DEPARTMENT OF INSURANCE

Affiliations

Name	Key Insurance & Benefits Services Inc	DOIID	628020	NAIC NPN	2004884

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	3/7/2007	3/8/2019
Inactive	Non Resident	Agent	Life	3/7/2007	3/8/2019
Inactive	Non Resident	Agent	Casualty	4/17/2006	3/8/2019
Inactive	Non Resident	Agent	Property	4/17/2006	3/8/2019
Inactive	Non Resident	Agent	Personal Lines	4/3/2018	3/8/2019
* 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	21st Century Centennial Insurance Company	301840	Agent - Casualty	2/28/2008	9/17/2011
Inactive	21st Century Centennial Insurance Company	301840	Agent - Property	2/28/2008	9/17/2011
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	2/28/2008	9/17/2011
Inactive	21st Century North America Insurance Company	300884	Agent - Property	2/28/2008	9/17/2011
Inactive	ACE American Insurance Company	300625	Agent - Casualty	6/6/2006	6/13/2018
Inactive	ACE American Insurance Company	300625	Agent - Property	6/6/2006	6/13/2018
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	8/12/2006	6/13/2018
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	8/12/2006	6/13/2018
Inactive	AIG Property Casualty Company	300621	Agent - Casualty	10/12/2017	3/8/2019
Inactive	AIG Property Casualty Company	300621	Agent - Property	10/12/2017	3/8/2019
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	7/17/2017	9/7/2018
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	7/17/2017	9/7/2018
Inactive	American Home Assurance Company	300246	Agent - Casualty	5/2/2016	3/8/2019
Inactive	American Home Assurance Company	300246	Agent - Property	5/2/2016	3/8/2019
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	4/27/2007	3/8/2019
Inactive	American Zurich Insurance Company	300592	Agent - Property	4/27/2007	3/8/2019
Inactive	Arch Insurance Company	300688	Agent - Casualty	3/12/2008	2/12/2019
Inactive	Arch Insurance Company	300688	Agent - Property	3/12/2008	3/8/2019
Inactive	Assurance Company of America	300432	Agent - Casualty	4/27/2007	12/16/2014
Inactive	Assurance Company of America	300432	Agent - Property	4/27/2007	12/16/2014
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	8/12/2006	9/8/2008
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	8/12/2006	9/8/2008
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	12/13/2012	12/5/2013
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	12/13/2012	12/5/2013
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	9/24/2008	6/15/2018
Inactive	Cincinnati Insurance Company	301298	Agent - Property	9/24/2008	6/15/2018
Inactive	Continental General Insurance Company	300691	Agent - Health	8/9/2018	1/25/2019
Inactive	Continental General Insurance Company	300691	Agent - Life	8/9/2018	1/25/2019
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	11/13/2017	3/8/2019
Inactive	Farmington Casualty Company	301137	Agent - Casualty	12/13/2012	12/5/2013
Inactive	Farmington Casualty Company	301137	Agent - Property	12/13/2012	12/5/2013
Inactive	Federal Insurance Company	301144	Agent - Casualty	5/7/2007	6/13/2018
Inactive	Federal Insurance Company	301144	Agent - Property	5/7/2007	6/13/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	11/28/2012	8/29/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	11/28/2012	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/28/2012	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/28/2012	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/28/2012	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/28/2012	8/29/2018
Inactive	Great Divide Insurance Company	301636	Agent - Casualty	8/27/2010	3/8/2019
Inactive	Great Divide Insurance Company	301636	Agent - Property	8/27/2010	3/8/2019
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	5/7/2007	6/13/2018
Inactive	Great Northern Insurance Company	301107	Agent - Property	5/7/2007	6/13/2018
Inactive	Guarantee Insurance Company	300611	Agent - Casualty	5/1/2011	12/18/2017
Inactive	Guarantee Insurance Company	300611	Agent - Property	5/1/2011	12/18/2017
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	9/13/2017	3/8/2019
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/13/2017	3/8/2019
Inactive	Humana Insurance Company	301104	Agent - Health	9/13/2017	3/8/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/13/2017	3/8/2019
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/13/2017	3/8/2019
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	9/13/2017	3/8/2019
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	9/13/2017	3/8/2019
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	6/6/2006	9/8/2008
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	6/6/2006	9/8/2008
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/13/2017	8/9/2018
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/13/2017	8/9/2018
Inactive	Maryland Casualty Company	301719	Agent - Casualty	4/27/2007	12/16/2014
Inactive	Maryland Casualty Company	301719	Agent - Property	4/27/2007	12/16/2014
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	12/15/2015	1/17/2019
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	12/15/2015	1/17/2019
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	4/27/2007	12/16/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	4/27/2007	12/16/2014
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	8/12/2006	9/8/2008
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	8/12/2006	9/8/2008
Inactive	Pacific Indemnity Company	301610	Agent - Casualty	5/7/2007	6/13/2018
Inactive	Pacific Indemnity Company	301610	Agent - Property	5/7/2007	6/13/2018
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/11/2014	8/14/2018
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	7/11/2014	8/14/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	7/3/2008	12/11/2018
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	7/3/2008	12/11/2018
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	4/10/2015	3/8/2019
Inactive	Selective Insurance Company of America	500018	Agent - Property	4/10/2015	3/8/2019
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	4/10/2015	3/8/2019
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	4/10/2015	3/8/2019
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	4/10/2015	3/8/2019
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	4/10/2015	3/8/2019
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	12/13/2012	12/5/2013
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	12/13/2012	12/5/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	12/13/2012	12/5/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	12/13/2012	12/5/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	12/13/2012	12/5/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	12/13/2012	12/5/2013
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	12/13/2012	12/5/2013
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	12/13/2012	12/5/2013
Inactive	Starr Indemnity and Liability Company	301685	Agent - Casualty	1/28/2011	6/12/2018
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	1/28/2011	6/12/2018
Inactive	Starr Indemnity and Liability Company	301685	Agent - Property	1/28/2011	6/12/2018
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	12/13/2012	12/3/2014
Inactive	The Phoenix Insurance Company	301502	Agent - Property	12/13/2012	12/3/2014
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	3/14/2013	3/8/2019
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	3/14/2013	3/8/2019
Inactive	Transportation Insurance Company	301575	Agent - Casualty	7/11/2016	11/14/2016
Inactive	Transportation Insurance Company	301575	Agent - Property	7/11/2016	11/14/2016
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	12/13/2012	12/3/2014
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	12/13/2012	12/3/2014
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	12/13/2012	7/11/2018
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	12/13/2012	7/11/2018
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	6/13/2011	7/11/2018
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	6/13/2011	7/11/2018
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	5/9/2011	12/14/2016
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	5/9/2011	12/14/2016
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	12/13/2012	12/5/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	12/13/2012	12/5/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	12/13/2012	12/5/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	12/13/2012	12/5/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	12/13/2012	12/3/2014
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	12/13/2012	12/3/2014
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	12/13/2012	7/11/2018
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	12/13/2012	7/11/2018
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	7/3/2008	12/11/2018
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	7/3/2008	12/11/2018
Inactive	United Financial Casualty Company	301886	Agent - Casualty	7/11/2014	8/10/2018
Inactive	United Financial Casualty Company	301886	Agent - Property	7/11/2014	8/10/2018
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	10/3/2016	9/7/2018
Inactive	Valley Forge Insurance Company	301052	Agent - Property	10/3/2016	9/7/2018
Inactive	Vigilant Insurance Company	301143	Agent - Casualty	5/7/2007	6/13/2018
Inactive	Vigilant Insurance Company	301143	Agent - Property	5/7/2007	6/13/2018
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	6/6/2006	9/8/2008
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	6/6/2006	9/8/2008
Inactive	Western Surety Company	300283	Agent - Casualty	4/25/2006	3/8/2019

