DEPARTMENT OF INSURANCE

Affiliations

Name	Humphrey, Susan	DOIID	642522	NAIC NPN	8950907

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	1/22/2019	10/1/2022
Inactive	Resident	Agent	Property	1/22/2019	10/1/2022
* 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	American Automobile Insurance Company	300953	Agent - Casualty	6/24/2011	10/1/2018
Inactive	American Automobile Insurance Company	300953	Agent - Property	6/24/2011	10/1/2018
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	5/15/2013	10/1/2018
Inactive	American Fire and Casualty Company	300567	Agent - Property	5/15/2013	10/1/2018
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	9/29/2021	3/21/2022
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	9/29/2021	3/21/2022
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	5/15/2013	10/1/2018
Inactive	Consolidated Insurance Company	300943	Agent - Property	5/15/2013	10/1/2018
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	11/5/2010	10/1/2018
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	11/5/2010	10/1/2018
Inactive	Indiana Insurance Company	301909	Agent - Casualty	5/15/2013	10/1/2018
Inactive	Indiana Insurance Company	301909	Agent - Property	5/15/2013	10/1/2018
Inactive	National Surety Corporation	300087	Agent - Casualty	6/24/2011	10/1/2018
Inactive	National Surety Corporation	300087	Agent - Property	6/24/2011	10/1/2018
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	5/15/2013	10/1/2018
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	5/15/2013	10/1/2018
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	5/15/2013	10/1/2018
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	5/15/2013	10/1/2018
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	5/15/2013	10/1/2018
Inactive	Ohio Security Insurance Company	300622	Agent - Property	5/15/2013	10/1/2018
Inactive	Owners Insurance Company	300796	Agent - Casualty	9/29/2021	3/21/2022
Inactive	Owners Insurance Company	300796	Agent - Property	9/29/2021	3/21/2022
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	5/15/2013	10/1/2018
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	5/15/2013	10/1/2018
Inactive	Peerless Insurance Company	301910	Agent - Casualty	5/15/2013	10/1/2018
Inactive	Peerless Insurance Company	301910	Agent - Property	5/15/2013	10/1/2018
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	6/24/2011	10/1/2018
Inactive	Pie Insurance Company (The)	300514	Agent - Property	6/24/2011	10/1/2018
Inactive	WCF Select Insurance Company	301898	Agent - Casualty	6/24/2011	10/1/2018
Inactive	WCF Select Insurance Company	301898	Agent - Property	6/24/2011	10/1/2018
Inactive	West American Insurance Company	301112	Agent - Casualty	5/15/2013	10/1/2018
Inactive	West American Insurance Company	301112	Agent - Property	5/15/2013	10/1/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kiely Hines & Associates Insurance Agency Inc.	399757	Agent - Casualty	9/29/2021	3/21/2022
Inactive	Kiely Hines & Associates Insurance Agency Inc.	399757	Agent - Property	9/29/2021	3/21/2022
Inactive	Risk Services Corp	401093	Agent - Casualty	11/5/2010	3/31/2018
Inactive	Risk Services Corp	401093	Agent - Property	11/5/2010	3/31/2018