DEPARTMENT OF INSURANCE

Affiliations

Name	Epremium Insurance Agency LLC DBA : ePremium Insurance Agency LLC	DOIID	684937	NAIC NPN	9925625

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	2/13/2024	3/31/2026
Active	Non Resident	Agent	Property	9/11/2008	3/31/2026
Active	Non Resident	Agent	Casualty	9/11/2008	3/31/2026
Active	Non Resident	Agent	Health	2/13/2024	3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/3/2018	3/31/2026
* 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 Economy Insurance Company	300315	Agent - Casualty	1/26/2009	4/15/2022
Inactive	American Economy Insurance Company	300315	Agent - Property	1/26/2009	4/15/2022
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	1/30/2009	12/20/2021
Inactive	American Family Home Insurance Company	301817	Agent - Property	1/30/2009	12/20/2021
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	1/26/2009	4/15/2022
Inactive	American Fire and Casualty Company	300567	Agent - Property	1/26/2009	4/15/2022
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	1/30/2009	12/20/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	1/30/2009	12/20/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	8/6/2009	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/6/2009	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	12/17/2012	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	12/17/2012	11/14/2021
Inactive	American States Insurance Company	301230	Agent - Casualty	1/26/2009	4/15/2022
Inactive	American States Insurance Company	301230	Agent - Property	1/26/2009	4/15/2022
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	6/5/2014	12/21/2015
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	6/5/2014	12/21/2015
Active	Century-National Insurance Company	300540	Agent - Casualty	6/29/2015
Active	Century-National Insurance Company	300540	Agent - Property	6/29/2015
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	1/26/2009	4/15/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	1/26/2009	4/15/2022
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	5/14/2010	12/16/2015
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	5/14/2010	12/16/2015
Inactive	First National Insurance Company of America	301690	Agent - Casualty	1/26/2009	4/15/2022
Inactive	First National Insurance Company of America	301690	Agent - Property	1/26/2009	4/15/2022
Inactive	General Insurance Company of America	300261	Agent - Casualty	1/26/2009	4/15/2022
Inactive	General Insurance Company of America	300261	Agent - Property	1/26/2009	4/15/2022
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	11/1/2013
Active	Grange Indemnity Insurance Company	300793	Agent - Property	11/1/2013
Active	Grange Insurance Company	300234	Agent - Casualty	11/1/2013
Active	Grange Insurance Company	300234	Agent - Property	11/1/2013
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	11/1/2013
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	11/1/2013
Inactive	Great American Assurance Company	300327	Agent - Casualty	1/19/2011	8/29/2023
Inactive	Great American Assurance Company	300327	Agent - Property	1/19/2011	8/29/2023
Inactive	Great American Insurance Company	301586	Agent - Casualty	1/19/2011	8/29/2023
Inactive	Great American Insurance Company	301586	Agent - Property	1/19/2011	8/29/2023
Inactive	Indiana Insurance Company	301909	Agent - Casualty	1/26/2009	4/15/2022
Inactive	Indiana Insurance Company	301909	Agent - Property	1/26/2009	4/15/2022
Active	Jewelers Mutual Insurance Company, SI	301935	Agent - Casualty	5/27/2024
Active	Jewelers Mutual Insurance Company, SI	301935	Agent - Property	5/27/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	1/26/2009	4/15/2022
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	1/26/2009	4/15/2022
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	1/26/2009	4/15/2022
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	1/26/2009	4/15/2022
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	1/26/2009	4/15/2022
Inactive	Ohio Security Insurance Company	300622	Agent - Property	1/26/2009	4/15/2022
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	1/26/2009	4/15/2022
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	1/26/2009	4/15/2022
Inactive	Peerless Insurance Company	301910	Agent - Casualty	1/26/2009	4/15/2022
Inactive	Peerless Insurance Company	301910	Agent - Property	1/26/2009	4/15/2022
Active	Praetorian Insurance Company	301021	Agent - Casualty	5/6/2010
Active	Praetorian Insurance Company	301021	Agent - Property	5/6/2010
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	4/12/2013
