DEPARTMENT OF INSURANCE

Affiliations

Name	Siegel, Suzette Woods	DOIID	662262	NAIC NPN	9599699

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	9/12/2012	5/31/2025
Active	Resident	Agent	Casualty	9/12/2012	5/31/2025
* 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	03/15/2025	05/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	9/26/2012	7/13/2016
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	9/26/2012	7/13/2016
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	12/19/2014	4/15/2022
Inactive	American Fire and Casualty Company	300567	Agent - Property	12/19/2014	4/15/2022
Inactive	Bedivere Insurance Company	300710	Agent - Casualty	2/25/2009	1/5/2010
Inactive	Bedivere Insurance Company	300710	Agent - Property	2/25/2009	1/5/2010
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	12/19/2014	4/15/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	12/19/2014	4/15/2022
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Casualty	2/25/2009	1/5/2010
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Property	2/25/2009	1/5/2010
Inactive	Erie Insurance Company	300230	Agent - Casualty	7/6/2020	4/12/2021
Inactive	Erie Insurance Company	300230	Agent - Property	7/6/2020	4/12/2021
Inactive	Erie Insurance Exchange	300789	Agent - Casualty	7/6/2020	4/12/2021
Inactive	Erie Insurance Exchange	300789	Agent - Property	7/6/2020	4/12/2021
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	10/2/2012	7/12/2016
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	10/2/2012	7/12/2016
Inactive	Grange Insurance Company	300234	Agent - Casualty	10/2/2012	7/12/2016
Inactive	Grange Insurance Company	300234	Agent - Property	10/2/2012	7/12/2016
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	10/2/2012	7/12/2016
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	10/2/2012	7/12/2016
Inactive	Indiana Insurance Company	301909	Agent - Casualty	12/19/2014	4/15/2022
Inactive	Indiana Insurance Company	301909	Agent - Property	12/19/2014	4/15/2022
Inactive	Lamorak Insurance Company	301231	Agent - Casualty	2/25/2009	1/5/2010
Inactive	Lamorak Insurance Company	301231	Agent - Property	2/25/2009	1/5/2010
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	12/19/2014	4/15/2022
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	12/19/2014	4/15/2022
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	12/19/2014	4/15/2022
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	12/19/2014	4/15/2022
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	12/19/2014	4/15/2022
Inactive	Ohio Security Insurance Company	300622	Agent - Property	12/19/2014	4/15/2022
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	12/19/2014	4/15/2022
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	12/19/2014	4/15/2022
Inactive	Peerless Insurance Company	301910	Agent - Casualty	12/19/2014	4/15/2022
Inactive	Peerless Insurance Company	301910	Agent - Property	12/19/2014	4/15/2022
Inactive	Penn Millers Insurance Company	301584	Agent - Casualty	1/3/2013	7/12/2018
Inactive	Penn Millers Insurance Company	301584	Agent - Property	1/3/2013	7/12/2018
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	6/18/2010	9/28/2011
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	6/18/2010	9/28/2011
Inactive	Sagamore Insurance Company	300942	Agent - Casualty	2/29/2016	4/27/2017
Inactive	Sagamore Insurance Company	300942	Agent - Property	2/29/2016	4/27/2017
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	10/2/2012	7/12/2016
Inactive	Trustgard Insurance Company	300104	Agent - Property	10/2/2012	7/12/2016
Inactive	West American Insurance Company	301112	Agent - Casualty	12/19/2014	4/15/2022
Inactive	West American Insurance Company	301112	Agent - Property	12/19/2014	4/15/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hyland Block & Hyland Inc.	398511	Agent - Casualty	10/15/2012	2/1/2017
Inactive	Hyland Block & Hyland Inc.	398511	Agent - Property	10/15/2012	2/1/2017
Denied	Nelson Ins Agency Inc	400059	Agent - Casualty
Denied	Nelson Ins Agency Inc	400059	Agent - Property