DEPARTMENT OF INSURANCE

Affiliations

Name	Intelli Choice Insurance LLC	DOIID	641327	NAIC NPN	8936790

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	4/30/2007	3/31/2026
Active	Resident	Agent	Casualty	10/9/2006	3/31/2026
Active	Resident	Agent	Property	10/9/2006	3/31/2026
Active	Resident	Agent	Health	4/30/2007	3/31/2026
Denied	Resident	Surplus Lines Broker	Not Applicable
* 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	AIG Assurance Company	300897	Agent - Casualty	5/10/2007	6/18/2010
Inactive	AIG Assurance Company	300897	Agent - Property	5/10/2007	6/18/2010
Inactive	Aetna Health Inc.	300694	Agent - Health	6/22/2007	12/31/2007
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	12/31/2007	9/22/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Health	6/22/2007	9/22/2010
Inactive	Aetna Life Insurance Company	301140	Agent - Life	6/22/2007	9/22/2010
Inactive	American Commerce Insurance Company	301665	Agent - Casualty	4/14/2016	3/31/2018
Inactive	American Commerce Insurance Company	301665	Agent - Property	4/14/2016	3/31/2018
Active	American Economy Insurance Company	300315	Agent - Casualty	4/24/2024
Active	American Economy Insurance Company	300315	Agent - Property	4/24/2024
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	12/17/2012	11/14/2021
Inactive	American Family Home Insurance Company	301817	Agent - Property	12/17/2012	11/14/2021
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/16/2008	3/29/2024
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/16/2008	3/29/2024
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/30/2011	12/13/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/30/2011	12/13/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	8/13/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	8/13/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	8/30/2011	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/30/2011	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	8/30/2011	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	8/30/2011	11/14/2021
Inactive	American States Insurance Company	301230	Agent - Casualty	4/23/2007	3/29/2024
Inactive	American States Insurance Company	301230	Agent - Property	4/23/2007	3/29/2024
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	7/2/2007	1/20/2014
Inactive	American Zurich Insurance Company	300592	Agent - Property	7/2/2007	1/20/2014
Inactive	Assurance Company of America	300432	Agent - Casualty	7/2/2007	1/20/2014
Inactive	Assurance Company of America	300432	Agent - Property	7/2/2007	1/20/2014
Inactive	Assurity Life Insurance Company	301099	Agent - Health	6/25/2007	11/5/2010
Inactive	Assurity Life Insurance Company	301099	Agent - Life	6/25/2007	11/5/2010
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	12/17/2008
Active	Auto-Owners Insurance Company	301480	Agent - Property	12/17/2008
Active	Auto-Owners Life Insurance Company	301368	Agent - Health	12/17/2008
Active	Auto-Owners Life Insurance Company	301368	Agent - Life	12/17/2008
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	5/21/2007
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	5/21/2007
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	10/22/2008	12/3/2014
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	10/22/2008	12/3/2014
Active	ClearPath Insurance Company	979815	Agent - Casualty	1/1/2018
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/16/2008	10/20/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/16/2008	10/20/2011
Inactive	Employers Assurance Company	300120	Agent - Casualty	10/10/2013	6/4/2021
Inactive	Employers Compensation Insurance Company	797885	Agent - Casualty	8/6/2018	6/4/2021
Inactive	Employers Preferred Insurance Company	520656	Agent - Casualty	10/10/2013	6/4/2021
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	1/2/2018	10/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	1/2/2018	10/3/2024
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	1/2/2018	12/13/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	1/2/2018	12/13/2018
Active	Erie Family Life Insurance Company	301400	Agent - Health	10/23/2019
Active	Erie Family Life Insurance Company	301400	Agent - Life	10/23/2019
Active	Erie Insurance Company	300230	Agent - Casualty	10/23/2019
Active	Erie Insurance Company	300230	Agent - Property	10/23/2019
Active	Erie Insurance Company of New York	789916	Agent - Casualty	10/23/2019
Active	Erie Insurance Company of New York	789916	Agent - Property	10/23/2019
Active	Erie Insurance Exchange	300789	Agent - Casualty	10/23/2019
Active	Erie Insurance Exchange	300789	Agent - Property	10/23/2019
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	10/23/2019
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	10/23/2019
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	6/26/2013	2/24/2024
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	6/26/2013	2/24/2024
Inactive	Farmington Casualty Company	301137	Agent - Casualty	10/22/2008	12/3/2014
Inactive	Farmington Casualty Company	301137	Agent - Property	10/22/2008	12/3/2014
Inactive	First National Insurance Company of America	301690	Agent - Casualty	4/23/2007	10/13/2022
Inactive	First National Insurance Company of America	301690	Agent - Property	4/23/2007	10/13/2022