Active	Progressive Casualty Insurance Company	300696	Agent - Property	4/12/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	1/26/2009	4/15/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	1/26/2009	4/15/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	1/26/2009	4/15/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	1/26/2009	4/15/2022
Active	Spinnaker Insurance Company	300099	Agent - Casualty	1/31/2022
Active	Spinnaker Insurance Company	300099	Agent - Property	5/4/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	6/5/2014	4/24/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	6/5/2014	4/24/2017
Inactive	Tesla Insurance Company	300337	Agent - Casualty	9/11/2008	11/4/2013
Inactive	Tesla Insurance Company	300337	Agent - Property	9/11/2008	11/4/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	6/5/2014	12/21/2015
Inactive	The Phoenix Insurance Company	301502	Agent - Property	6/5/2014	12/21/2015
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	6/5/2014	12/21/2015
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	6/5/2014	12/21/2015
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	6/5/2014	12/21/2015
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	6/5/2014	12/21/2015
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	12/30/2008	12/8/2009
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	12/30/2008	12/8/2009
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	6/5/2014	12/21/2015
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	6/5/2014	12/21/2015
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	6/17/2014	7/7/2015
Inactive	Trexis One Insurance Corporation	684197	Agent - Casualty	6/20/2014	7/7/2015
Active	Trisura Insurance Company	1077019	Agent - Casualty	5/11/2022
Active	Trisura Insurance Company	1077019	Agent - Property	5/11/2022
Active	Trustgard Insurance Company	300104	Agent - Casualty	11/1/2013
Active	Trustgard Insurance Company	300104	Agent - Property	11/1/2013
Active	United Financial Casualty Company	301886	Agent - Casualty	4/12/2013
Active	United Financial Casualty Company	301886	Agent - Property	4/12/2013
Inactive	West American Insurance Company	301112	Agent - Casualty	1/26/2009	4/15/2022
Inactive	West American Insurance Company	301112	Agent - Property	1/26/2009	4/15/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Abrego, Nancy Andrea	1183055	Agent - Casualty	1/21/2022	3/22/2023
Inactive	Abrego, Nancy Andrea	1183055	Agent - Property	1/21/2022	3/22/2023
Denied	Buhmeyer, Gary Lee	1002028	Agent - Casualty
Denied	Buhmeyer, Gary Lee	1002028	Agent - Property
Denied	Burton, Meredith	1258676	Agent - Casualty
Denied	Burton, Meredith	1258676	Agent - Property
Denied	Clouser, Robert Joseph	1252102	Agent - Casualty
Denied	Clouser, Robert Joseph	1252102	Agent - Property
Denied	Hartkopf, Noah H	1194752	Agent - Casualty
Denied	Hartkopf, Noah H	1194752	Agent - Property
Active	Hays, David E	876565	Agent - Casualty	10/13/2020
Active	Hays, David E	876565	Agent - Property	10/13/2020
Active	Hays, David E	876565	Surplus Lines Broker - Not Applicable	10/13/2020
Denied	Matlock, Amy	1131659	Agent - Casualty
Denied	Matlock, Amy	1131659	Agent - Property
Inactive	Robbins, Kelly Rae	1183027	Agent - Casualty	1/25/2022	2/29/2024
Inactive	Robbins, Kelly Rae	1183027	Agent - Property	1/25/2022	2/29/2024
Denied	Robinson Race, Christina	1268484	Agent - Casualty
Denied	Robinson Race, Christina	1268484	Agent - Property
Pending	Scherer, Jason	762427	Agent - Casualty
Pending	Scherer, Jason	762427	Agent - Property
Inactive	Scott, Chad Tindall	550333	Agent - Casualty	9/11/2008	10/13/2020
Inactive	Scott, Chad Tindall	550333	Agent - Property	9/11/2008	10/13/2020
Inactive	Scott, Chad Tindall	550333	Surplus Lines Broker - Not Applicable	4/3/2018	10/13/2020
Denied	Shaw, Oronde	1226171	Agent - Casualty
Denied	Shaw, Oronde	1226171	Agent - Property
Inactive	Stoltz, Jonathan Patrick	883358	Agent - Casualty	2/25/2022	8/30/2022
Inactive	Stoltz, Jonathan Patrick	883358	Agent - Property	2/25/2022	8/30/2022
Active	Vendramin, Robert Anthony	898616	Agent - Casualty	4/12/2023
Active	Vendramin, Robert Anthony	898616	Agent - Health	2/13/2024
Active	Vendramin, Robert Anthony	898616	Agent - Life	2/13/2024
Active	Vendramin, Robert Anthony	898616	Agent - Property	4/12/2023
Active	Vendramin, Robert Anthony	898616	Surplus Lines Broker - Not Applicable	4/12/2023
Denied	Zahariades, Marc Nicholas	1268581	Agent - Casualty
Denied	Zahariades, Marc Nicholas	1268581	Agent - Property
Denied	Zola, Felicia	1180272	Agent - Casualty
Denied	Zola, Felicia	1180272	Agent - Property