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DEPARTMENT OF INSURANCE
Affiliations
Name
Energy Insurance Agency of Lebanon Inc.
DOIID
615054
NAIC NPN
8584378
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Casualty
8/31/2005
3/31/2025
Active
Resident
Agent
Property
8/31/2005
3/31/2025
Active
Resident
Agent
Life
8/31/2005
3/31/2025
Active
Resident
Agent
Health
8/31/2005
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
Inactive
AAA Life Insurance Company
300287
Agent - Health
9/3/2010
4/6/2018
Inactive
AAA Life Insurance Company
300287
Agent - Life
9/3/2010
4/6/2018
Inactive
AIG Assurance Company
300897
Agent - Casualty
6/7/2006
3/12/2010
Inactive
AIG Assurance Company
300897
Agent - Property
6/7/2006
3/12/2010
Inactive
Aegis Security Insurance Company
300492
Agent - Casualty
10/18/2013
3/3/2021
Inactive
Aegis Security Insurance Company
300492
Agent - Property
10/18/2013
3/3/2021
Inactive
Allstate Northbrook Indemnity Company
301309
Agent - Casualty
5/16/2006
12/2/2009
Inactive
Allstate Northbrook Indemnity Company
301309
Agent - Property
5/16/2006
12/2/2009
Inactive
American Bankers Insurance Company of Florida
300360
Agent - Casualty
1/30/2006
7/1/2013
Inactive
American Bankers Insurance Company of Florida
300360
Agent - Property
1/30/2006
7/1/2013
Active
American Economy Insurance Company
300315
Agent - Casualty
4/10/2024
Active
American Economy Insurance Company
300315
Agent - Property
4/10/2024
Inactive
American Fire and Casualty Company
300567
Agent - Casualty
10/16/2008
3/29/2024
Inactive
American Fire and Casualty Company
300567
Agent - Property
10/16/2008
3/29/2024
Inactive
American Modern Home Insurance Company
300791
Agent - Casualty
5/12/2016
11/14/2021
Inactive
American Modern Home Insurance Company
300791
Agent - Property
5/12/2016
11/14/2021
Active
American Modern Property and Casualty Insurance Company
301954
Agent - Casualty
9/24/2018
Active
American Modern Property and Casualty Insurance Company
301954
Agent - Property
9/24/2018
Inactive
American Modern Select Insurance Company
581481
Agent - Casualty
9/17/2015
11/14/2021
Inactive
American Modern Select Insurance Company
581481
Agent - Property
9/17/2015
11/14/2021
Inactive
American Reliable Insurance Company
301889
Agent - Casualty
1/30/2006
7/1/2013
Inactive
American Reliable Insurance Company
301889
Agent - Property
1/30/2006
7/1/2013
Inactive
American Southern Home Insurance Company
626276
Agent - Casualty
3/17/2016
11/14/2021
Inactive
American Southern Home Insurance Company
626276
Agent - Property
3/17/2016
11/14/2021
Inactive
American States Insurance Company
301230
Agent - Casualty
9/14/2005
10/20/2011
Inactive
American States Insurance Company
301230
Agent - Property
9/14/2005
10/20/2011
Active
American Strategic Insurance Corp
883540
Agent - Casualty
3/27/2017
Active
American Strategic Insurance Corp
883540
Agent - Property
3/27/2017
Active
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
11/27/2019
Active
Anthem Life Insurance Company
301209
Agent - Health
11/27/2019
Inactive
Auto Club Property-Casualty Insurance Company
650781
Agent - Casualty
12/28/2009
8/21/2023
Inactive
Auto Club Property-Casualty Insurance Company
650781
Agent - Property
12/28/2009
8/21/2023
Active
Auto-Owners Insurance Company
301480
Agent - Casualty
9/13/2005
Active
Auto-Owners Insurance Company
301480
Agent - Property
9/13/2005
Active
Auto-Owners Life Insurance Company
301368
Agent - Health
9/13/2005
Active
Auto-Owners Life Insurance Company
301368
Agent - Life
9/13/2005
Active
Bristol West Insurance Company
301655
Agent - Casualty
12/8/2008
Active
Bristol West Insurance Company
301655
Agent - Property
12/8/2008
Active
ClearPath Insurance Company
979815
Agent - Casualty
1/1/2018
Inactive
Consolidated Insurance Company
300943
Agent - Casualty
10/16/2008
10/20/2011
Inactive
Consolidated Insurance Company
300943
Agent - Property
10/16/2008
10/20/2011
Active
Countryway Insurance Company
300809
Agent - Casualty
5/6/2020
Active
Countryway Insurance Company
300809
Agent - Property
5/6/2020
Inactive
Encompass Indemnity Company
546376
Agent - Casualty
1/10/2006
7/29/2020
Inactive
Encompass Indemnity Company
546376
Agent - Property
1/10/2006
7/29/2020
Inactive
Encompass Insurance Company of America
556578
Agent - Casualty
9/22/2006
7/29/2020
Inactive
Encompass Insurance Company of America
556578
Agent - Property
9/22/2006
7/29/2020
Inactive
Farmers Insurance Exchange
300336
Agent - Casualty
7/10/2007
8/23/2012
Inactive
Farmers Insurance Exchange
300336
Agent - Property
7/10/2007
8/23/2012
Inactive
First National Insurance Company of America
301690
Agent - Casualty
9/14/2005
10/20/2011
Inactive
First National Insurance Company of America
301690
Agent - Property
9/14/2005
