DEPARTMENT OF INSURANCE
Affiliations
NameWillis Personal Lines LLCDOIID715217NAIC NPN14972438
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty10/8/2009 3/31/2025
ActiveNon ResidentAgentPersonal Lines11/27/2017 3/31/2025
ActiveNon ResidentAgentLife7/26/2017 3/31/2025
ActiveNon ResidentAgentProperty10/8/2009 3/31/2025
ActiveNon ResidentAgentHealth8/3/2017 3/31/2025
ActiveNon ResidentSurplus Lines BrokerNot Applicable5/2/2024 3/31/2027
* 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 American Insurance Company300625Agent - Casualty5/7/2010 
ActiveACE American Insurance Company300625Agent - Property5/7/2010 
ActiveACE Property and Casualty Insurance Company300520Agent - Casualty2/27/2016 
ActiveACE Property and Casualty Insurance Company300520Agent - Property2/27/2016 
ActiveAIG Property Casualty Company300621Agent - Casualty10/11/2012 
ActiveAIG Property Casualty Company300621Agent - Property10/11/2012 
ActiveAmerican Automobile Insurance Company300953Agent - Casualty10/14/2010 
ActiveAmerican Automobile Insurance Company300953Agent - Property10/14/2010 
InactiveAmerican Economy Insurance Company300315Agent - Casualty11/9/20193/29/2024
InactiveAmerican Economy Insurance Company300315Agent - Property11/9/20193/29/2024
ActiveAmerican Family Home Insurance Company301817Agent - Casualty4/12/2021 
ActiveAmerican Family Home Insurance Company301817Agent - Property4/12/2021 
InactiveAmerican Fire and Casualty Company300567Agent - Casualty7/21/20143/29/2024
InactiveAmerican Fire and Casualty Company300567Agent - Property7/21/20143/29/2024
ActiveAmerican General Life Insurance Company301585Agent - Health4/15/2024 
ActiveAmerican General Life Insurance Company301585Agent - Life4/15/2024 
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty3/5/201812/13/2023
InactiveAmerican Modern Home Insurance Company300791Agent - Personal Lines3/5/201812/13/2023
InactiveAmerican Modern Home Insurance Company300791Agent - Property3/5/201812/13/2023
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Personal Lines5/28/2018 
InactiveAmerican Modern Select Insurance Company581481Agent - Personal Lines3/4/201811/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Personal Lines3/4/201811/14/2021
InactiveAuto-Owners Insurance Company301480Agent - Casualty8/19/201412/4/2023
InactiveAuto-Owners Insurance Company301480Agent - Property8/19/201412/4/2023
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty9/26/201911/4/2022
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property9/26/201911/4/2022
ActiveBankers Standard Insurance Company301620Agent - Casualty5/7/2010 
ActiveBankers Standard Insurance Company301620Agent - Property5/7/2010 
ActiveCincinnati Casualty Company (The)300308Agent - Casualty2/10/2022 
ActiveCincinnati Casualty Company (The)300308Agent - Property2/10/2022 
ActiveCommerce and Industry Insurance Company300881Agent - Casualty8/17/2017 
ActiveCommerce and Industry Insurance Company300881Agent - Property8/17/2017 
InactiveConsolidated Insurance Company300943Agent - Casualty7/21/201410/13/2022
InactiveConsolidated Insurance Company300943Agent - Property7/21/201410/13/2022
ActiveCrestbrook Insurance Company805354Agent - Casualty10/2/2020 
ActiveCrestbrook Insurance Company805354Agent - Property10/2/2020 
ActiveEncompass Indemnity Company546376Agent - Casualty7/29/2013 
ActiveEncompass Indemnity Company546376Agent - Property7/29/2013 
InactiveEncompass Insurance Company of America556578Agent - Casualty7/29/201312/13/2018
InactiveEncompass Insurance Company of America556578Agent - Property7/29/201312/13/2018
ActiveFederal Insurance Company301144Agent - Casualty6/15/2015 
