DEPARTMENT OF INSURANCE

Affiliations

Name	Maynard, Justin Ray	DOIID	708997	NAIC NPN	14367946

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	8/3/2009	1/1/2019
Inactive	Resident	Agent	Health	8/3/2009	1/1/2019
Inactive	Resident	Agent	Casualty	6/13/2011	1/1/2019
Inactive	Resident	Agent	Property	6/13/2011	1/1/2019
Denied	Resident	Property & Casualty Consultant	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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	1/31/2013	3/11/2016
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	1/31/2013	3/11/2016
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	3/5/2013	1/1/2019
Inactive	American Fire and Casualty Company	300567	Agent - Property	3/5/2013	1/1/2019
Inactive	American General Life Insurance Company	301585	Agent - Health	8/14/2012	3/6/2013
Inactive	American General Life Insurance Company	301585	Agent - Life	8/14/2012	3/6/2013
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	8/3/2009	5/13/2011
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	8/3/2009	5/13/2011
Inactive	Anthem Life Insurance Company	301209	Agent - Health	2/19/2013	11/2/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/19/2013	11/2/2016
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	5/30/2016	9/2/2016
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	5/30/2016	9/2/2016
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	2/8/2013	3/22/2013
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	2/8/2013	3/22/2013
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	2/8/2013	3/22/2013
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	2/8/2013	3/22/2013
Inactive	BITCO General Insurance Corporation	301305	Agent - Casualty	2/7/2013	11/11/2016
Inactive	BITCO General Insurance Corporation	301305	Agent - Property	2/7/2013	11/11/2016
Inactive	BITCO National Insurance Company	301366	Agent - Casualty	2/7/2013	11/11/2016
Inactive	BITCO National Insurance Company	301366	Agent - Property	2/7/2013	11/11/2016
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	1/9/2013	9/9/2016
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	3/5/2013	1/1/2019
Inactive	Consolidated Insurance Company	300943	Agent - Property	3/5/2013	1/1/2019
Inactive	Erie Family Life Insurance Company	301400	Agent - Life	1/8/2016	9/11/2016
Inactive	Erie Insurance Company	300230	Agent - Casualty	1/8/2016	9/11/2016
Inactive	Erie Insurance Company	300230	Agent - Property	1/8/2016	9/11/2016
Inactive	Erie Insurance Company of New York	789916	Agent - Casualty	1/8/2016	9/11/2016
Inactive	Erie Insurance Company of New York	789916	Agent - Property	1/8/2016	9/11/2016
Inactive	Erie Insurance Exchange	300789	Agent - Casualty	1/8/2016	9/11/2016
Inactive	Erie Insurance Exchange	300789	Agent - Property	1/8/2016	9/11/2016
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	1/8/2016	9/11/2016
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Property	1/8/2016	9/11/2016
Inactive	Flagship City Insurance Company	789965	Agent - Casualty	1/8/2016	9/11/2016
Inactive	Flagship City Insurance Company	789965	Agent - Property	1/8/2016	9/11/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	12/20/2016	1/1/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	12/20/2016	1/1/2019
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	2/5/2016	7/28/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	2/5/2016	7/28/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	2/5/2016	7/28/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	2/5/2016	7/28/2016
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	12/9/2016	1/1/2019
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	12/9/2016	1/1/2019
Inactive	Grange Insurance Company	300234	Agent - Casualty	12/9/2016	1/1/2019
Inactive	Grange Insurance Company	300234	Agent - Property	12/9/2016	1/1/2019
Inactive	Grange Life Insurance Company	300128	Agent - Life	12/9/2016	12/13/2016
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	12/9/2016	1/1/2019
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	12/9/2016	1/1/2019
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	1/11/2016	8/31/2016
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	1/11/2016	8/31/2016
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	1/11/2016	8/31/2016
Inactive	GuideOne Insurance Company	301794	Agent - Property	1/11/2016	8/31/2016
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	1/11/2016	8/31/2016
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	1/11/2016	8/31/2016
Inactive	Indiana Insurance Company	301909	Agent - Casualty	3/5/2013	1/1/2019
Inactive	Indiana Insurance Company	301909	Agent - Property	3/5/2013	1/1/2019
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	5/21/2015	6/14/2017
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Health	5/21/2015	6/14/2017
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Property	5/21/2015	6/14/2017
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	3/5/2013	1/1/2019
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	3/5/2013	1/1/2019
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	7/21/2014	9/9/2016
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	3/5/2013	1/1/2019
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	3/5/2013	1/1/2019
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	3/5/2013	1/1/2019
Inactive	Ohio Security Insurance Company	300622	Agent - Property	3/5/2013	1/1/2019
Inactive	Owners Insurance Company	300796	Agent - Casualty	2/8/2013	3/22/2013
Inactive	Owners Insurance Company	300796	Agent - Property	2/8/2013	3/22/2013
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	3/5/2013	1/1/2019
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	3/5/2013	1/1/2019
Inactive	Peerless Insurance Company	301910	Agent - Casualty	3/5/2013	1/1/2019
Inactive	Peerless Insurance Company	301910	Agent - Property	3/5/2013	1/1/2019
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	7/21/2014	9/9/2016
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	2/10/2016	1/1/2019
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	2/10/2016	1/1/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	2/10/2016	1/1/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	2/10/2016	1/1/2019
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/9/2012	1/1/2019
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	3/9/2012	1/1/2019
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	7/21/2014	9/9/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/3/2016	1/19/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/3/2016	1/19/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/3/2016	1/19/2017
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/3/2016	1/19/2017
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	2/16/2016	7/7/2016
Inactive	Trexis One Insurance Corporation	684197	Agent - Casualty	2/16/2016	7/7/2016
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	12/9/2016	1/1/2019
Inactive	Trustgard Insurance Company	300104	Agent - Property	12/9/2016	1/1/2019
Inactive	West American Insurance Company	301112	Agent - Casualty	3/5/2013	1/1/2019
Inactive	West American Insurance Company	301112	Agent - Property	3/5/2013	1/1/2019
Inactive	West Bend Insurance Company	672974	Agent - Casualty	2/4/2013	12/1/2016
Inactive	West Bend Insurance Company	672974	Agent - Property	2/4/2013	12/1/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bray & Oakley Ins Agy Inc	742235	Agent - Casualty	1/26/2016	1/17/2017
Inactive	Bray & Oakley Ins Agy Inc	742235	Agent - Property	1/26/2016	1/17/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Life	2/19/2013	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Health	2/19/2013	11/2/2016
Inactive	Peoples Insurance Agency LLC	517977	Agent - Life	1/15/2013	11/17/2015
Inactive	Peoples Insurance Agency LLC	517977	Agent - Health	1/15/2013	11/17/2015
Inactive	Peoples Insurance Agency LLC	517977	Agent - Casualty	1/15/2013	11/17/2015
Inactive	Peoples Insurance Agency LLC	517977	Agent - Property	1/15/2013	11/17/2015
Inactive	Stansbury Insurance & Risk Management LLC	709695	Agent - Casualty	9/21/2016	1/1/2019
Inactive	Stansbury Insurance & Risk Management LLC	709695	Agent - Property	9/21/2016	1/1/2019
Inactive	USI Insurance Services National, Inc	509421	Agent - Life	6/30/2011	1/4/2013
Inactive	USI Insurance Services National, Inc	509421	Agent - Health	6/30/2011	1/4/2013
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	3/9/2012	1/4/2013
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	3/9/2012	1/4/2013