DEPARTMENT OF INSURANCE

Affiliations

Name	Bush, Carey	DOIID	652955	NAIC NPN	8343950

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	4/5/2007	11/30/2024
Active	Non Resident	Agent	Life	4/5/2007	11/30/2024
Active	Non Resident	Agent	Property	4/5/2007	11/30/2024
Active	Non Resident	Agent	Casualty	4/5/2007	11/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Economy Insurance Company	300315	Agent - Casualty	2/13/2023
Active	American Economy Insurance Company	300315	Agent - Property	2/13/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	4/28/2017	9/6/2023
Inactive	American Modern Home Insurance Company	300791	Agent - Property	4/28/2017	9/6/2023
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	3/16/2022
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	3/16/2022
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	9/30/2020	6/21/2023
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	9/30/2020	6/21/2023
Active	Bristol West Insurance Company	301655	Agent - Casualty	5/7/2024
Active	Bristol West Insurance Company	301655	Agent - Property	5/7/2024
Active	Erie Family Life Insurance Company	301400	Agent - Health	10/25/2019
Active	Erie Family Life Insurance Company	301400	Agent - Life	9/26/2014
Active	Erie Insurance Company	300230	Agent - Casualty	9/22/2014
Active	Erie Insurance Company	300230	Agent - Property	9/22/2014
Active	Erie Insurance Company of New York	789916	Agent - Casualty	9/24/2015
Active	Erie Insurance Company of New York	789916	Agent - Property	9/24/2015
Active	Erie Insurance Exchange	300789	Agent - Casualty	9/22/2014
Active	Erie Insurance Exchange	300789	Agent - Property	9/22/2014
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	9/24/2015
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	9/24/2015
Active	Flagship City Insurance Company	789965	Agent - Casualty	9/24/2015
Active	Flagship City Insurance Company	789965	Agent - Property	9/24/2015
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/29/2011
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/29/2011
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	4/16/2007
Active	Grange Indemnity Insurance Company	300793	Agent - Property	4/16/2007
Active	Grange Insurance Company	300234	Agent - Casualty	4/16/2007
Active	Grange Insurance Company	300234	Agent - Property	4/16/2007
Inactive	Grange Life Insurance Company	300128	Agent - Health	4/16/2007	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	4/16/2007	3/31/2021
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	2/25/2008
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	2/25/2008
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	9/30/2020	6/21/2023
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	9/30/2020	6/21/2023
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	9/30/2020	6/21/2023
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/8/2020
Active	Ohio Casualty Insurance Company	301492	Agent - Property	10/8/2020
Active	Ohio Security Insurance Company	300622	Agent - Casualty	10/8/2020
Active	Ohio Security Insurance Company	300622	Agent - Property	10/8/2020
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/10/2012	5/13/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/10/2012	5/13/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/10/2012	5/13/2014
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/10/2012	5/13/2014
Active	Trustgard Insurance Company	300104	Agent - Casualty	4/16/2007
Active	Trustgard Insurance Company	300104	Agent - Property	4/16/2007
Active	West Bend Insurance Company	672974	Agent - Casualty	5/18/2023
Active	West Bend Insurance Company	672974	Agent - Property	5/18/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	B & R Ins Services Agency LLC	653049	Agent - Life	9/15/2014
Active	B & R Ins Services Agency LLC	653049	Agent - Health	9/15/2014
Active	B & R Ins Services Agency LLC	653049	Agent - Property	5/3/2007
Active	B & R Ins Services Agency LLC	653049	Agent - Casualty	5/3/2007