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	Casualty	4/3/2008	1/31/2027
Active	Non Resident	Agent	Life	4/3/2008	1/31/2027
Active	Non Resident	Agent	Health	4/3/2008	1/31/2027
* 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	Inactive Date
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	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
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