26/2012
Inactive
Travelers Casualty and Surety Company of America
301334
Agent - Casualty
6/7/2013
10/26/2021
Inactive
Travelers Casualty and Surety Company of America
301334
Agent - Property
6/7/2013
10/26/2021
Inactive
Travelers Commercial Casualty Company
301695
Agent - Casualty
5/9/2006
10/26/2012
Inactive
Travelers Commercial Casualty Company
301695
Agent - Property
5/9/2006
10/26/2012
Inactive
Travelers Commercial Insurance Company
301506
Agent - Casualty
6/7/2013
12/3/2014
Inactive
Travelers Commercial Insurance Company
301506
Agent - Property
6/7/2013
12/3/2014
Inactive
Travelers Home and Marine Insurance Company (The)
301802
Agent - Casualty
6/7/2013
12/3/2014
Inactive
Travelers Home and Marine Insurance Company (The)
301802
Agent - Property
6/7/2013
12/3/2014
Inactive
Travelers Indemnity Company (The)
301855
Agent - Casualty
6/7/2013
12/3/2014
Inactive
Travelers Indemnity Company (The)
301855
Agent - Property
6/7/2013
12/3/2014
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Casualty
6/7/2013
12/3/2014
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Property
6/7/2013
12/3/2014
Inactive
Travelers Indemnity Company of Connecticut (The)
301591
Agent - Casualty
4/20/2005
10/26/2012
Inactive
Travelers Indemnity Company of Connecticut (The)
301591
Agent - Property
4/20/2005
10/26/2012
Inactive
Travelers Property Casualty Company of America
301649
Agent - Casualty
4/20/2005
10/26/2012
Inactive
Travelers Property Casualty Company of America
301649
Agent - Property
4/20/2005
10/26/2012
Inactive
Travelers Property Casualty Insurance Company
301508
Agent - Casualty
4/20/2005
10/26/2012
Inactive
Travelers Property Casualty Insurance Company
301508
Agent - Property
4/20/2005
10/26/2012
Inactive
Twin City Fire Insurance Company
300721
Agent - Casualty
12/16/2005
11/12/2009
Inactive
Twin City Fire Insurance Company
300721
Agent - Property
12/16/2005
11/12/2009
Inactive
United Financial Casualty Company
301886
Agent - Casualty
6/16/2008
10/26/2012
Inactive
United Financial Casualty Company
301886
Agent - Property
6/16/2008
10/26/2012
Inactive
Valley Forge Insurance Company
301052
Agent - Casualty
12/19/2005
5/24/2012
Inactive
Valley Forge Insurance Company
301052
Agent - Property
12/19/2005
5/24/2012
Inactive
Vigilant Insurance Company
301143
Agent - Casualty
4/15/2010
10/26/2012
Inactive
Vigilant Insurance Company
301143
Agent - Property
4/15/2010
10/26/2012
Inactive
West American Insurance Company
301112
Agent - Casualty
8/24/2011
10/26/2012
Inactive
West American Insurance Company
301112
Agent - Property
8/24/2011
10/26/2012
Inactive
Westchester Fire Insurance Company
301414
Agent - Casualty
10/6/2005
8/27/2010
Inactive
Westchester Fire Insurance Company
301414
Agent - Property
10/6/2005
8/27/2010
Inactive
Western National Life Insurance Company
300461
Agent - Life
12/3/2012
12/31/2012
Inactive
Western-Southern Life Assurance Company
301590
Agent - Health
5/28/2013
10/26/2021
Inactive
Western-Southern Life Assurance Company
301590
Agent - Life
5/28/2013
10/26/2021
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Brown, John
871930
Agent - Health
3/18/2015
4/30/2016
Inactive
Brown, John
871930
Agent - Life
3/30/2015
4/30/2016
Denied
Cano, Khristene Ann
864117
Agent - Life
Inactive
Coombe, David B
627240
Agent - Casualty
12/18/2006
1/11/2008
Inactive
Coombe, David B
627240
Agent - Property
12/18/2006
1/11/2008
Inactive
Foster, Karen Rene
697287
Agent - Casualty
2/21/2011
10/26/2012
Inactive
Foster, Karen Rene
697287
Agent - Health
2/21/2011
10/26/2012
Inactive
Foster, Karen Rene
697287
Agent - Life
2/21/2011
10/26/2012
Inactive
Foster, Karen Rene
697287
Agent - Property
2/21/2011
10/26/2012
Inactive
Geisen, Analicia
769347
Agent - Casualty
7/29/2014
10/26/2021
Inactive
Geisen, Analicia
769347
Agent - Property
7/29/2014
10/26/2021
Denied
Grenier, Meghan Ann
820399
Agent - Health
Inactive
Grenier, Meghan Ann
820399
