DEPARTMENT OF INSURANCE

Affiliations

Name	Falcon Ins Agency Midwest Inc	DOIID	605927	NAIC NPN	7916266

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	4/5/2005	3/31/2023
Inactive	Non Resident	Agent	Property	4/5/2005	3/31/2023
* 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 Alternative Insurance Corporation	301697	Agent - Casualty	2/28/2017	3/31/2023
Inactive	American Alternative Insurance Corporation	301697	Agent - Property	2/28/2017	3/31/2023
Inactive	Great American Insurance Company	301586	Agent - Casualty	4/15/2014	1/30/2023
Inactive	Great American Insurance Company	301586	Agent - Property	4/15/2014	1/30/2023
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	1/9/2022	3/31/2023
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	1/9/2022	3/31/2023
Inactive	North Pointe Insurance Company	301029	Agent - Casualty	9/11/2012	6/9/2015
Inactive	North Pointe Insurance Company	301029	Agent - Property	9/11/2012	6/9/2015
Inactive	Old Republic Insurance Company	301225	Agent - Casualty	4/6/2008	10/21/2021
Inactive	Old Republic Insurance Company	301225	Agent - Property	4/6/2008	10/21/2021
Inactive	Praetorian Insurance Company	301021	Agent - Casualty	9/11/2012	6/9/2015
Inactive	Praetorian Insurance Company	301021	Agent - Property	9/11/2012	6/9/2015
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	9/11/2012	5/21/2021
Inactive	QBE Insurance Corporation	300515	Agent - Property	9/11/2012	5/21/2021
Inactive	Star Insurance Company	301553	Agent - Casualty	3/24/2011	1/21/2015
Inactive	Star Insurance Company	301553	Agent - Property	3/24/2011	1/21/2015
Inactive	Starr Indemnity and Liability Company	301685	Agent - Casualty	11/7/2019	7/22/2022
Inactive	Starr Indemnity and Liability Company	301685	Agent - Property	11/7/2019	7/22/2022
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	8/1/2013	3/17/2015
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	8/1/2013	3/17/2015
Inactive	U.S. Specialty Insurance Company	300186	Agent - Casualty	4/6/2005	5/27/2021
Inactive	U.S. Specialty Insurance Company	300186	Agent - Property	4/6/2005	5/27/2021
Inactive	XL Specialty Insurance Company	301605	Agent - Casualty	9/12/2011	3/31/2023
Inactive	XL Specialty Insurance Company	301605	Agent - Property	9/12/2011	3/31/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dowlen, Barry Ray	595131	Agent - Casualty	10/11/2016	3/31/2023
Inactive	Dowlen, Barry Ray	595131	Agent - Property	10/11/2016	3/31/2023
Inactive	Jacobs, Bethany Paige	630032	Agent - Casualty	10/29/2007	2/14/2008
Inactive	Jacobs, Bethany Paige	630032	Agent - Property	10/29/2007	2/14/2008
Inactive	Keller, Sharmaine Annette	518191	Agent - Casualty	2/22/2008	3/31/2023
Inactive	Keller, Sharmaine Annette	518191	Agent - Property	2/20/2008	3/31/2023
Inactive	Maynard, Kenneth Lloyd	366635	Agent - Casualty	4/5/2005	3/31/2023
Inactive	Maynard, Kenneth Lloyd	366635	Agent - Property	4/5/2005	3/31/2023