DEPARTMENT OF INSURANCE

Affiliations

Name	Seven Corners Inc	DOIID	596764	NAIC NPN	3320233

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	5/4/2005	3/31/2025
Active	Non Resident	Agent	Property	5/10/2007	3/31/2025
Active	Non Resident	Agent	Casualty	5/10/2007	3/31/2025
Active	Non Resident	Agent	Life	8/20/2007	3/31/2025
Active	Non Resident	Agent	Travel	12/4/2015	3/31/2025
Active	Non Resident	Agent	Health	8/20/2007	3/31/2025
Active	Non Resident	Independent Adjuster	Property & Casualty	1/10/2013	3/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	8/28/2014	3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date
Administrator	01/15/2025	03/31/2025
Agent	01/15/2025	03/31/2025
Independent Adjuster	01/15/2025	03/31/2025
Surplus Lines Broker	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	2/27/2013	9/20/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	2/27/2013	9/20/2021
Inactive	HCC Life Insurance Company	301827	Agent - Health	3/21/2017	6/12/2017
Active	Life Insurance Company of North America	300711	Agent - Health	7/29/2021
Active	Life Insurance Company of North America	300711	Agent - Life	7/29/2021
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Casualty	8/21/2017
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Property	8/21/2017
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Casualty	8/21/2017
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Property	8/21/2017
Active	Nationwide Life Insurance Company	300495	Agent - Health	9/10/2007
Active	Nationwide Life Insurance Company	300495	Agent - Life	9/10/2007
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	6/5/2007
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	6/5/2007
Inactive	Starr Indemnity and Liability Company	301685	Agent - Casualty	10/17/2017	7/30/2019
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	10/17/2017	7/30/2019
Inactive	Starr Indemnity and Liability Company	301685	Agent - Property	10/17/2017	7/30/2019
Active	Starr Indemnity and Liability Company	301685	Agent - Travel	10/17/2017
Active	United States Fire Insurance Company	582240	Agent - Health	4/9/2010
Active	United States Fire Insurance Company	582240	Agent - Travel	2/16/2016
Inactive	Virginia Surety Company, Inc.	301022	Agent - Casualty	8/21/2007	10/7/2021
Inactive	Virginia Surety Company, Inc.	301022	Agent - Property	8/21/2007	10/7/2021
Active	Zurich American Insurance Company	301121	Agent - Casualty	7/22/2014
Active	Zurich American Insurance Company	301121	Agent - Property	7/22/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allison, Rebecca	1042580	Independent Adjuster - Property & Casualty	6/20/2019	11/12/2021
Active	Anderson, Kendra K	1149051	Agent - Casualty	4/20/2022
Active	Anderson, Kendra K	1149051	Agent - Health	10/19/2021
Active	Anderson, Kendra K	1149051	Agent - Property	4/20/2022
Active	Anderson, Kendra K	1149051	Agent - Travel	7/9/2024
Active	Bailey, Deawna	1187524	Agent - Casualty	4/25/2022
Active	Bailey, Deawna	1187524	Agent - Health	4/25/2022
Active	Bailey, Deawna	1187524	Agent - Property	4/25/2022
Active	Bailey, Deawna	1187524	Agent - Travel	11/4/2022
Inactive	Baker, Valerie Deanne	943207	Agent - Casualty	7/26/2017	11/26/2019
Inactive	Baker, Valerie Deanne	943207	Agent - Health	7/26/2017	11/26/2019
Inactive	Baker, Valerie Deanne	943207	Agent - Property	7/26/2017	11/26/2019
Active	Bland, LaShonda	626646	Independent Adjuster - Property & Casualty	2/2/2022
Inactive	Boehnlein, Tara	972619	Agent - Casualty	4/25/2018	8/22/2019
Inactive	Boehnlein, Tara	972619	Agent - Health	9/6/2018	8/22/2019
Inactive	Boehnlein, Tara	972619	Agent - Property	4/25/2018	8/22/2019
Inactive	Brown, Jay Randolph	1225192	Independent Adjuster - Property & Casualty	9/15/2022	9/30/2023
