DEPARTMENT OF INSURANCE
Affiliations
NamePoliSeek AIS Insurance Solutions, Inc.DOIID649167NAIC NPN2104393
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty2/14/2007 3/31/2025
ActiveNon ResidentAgentProperty2/14/2007 3/31/2025
InactiveNon ResidentAgentHealth3/2/20073/17/2009 
InactiveNon ResidentAgentLife3/2/20073/17/2009 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAMCO Insurance Company300204Agent - Casualty4/11/20185/6/2022
InactiveAMCO Insurance Company300204Agent - Property4/11/20185/6/2022
InactiveAllied Insurance Company of America793586Agent - Casualty4/11/20185/6/2022
InactiveAllied Insurance Company of America793586Agent - Property4/11/20185/6/2022
InactiveAllied Property and Casualty Insurance Company300279Agent - Casualty4/11/20185/6/2022
InactiveAllied Property and Casualty Insurance Company300279Agent - Property4/11/20185/6/2022
InactiveAmerican Economy Insurance Company300315Agent - Casualty11/9/20193/29/2024
InactiveAmerican Economy Insurance Company300315Agent - Property11/9/20193/29/2024
InactiveAmerican Family Home Insurance Company301817Agent - Casualty2/10/200911/14/2021
InactiveAmerican Family Home Insurance Company301817Agent - Property2/10/200911/14/2021
InactiveAmerican Fire and Casualty Company300567Agent - Casualty8/20/20143/29/2024
InactiveAmerican Fire and Casualty Company300567Agent - Property8/20/20143/29/2024
ActiveAmerican Modern Home Insurance Company300791Agent - Casualty2/10/2009 
ActiveAmerican Modern Home Insurance Company300791Agent - Property2/10/2009 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty8/13/2018 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property8/13/2018 
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty2/10/200911/14/2021
InactiveAmerican Modern Select Insurance Company581481Agent - Property2/10/200911/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty2/10/200911/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Property2/10/200911/14/2021
ActiveAmerican Strategic Insurance Corp883540Agent - Casualty7/31/2019 
ActiveAmerican Strategic Insurance Corp883540Agent - Property7/31/2019 
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty10/26/200912/9/2013
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property10/26/200912/9/2013
ActiveBristol West Insurance Company301655Agent - Casualty7/17/2012 
ActiveBristol West Insurance Company301655Agent - Property7/17/2012 
ActiveClearcover Insurance Company1118667Agent - Casualty8/16/2021 
ActiveClearcover Insurance Company1118667Agent - Property8/16/2021 
InactiveCombined Insurance Company of America301472Agent - Health4/5/20073/17/2009
InactiveCombined Insurance Company of America301472Agent - Life4/5/20073/17/2009
InactiveConsolidated Insurance Company300943Agent - Casualty4/28/201110/13/2022
InactiveConsolidated Insurance Company300943Agent - Property4/28/201110/13/2022
InactiveDepositors Insurance Company301634Agent - Casualty4/11/20185/6/2022
InactiveDepositors Insurance Company301634Agent - Property4/11/20185/6/2022
InactiveEmpire Fire and Marine Insurance Company300666Agent - Casualty2/5/200911/16/2015
InactiveEmpire Fire and Marine Insurance Company300666Agent - Property2/5/200911/16/2015
InactiveEsurance Insurance Company301072Agent - Casualty10/20/20149/23/2019
InactiveEsurance Insurance Company301072Agent - Property10/20/20149/23/2019
InactiveFarmers Insurance Exchange300336Agent - Casualty3/27/20098/23/2012
InactiveFarmers Insurance Exchange300336Agent - Property3/27/20098/23/2012
