DEPARTMENT OF INSURANCE

Affiliations

Name	Home Ins Agency - Tell Cty Inc	DOIID	610652	NAIC NPN	3318170

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	7/25/2005	3/31/2025
Active	Non Resident	Agent	Health	7/25/2005	3/31/2025
Active	Non Resident	Agent	Life	7/25/2005	3/31/2025
Active	Non Resident	Agent	Property	7/25/2005	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	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AMCO Insurance Company	300204	Agent - Casualty	4/11/2017
Active	AMCO Insurance Company	300204	Agent - Property	4/11/2017
Active	Allied Insurance Company of America	793586	Agent - Casualty	4/11/2017
Active	Allied Insurance Company of America	793586	Agent - Property	4/11/2017
Active	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	4/11/2017
Active	Allied Property and Casualty Insurance Company	300279	Agent - Property	4/11/2017
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	3/29/2024
Active	American Family Home Insurance Company	301817	Agent - Casualty	9/26/2021
Active	American Family Home Insurance Company	301817	Agent - Property	9/26/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/11/2015	12/13/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/11/2015	12/13/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	11/28/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	11/28/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	8/11/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/11/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	8/11/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	8/11/2015	11/14/2021
Active	American Strategic Insurance Corp	883540	Agent - Casualty	5/28/2019
Active	American Strategic Insurance Corp	883540	Agent - Property	5/28/2019
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	8/30/2007	11/10/2011
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	8/30/2007	11/10/2011
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	10/10/2005	11/10/2011
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	10/10/2005	11/10/2011
Active	Care Improvement Plus South Central Insurance Company	799697	Agent - Health	7/20/2022
Inactive	ClearPath Insurance Company	979815	Agent - Casualty	1/1/2018	4/10/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/25/2008	12/8/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/25/2008	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/25/2008	7/2/2013
Active	Companion Life Insurance Company	300191	Agent - Health	3/12/2018
Active	Companion Life Insurance Company	300191	Agent - Life	3/12/2018
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	6/20/2007	10/20/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	6/20/2007	10/20/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	2/26/2007	12/8/2015
Active	Depositors Insurance Company	301634	Agent - Casualty	4/11/2017
Active	Depositors Insurance Company	301634	Agent - Property	4/11/2017
Inactive	First Colony Life Insurance Company	301179	Agent - Life	11/12/2005	1/1/2007
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/16/2008	10/13/2022
Inactive	First National Insurance Company of America	301690	Agent - Property	10/16/2008	10/13/2022
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/16/2008	3/29/2024
Inactive	General Insurance Company of America	300261	Agent - Property	10/16/2008	3/29/2024
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	4/20/2009	10/4/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	10/4/2012
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	8/1/2014
Active	Grange Indemnity Insurance Company	300793	Agent - Property	8/1/2014
Active	Grange Insurance Company	300234	Agent - Casualty	8/1/2014
Active	Grange Insurance Company	300234	Agent - Property	8/1/2014
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	8/1/2014
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	8/1/2014
Inactive	HCC Life Insurance Company	301827	Agent - Health	1/18/2017	7/11/2017
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Casualty	8/24/2011	5/1/2012
Inactive	Harleysville Mutual Insurance Company	301393	Agent - Property	8/24/2011	5/1/2012
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2009	8/11/2016
Inactive	Humana Insurance Company	301104	Agent - Health	9/23/2005	8/11/2016
Inactive	Humana Insurance Company	301104	Agent - Life	9/23/2005	8/11/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/23/2005	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/23/2005	12/8/2015
Inactive	HumanaDental Insurance Company	301457	Agent - Health	6/27/2008	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	6/27/2008	2/23/2012
Inactive	Indiana Insurance Company	301909	Agent - Casualty	6/20/2007	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	6/20/2007	2/3/2023
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/27/2008	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/27/2008	4/25/2013
Active	Life Insurance Company of North America	300711	Agent - Health	7/30/2007
Active	Life Insurance Company of North America	300711	Agent - Life	7/30/2007
Active	National Health Insurance Company	300554	Agent - Health	7/13/2023
Active	National Health Insurance Company	300554	Agent - Life	7/13/2023
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	4/11/2017
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	4/11/2017
Active	Nationwide Assurance Company	300166	Agent - Casualty	1/12/2020
