DEPARTMENT OF INSURANCE

Affiliations

Name	Dennis, David Jordan	DOIID	677564	NAIC NPN	2257617

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	4/3/2008	1/31/2027
Active	Non Resident	Agent	Health	4/3/2008	1/31/2027
Active	Non Resident	Agent	Life	4/3/2008	1/31/2027
Active	Non Resident	Agent	Casualty	4/3/2008	1/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	3/18/2026	1/31/2029
* 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	11/15/2026	01/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AMCO Insurance Company	300204	Agent - Casualty	5/13/2026
Active	AMCO Insurance Company	300204	Agent - Property	5/13/2026
Active	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	5/13/2026
Active	Allied Property and Casualty Insurance Company	300279	Agent - Property	5/13/2026
Active	AmFed National Insurance Company	889152	Agent - Casualty	5/19/2023
Active	American Automobile Insurance Company	300953	Agent - Casualty	9/28/2023
Active	American Automobile Insurance Company	300953	Agent - Property	9/28/2023
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/25/2012	5/27/2022
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/25/2012	5/27/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/22/2017	10/20/2018
Active	Arch Insurance Company	300688	Agent - Casualty	1/10/2017
Active	Arch Insurance Company	300688	Agent - Property	1/10/2017
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	2/22/2019
Active	Auto-Owners Insurance Company	301480	Agent - Property	2/22/2019
Active	Benchmark Insurance Company	300374	Agent - Health	12/9/2020
Active	Benchmark Insurance Company	300374	Agent - Property	12/9/2020
Active	Berkley Regional Insurance Company	300920	Agent - Casualty	5/9/2022
Active	Berkley Regional Insurance Company	300920	Agent - Property	5/9/2022
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	2/7/2020	12/6/2023
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/25/2012	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/25/2012	4/26/2024
Active	Depositors Insurance Company	301634	Agent - Casualty	5/13/2026
Active	Depositors Insurance Company	301634	Agent - Property	5/13/2026
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	1/20/2020
Active	Employers Insurance Company of Wausau	301813	Agent - Property	1/20/2020
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	3/7/2021
Active	Fireman's Fund Insurance Company	301423	Agent - Property	3/7/2021
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	1/20/2020
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	1/20/2020
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/25/2012	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	10/25/2012	2/3/2023
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	12/17/2019	12/29/2020
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	12/17/2019	12/29/2020
Active	LM Insurance Corporation	301061	Agent - Casualty	1/20/2020
Active	LM Insurance Corporation	301061	Agent - Property	1/20/2020
Active	Liberty Insurance Corporation	300444	Agent - Casualty	1/20/2020
Active	Liberty Insurance Corporation	300444	Agent - Property	1/20/2020
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	1/20/2020
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	1/20/2020
Active	Markel American Insurance Company	300377	Agent - Casualty	7/28/2025
Active	Markel American Insurance Company	300377	Agent - Property	7/28/2025
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	5/13/2026
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	5/13/2026
Active	Nationwide Assurance Company	300166	Agent - Casualty	5/13/2026
Active	Nationwide Assurance Company	300166	Agent - Property	5/13/2026
Active	Nationwide General Insurance Company	300603	Agent - Casualty	5/13/2026
Active	Nationwide General Insurance Company	300603	Agent - Property	5/13/2026
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	5/13/2026
Active	Nationwide Insurance Company of America	300333	Agent - Property	5/13/2026
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	5/13/2026
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	5/13/2026
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/25/2012	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/25/2012	4/26/2024
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/25/2012	5/27/2022
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/25/2012	5/27/2022
Active	Ohio Security Insurance Company	300622	Agent - Casualty	3/1/2023
Active	Ohio Security Insurance Company	300622	Agent - Property	3/1/2023
Active	Owners Insurance Company	300796	Agent - Casualty	2/27/2019
Active	Owners Insurance Company	300796	Agent - Property	2/27/2019
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/25/2012
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	10/25/2012
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/25/2012	5/8/2025
Inactive	Peerless Insurance Company	301910	Agent - Property	10/25/2012	5/8/2025
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Casualty	9/24/2018
Active	Privilege Underwriters Reciprocal Exchange	769657	Agent - Property	9/24/2018
Active	United of Omaha Life Insurance Company	300156	Agent - Health	4/24/2012
Active	United of Omaha Life Insurance Company	300156	Agent - Life	4/24/2012
Inactive	West American Insurance Company	301112	Agent - Casualty	10/25/2012	5/27/2022
Inactive	West American Insurance Company	301112	Agent - Property	10/25/2012	5/27/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/22/2017	10/17/2018
Active	Harmon Dennis Bradshaw Inc	565326	Agent - Casualty	11/3/2016
Active	Harmon Dennis Bradshaw Inc	565326	Agent - Health	8/14/2017
Active	Harmon Dennis Bradshaw Inc	565326	Agent - Life	8/14/2017
Active	Harmon Dennis Bradshaw Inc	565326	Agent - Property	11/3/2016
Inactive	Medlink Inc	400721	Agent - Health	8/16/2017	3/31/2024
Inactive	Medlink Inc	400721	Agent - Life	8/16/2017	3/31/2024