DEPARTMENT OF INSURANCE
Affiliations
NameKeystone Insurers Group IncDOIID701652NAIC NPN2006080
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty4/25/2009 3/31/2025
ActiveNon ResidentAgentHealth4/25/2009 3/31/2025
ActiveNon ResidentAgentCasualty4/25/2009 3/31/2025
ActiveNon ResidentAgentLife4/25/2009 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE Property and Casualty Insurance Company300520Agent - Casualty8/21/2018 
ActiveACE Property and Casualty Insurance Company300520Agent - Property8/21/2018 
ActiveACUITY, A Mutual Insurance Company300095Agent - Casualty1/26/2020 
ActiveACUITY, A Mutual Insurance Company300095Agent - Property1/26/2020 
ActiveAMCO Insurance Company300204Agent - Casualty11/21/2017 
ActiveAMCO Insurance Company300204Agent - Property11/21/2017 
ActiveAccident Fund General Insurance Company626282Agent - Casualty7/23/2020 
InactiveAccident Fund General Insurance Company626282Agent - Property7/23/20207/26/2020
ActiveAccident Fund Insurance Company of America518734Agent - Casualty7/23/2020 
InactiveAccident Fund Insurance Company of America518734Agent - Property7/23/20207/26/2020
ActiveAccident Fund National Insurance Company626286Agent - Casualty7/23/2020 
InactiveAccident Fund National Insurance Company626286Agent - Property7/23/20207/26/2020
InactiveAddison Insurance Company874810Agent - Casualty1/8/20194/11/2024
InactiveAddison Insurance Company874810Agent - Property1/8/20194/11/2024
ActiveAetna Health Inc. (PA)660717Agent - Health11/18/2011 
ActiveAetna Life Insurance Company301140Agent - Health11/18/2011 
ActiveAetna Life Insurance Company301140Agent - Life11/18/2011 
ActiveAllied Eastern Indemnity Company683842Agent - Casualty8/20/2010 
ActiveAllied Insurance Company of America793586Agent - Casualty11/21/2017 
ActiveAllied Insurance Company of America793586Agent - Property11/21/2017 
ActiveAllied Property and Casualty Insurance Company300279Agent - Casualty11/21/2017 
ActiveAllied Property and Casualty Insurance Company300279Agent - Property11/21/2017 
ActiveAmGUARD Insurance Company500010Agent - Casualty7/10/2020 
ActiveAmGUARD Insurance Company500010Agent - Property3/27/2018 
InactiveAmerican Fire and Casualty Company300567Agent - Casualty11/21/20143/29/2024
InactiveAmerican Fire and Casualty Company300567Agent - Property11/21/20143/29/2024
InactiveAmerican General Life Insurance Company301585Agent - Health12/31/20124/21/2017
InactiveAmerican General Life Insurance Company301585Agent - Life12/31/20124/21/2017
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Health11/14/201112/31/2012
InactiveAmerican General Life Insurance Company of Delaware301057Agent - Life11/14/201112/31/2012
ActiveAmerican Guarantee and Liability Insurance Company301216Agent - Casualty5/15/2017 
ActiveAmerican Guarantee and Liability Insurance Company301216Agent - Property5/15/2017 
ActiveAmerican Select Insurance Company301229Agent - Casualty2/29/2016 
ActiveAmerican Select Insurance Company301229Agent - Property2/29/2016 
ActiveAmerican Zurich Insurance Company300592Agent - Casualty5/15/2017 
ActiveAmerican Zurich Insurance Company300592Agent - Property5/15/2017 
InactiveAuto-Owners Insurance Company301480Agent - Casualty4/30/200912/27/2010
InactiveAuto-Owners Insurance Company301480Agent - Property4/30/200912/27/2010
InactiveAuto-Owners Life Insurance Company301368Agent - Health4/30/20091/14/2011
InactiveAuto-Owners Life Insurance Company301368Agent - Life4/30/200912/16/2010
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty9/10/200912/9/2013
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property9/10/200912/9/2013
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty2/22/201912/15/2020
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property2/22/201912/15/2020
ActiveCincinnati Life Insurance Company (The)300601Agent - Life2/10/2023 
ActiveColonial American Casualty & Surety Company300769Agent - Casualty5/17/2017 
ActiveColonial American Casualty & Surety Company300769Agent - Property5/17/2017 
ActiveColonial Life and Accident Insurance Company300846Agent - Health9/10/2012 
