DEPARTMENT OF INSURANCE

Affiliations

Name	Dossett, Nelson Clark	DOIID	681613	NAIC NPN	10870071

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	6/16/2008	6/30/2020
Inactive	Resident	Agent	Health	6/16/2008	6/30/2020
Inactive	Resident	Agent	Property	6/14/2010	6/30/2020
Inactive	Resident	Agent	Casualty	6/14/2010	6/30/2020
* 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
Inactive	American Continental Insurance Company	643130	Agent - Health	5/19/2010	2/17/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	5/19/2010	2/17/2014
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	6/30/2020
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	6/30/2020
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	12/8/2014	9/14/2015
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	12/8/2014	9/14/2015
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	6/16/2008	10/2/2009
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	6/16/2008	10/2/2009
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	4/10/2018	1/15/2020
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	4/10/2018	1/15/2020
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	4/10/2018	1/15/2020
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	4/10/2018	1/15/2020
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	3/25/2019	1/15/2020
Inactive	Church Mutual Insurance Company, S.I.	301554	Agent - Casualty	2/6/2019	7/10/2020
Inactive	Church Mutual Insurance Company, S.I.	301554	Agent - Property	2/6/2019	7/10/2020
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/7/2010	4/13/2015
Inactive	CompBenefits Insurance Company	301864	Agent - Health	4/7/2010	7/2/2013
Inactive	CompBenefits Insurance Company	301864	Agent - Life	4/7/2010	7/2/2013
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	5/19/2010	6/30/2020
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	5/19/2010	4/22/2016
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	4/7/2010	4/13/2015
Inactive	Erie Family Life Insurance Company	301400	Agent - Health	11/14/2019	1/17/2020
Inactive	Erie Family Life Insurance Company	301400	Agent - Life	5/7/2015	1/17/2020
Inactive	Erie Insurance Company	300230	Agent - Casualty	5/7/2015	1/17/2020
Inactive	Erie Insurance Company	300230	Agent - Property	5/7/2015	1/17/2020
Inactive	Erie Insurance Company of New York	789916	Agent - Casualty	9/25/2015	1/17/2020
Inactive	Erie Insurance Company of New York	789916	Agent - Property	9/25/2015	1/17/2020
Inactive	Erie Insurance Exchange	300789	Agent - Casualty	5/7/2015	1/17/2020
Inactive	Erie Insurance Exchange	300789	Agent - Property	5/7/2015	1/17/2020
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	9/25/2015	1/17/2020
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Property	9/25/2015	1/17/2020
Inactive	Everly Life Insurance Company	561641	Agent - Life	2/19/2010	10/20/2011
Inactive	Flagship City Insurance Company	789965	Agent - Casualty	9/25/2015	1/17/2020
Inactive	Flagship City Insurance Company	789965	Agent - Property	9/25/2015	1/17/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/10/2013	7/2/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/10/2013	7/2/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	4/7/2010	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Health	3/1/2013	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	4/7/2010	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	4/7/2010	4/13/2015
Inactive	HumanaDental Insurance Company	301457	Agent - Health	8/17/2012	12/19/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	8/17/2012	12/19/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	3/16/2010	11/12/2012
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	3/16/2010	11/12/2012
Inactive	Kanawha Insurance Company	300127	Agent - Health	6/16/2010	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	6/16/2010	4/25/2013
Inactive	Keystone National Insurance Company	745173	Agent - Casualty	6/13/2019	7/14/2020
Inactive	Keystone National Insurance Company	745173	Agent - Property	6/13/2019	7/14/2020
Inactive	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	4/14/2011	12/22/2012
Inactive	Nationwide Agribusiness Insurance Company	301008	Agent - Property	4/14/2011	12/22/2012
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	5/1/2020	6/30/2020
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	3/1/2013	6/30/2020
Inactive	Nationwide General Insurance Company	300603	Agent - Property	3/1/2013	6/30/2020
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	3/1/2013	6/30/2020
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	3/1/2013	6/30/2020
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	3/1/2013	9/21/2016
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	3/1/2013	9/21/2016
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	3/1/2013	12/2/2014
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	3/1/2013	6/30/2020
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	3/1/2013	6/30/2020
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	3/1/2013	6/30/2020
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	3/1/2013	6/30/2020
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	3/1/2013	6/30/2020
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	3/1/2013	6/30/2020
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	3/25/2019	1/15/2020
Inactive	Owners Insurance Company	300796	Agent - Casualty	4/10/2018	1/15/2020
Inactive	Owners Insurance Company	300796	Agent - Property	4/10/2018	1/15/2020
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	3/25/2019	1/15/2020
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	6/27/2018	6/30/2020
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	6/27/2018	6/30/2020
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	6/27/2018	6/30/2020
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	6/27/2018	6/30/2020
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	3/25/2019	1/15/2020
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	1/17/2014	7/11/2016
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	2/19/2010	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	2/19/2010	12/26/2012
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	3/1/2013	8/21/2018
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	3/1/2013	8/21/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Harbor Insurance Agency, LLC	586811	Agent - Health	4/9/2018	1/14/2020
Inactive	Harbor Insurance Agency, LLC	586811	Agent - Life	4/9/2018	1/14/2020
Inactive	Harbor Insurance Agency, LLC	586811	Agent - Casualty	4/9/2018	1/14/2020
Inactive	Harbor Insurance Agency, LLC	586811	Agent - Property	4/9/2018	1/14/2020
Inactive	Nelson Dossett Insurance LLC	877740	Agent - Health	5/12/2015	3/31/2019
Inactive	Nelson Dossett Insurance LLC	877740	Agent - Life	5/12/2015	3/31/2019
Inactive	Nelson Dossett Insurance LLC	877740	Agent - Casualty	5/12/2015	3/31/2019
Inactive	Nelson Dossett Insurance LLC	877740	Agent - Property	5/12/2015	3/31/2019