DEPARTMENT OF INSURANCE

Affiliations

Name	First Advantage Ins Inc	DOIID	712206	NAIC NPN	9050195

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	5/8/2014	3/31/2025
Active	Non Resident	Agent	Property	7/11/2013	3/31/2025
Active	Non Resident	Agent	Health	5/8/2014	3/31/2025
Active	Non Resident	Agent	Casualty	7/11/2013	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

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Economy Insurance Company	300315	Agent - Casualty	5/21/2024
Active	American Economy Insurance Company	300315	Agent - Property	5/21/2024
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	7/25/2013	3/29/2024
Inactive	American Fire and Casualty Company	300567	Agent - Property	7/25/2013	3/29/2024
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	3/5/2019
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	3/5/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/20/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/20/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	10/3/2016	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	10/3/2016	11/14/2021
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	8/19/2016	8/30/2023
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	8/19/2016	8/30/2023
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	5/8/2014
Active	Auto-Owners Insurance Company	301480	Agent - Property	5/8/2014
Active	Auto-Owners Life Insurance Company	301368	Agent - Health	9/26/2018
Active	Auto-Owners Life Insurance Company	301368	Agent - Life	9/26/2018
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	1/25/2016	12/7/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	1/25/2016	12/7/2017
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	7/25/2013	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	7/25/2013	10/13/2022
Active	Erie Family Life Insurance Company	301400	Agent - Health	6/25/2019
Active	Erie Family Life Insurance Company	301400	Agent - Life	10/6/2014
Active	Erie Insurance Company	300230	Agent - Casualty	10/6/2014
Active	Erie Insurance Company	300230	Agent - Property	10/6/2014
Active	Erie Insurance Company of New York	789916	Agent - Casualty	9/25/2015
Active	Erie Insurance Company of New York	789916	Agent - Property	9/25/2015
Active	Erie Insurance Exchange	300789	Agent - Casualty	10/6/2014
Active	Erie Insurance Exchange	300789	Agent - Property	10/6/2014
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	9/25/2015
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	9/25/2015
Active	Flagship City Insurance Company	789965	Agent - Casualty	9/25/2015
Active	Flagship City Insurance Company	789965	Agent - Property	9/25/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/21/2016	12/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/21/2016	12/20/2023
Inactive	Indiana Insurance Company	301909	Agent - Casualty	7/25/2013	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	7/25/2013	2/3/2023
Active	Meridian Security Insurance Company	300423	Agent - Casualty	11/4/2016
Active	Meridian Security Insurance Company	300423	Agent - Property	11/4/2016
Active	Milbank Insurance Company	925185	Agent - Casualty	11/8/2017
Active	Milbank Insurance Company	925185	Agent - Property	11/8/2017
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	7/25/2013	5/10/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	7/25/2013	5/10/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	7/25/2013
Active	Ohio Casualty Insurance Company	301492	Agent - Property	7/25/2013
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	7/25/2013	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Property	7/25/2013	3/29/2024
Active	Owners Insurance Company	300796	Agent - Casualty	4/4/2018
Active	Owners Insurance Company	300796	Agent - Property	4/4/2018
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	7/25/2013
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	7/25/2013
Active	Peerless Insurance Company	301910	Agent - Casualty	7/25/2013
Active	Peerless Insurance Company	301910	Agent - Property	7/25/2013
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	9/4/2013
Active	Progressive Casualty Insurance Company	300696	Agent - Property	9/4/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/18/2013	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/18/2013	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/18/2013	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/18/2013	3/29/2024
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	11/4/2016
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	11/4/2016
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	11/4/2016
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	11/4/2016
Active	United Financial Casualty Company	301886	Agent - Casualty	9/4/2013
Active	United Financial Casualty Company	301886	Agent - Property	9/4/2013
Inactive	West American Insurance Company	301112	Agent - Casualty	7/25/2013	3/29/2024
Inactive	West American Insurance Company	301112	Agent - Property	7/25/2013	3/29/2024
Active	Western Surety Company	300283	Agent - Casualty	5/6/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Browning, Lisa A	753797	Agent - Casualty	7/11/2013	2/23/2021
Inactive	Browning, Lisa A	753797	Agent - Property	7/11/2013	2/23/2021
Active	Chapman, Gail A	1226873	Agent - Casualty	10/6/2022
Active	Chapman, Gail A	1226873	Agent - Property	10/6/2022
Active	Crossley, Julia Nicole	938470	Agent - Casualty	12/21/2016
Active	Crossley, Julia Nicole	938470	Agent - Health	12/21/2016
Active	Crossley, Julia Nicole	938470	Agent - Life	12/21/2016
Active	Crossley, Julia Nicole	938470	Agent - Property	12/21/2016
Active	Lee, Alexis Kailyn	1117601	Agent - Casualty	2/21/2022
Active	Lee, Alexis Kailyn	1117601	Agent - Property	2/21/2022
Active	Mcconnell, Rita G	881595	Agent - Casualty	1/19/2016
Active	Mcconnell, Rita G	881595	Agent - Property	1/19/2016
Inactive	Melton, Kathryn Capucine	501826	Agent - Casualty	5/8/2014	12/20/2016
Inactive	Melton, Kathryn Capucine	501826	Agent - Health	5/8/2014	12/20/2016
Inactive	Melton, Kathryn Capucine	501826	Agent - Life	5/8/2014	5/19/2016
Inactive	Melton, Kathryn Capucine	501826	Agent - Property	5/8/2014	12/20/2016
Inactive	Miller, Ryan Marcus	838760	Agent - Casualty	6/4/2014	7/31/2021
Inactive	Miller, Ryan Marcus	838760	Agent - Property	6/4/2014	7/31/2021
Inactive	Shelton, Robert Keith	709348	Agent - Casualty	8/26/2009	10/31/2010
Inactive	Shelton, Robert Keith	709348	Agent - Property	8/26/2009	10/31/2010
Inactive	Walker, Deanna Hanes	775516	Agent - Casualty	6/4/2014	12/20/2016
Inactive	Walker, Deanna Hanes	775516	Agent - Health	5/21/2015	12/20/2016
Inactive	Walker, Deanna Hanes	775516	Agent - Life	10/8/2014	12/20/2016
Inactive	Walker, Deanna Hanes	775516	Agent - Property	6/4/2014	12/20/2016
Active	Will, Christopher Lee	738071	Agent - Casualty	8/27/2018
Denied	Will, Christopher Lee	738071	Agent - Health
Active	Will, Christopher Lee	738071	Agent - Life	8/27/2018
Active	Will, Christopher Lee	738071	Agent - Property	8/27/2018
Inactive	Williams, Taylor L	965208	Agent - Casualty	1/26/2018	10/31/2019
Inactive	Williams, Taylor L	965208	Agent - Property	1/26/2018	10/31/2019
Inactive	Willoughby, Kathy K	337472	Agent - Casualty	8/3/2016	2/19/2018
Inactive	Willoughby, Kathy K	337472	Agent - Property	8/3/2016	2/19/2018