ActiveColonial Life and Accident Insurance Company300846Agent - Life9/10/2012 
ActiveContinental Casualty Company301019Agent - Casualty7/5/2016 
ActiveContinental Casualty Company301019Agent - Property7/5/2016 
ActiveContinental Insurance Company (The)301242Agent - Casualty1/2/2018 
ActiveContinental Insurance Company (The)301242Agent - Property1/2/2018 
ActiveCountry Mutual Insurance Company301024Agent - Casualty1/1/2017 
ActiveCountry Mutual Insurance Company301024Agent - Property1/1/2017 
ActiveDepositors Insurance Company301634Agent - Casualty11/21/2017 
ActiveDepositors Insurance Company301634Agent - Property11/21/2017 
ActiveEMC Property & Casualty Company955217Agent - Casualty5/11/2021 
ActiveEMC Property & Casualty Company955217Agent - Property5/11/2021 
ActiveEMCASCO Insurance Company842790Agent - Casualty9/14/2015 
ActiveEMCASCO Insurance Company842790Agent - Property9/14/2015 
ActiveEastern Advantage Assurance Company692390Agent - Casualty8/20/2010 
ActiveEastern Alliance Insurance Company683841Agent - Casualty8/20/2010 
ActiveEmployers Insurance Company of Wausau301813Agent - Casualty8/14/2015 
ActiveEmployers Insurance Company of Wausau301813Agent - Property8/14/2015 
ActiveEmployers Mutual Casualty Company300202Agent - Casualty7/24/2009 
ActiveEmployers Mutual Casualty Company300202Agent - Property7/24/2009 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Casualty1/24/2024 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Property1/24/2024 
ActiveFarmington Casualty Company301137Agent - Casualty2/22/2019 
ActiveFarmington Casualty Company301137Agent - Property2/22/2019 
ActiveFederal Insurance Company301144Agent - Casualty12/14/2015 
ActiveFederal Insurance Company301144Agent - Property12/14/2015 
ActiveFidelity and Deposit Company of Maryland300976Agent - Casualty5/17/2017 
ActiveFidelity and Deposit Company of Maryland300976Agent - Property5/17/2017 
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Casualty10/20/2020 
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Property10/20/2020 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty1/22/2010 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property1/22/2010 
InactiveForemost Property and Casualty Insurance Company300871Agent - Casualty11/19/20125/3/2018
InactiveForemost Property and Casualty Insurance Company300871Agent - Property11/19/20125/3/2018
InactiveForemost Signature Insurance Company300140Agent - Casualty11/19/20125/3/2018
InactiveForemost Signature Insurance Company300140Agent - Property11/19/20125/3/2018
InactiveForge Insurance Company866527Agent - Casualty9/28/202212/30/2022
InactiveForge Insurance Company866527Agent - Property9/28/202212/30/2022
ActiveFreedom Specialty Insurance Company300890Agent - Casualty4/17/2013 
ActiveFreedom Specialty Insurance Company300890Agent - Property4/17/2013 
ActiveGrange Indemnity Insurance Company300793Agent - Casualty1/11/2019 
ActiveGrange Indemnity Insurance Company300793Agent - Property1/11/2019 
ActiveGrange Insurance Company300234Agent - Casualty1/11/2019 
ActiveGrange Insurance Company300234Agent - Property1/11/2019 
ActiveGrange Property & Casualty Insurance Company601680Agent - Casualty1/11/2019 
ActiveGrange Property & Casualty Insurance Company601680Agent - Property1/11/2019 
InactiveGreat American Alliance Insurance Company301247Agent - Casualty5/31/20124/2/2015
InactiveGreat American Alliance Insurance Company301247Agent - Property5/31/20124/2/2015
InactiveGreat American Assurance Company300327Agent - Casualty5/31/20124/2/2015
InactiveGreat American Assurance Company300327Agent - Property5/31/20124/2/2015
InactiveGreat American Insurance Company301586Agent - Casualty5/31/20124/2/2015
InactiveGreat American Insurance Company301586Agent - Property5/31/20124/2/2015
InactiveGreat American Insurance Company of New York301897Agent - Casualty5/31/20124/2/2015
InactiveGreat American Insurance Company of New York301897Agent - Property5/31/20124/2/2015
InactiveGuarantee Insurance Company300611Agent - Casualty10/8/201212/18/2017
InactiveGuideOne Elite Insurance Company300490Agent - Casualty9/15/20105/15/2018