ActiveFarmers Property and Casualty Insurance Company301237Agent - Casualty3/14/2009 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Property3/14/2009 
InactiveFederal Insurance Company301144Agent - Casualty2/5/20093/14/2013
InactiveFederal Insurance Company301144Agent - Property2/5/20093/14/2013
InactiveFidelity and Deposit Company of Maryland300976Agent - Casualty3/2/200911/23/2015
InactiveFidelity and Deposit Company of Maryland300976Agent - Property3/2/200911/23/2015
InactiveFirst National Insurance Company of America301690Agent - Casualty4/28/201110/13/2022
InactiveFirst National Insurance Company of America301690Agent - Property4/28/201110/13/2022
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty3/11/2009 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property3/11/2009 
InactiveGeneral Insurance Company of America300261Agent - Casualty4/28/20113/29/2024
InactiveGeneral Insurance Company of America300261Agent - Property4/28/20113/29/2024
InactiveGreat Northern Insurance Company301107Agent - Casualty3/11/20093/14/2013
InactiveGreat Northern Insurance Company301107Agent - Property3/11/20093/14/2013
InactiveHartford Accident and Indemnity Company301917Agent - Casualty9/20/201212/8/2020
InactiveHartford Accident and Indemnity Company301917Agent - Property9/20/201212/8/2020
InactiveIndiana Insurance Company301909Agent - Casualty4/28/20112/3/2023
InactiveIndiana Insurance Company301909Agent - Property4/28/20112/3/2023
InactiveInfinity Insurance Company300416Agent - Casualty2/23/20093/1/2024
ActiveJewelers Mutual Insurance Company, SI301935Agent - Casualty4/12/2022 
ActiveJewelers Mutual Insurance Company, SI301935Agent - Property4/12/2022 
InactiveNationwide Agribusiness Insurance Company301008Agent - Casualty4/11/20185/6/2022
InactiveNationwide Agribusiness Insurance Company301008Agent - Property4/11/20185/6/2022
InactiveNationwide Assurance Company300166Agent - Casualty3/4/20205/6/2022
InactiveNationwide General Insurance Company300603Agent - Casualty8/28/20195/6/2022
InactiveNationwide General Insurance Company300603Agent - Property8/28/20195/6/2022
InactiveNationwide Insurance Company of America300333Agent - Casualty8/28/20195/6/2022
InactiveNationwide Insurance Company of America300333Agent - Property8/28/20195/6/2022
InactiveNationwide Mutual Insurance Company301749Agent - Casualty4/11/20185/6/2022
InactiveNationwide Mutual Insurance Company301749Agent - Property4/11/20185/6/2022
InactiveNetherlands Insurance Company (The)300339Agent - Casualty4/28/20115/9/2024
InactiveNetherlands Insurance Company (The)300339Agent - Property4/28/20115/9/2024
InactiveOhio Casualty Insurance Company301492Agent - Casualty8/20/20143/29/2024
InactiveOhio Casualty Insurance Company301492Agent - Property8/20/20143/29/2024
InactiveOhio Security Insurance Company300622Agent - Casualty8/20/20143/29/2024
InactiveOhio Security Insurance Company300622Agent - Property8/20/20143/29/2024
ActivePeerless Indemnity Insurance Company571682Agent - Casualty4/28/2011 
ActivePeerless Indemnity Insurance Company571682Agent - Property4/28/2011 
ActivePeerless Insurance Company301910Agent - Casualty4/28/2011 
ActivePeerless Insurance Company301910Agent - Property4/28/2011 
ActivePraetorian Insurance Company301021Agent - Casualty11/19/2019 
ActivePraetorian Insurance Company301021Agent - Property11/19/2019 
ActiveProgressive Casualty Insurance Company300696Agent - Casualty3/18/2009 
ActiveProgressive Casualty Insurance Company300696Agent - Property3/18/2009 
InactiveProgressive Northern Insurance Company301378Agent - Casualty3/18/200911/5/2018