InactiveFederal Insurance Company301144Agent - Health3/3/20166/22/2017
ActiveFederal Insurance Company301144Agent - Property6/15/2015 
ActiveFireman's Fund Insurance Company301423Agent - Casualty10/14/2010 
ActiveFireman's Fund Insurance Company301423Agent - Property10/14/2010 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty9/25/2020 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property9/25/2020 
InactiveForemost Property and Casualty Insurance Company300871Agent - Casualty11/19/20121/27/2014
InactiveForemost Property and Casualty Insurance Company300871Agent - Property11/19/20121/27/2014
InactiveForemost Signature Insurance Company300140Agent - Casualty11/19/20121/27/2014
InactiveForemost Signature Insurance Company300140Agent - Property11/19/20121/27/2014
InactiveGEICO Marine Insurance Company590512Agent - Casualty6/15/20185/18/2021
InactiveGEICO Marine Insurance Company590512Agent - Personal Lines6/15/20185/18/2021
InactiveGrange Indemnity Insurance Company300793Agent - Casualty12/31/20146/3/2020
InactiveGrange Indemnity Insurance Company300793Agent - Property12/31/20146/3/2020
InactiveGrange Insurance Company300234Agent - Casualty12/31/20146/3/2020
InactiveGrange Insurance Company300234Agent - Property12/31/20146/3/2020
InactiveGrange Property & Casualty Insurance Company601680Agent - Casualty12/31/20146/3/2020
InactiveGrange Property & Casualty Insurance Company601680Agent - Property12/31/20146/3/2020
ActiveGranite State Insurance Company300818Agent - Casualty8/17/2017 
ActiveGranite State Insurance Company300818Agent - Property8/17/2017 
ActiveGreat Northern Insurance Company301107Agent - Casualty6/15/2015 
ActiveGreat Northern Insurance Company301107Agent - Property6/15/2015 
InactiveHartford Fire Insurance Company300628Agent - Casualty9/13/20207/18/2023
InactiveHartford Fire Insurance Company300628Agent - Property9/13/20207/18/2023
ActiveIndemnity Insurance Company of North America301760Agent - Casualty5/7/2010 
ActiveIndemnity Insurance Company of North America301760Agent - Property5/7/2010 
InactiveIndiana Insurance Company301909Agent - Casualty7/21/20142/3/2023
InactiveIndiana Insurance Company301909Agent - Property7/21/20142/3/2023
ActiveNational Surety Corporation300087Agent - Casualty10/14/2010 
ActiveNational Surety Corporation300087Agent - Property10/14/2010 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty8/17/2017 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Health8/15/2017 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property8/17/2017 
ActiveNationwide Mutual Insurance Company301749Agent - Casualty10/2/2020 
ActiveNationwide Mutual Insurance Company301749Agent - Property10/2/2020 
InactiveNetherlands Insurance Company (The)300339Agent - Casualty7/21/20145/10/2024
InactiveNetherlands Insurance Company (The)300339Agent - Property7/21/20145/10/2024
ActiveNew Hampshire Insurance Company301670Agent - Casualty8/17/2017 
ActiveNew Hampshire Insurance Company301670Agent - Property8/17/2017 
InactiveOhio Casualty Insurance Company301492Agent - Casualty7/21/20143/29/2024
InactiveOhio Casualty Insurance Company301492Agent - Property7/21/20143/29/2024
InactiveOhio Security Insurance Company300622Agent - Casualty7/21/20143/29/2024
InactiveOhio Security Insurance Company300622Agent - Property7/21/20143/29/2024
InactiveOwners Insurance Company300796Agent - Casualty8/19/20142/18/2020
InactiveOwners Insurance Company300796Agent - Property8/19/20142/18/2020
ActivePacific Employers Insurance Company301753Agent - Casualty5/7/2010 
ActivePacific Employers Insurance Company301753Agent - Property5/7/2010 
ActivePacific Indemnity Company301610Agent - Casualty6/15/2015 