InactiveGuideOne Elite Insurance Company300490Agent - Property9/15/20105/15/2018
InactiveGuideOne Insurance Company301794Agent - Casualty9/15/20105/15/2018
InactiveGuideOne Insurance Company301794Agent - Property9/15/20105/15/2018
InactiveGuideOne Specialty Insurance Company300278Agent - Casualty9/15/20105/15/2018
InactiveGuideOne Specialty Insurance Company300278Agent - Property9/15/20105/15/2018
InactiveHallmark National Insurance Company300494Agent - Casualty8/5/200911/20/2017
InactiveHallmark National Insurance Company300494Agent - Property8/5/200911/20/2017
InactiveHamilton Mutual Insurance Company301111Agent - Casualty7/24/200912/19/2017
InactiveHamilton Mutual Insurance Company301111Agent - Property7/24/200912/19/2017
ActiveKansas City Life Insurance Company301444Agent - Life3/31/2022 
ActiveLM Insurance Corporation301061Agent - Casualty10/20/2020 
ActiveLM Insurance Corporation301061Agent - Property10/20/2020 
ActiveLiberty Insurance Corporation300444Agent - Casualty10/20/2020 
ActiveLiberty Insurance Corporation300444Agent - Property10/20/2020 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Casualty8/14/2015 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Property8/14/2015 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health12/6/2021 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life12/6/2021 
InactiveMeridian Citizens Mutual Insurance Company300935Agent - Casualty8/5/20096/30/2014
InactiveMeridian Citizens Mutual Insurance Company300935Agent - Property8/5/20096/30/2014
ActiveMeridian Security Insurance Company300423Agent - Casualty8/5/2009 
ActiveMeridian Security Insurance Company300423Agent - Property8/5/2009 
ActiveMetropolitan Life Insurance Company301948Agent - Health3/28/2011 
ActiveMetropolitan Life Insurance Company301948Agent - Life3/28/2011 
ActiveMetropolitan Tower Life Insurance Company300322Agent - Health9/19/2023 
ActiveMetropolitan Tower Life Insurance Company300322Agent - Life9/19/2023 
InactiveMiddlesex Mutual Assurance Company569442Agent - Casualty8/17/200912/31/2016
InactiveMiddlesex Mutual Assurance Company569442Agent - Property8/17/200912/31/2016
ActiveMilbank Insurance Company925185Agent - Casualty11/8/2017 
ActiveMilbank Insurance Company925185Agent - Property11/8/2017 
ActiveNational Fire Insurance Company of Hartford301063Agent - Casualty4/9/2018 
ActiveNational Fire Insurance Company of Hartford301063Agent - Property4/9/2018 
ActiveNationwide Agribusiness Insurance Company301008Agent - Casualty11/21/2017 
ActiveNationwide Agribusiness Insurance Company301008Agent - Property11/21/2017 
ActiveNationwide Assurance Company300166Agent - Casualty3/4/2020 
ActiveNationwide General Insurance Company300603Agent - Casualty8/28/2019 
ActiveNationwide General Insurance Company300603Agent - Property8/28/2019 
ActiveNationwide Insurance Company of America300333Agent - Casualty8/28/2019 
ActiveNationwide Insurance Company of America300333Agent - Property8/28/2019 
ActiveNationwide Mutual Insurance Company301749Agent - Casualty9/2/2020 
ActiveNationwide Mutual Insurance Company301749Agent - Property9/2/2020 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Casualty2/6/2020 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Property2/6/2020 
ActiveNorGUARD Insurance Company500015Agent - Casualty7/10/2020 
InactiveOhio Casualty Insurance Company301492Agent - Casualty11/21/20143/29/2024
InactiveOhio Casualty Insurance Company301492Agent - Property11/21/20143/29/2024
ActiveOhio Farmers Insurance Company301667Agent - Casualty2/29/2016 
ActiveOhio Farmers Insurance Company301667Agent - Property2/29/2016 
InactiveOhio Security Insurance Company300622Agent - Casualty11/21/20143/29/2024
InactiveOhio Security Insurance Company300622Agent - Property11/21/20143/29/2024
ActiveOld Guard Insurance Company533854Agent - Casualty6/9/2021 
ActiveOld Guard Insurance Company533854Agent - Property6/9/2021 
ActivePhiladelphia Indemnity Insurance Company301221Agent - Casualty3/22/2019 
ActivePhiladelphia Indemnity Insurance Company301221Agent - Property3/22/2019 
ActivePrincipal Life Insurance Company300129Agent - Health6/25/2021 