InactiveProgressive Northern Insurance Company301378Agent - Property3/18/200911/5/2018
InactiveQBE Insurance Corporation300515Agent - Casualty11/16/201511/19/2019
InactiveQBE Insurance Corporation300515Agent - Property11/16/201511/19/2019
ActiveRLI Insurance Company301217Agent - Casualty1/1/2009 
ActiveRLI Insurance Company301217Agent - Property1/1/2009 
ActiveSAFECO Insurance Company of America300159Agent - Casualty5/16/2024 
ActiveSAFECO Insurance Company of America300159Agent - Property5/16/2024 
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty4/28/20113/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Property4/28/20113/29/2024
InactiveSentinel Insurance Company, Limited501696Agent - Casualty12/19/20108/22/2017
InactiveSentinel Insurance Company, Limited501696Agent - Property12/19/20108/22/2017
ActiveSpinnaker Insurance Company300099Agent - Property2/10/2022 
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty10/8/2015 
ActiveStandard Fire Insurance Company (The)301068Agent - Property10/8/2015 
ActiveStillwater Insurance Company567181Agent - Casualty1/29/2009 
ActiveStillwater Insurance Company567181Agent - Property1/29/2009 
InactiveSussex Insurance Company301970Agent - Casualty6/3/20105/11/2015
InactiveSussex Insurance Company301970Agent - Property6/3/20105/11/2015
InactiveTechnology Insurance Company613278Agent - Casualty2/26/200811/26/2012
InactiveTechnology Insurance Company613278Agent - Property2/26/200811/26/2012
InactiveThe Phoenix Insurance Company301502Agent - Casualty10/26/200912/9/2013
InactiveThe Phoenix Insurance Company301502Agent - Property10/26/200912/9/2013
InactiveTitan Indemnity Company300556Agent - Casualty11/22/20119/28/2017
InactiveTitan Indemnity Company300556Agent - Property11/22/20119/28/2017
InactiveTravelers Casualty and Surety Company of America301334Agent - Casualty7/28/201611/30/2017
InactiveTravelers Casualty and Surety Company of America301334Agent - Property7/28/201611/30/2017
InactiveTravelers Commercial Insurance Company301506Agent - Casualty10/26/200912/9/2013
InactiveTravelers Commercial Insurance Company301506Agent - Property10/26/200912/9/2013
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty10/26/2009 
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Property10/26/2009 
InactiveTravelers Indemnity Company (The)301855Agent - Casualty10/26/200912/9/2013
InactiveTravelers Indemnity Company (The)301855Agent - Property10/26/200912/9/2013
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty10/26/200912/9/2013
InactiveTravelers Indemnity Company of America (The)301093Agent - Property10/26/200912/9/2013
ActiveTravelers Personal Insurance Company705785Agent - Casualty11/26/2019 
ActiveTravelers Personal Insurance Company705785Agent - Property11/26/2019 
InactiveTruck Insurance Exchange300335Agent - Casualty3/27/20098/29/2012
InactiveTruck Insurance Exchange300335Agent - Property3/27/20098/23/2012
InactiveTwin City Fire Insurance Company300721Agent - Casualty1/5/20168/22/2017
InactiveTwin City Fire Insurance Company300721Agent - Property1/5/20168/22/2017
ActiveUnited Financial Casualty Company301886Agent - Casualty3/18/2009 
ActiveUnited Financial Casualty Company301886Agent - Property3/18/2009 
ActiveUnited States Fire Insurance Company582240Agent - Casualty4/29/2020 
ActiveUnited States Fire Insurance Company582240Agent - Property4/29/2020 
ActiveUnitrin Auto and Home Insurance Company301538Agent - Casualty3/16/2021 
ActiveUnitrin Auto and Home Insurance Company301538Agent - Property3/16/2021 
ActiveUnitrin Safeguard Insurance Company301371Agent - Casualty3/16/2021 
