DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Flagstaff Insurance Inc	DOIID	620869	NAIC NPN	1644346

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	12/29/2005	4/2/2013
Inactive	Non Resident	Agent	Property	12/29/2005	4/2/2013
* 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 Family Home Insurance Company	301817	Agent - Casualty	3/24/2006	4/2/2013
Inactive	American Family Home Insurance Company	301817	Agent - Property	3/24/2006	4/2/2013
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	3/14/2006	4/2/2013
Inactive	American Modern Home Insurance Company	300791	Agent - Property	3/14/2006	4/2/2013
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/10/2006	4/2/2013
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/10/2006	4/2/2013
Inactive	Federal Insurance Company	301144	Agent - Casualty	11/9/2006	4/2/2013
Inactive	Federal Insurance Company	301144	Agent - Property	11/9/2006	4/2/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lasson, Edith Elizabeth	575159	Agent - Casualty	12/29/2005	1/2/2013
Inactive	Lasson, Edith Elizabeth	575159	Agent - Property	12/29/2005	1/2/2013