ActivePrincipal Life Insurance Company300129Agent - Life6/25/2021 
InactiveProgressive Casualty Insurance Company300696Agent - Casualty8/19/20095/28/2014
InactiveProgressive Casualty Insurance Company300696Agent - Property8/19/20095/28/2014
InactiveProgressive Northern Insurance Company301378Agent - Casualty8/19/200912/9/2013
InactiveProgressive Northern Insurance Company301378Agent - Property8/19/200912/9/2013
ActiveRLI Insurance Company301217Agent - Casualty11/1/2012 
ActiveRLI Insurance Company301217Agent - Property11/1/2012 
ActiveSECURA Insurance Company301656Agent - Casualty4/10/2013 
ActiveSECURA Insurance Company301656Agent - Health7/12/2023 
ActiveSECURA Insurance Company301656Agent - Property4/10/2013 
ActiveSECURA Supreme Insurance Company645533Agent - Casualty4/10/2013 
ActiveSECURA Supreme Insurance Company645533Agent - Property4/10/2013 
ActiveSentinel Insurance Company, Limited501696Agent - Casualty12/21/2011 
ActiveSentinel Insurance Company, Limited501696Agent - Property12/21/2011 
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty9/10/200912/9/2013
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Property9/10/200912/9/2013
InactiveSt. Paul Guardian Insurance Company301372Agent - Casualty9/10/200912/9/2013
InactiveSt. Paul Guardian Insurance Company301372Agent - Property9/10/200912/9/2013
InactiveSt. Paul Mercury Insurance Company300783Agent - Casualty9/10/200912/9/2013
InactiveSt. Paul Mercury Insurance Company300783Agent - Property9/10/200912/9/2013
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty12/15/2016 
ActiveStandard Fire Insurance Company (The)301068Agent - Property12/15/2016 
InactiveStar Insurance Company301553Agent - Casualty1/2/20207/14/2020
InactiveStar Insurance Company301553Agent - Property1/2/20207/14/2020
ActiveState Auto Property & Casualty Insurance Company301953Agent - Casualty8/5/2009 
ActiveState Auto Property & Casualty Insurance Company301953Agent - Property8/5/2009 
ActiveState Automobile Mutual Insurance Company301824Agent - Casualty8/5/2009 
ActiveState Automobile Mutual Insurance Company301824Agent - Property8/5/2009 
InactiveThe Phoenix Insurance Company301502Agent - Casualty2/22/201912/15/2020
InactiveThe Phoenix Insurance Company301502Agent - Property2/22/201912/15/2020
ActiveTransportation Insurance Company301575Agent - Casualty4/4/2016 
ActiveTransportation Insurance Company301575Agent - Property4/4/2016 
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty2/22/201912/15/2020
InactiveTravelers Casualty Insurance Company of America300522Agent - Property2/22/201912/15/2020
ActiveTravelers Casualty and Surety Company301067Agent - Casualty2/22/2019 
ActiveTravelers Casualty and Surety Company301067Agent - Property2/22/2019 
ActiveTravelers Casualty and Surety Company of America301334Agent - Casualty3/15/2016 
ActiveTravelers Casualty and Surety Company of America301334Agent - Property3/15/2016 
InactiveTravelers Commercial Insurance Company301506Agent - Casualty9/10/200912/9/2013
InactiveTravelers Commercial Insurance Company301506Agent - Property9/10/200912/9/2013
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty6/6/2023 
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Property6/6/2023 
ActiveTravelers Indemnity Company (The)301855Agent - Casualty2/22/2019 
ActiveTravelers Indemnity Company (The)301855Agent - Property2/22/2019 
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty2/22/201912/15/2020
InactiveTravelers Indemnity Company of America (The)301093Agent - Property2/22/201912/15/2020
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty2/22/201912/15/2020
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property2/22/201912/15/2020
InactiveTravelers Personal Insurance Company705785Agent - Casualty6/14/201912/15/2020
InactiveTravelers Personal Insurance Company705785Agent - Property6/14/201912/15/2020
InactiveTravelers Property Casualty Company of America301649Agent - Casualty2/22/201910/5/2021
InactiveTravelers Property Casualty Company of America301649Agent - Property2/22/201910/5/2021
