DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Trivison, Delynn Dotherow	DOIID	622432	NAIC NPN	494991

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	1/4/2018	9/30/2020
Inactive	Non Resident	Agent	Casualty	12/20/2005	9/30/2020
Inactive	Non Resident	Agent	Property	12/21/2011	9/30/2020
Inactive	Non Resident	Agent	Health	1/4/2018	9/30/2020
* 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	AmTrust Insurance Company	300179	Agent - Casualty	11/28/2011	4/4/2019
Inactive	AmTrust Insurance Company	300179	Agent - Property	12/23/2011	4/4/2019
Inactive	CorePointe Insurance Company	300406	Agent - Casualty	12/7/2015	4/4/2019
Inactive	CorePointe Insurance Company	300406	Agent - Property	12/7/2015	4/4/2019
Inactive	Developers Surety and Indemnity Company	516432	Agent - Casualty	4/21/2014	3/21/2016
Inactive	Heritage Indemnity Company	301155	Agent - Casualty	5/8/2018	4/25/2019
Inactive	Heritage Indemnity Company	301155	Agent - Property	5/8/2018	4/25/2019
Inactive	Milford Casualty Insurance Company	301460	Agent - Casualty	11/28/2011	4/4/2019
Inactive	Milford Casualty Insurance Company	301460	Agent - Property	12/23/2011	4/4/2019
Inactive	Park National Insurance Company	692514	Agent - Casualty	10/7/2013	4/4/2019
Inactive	Park National Insurance Company	692514	Agent - Property	10/7/2013	4/4/2019
Inactive	Security National Insurance Company	301151	Agent - Casualty	11/28/2011	4/4/2019
Inactive	Security National Insurance Company	301151	Agent - Property	12/23/2011	4/4/2019
Inactive	Sequoia Insurance Company	628046	Agent - Casualty	9/27/2013	4/4/2019
Inactive	Sequoia Insurance Company	628046	Agent - Property	9/27/2013	4/4/2019
Inactive	Technology Insurance Company	613278	Agent - Casualty	1/12/2006	4/4/2019
Inactive	Technology Insurance Company	613278	Agent - Property	12/23/2011	4/4/2019
Inactive	Wesco Insurance Company	300534	Agent - Casualty	11/28/2011	4/4/2019
Inactive	Wesco Insurance Company	300534	Agent - Property	12/23/2011	4/4/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Amtrust Agriculture Insurance Services LLC	805339	Agent - Casualty	1/9/2018	9/30/2020
Inactive	Amtrust Agriculture Insurance Services LLC	805339	Agent - Property	1/9/2018	9/30/2020
Inactive	Amtrust North America Inc	581977	Agent - Casualty	1/12/2018	4/22/2019
Inactive	Amtrust North America Inc	581977	Agent - Property	1/12/2018	4/22/2019
Inactive	Corepointe Ins Agency Inc	400558	Agent - Casualty	1/17/2018	4/3/2019
Inactive	Corepointe Ins Agency Inc	400558	Agent - Property	1/17/2018	4/3/2019
Inactive	First Nonprofit Ins Agency Inc	672919	Agent - Casualty	1/19/2018	8/15/2018
Inactive	First Nonprofit Ins Agency Inc	672919	Agent - Property	1/19/2018	8/15/2018
Inactive	Suracy Insurance Agency, Inc	923753	Agent - Casualty	1/16/2018	12/24/2018
Inactive	Suracy Insurance Agency, Inc	923753	Agent - Property	1/16/2018	12/24/2018