DEPARTMENT OF INSURANCE

Affiliations

Name	Guernsey, David F	DOIID	622273	NAIC NPN	8599280

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	12/27/2005	7/31/2026
Active	Non Resident	Agent	Property	12/27/2005	7/31/2026
Active	Non Resident	Agent	Health	12/27/2005	7/31/2026
Active	Non Resident	Agent	Casualty	12/27/2005	7/31/2026
* 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	05/15/2024	07/31/2024	07/10/2024	07/10/2024	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	10/28/2011	12/6/2012
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	10/28/2011	12/6/2012
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	7/18/2014	11/4/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	7/18/2014	11/4/2022
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	10/7/2011	12/11/2017
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	10/7/2011	12/11/2017
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	5/27/2022
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	5/27/2022
Active	American Fire and Casualty Company	300567	Agent - Casualty	10/13/2014
Active	American Fire and Casualty Company	300567	Agent - Property	10/13/2014
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	12/16/2011	12/13/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	12/16/2011	12/13/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	11/6/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	11/6/2023
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	12/16/2011	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	12/16/2011	11/14/2021
Inactive	American National General Insurance Company	301944	Agent - Casualty	1/3/2006	12/29/2006
Inactive	American National General Insurance Company	301944	Agent - Property	1/3/2006	12/29/2006
Inactive	American National Insurance Company	301861	Agent - Health	10/12/2006	1/9/2007
Inactive	American National Insurance Company	301861	Agent - Life	10/12/2006	1/9/2007
Inactive	American National Property and Casualty Company	300392	Agent - Casualty	1/3/2006	12/29/2006
Inactive	American National Property and Casualty Company	300392	Agent - Property	1/3/2006	12/29/2006
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	12/16/2011	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	12/16/2011	11/14/2021
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	4/5/2007	12/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	4/5/2007	12/7/2017
Active	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	6/20/2023
Active	Celina Mutual Insurance Company (The)	301908	Agent - Property	6/20/2023
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	5/6/2010	3/22/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Health	5/6/2010	11/28/2011
Inactive	CompBenefits Insurance Company	301864	Agent - Life	5/6/2010	11/28/2011
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/13/2014	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/13/2014	4/26/2024
Active	Continental Casualty Company	301019	Agent - Casualty	10/7/2011
Active	Continental Casualty Company	301019	Agent - Property	10/7/2011
Active	Continental Insurance Company (The)	301242	Agent - Casualty	10/7/2011
Active	Continental Insurance Company (The)	301242	Agent - Property	10/7/2011
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	5/6/2010	3/22/2013
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	9/12/2017
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	9/12/2017
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/23/2009
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/23/2009
Active	Globe Life and Accident Insurance Company	300639	Agent - Health	2/2/2024
Active	Globe Life and Accident Insurance Company	300639	Agent - Life	2/2/2024
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	5/6/2010	3/22/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	5/6/2010	3/22/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	5/6/2010	3/22/2013
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/13/2014	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	10/13/2014	2/3/2023
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	4/19/2006	12/11/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	4/19/2006	12/11/2006
Inactive	Kansas City Life Insurance Company	301444	Agent - Health	2/7/2007	12/12/2007
Inactive	Kansas City Life Insurance Company	301444	Agent - Life	2/7/2007	12/12/2007
Active	Milbank Insurance Company	925185	Agent - Casualty	3/6/2020
Active	Milbank Insurance Company	925185	Agent - Property	3/6/2020
Active	National Fire Insurance Company of Hartford	301063	Agent - Casualty	10/7/2011
Active	National Fire Insurance Company of Hartford	301063	Agent - Property	10/7/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/13/2014	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/13/2014	4/26/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/13/2014
Active	Ohio Casualty Insurance Company	301492	Agent - Property	10/13/2014
Active	Ohio Security Insurance Company	300622	Agent - Casualty	10/13/2014
Active	Ohio Security Insurance Company	300622	Agent - Property	10/13/2014
Inactive	Old American Insurance Company	300762	Agent - Life	1/10/2007	9/17/2007
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/13/2014
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	10/13/2014
Active	Peerless Insurance Company	301910	Agent - Casualty	10/13/2014
Active	Peerless Insurance Company	301910	Agent - Property	10/13/2014
Inactive	Reserve National Insurance Company	301073	Agent - Health	5/14/2013	8/27/2014
Inactive	Reserve National Insurance Company	301073	Agent - Life	5/14/2013	8/27/2014
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	10/13/2014
Active	SAFECO Insurance Company of America	300159	Agent - Property	10/13/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/13/2014	5/27/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/13/2014	5/27/2022
Inactive	Security National Life Insurance Company	569786	Agent - Life	12/27/2018	3/29/2023
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	12/29/2014
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	12/29/2014
Inactive	Transportation Insurance Company	301575	Agent - Casualty	10/7/2011	12/11/2017
Inactive	Transportation Insurance Company	301575	Agent - Property	10/7/2011	12/11/2017
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	5/8/2017
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	5/8/2017
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	3/13/2009	12/21/2015
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	3/13/2009	12/21/2015
Inactive	United Home Life Insurance Company	300421	Agent - Life	8/11/2019	11/18/2020
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/13/2011	2/7/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	9/13/2011	2/7/2012
Active	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	5/14/2020
Active	Unitrin Auto and Home Insurance Company	301538	Agent - Property	5/14/2020
Active	Unitrin Safeguard Insurance Company	301371	Agent - Casualty	5/14/2020
Active	Unitrin Safeguard Insurance Company	301371	Agent - Property	5/14/2020
Active	Valley Forge Insurance Company	301052	Agent - Casualty	10/7/2011
Active	Valley Forge Insurance Company	301052	Agent - Property	10/7/2011
Active	West American Insurance Company	301112	Agent - Casualty	10/13/2014
Active	West American Insurance Company	301112	Agent - Property	10/13/2014
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Health	6/16/2016	11/27/2018
Inactive	Woodmen of the World Life Insurance Society	301446	Agent - Life	6/16/2016	11/27/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	C & F Insurance Group, LLC	509024	Agent - Casualty	4/18/2018
Inactive	C & F Insurance Group, LLC	509024	Agent - Health	4/18/2018	11/27/2018
Inactive	C & F Insurance Group, LLC	509024	Agent - Life	4/18/2018	11/27/2018
Active	C & F Insurance Group, LLC	509024	Agent - Property	4/18/2018