DEPARTMENT OF INSURANCE

Affiliations

Name	Schwartzlose, Beth Ann	DOIID	709681	NAIC NPN	14439918

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Life	1/30/2012	10/31/2024
Active	Resident	Agent	Property	8/24/2009	10/31/2024
Active	Resident	Agent	Health	1/9/2012	10/31/2024
Active	Resident	Agent	Casualty	8/24/2009	10/31/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	08/15/2024	10/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AAA Life Insurance Company	300287	Agent - Health	4/6/2012	6/11/2014
Inactive	AAA Life Insurance Company	300287	Agent - Life	4/6/2012	6/11/2014
Inactive	American Commerce Insurance Company	301665	Agent - Casualty	10/5/2016	3/31/2018
Inactive	American Commerce Insurance Company	301665	Agent - Property	10/5/2016	3/31/2018
Inactive	American Economy Insurance Company	300315	Agent - Casualty	12/17/2009	10/20/2011
Inactive	American Economy Insurance Company	300315	Agent - Property	12/17/2009	10/20/2011
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	12/17/2009	12/31/2012
Inactive	American Fire and Casualty Company	300567	Agent - Property	12/17/2009	12/31/2012
Inactive	American States Insurance Company	301230	Agent - Casualty	12/17/2009	10/20/2011
Inactive	American States Insurance Company	301230	Agent - Property	12/17/2009	10/20/2011
Active	Auto Club Indemnity Company	1013914	Agent - Casualty	11/4/2020
Active	Auto Club Indemnity Company	1013914	Agent - Property	11/4/2020
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	11/20/2009	6/1/2023
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	11/20/2009	6/1/2023
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	12/17/2009	10/20/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	12/17/2009	10/20/2011
Inactive	First National Insurance Company of America	301690	Agent - Casualty	12/17/2009	10/20/2011
Inactive	First National Insurance Company of America	301690	Agent - Property	12/17/2009	10/20/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/24/2011	5/22/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/24/2011	5/22/2020
Inactive	General Insurance Company of America	300261	Agent - Casualty	12/17/2009	10/20/2011
Inactive	General Insurance Company of America	300261	Agent - Property	12/17/2009	10/20/2011
Inactive	Indiana Insurance Company	301909	Agent - Casualty	12/17/2009	12/31/2012
Inactive	Indiana Insurance Company	301909	Agent - Property	12/17/2009	12/31/2012
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	12/17/2009	10/20/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	12/17/2009	10/20/2011
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	12/17/2009	12/31/2012
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	12/17/2009	12/31/2012
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	12/17/2009	12/31/2012
Inactive	Ohio Security Insurance Company	300622	Agent - Property	12/17/2009	12/31/2012
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	12/17/2009	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	12/17/2009	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	12/17/2009	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Property	12/17/2009	10/20/2011
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	12/17/2009	12/31/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	12/17/2009	12/31/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	12/17/2009	12/31/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	12/17/2009	12/31/2012
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	10/1/2009	12/9/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	10/1/2009	12/9/2013
Inactive	West American Insurance Company	301112	Agent - Casualty	12/17/2009	12/31/2012
Inactive	West American Insurance Company	301112	Agent - Property	12/17/2009	12/31/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AAA Kentucky Insurance Agency, Inc.	398406	Agent - Casualty	10/20/2009	11/16/2015
Inactive	AAA Kentucky Insurance Agency, Inc.	398406	Agent - Property	10/20/2009	11/16/2015
Inactive	AAA Kentucky Insurance Agency, Inc.	398406	Agent - Life	4/10/2014	6/11/2014
Active	Aaa East Central Insurance Agency Inc	861400	Agent - Casualty	12/24/2014
Active	Aaa East Central Insurance Agency Inc	861400	Agent - Property	12/24/2014