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Barbarita, Michael C	330960	Agent - Casualty	1/13/2018	3/21/2018
Inactive	Barbarita, Michael C	330960	Agent - Property	1/13/2018	3/21/2018
Inactive	Bonetto, Michael Robert	314774	Agent - Casualty	8/2/2017	3/8/2019
Inactive	Bonetto, Michael Robert	314774	Agent - Health	11/21/2017	3/8/2019
Inactive	Bonetto, Michael Robert	314774	Agent - Life	11/21/2017	3/8/2019
Inactive	Bonetto, Michael Robert	314774	Agent - Personal Lines	4/3/2018	3/8/2019
Inactive	Bonetto, Michael Robert	314774	Agent - Property	8/2/2017	3/8/2019
Denied	Chudy, Anne M	971330	Agent - Personal Lines
Inactive	Curran, Jo Ann	968992	Agent - Casualty	10/17/2017	3/8/2019
Inactive	Curran, Jo Ann	968992	Agent - Property	10/17/2017	3/8/2019
Denied	Fasone, James M	591535	Agent - Casualty
Denied	Fasone, James M	591535	Agent - Property
Denied	Hartz, William R	655061	Agent - Casualty
Inactive	Hartz, William R	655061	Agent - Health	11/18/2014	4/13/2015
Inactive	Hartz, William R	655061	Agent - Life	11/18/2014	4/13/2015
Denied	Hartz, William R	655061	Agent - Property
Inactive	Hoffman, John D	367538	Agent - Casualty	3/16/2006	4/6/2009
Inactive	Hoffman, John D	367538	Agent - Property	3/16/2006	4/6/2009
Inactive	Horvath, Lynn Margaret	649974	Agent - Casualty	11/10/2015	11/1/2018
Inactive	Horvath, Lynn Margaret	649974	Agent - Property	11/10/2015	11/1/2018
Denied	Morgenstern, Adrian Mark	924059	Agent - Casualty
Denied	Morgenstern, Adrian Mark	924059	Agent - Property
Inactive	Rogers, Bruce W	751042	Agent - Casualty	10/26/2017	5/30/2018
Inactive	Rogers, Bruce W	751042	Agent - Health	10/26/2017	5/30/2018
Inactive	Rogers, Bruce W	751042	Agent - Life	10/26/2017	5/30/2018
Inactive	Rogers, Bruce W	751042	Agent - Property	10/26/2017	5/30/2018
Inactive	Teijeira, Jane M	869223	Agent - Casualty	3/20/2015	7/31/2018
Denied	Teijeira, Jane M	869223	Agent - Property
Inactive	Teresi, Joseph Ronald	681716	Agent - Casualty	9/24/2008	4/16/2012
Inactive	Teresi, Joseph Ronald	681716	Agent - Health	9/15/2008	4/16/2012
Inactive	Teresi, Joseph Ronald	681716	Agent - Life	9/15/2008	4/16/2012
Inactive	Teresi, Joseph Ronald	681716	Agent - Property	9/24/2008	4/16/2012
Inactive	Wenzke, Gerard Joseph	306789	Agent - Health	3/7/2007	9/2/2008
Inactive	Wenzke, Gerard Joseph	306789	Agent - Life	3/7/2007	9/2/2008