ActiveUnitrin Safeguard Insurance Company301371Agent - Property3/16/2021 
InactiveVictoria Fire & Casualty Company300313Agent - Casualty11/22/20119/28/2017
InactiveVictoria Fire & Casualty Company300313Agent - Property11/22/20119/28/2017
InactiveWesco Insurance Company300534Agent - Casualty2/26/200811/26/2012
InactiveWesco Insurance Company300534Agent - Property2/26/200811/26/2012
InactiveWest American Insurance Company301112Agent - Casualty8/20/20143/29/2024
InactiveWest American Insurance Company301112Agent - Property8/20/20143/29/2024
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedCarrillo, Maribel 650810Agent - Casualty  
DeniedCarrillo, Maribel 650810Agent - Property  
ActiveCasas, Mark 636563Agent - Casualty4/3/2009 
ActiveCasas, Mark 636563Agent - Property4/3/2009 
DeniedChey, Entana En 656854Agent - Casualty  
DeniedChey, Entana En 656854Agent - Property  
DeniedFranco, Esmeralda 650809Agent - Casualty  
DeniedFranco, Esmeralda 650809Agent - Property  
InactiveGearhart, Brigitte A 539787Agent - Casualty1/10/20083/17/2009
InactiveGearhart, Brigitte A 539787Agent - Property1/10/20083/17/2009
InactiveGianfrate, Charles Vincent 803060Agent - Casualty11/11/20154/7/2016
InactiveGianfrate, Charles Vincent 803060Agent - Property11/11/20154/7/2016
DeniedGuerrero, Miguel Angel 659008Agent - Casualty  
DeniedGuerrero, Miguel Angel 659008Agent - Property  
DeniedGuillory, Yolanda 633339Agent - Casualty  
DeniedGuillory, Yolanda 633339Agent - Property  
InactiveHarris-Blackshear, Shelli 636454Agent - Casualty11/4/200910/31/2010
InactiveHarris-Blackshear, Shelli 636454Agent - Property11/4/200910/31/2010
InactiveHildebrand, William 642313Agent - Casualty2/14/20071/10/2008
InactiveHildebrand, William 642313Agent - Health3/2/20071/7/2008
InactiveHildebrand, William 642313Agent - Life3/2/20071/7/2008
InactiveHildebrand, William 642313Agent - Property2/14/20071/10/2008
InactiveHogan, Cynthia Jean 321849Agent - Casualty1/10/20083/17/2009
InactiveHogan, Cynthia Jean 321849Agent - Health1/21/20083/17/2009
InactiveHogan, Cynthia Jean 321849Agent - Life1/21/20083/17/2009
InactiveHogan, Cynthia Jean 321849Agent - Property1/10/20083/17/2009
DeniedIngram, Deshawna 635198Agent - Casualty  
DeniedIngram, Deshawna 635198Agent - Property  
ActiveIngram-Davis, Derris 633349Agent - Casualty4/21/2009 
ActiveIngram-Davis, Derris 633349Agent - Property4/21/2009 
ActiveLomeli, Salvador 913697Agent - Casualty8/24/2021 
ActiveLomeli, Salvador 913697Agent - Property8/24/2021 
DeniedLowe, Shelley Renee 659024Agent - Casualty  
DeniedLowe, Shelley Renee 659024Agent - Property  
DeniedMadriles, Jessica Jazmin 658922Agent - Casualty  
DeniedMadriles, Jessica Jazmin 658922Agent - Property  
InactiveMendoza, Victor Manuel 720856Agent - Casualty1/14/20157/31/2017
InactiveMendoza, Victor Manuel 720856Agent - Property1/14/20157/31/2017
ActiveMoreno, Nicole 638245Agent - Casualty3/17/2009 
ActiveMoreno, Nicole 638245Agent - Property3/17/2009 
ActiveSilverman, Candace 632876Agent - Casualty3/17/2009 
ActiveSilverman, Candace 632876Agent - Property3/17/2009 
ActiveUgalde, Annette Rosanne 703448Agent - Casualty8/24/2021 
ActiveUgalde, Annette Rosanne 703448Agent - Property8/24/2021 
InactiveVazquez, Elizabeth 677295Agent - Casualty1/14/201512/31/2017
InactiveVazquez, Elizabeth 677295Agent - Property1/14/201512/31/2017
InactiveWells, Kim Louise 647329Agent - Casualty2/27/20083/17/2009
InactiveWells, Kim Louise 647329Agent - Property2/27/20083/17/2009

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