Active	Flagship City Insurance Company	789965	Agent - Casualty	10/23/2019
Active	Flagship City Insurance Company	789965	Agent - Property	10/23/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/26/2007	12/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/26/2007	12/20/2023
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/19/2012	5/10/2017
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/19/2012	5/10/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/19/2012	5/10/2017
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/19/2012	5/10/2017
Inactive	General Insurance Company of America	300261	Agent - Casualty	4/23/2007	3/29/2024
Inactive	General Insurance Company of America	300261	Agent - Property	4/23/2007	3/29/2024
Inactive	Genworth Life Insurance Company	300623	Agent - Health	7/3/2008	12/3/2019
Inactive	Genworth Life Insurance Company	300623	Agent - Life	7/3/2008	12/3/2019
Inactive	Granite State Insurance Company	300818	Agent - Casualty	5/10/2007	6/18/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	5/10/2007	6/18/2010
Inactive	Hallmark National Insurance Company	300494	Agent - Casualty	5/24/2010	11/15/2017
Inactive	Hallmark National Insurance Company	300494	Agent - Property	5/24/2010	11/15/2017
Active	Hartford Accident and Indemnity Company	301917	Agent - Casualty	10/1/2010
Active	Hartford Accident and Indemnity Company	301917	Agent - Property	10/1/2010
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	9/12/2014	8/18/2017
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	9/12/2014	8/18/2017
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	6/19/2012	9/26/2019
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	6/19/2012	9/26/2019
Active	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	12/6/2011
Active	Hartford Insurance Company of the Midwest	301918	Agent - Property	12/6/2011
Active	Hartford Underwriters Insurance Company	301064	Agent - Casualty	4/13/2021
Active	Hartford Underwriters Insurance Company	301064	Agent - Property	4/13/2021
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	5/10/2007	6/18/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	5/10/2007	6/18/2010
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/16/2008	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	10/16/2008	2/3/2023
Inactive	Maryland Casualty Company	301719	Agent - Casualty	7/2/2007	1/20/2014
Inactive	Maryland Casualty Company	301719	Agent - Property	7/2/2007	1/20/2014
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	5/24/2010	4/1/2014
Inactive	Meridian Security Insurance Company	300423	Agent - Property	5/24/2010	4/1/2014
Inactive	Midland National Life Insurance Company	300923	Agent - Life	10/4/2007	11/2/2010
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/16/2008	10/20/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/16/2008	10/20/2011
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	7/2/2007	1/20/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	7/2/2007	1/20/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/16/2008	3/29/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/16/2008	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/16/2008	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/16/2008	3/29/2024
Active	Owners Insurance Company	300796	Agent - Casualty	12/17/2008
Active	Owners Insurance Company	300796	Agent - Property	12/17/2008
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/16/2008	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/16/2008	10/20/2011
Active	Peerless Insurance Company	301910	Agent - Casualty	10/16/2008
Active	Peerless Insurance Company	301910	Agent - Property	10/16/2008
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	2/8/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	2/8/2011
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	4/20/2007
Active	Progressive Casualty Insurance Company	300696	Agent - Property	4/20/2007
Active	Progressive Northern Insurance Company	301378	Agent - Casualty	4/20/2007
Active	Progressive Northern Insurance Company	301378	Agent - Property	4/20/2007
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	6/10/2024
Active	SAFECO Insurance Company of America	300159	Agent - Property	6/10/2024
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/7/2024
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	6/7/2024
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	1/18/2012	8/2/2021
Inactive	Selective Insurance Company of America	500018	Agent - Property	1/18/2012	8/2/2021
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	1/18/2012	8/2/2021
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	1/18/2012	8/2/2021
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	1/18/2012	8/2/2021
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	1/18/2012	8/2/2021
Active	Sentinel Insurance Company, Limited	501696	Agent - Casualty	2/6/2008
Active	Sentinel Insurance Company, Limited	501696	Agent - Property	2/6/2008
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	5/21/2007
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	5/21/2007
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	5/24/2010	4/1/2014
