DEPARTMENT OF INSURANCE

Affiliations

Name	Select Underwriters Inc	DOIID	651995	NAIC NPN	960715

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	8/31/2009	2/1/2014
Inactive	Non Resident	Agent	Casualty	8/31/2009	2/1/2014
Denied	Non Resident	Property & Casualty Consultant	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	American Economy Insurance Company	300315	Agent - Casualty	7/9/2008	3/31/2009
Inactive	American Economy Insurance Company	300315	Agent - Property	7/9/2008	3/31/2009
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/16/2008	3/31/2009
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/16/2008	3/31/2009
Inactive	American States Insurance Company	301230	Agent - Casualty	7/9/2008	3/31/2009
Inactive	American States Insurance Company	301230	Agent - Property	7/9/2008	3/31/2009
Inactive	Ansur America Insurance Company	520667	Agent - Casualty	12/10/2009	2/1/2014
Inactive	Ansur America Insurance Company	520667	Agent - Property	12/10/2009	2/1/2014
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/16/2008	3/31/2009
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/16/2008	3/31/2009
Inactive	First National Insurance Company of America	301690	Agent - Casualty	7/9/2008	3/31/2009
Inactive	First National Insurance Company of America	301690	Agent - Property	7/9/2008	3/31/2009
Inactive	Frankenmuth Insurance Company	301481	Agent - Casualty	12/10/2009	2/1/2014
Inactive	Frankenmuth Insurance Company	301481	Agent - Property	12/10/2009	2/1/2014
Inactive	General Insurance Company of America	300261	Agent - Casualty	7/9/2008	3/31/2009
Inactive	General Insurance Company of America	300261	Agent - Property	7/9/2008	3/31/2009
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/16/2008	3/31/2009
Inactive	Indiana Insurance Company	301909	Agent - Property	10/16/2008	3/31/2009
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/16/2008	3/31/2009
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/16/2008	3/31/2009
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/16/2008	3/31/2009
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/16/2008	3/31/2009
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/16/2008	3/31/2009
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/16/2008	3/31/2009
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/16/2008	3/31/2009
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/16/2008	3/31/2009
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/16/2008	3/31/2009
Inactive	Peerless Insurance Company	301910	Agent - Property	10/16/2008	3/31/2009
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/9/2008	3/31/2009
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/9/2008	3/31/2009
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/9/2008	3/31/2009
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/9/2008	3/31/2009
Inactive	West American Insurance Company	301112	Agent - Casualty	10/16/2008	3/31/2009
Inactive	West American Insurance Company	301112	Agent - Property	10/16/2008	3/31/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mcfawn, Carolyn Jones	652038	Agent - Casualty	2/16/2010	11/30/2013
Inactive	Mcfawn, Carolyn Jones	652038	Agent - Property	2/16/2010	11/30/2013