ActivePacific Indemnity Company301610Agent - Property6/15/2015 
ActivePeerless Indemnity Insurance Company571682Agent - Casualty7/21/2014 
ActivePeerless Indemnity Insurance Company571682Agent - Property7/21/2014 
ActivePeerless Insurance Company301910Agent - Casualty7/21/2014 
ActivePeerless Insurance Company301910Agent - Property7/21/2014 
InactivePie Insurance Company (The)300514Agent - Casualty10/14/20109/2/2022
InactivePie Insurance Company (The)300514Agent - Property10/14/20109/2/2022
ActivePrivilege Underwriters Reciprocal Exchange769657Agent - Personal Lines12/6/2017 
ActiveProgressive Casualty Insurance Company300696Agent - Casualty6/12/2013 
ActiveProgressive Casualty Insurance Company300696Agent - Property6/12/2013 
InactiveSAFECO Insurance Company of America300159Agent - Casualty2/19/20133/29/2024
InactiveSAFECO Insurance Company of America300159Agent - Property2/19/20133/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty2/19/20133/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Property2/19/20133/29/2024
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty7/12/2011 
ActiveStandard Fire Insurance Company (The)301068Agent - Property7/12/2011 
InactiveThe Phoenix Insurance Company301502Agent - Casualty7/12/201112/3/2014
InactiveThe Phoenix Insurance Company301502Agent - Property7/12/201112/3/2014
InactiveTravelers Commercial Insurance Company301506Agent - Casualty7/12/201111/30/2017
InactiveTravelers Commercial Insurance Company301506Agent - Property7/12/201111/30/2017
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty7/12/201110/5/2021
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property7/12/201110/5/2021
InactiveTravelers Indemnity Company (The)301855Agent - Casualty7/12/201112/3/2014
InactiveTravelers Indemnity Company (The)301855Agent - Property7/12/201112/3/2014
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty7/12/201112/3/2014
InactiveTravelers Indemnity Company of America (The)301093Agent - Property7/12/201112/3/2014
ActiveTravelers Personal Insurance Company705785Agent - Casualty7/22/2019 
ActiveTravelers Personal Insurance Company705785Agent - Property7/22/2019 
InactiveTrustgard Insurance Company300104Agent - Casualty12/31/20146/3/2020
InactiveTrustgard Insurance Company300104Agent - Property12/31/20146/3/2020
ActiveUnited Financial Casualty Company301886Agent - Casualty6/12/2013 
ActiveUnited Financial Casualty Company301886Agent - Property6/12/2013 
InactiveUnitedHealthcare Insurance Company300946Agent - Health12/21/20176/1/2021
InactiveUnitedHealthcare Insurance Company300946Agent - Life12/21/20176/1/2021
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health12/21/20176/1/2021
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health12/21/20174/30/2018
ActiveVigilant Insurance Company301143Agent - Casualty6/15/2015 
ActiveVigilant Insurance Company301143Agent - Property6/15/2015 
InactiveWCF Select Insurance Company301898Agent - Casualty10/14/20102/9/2022
InactiveWCF Select Insurance Company301898Agent - Property10/14/20102/9/2022
InactiveWest American Insurance Company301112Agent - Casualty7/21/20143/29/2024
InactiveWest American Insurance Company301112Agent - Property7/21/20143/29/2024
ActiveWestchester Fire Insurance Company300990Agent - Casualty2/27/2016 
ActiveWestchester Fire Insurance Company300990Agent - Property2/27/2016 
ActiveWestfield Insurance Company301950Agent - Casualty4/5/2017 
ActiveWestfield Insurance Company301950Agent - Property4/5/2017 
ActiveWestfield National Insurance Company301036Agent - Casualty1/16/2012 
