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DEPARTMENT OF INSURANCE
Affiliations
Name
Public Entities Of America LLC
DOIID
703019
NAIC NPN
8451357
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Non Resident
Agent
Life
3/18/2015
9/8/2017
Inactive
Non Resident
Agent
Property
4/16/2009
5/17/2024
Inactive
Non Resident
Agent
Health
3/18/2015
9/8/2017
Inactive
Non Resident
Agent
Casualty
4/16/2009
5/17/2024
Denied
Non Resident
Surplus Lines Broker
Not Applicable
* 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 Alternative Insurance Corporation
301697
Agent - Casualty
2/27/2014
5/17/2024
Inactive
American Alternative Insurance Corporation
301697
Agent - Property
2/27/2014
5/17/2024
Inactive
American Family Home Insurance Company
301817
Agent - Casualty
5/3/2024
5/17/2024
Inactive
American Family Home Insurance Company
301817
Agent - Property
5/3/2024
5/17/2024
Inactive
American Southern Home Insurance Company
626276
Agent - Casualty
5/3/2024
5/17/2024
Inactive
American Southern Home Insurance Company
626276
Agent - Property
5/3/2024
5/17/2024
Inactive
Atlantic Specialty Insurance Company
518595
Agent - Casualty
10/5/2012
4/22/2014
Inactive
Atlantic Specialty Insurance Company
518595
Agent - Property
10/5/2012
4/22/2014
Inactive
BITCO General Insurance Corporation
301305
Agent - Casualty
8/24/2015
5/17/2024
Inactive
BITCO General Insurance Corporation
301305
Agent - Property
8/24/2015
5/17/2024
Inactive
BITCO National Insurance Company
301366
Agent - Casualty
8/24/2015
5/17/2024
Inactive
BITCO National Insurance Company
301366
Agent - Property
8/24/2015
5/17/2024
Inactive
Employers Insurance Company of Wausau
301813
Agent - Casualty
9/2/2022
5/17/2024
Inactive
Employers Insurance Company of Wausau
301813
Agent - Property
9/2/2022
5/17/2024
Inactive
First Liberty Insurance Corporation (The)
301060
Agent - Casualty
9/2/2022
5/17/2024
Inactive
First Liberty Insurance Corporation (The)
301060
Agent - Property
9/2/2022
5/17/2024
Inactive
Key Risk Insurance Company
630687
Agent - Casualty
8/26/2011
5/17/2024
Inactive
Key Risk Insurance Company
630687
Agent - Property
8/26/2011
5/17/2024
Inactive
LM Insurance Corporation
301061
Agent - Casualty
9/2/2022
5/17/2024
Inactive
LM Insurance Corporation
301061
Agent - Property
9/2/2022
5/17/2024
Inactive
Lamorak Insurance Company
301231
Agent - Casualty
1/17/2011
10/5/2012
Inactive
Lamorak Insurance Company
301231
Agent - Property
1/17/2011
10/5/2012
Inactive
Liberty Insurance Corporation
300444
Agent - Casualty
9/2/2022
5/17/2024
Inactive
Liberty Insurance Corporation
300444
Agent - Property
9/2/2022
5/17/2024
Inactive
Liberty Mutual Fire Insurance Company
301913
Agent - Casualty
9/2/2022
5/17/2024
Inactive
Liberty Mutual Fire Insurance Company
301913
Agent - Property
9/2/2022
5/17/2024
Inactive
National Union Fire Insurance Company of Pittsburgh, Pennsylvania
300959
Agent - Casualty
10/8/2019
5/17/2024
Inactive
National Union Fire Insurance Company of Pittsburgh, Pennsylvania
300959
Agent - Property
10/8/2019
5/17/2024
Inactive
Old Republic Insurance Company
301225
Agent - Casualty
6/23/2009
1/17/2011
Inactive
StarNet Insurance Company
502746
Agent - Casualty
8/26/2011
5/17/2024
Inactive
StarNet Insurance Company
502746
Agent - Property
8/26/2011
5/17/2024
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Butts, Delbert Leroy
308432
Agent - Casualty
4/16/2009
2/22/2018
Inactive
Butts, Delbert Leroy
308432
Agent - Property
4/16/2009
2/22/2018
Inactive
Clack, Connie S
952866
Agent - Casualty
9/8/2017
5/17/2024
Inactive
Clack, Connie S
952866
Agent - Property
9/8/2017
5/17/2024
Denied
Jenkins, Tammy L
967803
Agent - Casualty
Denied
Jenkins, Tammy L
967803
Agent - Property
Inactive
Nagle, Emily Anne
1173937
Agent - Casualty
9/27/2022
5/17/2024
Inactive
Nagle, Emily Anne
1173937
Agent - Property
9/27/2022
5/17/2024
Inactive
Quarles, Nancy M
663045
Agent - Casualty
9/8/2017
11/8/2022
Inactive
Quarles, Nancy M
663045
Agent - Property
9/8/2017
11/8/2022
Inactive
Shamel, Gene Travis
871164
Agent - Health
3/18/2015
9/8/2017
Inactive
Shamel, Gene Travis
871164
Agent - Life
3/18/2015
9/8/2017
Denied
Shamel, Gene Travis
871164
Surplus Lines Broker - Not Applicable
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