DEPARTMENT OF INSURANCE

Affiliations

Name	Cornett, Phyllis H	DOIID	603151	NAIC NPN	8392654

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	12/18/2015	1/31/2025
Active	Resident	Agent	Casualty	1/26/2010	1/31/2025
Active	Resident	Agent	Property	1/26/2010	1/31/2025
Active	Resident	Agent	Health	9/23/2016	1/31/2025
* 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	Response Received Date	Payment Received Date	Renewal Complete
Agent	11/15/2024	01/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AAA Life Insurance Company	300287	Agent - Life	2/15/2016	3/11/2016
Active	American Economy Insurance Company	300315	Agent - Casualty	6/7/2022
Active	American Economy Insurance Company	300315	Agent - Property	6/7/2022
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	6/13/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	6/13/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	8/26/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/26/2015	11/14/2021
Inactive	American Strategic Insurance Corp	883540	Agent - Casualty	6/22/2017	7/25/2017
Inactive	American Strategic Insurance Corp	883540	Agent - Property	6/22/2017	7/25/2017
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	1/29/2010	8/30/2023
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	1/29/2010	8/30/2023
Active	Bristol West Insurance Company	301655	Agent - Casualty	2/21/2013
Active	Bristol West Insurance Company	301655	Agent - Property	2/21/2013
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	4/1/2011	10/20/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	4/1/2011	10/20/2011
Active	Countryway Insurance Company	300809	Agent - Casualty	12/19/2023
Active	Countryway Insurance Company	300809	Agent - Property	12/19/2023
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	1/20/2014	7/3/2024
Inactive	Dairyland Insurance Company	301370	Agent - Property	1/20/2014	7/3/2024
Active	Erie Family Life Insurance Company	301400	Agent - Life	11/13/2023
Active	Erie Insurance Company	300230	Agent - Casualty	11/13/2023
Active	Erie Insurance Company	300230	Agent - Property	11/13/2023
Active	Erie Insurance Exchange	300789	Agent - Casualty	11/13/2023
Active	Erie Insurance Exchange	300789	Agent - Property	11/13/2023
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	4/8/2022	2/21/2024
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	4/8/2022	2/21/2024
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	10/16/2015	2/21/2024
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	10/16/2015	2/21/2024
Inactive	First National Insurance Company of America	301690	Agent - Casualty	4/1/2011	10/15/2021
Inactive	First National Insurance Company of America	301690	Agent - Property	4/1/2011	10/15/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/3/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/3/2021
Inactive	General Insurance Company of America	300261	Agent - Casualty	4/1/2011	10/15/2021
Inactive	General Insurance Company of America	300261	Agent - Property	4/1/2011	10/15/2021
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	4/8/2014	3/25/2024
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	4/8/2014	3/25/2024
Inactive	Grange Insurance Company	300234	Agent - Casualty	4/8/2014	3/25/2024
Inactive	Grange Insurance Company	300234	Agent - Property	4/8/2014	3/25/2024
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	4/8/2014	3/25/2024
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	4/8/2014	3/25/2024
Inactive	Indiana Insurance Company	301909	Agent - Casualty	4/1/2011	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	4/1/2011	2/3/2023
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	1/25/2016	1/24/2019
Inactive	Kentucky National Insurance Company	301625	Agent - Property	1/25/2016	1/24/2019
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	4/1/2011	10/20/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	4/1/2011	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	4/1/2011	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	4/1/2011	10/20/2011
Active	Peerless Insurance Company	301910	Agent - Casualty	4/1/2011
Active	Peerless Insurance Company	301910	Agent - Property	4/1/2011
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	4/1/2011
Active	SAFECO Insurance Company of America	300159	Agent - Property	4/1/2011
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/13/2022
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	6/13/2022
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	1/26/2010
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	1/26/2010
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	4/8/2014	3/25/2024
Inactive	Trustgard Insurance Company	300104	Agent - Property	4/8/2014	3/25/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Lincoln Insurance Agency, Inc.	399276	Agent - Casualty	1/29/2010
Active	Lincoln Insurance Agency, Inc.	399276	Agent - Property	1/29/2010
Active	Service 1st Insurance LLC	883169	Agent - Casualty	3/26/2024
Active	Service 1st Insurance LLC	883169	Agent - Property	3/26/2024
Active	Service 1st Insurance LLC	883169	Agent - Life	3/26/2024
Pending	Service 1st Insurance LLC	883169	Agent - Health