DEPARTMENT OF INSURANCE

Affiliations

Name	H&R Block Ins Agency Inc	DOIID	663231	NAIC NPN	9588610

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	9/21/2007		3/31/2027
Active	Non Resident	Agent	Casualty	9/21/2007		3/31/2027
Inactive	Non Resident	Agent	Health	5/22/2013	3/16/2022
Inactive	Non Resident	Agent	Life	5/22/2013	3/16/2022
Active	Non Resident	Independent Adjuster	Property & Casualty	12/5/2007		3/31/2027
* 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
Active	ACE American Insurance Company	300625	Agent - Casualty	9/25/2007
Active	ACE American Insurance Company	300625	Agent - Property	9/25/2007
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	10/31/2007
Active	Indemnity Insurance Company of North America	301760	Agent - Property	10/31/2007
Active	Old Republic Insurance Company	301225	Agent - Casualty	3/6/2008
Active	Old Republic Insurance Company	301225	Agent - Property	4/10/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Boyle, Arthur S	661436	Agent - Casualty	9/21/2007	10/25/2010
Inactive	Boyle, Arthur S	661436	Agent - Property	9/21/2007	10/25/2010
Active	Brenneman, Christopher Wade	901492	Agent - Casualty	3/16/2022
Active	Brenneman, Christopher Wade	901492	Agent - Property	3/16/2022
Active	Brenneman, Christopher Wade	901492	Independent Adjuster - Property & Casualty	9/9/2021
Inactive	Castledine, Megan Elizabeth	805658	Agent - Casualty	6/5/2013	11/24/2014
Inactive	Castledine, Megan Elizabeth	805658	Agent - Property	1/13/2014	11/24/2014
Inactive	Harrington, Ethan J	559011	Agent - Casualty	6/14/2012	12/31/2021
Inactive	Harrington, Ethan J	559011	Agent - Health	5/22/2013	12/31/2021
Inactive	Harrington, Ethan J	559011	Agent - Life	5/22/2013	12/31/2021
Inactive	Harrington, Ethan J	559011	Agent - Property	6/14/2012	12/31/2021
Inactive	Harrington, Ethan J	559011	Independent Adjuster - Property & Casualty	10/25/2010	12/31/2021
Inactive	Mosley, Cynthia K	783950	Agent - Casualty	5/31/2013	5/31/2016
Inactive	Mosley, Cynthia K	783950	Agent - Health	3/10/2014	5/28/2015
Inactive	Mosley, Cynthia K	783950	Agent - Life	3/10/2014	5/28/2015
Inactive	Mosley, Cynthia K	783950	Agent - Property	5/31/2013	5/31/2016
Inactive	Nguyen, Thao Thi Thanh	900298	Agent - Casualty	12/29/2015	1/21/2022
Inactive	Nguyen, Thao Thi Thanh	900298	Agent - Property	12/29/2015	1/21/2022
Inactive	Okeefe, Michael Phillip	754618	Agent - Casualty		6/14/2012
Inactive	Okeefe, Michael Phillip	754618	Agent - Property		6/14/2012
Inactive	Roop, Mary Elizabeth	830722	Agent - Casualty	1/2/2015	10/31/2021
Inactive	Roop, Mary Elizabeth	830722	Agent - Property	1/2/2015	10/31/2021
Inactive	Sanders, Patricia Christine	669898	Independent Adjuster - Property & Casualty	12/5/2007	11/30/2017
Active	Smith Douglas, Betty Joleen	799800	Independent Adjuster - Property & Casualty	5/31/2013
Inactive	Smith, Catherine J	661114	Agent - Casualty	10/25/2010	6/14/2012
Inactive	Smith, Catherine J	661114	Agent - Property	10/25/2010	6/14/2012
Inactive	Smith, Catherine J	661114	Independent Adjuster - Property & Casualty	10/25/2010	6/14/2012