Inactive	Canady, Tanisha	928359	Agent - Casualty	7/26/2017	3/31/2018
Inactive	Canady, Tanisha	928359	Agent - Property	7/26/2017	3/31/2018
Active	Carlisle, Jadzia Lee	1200027	Independent Adjuster - Property & Casualty	5/4/2022
Inactive	Carter, Damon Keith	560575	Independent Adjuster - Property & Casualty	2/12/2020	7/14/2020
Inactive	Cooley, Deborah R	922273	Independent Adjuster - Property & Casualty	8/22/2016	2/19/2019
Active	Dahmen, Molly Ann	1278669	Independent Adjuster - Property & Casualty	7/10/2023
Active	Day, Tiffany Alexandria	943834	Agent - Casualty	7/26/2017
Active	Day, Tiffany Alexandria	943834	Agent - Health	7/26/2017
Active	Day, Tiffany Alexandria	943834	Agent - Property	7/26/2017
Active	Day, Tiffany Alexandria	943834	Agent - Travel	11/4/2022
Inactive	De Jong, Joshua	1197589	Agent - Casualty	6/3/2022	12/4/2023
Inactive	De Jong, Joshua	1197589	Agent - Health	6/3/2022	12/4/2023
Inactive	De Jong, Joshua	1197589	Agent - Property	6/3/2022	12/4/2023
Inactive	De Jong, Joshua	1197589	Agent - Travel	11/4/2022	12/4/2023
Active	Drake, Katherine E	1225491	Independent Adjuster - Property & Casualty	9/16/2022
Inactive	Durbin, Noah David	1266434	Independent Adjuster - Property & Casualty	4/27/2023	2/5/2024
Inactive	Franz, Matthew	1138565	Independent Adjuster - Property & Casualty	7/18/2023	2/5/2024
Inactive	Fulton, Ronald Allen	942564	Agent - Casualty	7/26/2017	4/2/2019
Inactive	Fulton, Ronald Allen	942564	Agent - Health	7/26/2017	4/2/2019
Inactive	Fulton, Ronald Allen	942564	Agent - Property	7/26/2017	4/2/2019
Active	Gifford, Jamee Elizabeth	1197453	Agent - Casualty	6/3/2022
Active	Gifford, Jamee Elizabeth	1197453	Agent - Health	6/3/2022
Active	Gifford, Jamee Elizabeth	1197453	Agent - Property	6/3/2022
Active	Gifford, Jamee Elizabeth	1197453	Agent - Travel	11/4/2022
Active	Goddard, Robert Charles	317871	Independent Adjuster - Property & Casualty	12/28/2015
Active	Holtzapple, Julie	1207070	Agent - Casualty	7/19/2022
Active	Holtzapple, Julie	1207070	Agent - Health	7/19/2022
Active	Holtzapple, Julie	1207070	Agent - Property	7/19/2022
Inactive	Jackson, Lance Wesley	1058186	Agent - Casualty	2/20/2020	12/20/2020
Inactive	Jackson, Lance Wesley	1058186	Agent - Health	12/17/2020	12/21/2022
Inactive	Jackson, Lance Wesley	1058186	Agent - Life	12/17/2020	12/21/2022
Active	Jones, Kelly	1266625	Independent Adjuster - Property & Casualty	4/27/2023
Active	Jones, Nikki A	740642	Independent Adjuster - Property & Casualty	3/9/2022
Active	Keller, Jona	1199095	Agent - Casualty	5/24/2022
Active	Keller, Jona	1199095	Agent - Health	5/24/2022
Active	Keller, Jona	1199095	Agent - Property	5/24/2022
Active	Keller, Jona	1199095	Agent - Travel	11/4/2022
Inactive	Kelso, Jeremy Ramon	967823	Agent - Casualty	4/25/2018	2/12/2019
Inactive	Kelso, Jeremy Ramon	967823	Agent - Property	4/25/2018	2/12/2019
Inactive	Kimura, Leila	943254	Agent - Casualty	7/26/2017	11/26/2019
Inactive	Kimura, Leila	943254	Agent - Property	7/26/2017	11/26/2019
Pending Replacement	Kleinschmidt, Heather L	1023761	Agent - Casualty	12/17/2019
Pending Replacement	Kleinschmidt, Heather L	1023761	Agent - Health	3/7/2023
Pending Replacement	Kleinschmidt, Heather L	1023761	Agent - Property	4/25/2022
Pending Replacement	Kleinschmidt, Heather L	1023761	Agent - Travel	11/4/2022
Active	Krampen, James J	575393	Administrator - Not Applicable	5/4/2005
Active	Krampen, James J	575393	Agent - Casualty	5/10/2007
Active	Krampen, James J	575393	Agent - Health	8/20/2007
Active	Krampen, James J	575393	Agent - Life	8/20/2007
Active	Krampen, James J	575393	Agent - Property	5/10/2007
Active	Krampen, James J	575393	Agent - Travel	12/4/2015
Active	Krampen, James J	575393	Surplus Lines Broker - Not Applicable	8/28/2014
Active	Lain, Troy Dewayne	1064075	Agent - Casualty	4/20/2022