ActiveWestfield National Insurance Company301036Agent - Property1/16/2012 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBarrera-Zerouali, Sandra P 1003687Agent - Casualty12/5/2023 
DeniedBarrera-Zerouali, Sandra P 1003687Agent - Personal Lines  
ActiveBarrera-Zerouali, Sandra P 1003687Agent - Property12/5/2023 
InactiveBeaman, Kenneth W 753913Agent - Casualty11/18/201511/30/2015
InactiveBeaman, Kenneth W 753913Agent - Property11/18/201511/30/2015
ActiveBeeton, David James 1074104Agent - Casualty12/5/2023 
ActiveBeeton, David James 1074104Agent - Property12/5/2023 
ActiveBlanche-Carroll, Christina 665985Agent - Casualty12/5/2023 
ActiveBlanche-Carroll, Christina 665985Agent - Property12/5/2023 
InactiveBravo, Sandra R 573249Agent - Casualty10/8/20092/8/2013
InactiveBravo, Sandra R 573249Agent - Personal Lines10/8/20092/8/2013
InactiveBravo, Sandra R 573249Agent - Property10/8/20092/8/2013
ActiveBuganski, Despina 912779Agent - Personal Lines11/27/2017 
InactiveByington, Lynn A 750722Agent - Casualty11/1/20134/8/2020
InactiveByington, Lynn A 750722Agent - Property11/1/20134/8/2020
InactiveCampbell, Jonathan Edward 722844Agent - Casualty7/8/20146/8/2015
InactiveCampbell, Jonathan Edward 722844Agent - Property7/8/20146/8/2015
InactiveCarter, Priscilla Edna 1103706Agent - Casualty12/8/20207/19/2023
ActiveCarter, Priscilla Edna 1103706Agent - Health12/5/2023 
ActiveCarter, Priscilla Edna 1103706Agent - Life12/5/2023 
InactiveCarter, Priscilla Edna 1103706Agent - Property12/8/20207/19/2023
InactiveClark, Joseph C 717994Agent - Health12/15/20096/22/2017
InactiveClark, Joseph C 717994Agent - Life12/15/20096/22/2017
InactiveDesvernine, Christopher 1073835Agent - Casualty2/16/20242/29/2024
InactiveDesvernine, Christopher 1073835Agent - Property2/16/20242/29/2024
DeniedDouglass, Janet Ramona 690573Agent - Casualty  
DeniedDouglass, Janet Ramona 690573Agent - Property  
DeniedErwin, Elizabeth P 745043Agent - Casualty  
DeniedErwin, Elizabeth P 745043Agent - Property  
ActiveFine, Timothy James 689024Agent - Casualty7/13/2017 
ActiveFine, Timothy James 689024Agent - Health8/3/2017 
InactiveFine, Timothy James 689024Agent - Life7/26/20174/30/2021
PendingFine, Timothy James 689024Agent - Personal Lines  
ActiveFine, Timothy James 689024Agent - Property7/13/2017 
ActiveGonzalez, Leticia 1084089Agent - Casualty12/5/2023 
ActiveGonzalez, Leticia 1084089Agent - Property12/5/2023 
DeniedGwinn, Crissy Jo 506880Agent - Casualty  
DeniedGwinn, Crissy Jo 506880Agent - Health  
DeniedGwinn, Crissy Jo 506880Agent - Life  
DeniedGwinn, Crissy Jo 506880Agent - Property  
InactiveHubbard, Pamela 737887Agent - Casualty2/15/201712/13/2017
InactiveHubbard, Pamela 737887Agent - Property2/15/201712/13/2017
ActiveKelly, Gerald T 1143004Agent - Casualty12/5/2023 
DeniedKelly, Gerald T 1143004Agent - Life  
ActiveKelly, Gerald T 1143004Agent - Property12/5/2023 
InactiveKilleen, Lynn E 625474Agent - Casualty10/10/20112/2/2015
InactiveKilleen, Lynn E 625474Agent - Health5/14/20132/2/2015
InactiveKilleen, Lynn E 625474Agent - Life5/14/20132/2/2015
InactiveKilleen, Lynn E 625474Agent - Property10/10/20112/2/2015
ActiveKincanon, Richard 876948Agent - Casualty12/5/2023 
ActiveKincanon, Richard 876948Agent - Property12/5/2023 
ActiveKorczakowski, Lori A 701351Agent - Casualty12/22/2023 
ActiveKorczakowski, Lori A 701351Agent - Property12/22/2023 
InactiveKreutz, Kenneth G 561817Agent - Casualty2/1/20125/8/2023
InactiveKreutz, Kenneth G 561817Agent - Property2/1/20125/8/2023
InactiveKrutkova, Beata 604704Agent - Casualty2/1/201212/24/2014
DeniedKrutkova, Beata 604704Agent - Health  
DeniedKrutkova, Beata 604704Agent - Life  
DeniedKrutkova, Beata 604704Agent - Personal Lines  