Active	Nationwide General Insurance Company	300603	Agent - Casualty	8/15/2019
Active	Nationwide General Insurance Company	300603	Agent - Property	8/15/2019
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	8/15/2019
Active	Nationwide Insurance Company of America	300333	Agent - Property	8/15/2019
Active	Nationwide Life Insurance Company	300495	Agent - Health	1/12/2022
Active	Nationwide Life Insurance Company	300495	Agent - Life	1/12/2022
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	5/1/2012
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	5/1/2012
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	1/12/2020
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	1/12/2020
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	6/20/2007	10/20/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	6/20/2007	10/20/2011
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	12/24/2007	3/29/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	12/24/2007	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	8/30/2019	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Property	8/30/2019	3/29/2024
Inactive	Owners Insurance Company	300796	Agent - Casualty	8/30/2007	11/10/2011
Inactive	Owners Insurance Company	300796	Agent - Property	8/30/2007	11/10/2011
Active	Peerless Insurance Company	301910	Agent - Casualty	6/20/2007
Active	Peerless Insurance Company	301910	Agent - Property	6/20/2007
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	10/20/2022
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Health	10/20/2022
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	10/20/2022
Active	Principal Life Insurance Company	300129	Agent - Health	4/23/2007
Active	Principal Life Insurance Company	300129	Agent - Life	4/23/2007
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	8/19/2005
Active	Progressive Casualty Insurance Company	300696	Agent - Property	8/19/2005
Active	Progressive Northern Insurance Company	301378	Agent - Casualty	8/19/2005
Active	Progressive Northern Insurance Company	301378	Agent - Property	8/19/2005
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/16/2008	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/16/2008	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/16/2008	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/16/2008	3/29/2024
Inactive	Standard Insurance Company	300185	Agent - Health	10/23/2007	12/31/2013
Inactive	Standard Insurance Company	300185	Agent - Life	10/23/2007	12/31/2013
Active	Trustgard Insurance Company	300104	Agent - Casualty	8/1/2014
Active	Trustgard Insurance Company	300104	Agent - Property	8/1/2014
Active	United Financial Casualty Company	301886	Agent - Casualty	12/2/2005
Active	United Financial Casualty Company	301886	Agent - Property	12/2/2005
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	7/1/2018
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	4/21/2021
Inactive	UnitedHealthcare Insurance Company of America	301552	Agent - Health	7/1/2018	12/20/2018
Inactive	UnitedHealthcare Insurance Company of the River Valley	1027817	Agent - Health	8/5/2019	12/22/2022
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/30/2022
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	4/21/2021
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Life	4/21/2021
Active	UnitedHealthcare of Wisconsin, Inc.	871491	Agent - Health	7/1/2018
Inactive	Western Surety Company	300283	Agent - Casualty	8/5/2008	2/16/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Blackerby, Shannon	596353	Agent - Casualty	7/25/2005	8/20/2007
Inactive	Blackerby, Shannon	596353	Agent - Health	7/25/2005	2/25/2008
Inactive	Blackerby, Shannon	596353	Agent - Life	7/25/2005	2/25/2008
Inactive	Blackerby, Shannon	596353	Agent - Property	7/25/2005	8/20/2007
Inactive	Butler, Gary Don	614013	Agent - Casualty	10/10/2005	4/30/2011
Inactive	Butler, Gary Don	614013	Agent - Health	10/10/2005	4/30/2011
Inactive	Butler, Gary Don	614013	Agent - Life	10/10/2005	4/30/2011
Inactive	Butler, Gary Don	614013	Agent - Property	10/10/2005	4/30/2011
Active	Evrard, Adam Matthew	892563	Agent - Casualty	4/27/2017
Denied	Evrard, Adam Matthew	892563	Agent - Health
Denied	Evrard, Adam Matthew	892563	Agent - Life
Active	Evrard, Adam Matthew	892563	Agent - Property	4/27/2017
Active	Haffner, Garry D	614042	Agent - Casualty	5/1/2008
Active	Haffner, Garry D	614042	Agent - Health	10/10/2005
Active	Haffner, Garry D	614042	Agent - Life	10/10/2005
Active	Haffner, Garry D	614042	Agent - Property	5/1/2008
Inactive	Harding, Timothy Lee	614012	Agent - Casualty	10/10/2005	1/31/2020
Inactive	Harding, Timothy Lee	614012	Agent - Health	10/10/2005	1/31/2020
Inactive	Harding, Timothy Lee	614012	Agent - Life	10/10/2005	1/31/2020
Inactive	Harding, Timothy Lee	614012	Agent - Property	10/10/2005	1/31/2020
Inactive	Neal, David Nelson	333801	Agent - Casualty	9/16/2005	1/22/2013
Inactive	Neal, David Nelson	333801	Agent - Health	9/16/2005	1/22/2013
Inactive	Neal, David Nelson	333801	Agent - Life	9/16/2005	1/22/2013
Inactive	Neal, David Nelson	333801	Agent - Property	9/16/2005	1/22/2013
Active	Wilgus, Richard Allen	614011	Agent - Casualty	10/10/2005
Inactive	Wilgus, Richard Allen	614011	Agent - Health	10/10/2005	11/10/2011
Inactive	Wilgus, Richard Allen	614011	Agent - Life	10/10/2005	11/10/2011
Active	Wilgus, Richard Allen	614011	Agent - Property	10/10/2005