DEPARTMENT OF INSURANCE

Affiliations

Name	Hellman, Robert	DOIID	628758	NAIC NPN	1924658

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/22/2007		8/31/2024
Active	Non Resident	Agent	Casualty	6/22/2007		8/31/2024
Inactive	Non Resident	Agent	Life	7/7/2011	3/4/2020
Inactive	Non Resident	Agent	Health	7/7/2011	3/4/2020
Active	Non Resident	Surplus Lines Broker	Not Applicable	11/10/2016		8/31/2024
* 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	06/15/2024	08/31/2024
Surplus Lines Broker	06/15/2024	08/31/2024

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	8/28/2007	12/19/2023
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	8/28/2007	12/19/2023
Active	American Automobile Insurance Company	300953	Agent - Casualty	7/19/2011
Active	American Automobile Insurance Company	300953	Agent - Property	7/19/2011
Inactive	American Economy Insurance Company	300315	Agent - Casualty	4/20/2010	9/22/2014
Inactive	American Economy Insurance Company	300315	Agent - Property	4/20/2010	9/22/2014
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	4/20/2010	9/22/2014
Inactive	American Fire and Casualty Company	300567	Agent - Property	4/20/2010	9/22/2014
Inactive	American States Insurance Company	301230	Agent - Casualty	4/20/2010	9/22/2014
Inactive	American States Insurance Company	301230	Agent - Property	4/20/2010	9/22/2014
Active	Arch Insurance Company	300688	Agent - Casualty	4/3/2009
Active	Arch Insurance Company	300688	Agent - Property	4/3/2009
Active	Bristol West Insurance Company	301655	Agent - Casualty	6/5/2018
Active	Bristol West Insurance Company	301655	Agent - Property	6/5/2018
Inactive	Central Mutual Insurance Company	300965	Agent - Casualty	10/19/2011	7/14/2015
Inactive	Central Mutual Insurance Company	300965	Agent - Property	10/19/2011	7/14/2015
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Casualty	10/22/2010	3/11/2015
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Property	10/22/2010	3/11/2015
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	10/22/2010	3/11/2015
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Property	10/22/2010	3/11/2015
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	10/22/2010	3/11/2015
Inactive	Cincinnati Insurance Company	301298	Agent - Property	10/22/2010	3/11/2015
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	4/20/2010	9/22/2014
Inactive	Consolidated Insurance Company	300943	Agent - Property	4/20/2010	9/22/2014
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	10/13/2008
Active	Fireman's Fund Insurance Company	301423	Agent - Property	10/13/2008
Inactive	First National Insurance Company of America	301690	Agent - Casualty	4/20/2010	9/22/2014
Inactive	First National Insurance Company of America	301690	Agent - Property	4/20/2010	9/22/2014
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/5/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/5/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	5/18/2013	7/28/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	5/18/2013	7/28/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	5/18/2013	7/28/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	5/18/2013	7/28/2016
Inactive	General Insurance Company of America	300261	Agent - Casualty	4/20/2010	9/22/2014
Inactive	General Insurance Company of America	300261	Agent - Property	4/20/2010	9/22/2014
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	5/27/2008	3/8/2019
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	5/27/2008	3/8/2019
Inactive	Great American Assurance Company	300327	Agent - Casualty	5/27/2008	3/8/2019
Inactive	Great American Assurance Company	300327	Agent - Property	5/27/2008	3/8/2019
Inactive	Great American Insurance Company	301586	Agent - Casualty	5/27/2008	6/26/2019
Inactive	Great American Insurance Company	301586	Agent - Property	5/27/2008	6/26/2019
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	5/27/2008	3/8/2019
Inactive	Great American Insurance Company of New York	301897	Agent - Property	5/27/2008	3/8/2019
Active	Greenwich Insurance Company	301754	Agent - Casualty	1/15/2008
Active	Greenwich Insurance Company	301754	Agent - Property	1/15/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/19/2012	3/4/2020
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/19/2012	3/4/2020
Inactive	Indiana Insurance Company	301909	Agent - Casualty	4/20/2010	9/22/2014
Inactive	Indiana Insurance Company	301909	Agent - Property	4/20/2010	9/22/2014
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	8/4/2017
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	8/4/2017
Inactive	LM Insurance Corporation	301061	Agent - Casualty	4/20/2010	9/22/2014
