DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Schaefer, Thomas J	DOIID	626922	NAIC NPN	16052

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	10/2/2006	11/18/2016
Inactive	Non Resident	Agent	Casualty	10/2/2006	11/18/2016
Inactive	Non Resident	Property & Casualty Consultant	Not Applicable	3/6/2006	11/18/2016
* 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	Central Mutual Insurance Company	300965	Agent - Casualty	10/30/2006	4/8/2015
Inactive	Central Mutual Insurance Company	300965	Agent - Property	10/30/2006	4/8/2015
Inactive	Rural Community Insurance Company	301891	Agent - Casualty	4/1/2010	11/30/2011
Inactive	Rural Community Insurance Company	301891	Agent - Property	4/1/2010	11/30/2011
Inactive	Safety National Casualty Corporation	300390	Agent - Casualty	11/25/2009	4/28/2015
Inactive	Safety National Casualty Corporation	300390	Agent - Property	11/25/2009	4/28/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	1/7/2010	4/21/2015
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	1/7/2010	4/21/2015
Inactive	Wells Fargo Ins Services Of Ohio LLC	521675	Agent - Property	1/12/2007	3/12/2010
Inactive	Wells Fargo Ins Services Of Ohio LLC	521675	Agent - Casualty	1/12/2007	3/12/2010
Inactive	Wells Fargo Ins Services Of Ohio LLC	521675	Property & Casualty Consultant - Not Applicable	6/4/2008	3/12/2010