DEPARTMENT OF INSURANCE

Affiliations

Name	Costco Insurance Agency Inc	DOIID	638888	NAIC NPN	1906384

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	9/7/2006	3/31/2026
Active	Non Resident	Agent	Life	10/22/2008	3/31/2026
Active	Non Resident	Agent	Casualty	9/7/2006	3/31/2026
Active	Non Resident	Agent	Health	10/22/2008	3/31/2026
Denied	Non Resident	Agent	Crop
Denied	Non Resident	Agent	Limited Line Credit
* 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	AMEX Assurance Company	301728	Agent - Casualty	9/22/2006	7/19/2007
Inactive	AMEX Assurance Company	301728	Agent - Property	9/22/2006	7/19/2007
Active	Aetna Health Inc. (PA)	660717	Agent - Health	12/30/2008
Active	Aetna Life Insurance Company	301140	Agent - Health	12/30/2008
Inactive	American Economy Insurance Company	300315	Agent - Casualty	3/10/2008	4/15/2022
Inactive	American Economy Insurance Company	300315	Agent - Property	3/10/2008	4/15/2022
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	9/22/2006
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Health	7/23/2009
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	9/22/2006
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/16/2008	4/15/2022
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/16/2008	4/15/2022
Inactive	American States Insurance Company	301230	Agent - Casualty	3/10/2008	4/15/2022
Inactive	American States Insurance Company	301230	Agent - Property	3/10/2008	4/15/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/30/2015	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/30/2015	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/30/2015	12/10/2020
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/16/2008	4/15/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/16/2008	4/15/2022
Inactive	First National Insurance Company of America	301690	Agent - Casualty	3/10/2008	4/15/2022
Inactive	First National Insurance Company of America	301690	Agent - Property	3/10/2008	4/15/2022
Inactive	General Insurance Company of America	300261	Agent - Casualty	3/10/2008	4/15/2022
Inactive	General Insurance Company of America	300261	Agent - Property	3/10/2008	4/15/2022
Inactive	Gerber Life Insurance Company	300529	Agent - Health	8/30/2017	2/5/2024
Inactive	Gerber Life Insurance Company	300529	Agent - Life	8/30/2017	2/5/2024
Active	Independence American Insurance Company	524747	Agent - Casualty	5/20/2025
Active	Independence American Insurance Company	524747	Agent - Property	4/27/2021
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/16/2008	4/15/2022
Inactive	Indiana Insurance Company	301909	Agent - Property	10/16/2008	4/15/2022
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/16/2008	4/15/2022
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/16/2008	4/15/2022
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/16/2008	4/15/2022
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/16/2008	4/15/2022
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/16/2008	4/15/2022
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/16/2008	4/15/2022
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/16/2008	4/15/2022
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/16/2008	4/15/2022
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/16/2008	4/15/2022
Inactive	Peerless Insurance Company	301910	Agent - Property	10/16/2008	4/15/2022
Active	Protective Life Insurance Company	300638	Agent - Health	10/10/2014
Active	Protective Life Insurance Company	300638	Agent - Life	10/10/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	3/10/2008	4/15/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	3/10/2008	4/15/2022
Inactive	Time Insurance Company	300683	Agent - Health	11/13/2014	11/15/2019
Inactive	Time Insurance Company	300683	Agent - Life	11/13/2014	11/15/2019
Inactive	West American Insurance Company	301112	Agent - Casualty	10/16/2008	4/15/2022
Inactive	West American Insurance Company	301112	Agent - Property	10/16/2008	4/15/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Castaneda, Elizabeth G	703333	Agent - Casualty	12/16/2009
Denied	Castaneda, Elizabeth G	703333	Agent - Health
Denied	Castaneda, Elizabeth G	703333	Agent - Life
Active	Castaneda, Elizabeth G	703333	Agent - Property	12/16/2009
Active	Conlon, John S	638144	Agent - Casualty	5/27/2008
Active	Conlon, John S	638144	Agent - Health	10/22/2008
Active	Conlon, John S	638144	Agent - Life	10/22/2008
Active	Conlon, John S	638144	Agent - Property	5/27/2008
Inactive	Fragnoli, Dellanie P	638145	Agent - Casualty	9/7/2006	8/4/2009
Denied	Fragnoli, Dellanie P	638145	Agent - Health
Denied	Fragnoli, Dellanie P	638145	Agent - Life
Inactive	Fragnoli, Dellanie P	638145	Agent - Property	9/7/2006	8/4/2009