Agent - Life
2/6/2014
10/26/2021
Inactive
Grenier, Meghan Ann
820399
Agent - Variable Life and Variable Annuities
3/24/2014
10/26/2021
Inactive
Howard, James Robert
618854
Agent - Casualty
2/22/2007
12/8/2008
Denied
Howard, James Robert
618854
Agent - Health
Denied
Howard, James Robert
618854
Agent - Life
Inactive
Howard, James Robert
618854
Agent - Property
4/17/2007
12/8/2008
Inactive
Jaramillo, Richard
754216
Agent - Life
1/3/2012
10/26/2012
Denied
Jaramillo, Richard
754216
Agent - Variable Life and Variable Annuities
Inactive
Martinez, Robert
594594
Agent - Casualty
4/17/2007
10/26/2012
Inactive
Martinez, Robert
594594
Agent - Property
4/17/2007
10/26/2012
Denied
Mathews, Rudy M
506453
Agent - Casualty
Denied
Mathews, Rudy M
506453
Agent - Property
Inactive
Mcmurray, Lorin James
787638
Agent - Casualty
12/26/2012
12/3/2014
Inactive
Mcmurray, Lorin James
787638
Agent - Health
11/20/2012
10/26/2021
Inactive
Mcmurray, Lorin James
787638
Agent - Life
12/3/2012
10/26/2021
Inactive
Mcmurray, Lorin James
787638
Agent - Property
12/26/2012
12/3/2014
Inactive
Mcmurray, Lorin James
787638
Agent - Variable Life and Variable Annuities
12/3/2012
10/26/2021
Denied
Mellen, Henry Levi
617682
Agent - Casualty
Denied
Mellen, Henry Levi
617682
Agent - Property
Inactive
Mills, Lana Sue
830982
Agent - Health
2/11/2014
6/5/2014
Inactive
Mills, Lana Sue
830982
Agent - Life
2/11/2014
6/5/2014
Inactive
Mills, Lana Sue
830982
Agent - Variable Life and Variable Annuities
2/11/2014
6/5/2014
Inactive
Montgomery, Keith Hunter
540846
Agent - Casualty
2/22/2007
10/26/2012
Inactive
Montgomery, Keith Hunter
540846
Agent - Property
2/22/2007
10/26/2012
Inactive
Olson, Darrell C.R.
588944
Agent - Casualty
12/18/2006
2/21/2011
Inactive
Olson, Darrell C.R.
588944
Agent - Property
12/18/2006
2/21/2011
Inactive
Pelletier, Maureen Jeanne
997834
Agent - Health
9/7/2018
10/26/2021
Inactive
Pelletier, Maureen Jeanne
997834
Agent - Life
9/7/2018
10/26/2021
Inactive
Pelletier, Maureen Jeanne
997834
Agent - Variable Life and Variable Annuities
9/7/2018
10/26/2021
Inactive
Quale, Teresa Kim
606792
Agent - Casualty
2/22/2007
12/8/2008
Denied
Quale, Teresa Kim
606792
Agent - Health
Denied
Quale, Teresa Kim
606792
Agent - Life
Inactive
Quale, Teresa Kim
606792
Agent - Property
2/22/2007
12/8/2008
Inactive
Quale, Teresa Kim
606792
Surplus Lines Broker - Not Applicable
1/2/2007
12/8/2008
Inactive
Reed, Bryan M
767099
Agent - Casualty
12/21/2012
2/6/2014
Inactive
Reed, Bryan M
767099
Agent - Health
1/3/2012
2/6/2014
Inactive
Reed, Bryan M
767099
Agent - Life
1/3/2012
2/6/2014
Inactive
Reed, Bryan M
767099
Agent - Property
12/21/2012
2/6/2014
Inactive
Reed, Bryan M
767099
Agent - Variable Life and Variable Annuities
7/11/2012
12/31/2013
Inactive
Ritchie, Cody Bruce
597178
Agent - Casualty
2/22/2007
2/21/2011
Inactive
Ritchie, Cody Bruce
597178
Agent - Property
2/22/2007
2/21/2011
Inactive
Ryan, Kelly Ann
773067
Agent - Personal Lines
7/19/2012
2/6/2014
Inactive
Stevens, Gregory Alan
680758
Agent - Casualty
6/16/2008
2/21/2011
Denied
Stevens, Gregory Alan
680758
Agent - Health
Denied
Stevens, Gregory Alan
680758
Agent - Life
Inactive
Stevens, Gregory Alan
680758
Agent - Property
6/16/2008
2/21/2011
Inactive
Talley, Peppi Pence
1007160
Agent - Life
9/7/2018
10/26/2021
Inactive
Talley, Peppi Pence
1007160
Agent - Variable Life and Variable Annuities
9/7/2018
10/26/2021
Inactive
Vowels, Daren Allen
595554
Agent - Casualty
2/9/2012
10/26/2012
Inactive
Vowels, Daren Allen
595554
Agent - Health
3/2/2005
10/26/2012
Inactive
Vowels, Daren Allen
595554
Agent - Life
3/7/2005
10/26/2012
Inactive
Vowels, Daren Allen
595554
Agent - Personal Lines
6/27/2012
10/31/2012
Inactive
Vowels, Daren Allen
595554
Agent - Property
2/9/2012
10/26/2012
Inactive
Vowels, Daren Allen
595554
Agent - Variable Life and Variable Annuities
6/27/2012
10/26/2012
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