Inactive	LM Insurance Corporation	301061	Agent - Property	4/20/2010	9/22/2014
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	9/9/2011	9/22/2014
Inactive	Liberty Insurance Corporation	300444	Agent - Property	9/9/2011	9/22/2014
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	4/20/2010	9/22/2014
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	4/20/2010	9/22/2014
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	4/20/2010	9/22/2014
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	4/20/2010	9/22/2014
Inactive	Middlesex Mutual Assurance Company	569442	Agent - Casualty	9/1/2013	6/3/2015
Inactive	Middlesex Mutual Assurance Company	569442	Agent - Property	9/1/2013	6/3/2015
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	6/3/2014	3/21/2022
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Property	6/3/2014	3/21/2022
Active	National Surety Corporation	300087	Agent - Casualty	7/19/2011
Active	National Surety Corporation	300087	Agent - Property	7/19/2011
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	8/16/2021
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	8/16/2021
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	4/20/2010	9/22/2014
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	4/20/2010	9/22/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	4/20/2010	9/22/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	4/20/2010	9/22/2014
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	4/20/2010	9/22/2014
Inactive	Ohio Security Insurance Company	300622	Agent - Property	4/20/2010	9/22/2014
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/2/2021	6/11/2021
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	4/20/2010	9/22/2014
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	4/20/2010	9/22/2014
Inactive	Peerless Insurance Company	301910	Agent - Casualty	4/20/2010	9/22/2014
Inactive	Peerless Insurance Company	301910	Agent - Property	4/20/2010	9/22/2014
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	7/19/2011	9/2/2022
Inactive	Pie Insurance Company (The)	300514	Agent - Property	7/19/2011	9/2/2022
Active	RLI Insurance Company	301217	Agent - Casualty	7/28/2009
Active	RLI Insurance Company	301217	Agent - Property	7/28/2009
Inactive	Rural Community Insurance Company	301891	Agent - Casualty	4/1/2010	11/23/2011
Inactive	Rural Community Insurance Company	301891	Agent - Property	2/4/2013	3/8/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	4/20/2010	9/22/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	4/20/2010	9/22/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	4/20/2010	9/22/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	4/20/2010	9/22/2014
Active	Sompo America Insurance Company	300149	Agent - Casualty	8/14/2017
Active	Sompo America Insurance Company	300149	Agent - Property	8/14/2017
Inactive	WCF Select Insurance Company	301898	Agent - Casualty	7/19/2011	2/8/2022
Inactive	WCF Select Insurance Company	301898	Agent - Property	7/19/2011	2/8/2022
Inactive	West American Insurance Company	301112	Agent - Casualty	4/20/2010	9/22/2014
Inactive	West American Insurance Company	301112	Agent - Property	4/20/2010	9/22/2014
Active	West Bend Insurance Company	672974	Agent - Casualty	3/15/2013
Active	West Bend Insurance Company	672974	Agent - Property	3/15/2013
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/2/2021	6/11/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	2/10/2011
Active	Westfield Insurance Company	301950	Agent - Property	2/10/2011
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/2/2021	6/11/2021

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 - Casualty	1/7/2010	10/9/2019
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	1/7/2010	10/9/2019
Inactive	USI Insurance Services National, Inc	509421	Surplus Lines Broker - Not Applicable	5/11/2011	8/31/2016
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	11/7/2016	10/9/2019
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	11/7/2016	10/9/2019
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	12/27/2018	6/10/2024
Inactive	Usi Insurance Services LLC	669260	Agent - Property	12/27/2018	6/10/2024
Inactive	Usi Insurance Services LLC	669260	Surplus Lines Broker - Not Applicable	12/27/2018	6/10/2024
Inactive	Usi Insurance Services LLC	669260	Agent - Health	12/27/2018	3/4/2020
Inactive	Usi Insurance Services LLC	669260	Agent - Life	12/27/2018	3/4/2020
Inactive	Wells Fargo Ins Services Of Ohio LLC	521675	Agent - Casualty	2/26/2008	3/12/2010
Inactive	Wells Fargo Ins Services Of Ohio LLC	521675	Agent - Property	2/26/2008	3/12/2010
Denied	Wells Fargo Ins Services Of Ohio LLC	521675	Surplus Lines Broker - Not Applicable