DEPARTMENT OF INSURANCE

Affiliations

Name	Mercedes-Benz Insurance Agency, LLC	DOIID	660058	NAIC NPN	9465417

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	7/21/2007		3/31/2025
Active	Non Resident	Agent	Casualty	7/21/2007		3/31/2025
Inactive	Non Resident	Agent	Health	10/17/2008	4/1/2009
Inactive	Non Resident	Agent	Life	10/17/2008	4/1/2009
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	11/3/2016
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	11/3/2016
Inactive	American States Insurance Company	301230	Agent - Casualty	7/10/2008	2/4/2011
Inactive	American States Insurance Company	301230	Agent - Property	7/10/2008	2/4/2011
Active	American Zurich Insurance Company	300592	Agent - Casualty	11/3/2016
Active	American Zurich Insurance Company	300592	Agent - Property	11/3/2016
Active	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	10/14/2016
Active	Empire Fire and Marine Insurance Company	300666	Agent - Property	10/14/2016
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	8/15/2011
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	8/15/2011
Inactive	First National Insurance Company of America	301690	Agent - Casualty	7/10/2008	2/4/2011
Inactive	First National Insurance Company of America	301690	Agent - Property	7/10/2008	2/4/2011
Inactive	General Insurance Company of America	300261	Agent - Casualty	7/10/2008	2/4/2011
Inactive	General Insurance Company of America	300261	Agent - Property	7/10/2008	2/4/2011
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	11/18/2008	1/6/2011
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	11/18/2008	1/6/2011
Active	Intrepid Insurance Company	567182	Agent - Casualty	3/20/2009
Active	Intrepid Insurance Company	567182	Agent - Property	3/20/2009
Active	LM General Insurance Company	300133	Agent - Casualty	8/15/2011
Active	LM General Insurance Company	300133	Agent - Property	8/15/2011
Active	LM Insurance Corporation	301061	Agent - Casualty	8/15/2011
Active	LM Insurance Corporation	301061	Agent - Property	8/15/2011
Active	Liberty Insurance Corporation	300444	Agent - Casualty	8/15/2011
Active	Liberty Insurance Corporation	300444	Agent - Property	8/15/2011
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	8/15/2011
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	8/15/2011
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	8/15/2011
Active	Liberty Mutual Insurance Company	301159	Agent - Property	8/15/2011
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/10/2008	2/4/2011
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/10/2008	2/4/2011
Active	Universal Underwriters Insurance Company	301558	Agent - Casualty	10/7/2016
Active	Universal Underwriters Insurance Company	301558	Agent - Property	10/7/2016
Active	Universal Underwriters of Texas Insurance Company	639543	Agent - Casualty	10/7/2016
Active	Universal Underwriters of Texas Insurance Company	639543	Agent - Property	10/7/2016
Active	Zurich American Insurance Company	301121	Agent - Casualty	10/14/2016
Active	Zurich American Insurance Company	301121	Agent - Property	10/14/2016
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	10/14/2016
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	10/14/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Adams, Jon	698395	Agent - Casualty
Denied	Adams, Jon	698395	Agent - Property
Inactive	Clark, Derek William	984709	Agent - Casualty	3/7/2018	4/30/2022
Inactive	Clark, Derek William	984709	Agent - Property	3/7/2018	4/30/2022
Inactive	Comaianni-Martin, Dana Marise	676512	Agent - Casualty	7/31/2008	2/28/2015
Denied	Comaianni-Martin, Dana Marise	676512	Agent - Health
Denied	Comaianni-Martin, Dana Marise	676512	Agent - Life
Inactive	Comaianni-Martin, Dana Marise	676512	Agent - Property	7/31/2008	2/28/2015
Inactive	Condon, Vincent Patrick	569032	Agent - Casualty	10/17/2008	3/31/2009
Inactive	Condon, Vincent Patrick	569032	Agent - Health	10/17/2008	3/31/2009
Inactive	Condon, Vincent Patrick	569032	Agent - Life	10/17/2008	3/31/2009
Inactive	Condon, Vincent Patrick	569032	Agent - Property	10/17/2008	3/31/2009
Denied	Reid, Anthony S	943752	Agent - Casualty
Denied	Reid, Anthony S	943752	Agent - Property
Active	Richardson, Lisa Lynn	731407	Agent - Casualty	4/11/2014
Active	Richardson, Lisa Lynn	731407	Agent - Property	4/11/2014
Denied	Wuebben, Anthony James	698398	Agent - Casualty
Denied	Wuebben, Anthony James	698398	Agent - Property