Active	Lain, Troy Dewayne	1064075	Agent - Health	12/17/2019
Active	Lain, Troy Dewayne	1064075	Agent - Property	4/20/2022
Active	Lain, Troy Dewayne	1064075	Agent - Travel	11/4/2022
Active	Long, Lori	1087989	Independent Adjuster - Property & Casualty	9/29/2020
Inactive	Milam, Merriel E	943233	Agent - Casualty	7/26/2017	9/16/2021
Inactive	Milam, Merriel E	943233	Agent - Health	7/26/2017	9/16/2021
Inactive	Milam, Merriel E	943233	Agent - Property	7/26/2017	9/16/2021
Inactive	Newnum, Sean J	1043510	Agent - Casualty	11/20/2019	8/23/2023
Inactive	Newnum, Sean J	1043510	Agent - Health	4/25/2022	8/23/2023
Inactive	Newnum, Sean J	1043510	Agent - Property	5/18/2023	8/23/2023
Inactive	Newnum, Sean J	1043510	Agent - Travel	11/4/2022	8/23/2023
Active	Osbourne, Sherry Shonelle	675407	Independent Adjuster - Property & Casualty	12/28/2015
Inactive	Parker, Kimaya Ariel	680159	Independent Adjuster - Property & Casualty	12/28/2015	6/20/2019
Inactive	Peterson, Andrea N	1046648	Independent Adjuster - Property & Casualty	7/23/2019	7/6/2021
Inactive	Petty-Miles, Nikki	1087971	Independent Adjuster - Property & Casualty	9/29/2020	5/2/2024
Active	Rafferty, Kristin	1224410	Independent Adjuster - Property & Casualty	9/15/2022
Inactive	Satoski, Brittney	1266617	Independent Adjuster - Property & Casualty	4/27/2023	7/11/2023
Active	Schilling, Tristan Jonathan	1122252	Agent - Casualty	4/20/2022
Active	Schilling, Tristan Jonathan	1122252	Agent - Health	10/19/2021
Active	Schilling, Tristan Jonathan	1122252	Agent - Property	4/20/2022
Active	Schilling, Tristan Jonathan	1122252	Agent - Travel	11/4/2022
Inactive	Schutt, Aaron	937759	Independent Adjuster - Property & Casualty	12/20/2016	1/1/2017
Active	Smith, Heather Danielle	1343925	Independent Adjuster - Property & Casualty	6/20/2024
Inactive	Smith, Joseph Frederick	755901	Independent Adjuster - Property & Casualty	12/28/2015	6/20/2019
Active	Stage, Sureleen Lene	755899	Independent Adjuster - Property & Casualty	12/28/2015
Active	Stainbrook, Jacinda Jill	302114	Independent Adjuster - Property & Casualty	2/5/2013
Inactive	Stutesman, Maxwell Scott	1201815	Independent Adjuster - Property & Casualty	5/26/2022	12/14/2022
Inactive	Teets, Christopher	982799	Independent Adjuster - Property & Casualty	6/5/2018	6/23/2021
Inactive	Thompson, Riley	1187320	Agent - Casualty	4/25/2022	6/22/2023
Inactive	Thompson, Riley	1187320	Agent - Health	4/25/2022	6/22/2023
Inactive	Thompson, Riley	1187320	Agent - Property	4/25/2022	6/22/2023
Inactive	Thompson, Riley	1187320	Agent - Travel	11/4/2022	6/22/2023
Inactive	Tsehaineh, Hiwet M	1239704	Agent - Casualty	11/18/2022	7/11/2023
Inactive	Tsehaineh, Hiwet M	1239704	Agent - Health	11/18/2022	7/11/2023
Inactive	Tsehaineh, Hiwet M	1239704	Agent - Property	11/18/2022	7/11/2023
Active	Turk, Albert	1180269	Independent Adjuster - Property & Casualty	2/2/2022
Active	Tysdal, Justin Jay	596765	Administrator - Not Applicable	5/4/2005
Active	Welch Pennell, April Michelle	1137763	Agent - Casualty	4/20/2022
Active	Welch Pennell, April Michelle	1137763	Agent - Health	10/19/2021
Active	Welch Pennell, April Michelle	1137763	Agent - Property	4/20/2022
Active	Welch Pennell, April Michelle	1137763	Agent - Travel	7/9/2024
Inactive	Wolfe, Bret Aaron	1020203	Agent - Casualty	11/20/2019	9/1/2021
Inactive	Wood, Dennis Lee	326683	Independent Adjuster - Property & Casualty	1/10/2013	11/1/2016
Active	Wooster, Violetta	951260	Agent - Casualty	7/26/2017
Active	Wooster, Violetta	951260	Agent - Health	9/6/2018
Active	Wooster, Violetta	951260	Agent - Property	7/26/2017
Active	Wooster, Violetta	951260	Agent - Travel	11/4/2022
Inactive	Zimmerman, Marlee	1201834	Independent Adjuster - Property & Casualty	8/2/2022	1/26/2024