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	Casualty	9/21/2007		3/31/2025
Active	Non Resident	Agent	Property	9/21/2007		3/31/2025
Inactive	Non Resident	Agent	Life	5/22/2013	3/16/2022
Inactive	Non Resident	Agent	Health	5/22/2013	3/16/2022
Active	Non Resident	Independent Adjuster	Property & Casualty	12/5/2007		3/31/2025
* 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	01/15/2025	03/31/2025
Independent Adjuster	01/15/2025	03/31/2025

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