10/20/2011
Active
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Casualty
11/7/2005
Active
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Property
11/7/2005
Inactive
General Insurance Company of America
300261
Agent - Casualty
9/14/2005
10/20/2011
Inactive
General Insurance Company of America
300261
Agent - Property
9/14/2005
10/20/2011
Inactive
Granite State Insurance Company
300818
Agent - Casualty
6/7/2006
3/12/2010
Inactive
Granite State Insurance Company
300818
Agent - Property
6/7/2006
3/12/2010
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Health
3/23/2006
11/9/2009
Inactive
Illinois Mutual Life Insurance Company
301479
Agent - Life
3/23/2006
11/9/2009
Inactive
Illinois National Insurance Company
301367
Agent - Casualty
1/9/2007
3/12/2010
Inactive
Illinois National Insurance Company
301367
Agent - Property
1/9/2007
3/12/2010
Inactive
Independence American Insurance Company
524747
Agent - Health
8/20/2018
12/18/2020
Inactive
Indiana Insurance Company
301909
Agent - Casualty
10/16/2008
2/3/2023
Inactive
Indiana Insurance Company
301909
Agent - Property
10/16/2008
2/3/2023
Inactive
Netherlands Insurance Company (The)
300339
Agent - Casualty
10/16/2008
10/20/2011
Inactive
Netherlands Insurance Company (The)
300339
Agent - Property
10/16/2008
10/20/2011
Inactive
Ohio Casualty Insurance Company
301492
Agent - Casualty
10/16/2008
3/29/2024
Inactive
Ohio Casualty Insurance Company
301492
Agent - Property
10/16/2008
3/29/2024
Inactive
Ohio Security Insurance Company
300622
Agent - Casualty
10/16/2008
3/29/2024
Inactive
Ohio Security Insurance Company
300622
Agent - Property
10/16/2008
3/29/2024
Active
Owners Insurance Company
300796
Agent - Casualty
9/13/2005
Active
Owners Insurance Company
300796
Agent - Property
9/13/2005
Inactive
Peerless Indemnity Insurance Company
571682
Agent - Casualty
10/16/2008
10/20/2011
Inactive
Peerless Indemnity Insurance Company
571682
Agent - Property
10/16/2008
10/20/2011
Inactive
Peerless Insurance Company
301910
Agent - Casualty
10/16/2008
10/20/2011
Inactive
Peerless Insurance Company
301910
Agent - Property
10/16/2008
10/20/2011
Inactive
Plymouth Rock Assurance Preferred Corporation
301834
Agent - Casualty
9/11/2007
3/12/2010
Inactive
Plymouth Rock Assurance Preferred Corporation
301834
Agent - Property
9/11/2007
3/12/2010
Active
Progressive Casualty Insurance Company
300696
Agent - Casualty
9/9/2005
Active
Progressive Casualty Insurance Company
300696
Agent - Property
9/9/2005
Active
Progressive Northern Insurance Company
301378
Agent - Casualty
9/9/2005
Active
Progressive Northern Insurance Company
301378
Agent - Property
9/9/2005
Active
SAFECO Insurance Company of America
300159
Agent - Casualty
4/10/2024
Active
SAFECO Insurance Company of America
300159
Agent - Property
4/10/2024
Active
SAFECO Insurance Company of Illinois
301350
Agent - Casualty
4/10/2024
Active
SAFECO Insurance Company of Illinois
301350
Agent - Property
4/10/2024
Inactive
Standard Security Life Insurance Company of NY
301487
Agent - Health
4/7/2016
12/26/2018
Inactive
Standard Security Life Insurance Company of NY
301487
Agent - Life
4/7/2016
12/26/2018
Active
Trexis Insurance Corporation
599902
Agent - Casualty
9/23/2005
Active
Trexis One Insurance Corporation
684197
Agent - Casualty
12/12/2008
Inactive
Truck Insurance Exchange
300335
Agent - Casualty
7/10/2007
8/23/2012
Inactive
Truck Insurance Exchange
300335
Agent - Property
7/10/2007
8/23/2012
Active
United Financial Casualty Company
301886
Agent - Casualty
12/2/2005
Active
United Financial Casualty Company
301886
Agent - Property
12/2/2005
Inactive
West American Insurance Company
301112
Agent - Casualty
10/16/2008
3/29/2024
Inactive
West American Insurance Company
301112
Agent - Property
10/16/2008
3/29/2024
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Buckman, Barbara Ann
310016
Agent - Casualty
8/31/2005
Active
Buckman, Barbara Ann
310016
Agent - Health
8/31/2005
Active
Buckman, Barbara Ann
310016
Agent - Life
8/31/2005
Active
Buckman, Barbara Ann
310016
Agent - Property
5/26/2011
Active
Nalley, Crystal Maria
856361
Agent - Casualty
11/26/2014
Active
Nalley, Crystal Maria
856361
Agent - Health
9/26/2019
Active
Nalley, Crystal Maria
856361
Agent - Life
9/26/2019
Active
Nalley, Crystal Maria
856361
Agent - Property
11/26/2014
Active
Spalding, Brenda Buckman
336123
Agent - Casualty
8/31/2005
Active
Spalding, Brenda Buckman
336123
Agent - Property
8/31/2005
Active
Spalding, Laura Jo
1122894
Agent - Casualty
4/1/2021
Active
Spalding, Laura Jo
1122894
Agent - Property
4/1/2021
Active
Walston, Michaela
986906
Agent - Casualty
8/16/2021
Active
Walston, Michaela
986906
Agent - Property
8/16/2021
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