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	5/24/2010	4/1/2014
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	5/24/2010	4/1/2014
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	5/24/2010	4/1/2014
Active	The Phoenix Insurance Company	301502	Agent - Casualty	5/21/2007
Active	The Phoenix Insurance Company	301502	Agent - Property	5/21/2007
Inactive	Time Insurance Company	300683	Agent - Health	10/7/2009	12/20/2014
Inactive	Time Insurance Company	300683	Agent - Life	10/7/2009	12/20/2014
Inactive	TravCo Insurance Company	301828	Agent - Casualty	5/21/2007	12/9/2013
Inactive	TravCo Insurance Company	301828	Agent - Property	5/21/2007	12/9/2013
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	5/21/2007	12/9/2013
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	5/21/2007	12/9/2013
Active	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	10/22/2008
Active	Travelers Casualty Insurance Company of America	300522	Agent - Property	10/22/2008
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	10/22/2008	12/3/2014
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	10/22/2008	12/3/2014
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	5/24/2012	12/9/2013
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	5/24/2012	12/9/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	5/21/2007	12/9/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	5/21/2007	12/9/2013
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	5/21/2007
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	5/21/2007
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	5/21/2007	12/9/2019
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	5/21/2007	12/9/2019
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	5/21/2007	11/30/2017
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	5/21/2007	11/30/2017
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	10/22/2008	11/30/2017
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	10/22/2008	11/30/2017
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	3/4/2019
Active	Travelers Personal Insurance Company	705785	Agent - Property	3/4/2019
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	1/21/2016	11/30/2017
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	1/21/2016	11/30/2017
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	5/21/2007	12/9/2013
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	5/21/2007	12/9/2013
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	5/11/2007	7/21/2008
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	2/1/2012	8/18/2017
Inactive	Trumbull Insurance Company	300242	Agent - Property	2/1/2012	8/18/2017
Active	Twin City Fire Insurance Company	300721	Agent - Casualty	1/23/2015
Active	Twin City Fire Insurance Company	300721	Agent - Property	1/23/2015
Active	United Financial Casualty Company	301886	Agent - Casualty	4/20/2007
Active	United Financial Casualty Company	301886	Agent - Property	4/20/2007
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/29/2012	12/1/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/29/2012	12/1/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	3/29/2012	12/1/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	3/29/2012	12/1/2016
Active	Unitrin Auto and Home Insurance Company	301538	Agent - Casualty	4/11/2007
Active	Unitrin Auto and Home Insurance Company	301538	Agent - Property	4/11/2007
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Casualty	4/11/2007	12/2/2013
Inactive	Unitrin Preferred Insurance Company	502869	Agent - Property	4/11/2007	12/2/2013
Inactive	West American Insurance Company	301112	Agent - Casualty	10/16/2008	3/29/2024
Inactive	West American Insurance Company	301112	Agent - Property	10/16/2008	3/29/2024
Inactive	West Bend Insurance Company	672974	Agent - Casualty	1/24/2012	4/26/2023
Inactive	West Bend Insurance Company	672974	Agent - Property	1/24/2012	4/26/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Barnes, Brandon Michael	598885	Agent - Casualty	3/12/2007
Active	Barnes, Brandon Michael	598885	Agent - Health	4/30/2007
Active	Barnes, Brandon Michael	598885	Agent - Life	4/30/2007
Active	Barnes, Brandon Michael	598885	Agent - Property	3/12/2007
Denied	Bishop, Bonnie Lee	680910	Agent - Casualty
Denied	Bishop, Bonnie Lee	680910	Agent - Health
Denied	Bishop, Bonnie Lee	680910	Agent - Life
Denied	Bishop, Bonnie Lee	680910	Agent - Property
Inactive	Chafins, Tiffany L	806130	Agent - Casualty	6/12/2013	5/1/2015
Inactive	Chafins, Tiffany L	806130	Agent - Property	6/12/2013	5/1/2015
Inactive	Crupper, Matthew Scott	635582	Agent - Casualty	4/30/2007	4/1/2009
Inactive	Crupper, Matthew Scott	635582	Agent - Property	4/30/2007	4/1/2009
Active	Gartman, Moritz Wendell	394051	Agent - Casualty	6/10/2013
Active	Gartman, Moritz Wendell	394051	Agent - Property	6/10/2013
Active	Golsch, Britney	774630	Agent - Casualty	5/4/2012
Active	Golsch, Britney	774630	Agent - Property	5/4/2012
Inactive	Malott, Michael Patrick	674014	Agent - Casualty	5/8/2012	12/31/2015
Denied	Malott, Michael Patrick	674014	Agent - Health
Denied	Malott, Michael Patrick	674014	Agent - Life
Inactive	Malott, Michael Patrick	674014	Agent - Property	5/8/2012	12/31/2015