ActiveTrustgard Insurance Company300104Agent - Casualty1/11/2019 
ActiveTrustgard Insurance Company300104Agent - Property1/11/2019 
ActiveUnion Insurance Company of Providence842791Agent - Casualty9/14/2015 
ActiveUnion Insurance Company of Providence842791Agent - Property9/14/2015 
InactiveUnited Financial Casualty Company301886Agent - Casualty8/19/20095/28/2014
InactiveUnited Financial Casualty Company301886Agent - Property8/19/20095/28/2014
InactiveUnited Fire & Casualty Company301374Agent - Casualty1/8/20194/11/2024
InactiveUnited Fire & Casualty Company301374Agent - Property1/8/20194/11/2024
ActiveUnited Wisconsin Insurance Company301103Agent - Casualty7/23/2020 
InactiveUnited Wisconsin Insurance Company301103Agent - Property7/23/20207/26/2020
InactiveUnitrin Auto and Home Insurance Company301538Agent - Casualty1/5/201712/29/2021
InactiveUnitrin Auto and Home Insurance Company301538Agent - Property1/5/201712/29/2021
InactiveUnitrin Safeguard Insurance Company301371Agent - Casualty10/11/201812/29/2021
InactiveUnitrin Safeguard Insurance Company301371Agent - Property10/11/201812/29/2021
InactiveWest American Insurance Company301112Agent - Casualty11/21/20143/29/2024
InactiveWest American Insurance Company301112Agent - Property11/21/20143/29/2024
ActiveWestfield Champion Insurance Company1054839Agent - Casualty6/9/2021 
ActiveWestfield Champion Insurance Company1054839Agent - Property6/9/2021 
ActiveWestfield Insurance Company301950Agent - Casualty2/29/2016 
ActiveWestfield Insurance Company301950Agent - Property2/29/2016 
ActiveWestfield National Insurance Company301036Agent - Casualty2/29/2016 
ActiveWestfield National Insurance Company301036Agent - Property2/29/2016 
ActiveWestfield Premier Insurance Company1055055Agent - Casualty6/9/2021 
ActiveWestfield Premier Insurance Company1055055Agent - Property6/9/2021 
ActiveWestfield Superior Insurance Company1054978Agent - Casualty6/9/2021 
ActiveWestfield Superior Insurance Company1054978Agent - Property6/9/2021 
ActiveWestfield Touchstone Insurance Company1055057Agent - Casualty6/9/2021 
ActiveWestfield Touchstone Insurance Company1055057Agent - Property6/9/2021 
InactiveWilliamsburg National Insurance Company301825Agent - Casualty1/2/20207/14/2020
InactiveWilliamsburg National Insurance Company301825Agent - Property1/2/20207/14/2020
ActiveZurich American Insurance Company301121Agent - Casualty5/15/2017 
ActiveZurich American Insurance Company301121Agent - Property5/15/2017 
ActiveZurich American Insurance Company of Illinois301805Agent - Casualty5/15/2017 
ActiveZurich American Insurance Company of Illinois301805Agent - Property5/15/2017 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedBedisky, Beth A 1254872Agent - Casualty  
ActiveBedisky, Beth A 1254872Agent - Health9/19/2023 
ActiveBedisky, Beth A 1254872Agent - Life9/19/2023 
DeniedBedisky, Beth A 1254872Agent - Property  
DeniedBoedker, David E 695182Agent - Casualty  
DeniedBoedker, David E 695182Agent - Life  
DeniedBoedker, David E 695182Agent - Property  
ActiveHawk, Lea Ann 695191Agent - Casualty4/25/2009 
ActiveHawk, Lea Ann 695191Agent - Health4/25/2009 
ActiveHawk, Lea Ann 695191Agent - Life4/25/2009 
ActiveHawk, Lea Ann 695191Agent - Property4/25/2009 
InactiveHedgspeth, Glen Alan 351146Agent - Casualty7/10/20146/1/2018
InactiveHedgspeth, Glen Alan 351146Agent - Health7/10/20146/1/2018
InactiveHedgspeth, Glen Alan 351146Agent - Life7/10/20146/1/2018
InactiveHedgspeth, Glen Alan 351146Agent - Property7/10/20146/1/2018
ActiveIrwin, David James 752148Agent - Casualty5/15/2023 
ActiveIrwin, David James 752148Agent - Property5/15/2023 
DeniedJoyce, Joseph P 695192Agent - Casualty  
DeniedJoyce, Joseph P 695192Agent - Property  
ActiveScullin, Robert P 1254904Agent - Casualty11/29/2023 
DeniedScullin, Robert P 1254904Agent - Health  
DeniedScullin, Robert P 1254904Agent - Life  
ActiveScullin, Robert P 1254904Agent - Property11/29/2023 
InactiveSutman, Alesia Dawn 597272Agent - Casualty2/26/201610/2/2017
InactiveSutman, Alesia Dawn 597272Agent - Property2/26/201610/2/2017

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