DEPARTMENT OF INSURANCE

Affiliations

Name	Moman, Terri Lea	DOIID	629575	NAIC NPN	8759916

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	5/3/2006	10/31/2020
Inactive	Resident	Agent	Property	5/3/2006	10/31/2020
* 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	ACE American Insurance Company	300625	Agent - Casualty	2/7/2007	5/15/2008
Inactive	ACE American Insurance Company	300625	Agent - Property	2/7/2007	5/15/2008
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	2/7/2007	5/13/2008
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	2/7/2007	5/13/2008
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	2/7/2007	5/13/2008
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	2/7/2007	5/13/2008
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	12/29/2015	11/5/2019
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	12/29/2015	11/5/2019
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	4/2/2012	7/13/2020
Inactive	Aegis Security Insurance Company	300492	Agent - Property	4/2/2012	7/13/2020
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	10/31/2020
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	10/31/2020
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	7/12/2006	10/31/2020
Inactive	American Fire and Casualty Company	300567	Agent - Property	7/12/2006	10/31/2020
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	8/2/2019	7/15/2020
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	8/2/2019	7/15/2020
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/3/2015	7/15/2020
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/3/2015	7/15/2020
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	12/11/2012	10/31/2020
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	12/11/2012	10/31/2020
Inactive	BITCO General Insurance Corporation	301305	Agent - Casualty	6/14/2006	10/31/2020
Inactive	BITCO General Insurance Corporation	301305	Agent - Property	6/14/2006	10/31/2020
Inactive	BITCO National Insurance Company	301366	Agent - Casualty	6/14/2006	10/31/2020
Inactive	BITCO National Insurance Company	301366	Agent - Property	6/14/2006	10/31/2020
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/19/2008	12/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/19/2008	12/7/2017
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	11/28/2006	4/5/2010
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Property	11/28/2006	4/5/2010
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	10/31/2020
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	10/31/2020
Inactive	Countryway Insurance Company	300809	Agent - Casualty	6/1/2006	10/15/2019
Inactive	Countryway Insurance Company	300809	Agent - Property	6/1/2006	10/15/2019
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	2/13/2015	7/13/2020
Inactive	EMCASCO Insurance Company	842790	Agent - Property	2/13/2015	7/13/2020
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	1/26/2009	7/13/2020
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	1/26/2009	7/13/2020
Inactive	Erie Insurance Company	300230	Agent - Casualty	1/21/2019	11/5/2020
Inactive	Erie Insurance Company	300230	Agent - Property	1/21/2019	11/5/2020
Inactive	Erie Insurance Exchange	300789	Agent - Casualty	1/21/2019	11/5/2020
Inactive	Erie Insurance Exchange	300789	Agent - Property	1/21/2019	11/5/2020
Inactive	First National Insurance Company of America	301690	Agent - Casualty	10/7/2008	10/31/2020
Inactive	First National Insurance Company of America	301690	Agent - Property	10/7/2008	10/31/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/14/2006	10/31/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/14/2006	10/31/2020
Inactive	General Insurance Company of America	300261	Agent - Casualty	10/7/2008	10/31/2020
Inactive	General Insurance Company of America	300261	Agent - Property	10/7/2008	10/31/2020
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	1/26/2009	12/20/2017
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	1/26/2009	12/20/2017
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	2/7/2007	5/13/2008
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	2/7/2007	5/13/2008
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	10/31/2020
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	10/31/2020
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	10/18/2010	10/31/2020
Inactive	Kentucky National Insurance Company	301625	Agent - Property	10/18/2010	10/31/2020
Inactive	Milbank Insurance Company	925185	Agent - Casualty	3/6/2020	10/31/2020
Inactive	Milbank Insurance Company	925185	Agent - Property	3/6/2020	10/31/2020
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	10/31/2020
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	10/31/2020
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	7/12/2006	10/31/2020
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	7/12/2006	10/31/2020
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	7/12/2006	10/31/2020
Inactive	Ohio Security Insurance Company	300622	Agent - Property	7/12/2006	10/31/2020
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007	10/31/2020
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007	10/31/2020
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007	10/31/2020
Inactive	Peerless Insurance Company	301910	Agent - Property	9/8/2007	10/31/2020
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	5/15/2006	11/4/2008
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	5/15/2006	11/4/2008
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	5/15/2006	11/4/2008
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	5/15/2006	11/4/2008
Inactive	RLI Insurance Company	301217	Agent - Casualty	11/22/2016	10/31/2020
Inactive	RLI Insurance Company	301217	Agent - Property	11/22/2016	10/31/2020
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/7/2008	10/31/2020
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/7/2008	10/31/2020
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/7/2008	10/31/2020
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/7/2008	10/31/2020
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/6/2020	10/31/2020
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	3/6/2020	10/31/2020
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	2/13/2015	7/13/2020
Inactive	Union Insurance Company of Providence	842791	Agent - Property	2/13/2015	7/13/2020
Inactive	United Financial Casualty Company	301886	Agent - Casualty	5/15/2006	11/4/2008
Inactive	United Financial Casualty Company	301886	Agent - Property	5/15/2006	11/4/2008
Inactive	West American Insurance Company	301112	Agent - Casualty	7/12/2006	10/31/2020
Inactive	West American Insurance Company	301112	Agent - Property	7/12/2006	10/31/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Vaughn, Geiger, & Associates, Inc	527241	Agent - Casualty	5/18/2006	10/31/2020
Inactive	Vaughn, Geiger, & Associates, Inc	527241	Agent - Property	5/18/2006	10/31/2020