InactiveKrutkova, Beata 604704Agent - Property2/1/201212/24/2014
DeniedLattimore, Lindsey Erin 668067Agent - Casualty  
DeniedLattimore, Lindsey Erin 668067Agent - Property  
InactiveMassi, Eric Jonathan 617104Agent - Casualty2/2/20159/20/2016
DeniedMassi, Eric Jonathan 617104Agent - Health  
DeniedMassi, Eric Jonathan 617104Agent - Life  
InactiveMassi, Eric Jonathan 617104Agent - Property2/2/20159/20/2016
InactiveMasters, Justin 753972Agent - Casualty2/13/20186/8/2023
InactiveMasters, Justin 753972Agent - Property2/13/20186/8/2023
DeniedMatthews, Kimberly A 751694Agent - Casualty  
DeniedMatthews, Kimberly A 751694Agent - Health  
DeniedMatthews, Kimberly A 751694Agent - Life  
DeniedMatthews, Kimberly A 751694Agent - Personal Lines  
DeniedMatthews, Kimberly A 751694Agent - Property  
InactiveMeinema, Susan J 853216Agent - Casualty11/21/20146/19/2017
InactiveMeinema, Susan J 853216Agent - Property11/21/20146/19/2017
ActiveMorgado, Miossotty 895560Agent - Casualty12/5/2023 
ActiveMorgado, Miossotty 895560Agent - Property12/5/2023 
InactiveOlive, Brian 626606Agent - Casualty2/1/20126/26/2013
DeniedOlive, Brian 626606Agent - Health  
DeniedOlive, Brian 626606Agent - Life  
InactiveOlive, Brian 626606Agent - Property2/1/20129/30/2014
InactiveParker, Tymetria 754034Agent - Personal Lines10/24/201410/16/2017
DeniedPikelis, Cheryl A 724338Agent - Casualty  
DeniedPikelis, Cheryl A 724338Agent - Property  
InactiveRathsack, Stephen 620116Agent - Casualty2/1/20126/26/2013
InactiveRathsack, Stephen 620116Agent - Property2/1/20126/26/2013
DeniedRiojas, Oscar 553210Agent - Casualty  
DeniedRiojas, Oscar 553210Agent - Property  
InactiveRobinson, Teresa Lynn 734067Agent - Casualty9/30/201311/12/2014
InactiveRobinson, Teresa Lynn 734067Agent - Property9/30/201311/12/2014
ActiveSaunders, Laura K 1075811Agent - Casualty12/5/2023 
ActiveSaunders, Laura K 1075811Agent - Property12/5/2023 
DeniedSchultz, Sandra Parrish 908890Agent - Casualty  
DeniedSchultz, Sandra Parrish 908890Agent - Property  
InactiveStaley, Stephanie 733296Agent - Casualty12/5/20231/23/2024
InactiveStaley, Stephanie 733296Agent - Property12/5/20231/23/2024
InactiveStoufer, Gail Limerick 735965Agent - Casualty10/28/201012/3/2014
DeniedStoufer, Gail Limerick 735965Agent - Health  
DeniedStoufer, Gail Limerick 735965Agent - Life  
InactiveStoufer, Gail Limerick 735965Agent - Property10/28/201012/3/2014
DeniedTrepanier, Maria E 745883Agent - Casualty  
DeniedTrepanier, Maria E 745883Agent - Health  
DeniedTrepanier, Maria E 745883Agent - Life  
DeniedTrepanier, Maria E 745883Agent - Property  
InactiveWebb, Judith 764744Agent - Casualty9/3/20135/5/2014
InactiveWebb, Judith 764744Agent - Property9/3/20135/5/2014
ActiveWieck, Brenda Marie 534417Agent - Casualty12/5/2023 
InactiveWieck, Brenda Marie 534417Agent - Health10/30/20178/30/2019
InactiveWieck, Brenda Marie 534417Agent - Life10/30/20178/30/2019
ActiveWieck, Brenda Marie 534417Agent - Property12/5/2023 
DeniedWiedenbeck, Wayne D 660561Agent - Casualty  
DeniedWiedenbeck, Wayne D 660561Agent - Property  
ActiveWilliams-Jackson, Daniel Hosana 766593Agent - Casualty12/5/2023 
ActiveWilliams-Jackson, Daniel Hosana 766593Agent - Property12/5/2023 
InactiveWomack, Suzanne 781299Agent - Casualty12/5/20231/29/2024
InactiveWomack, Suzanne 781299Agent - Property12/5/20231/29/2024
DeniedWright, Drew Edward 558424Agent - Casualty  
DeniedWright, Drew Edward 558424Agent - Health  
DeniedWright, Drew Edward 558424Agent - Life  
DeniedWright, Drew Edward 558424Agent - Property  
DeniedWunderlich, Susan Blair Leake 766930Agent - Casualty  
DeniedWunderlich, Susan Blair Leake 766930Agent - Property  
InactiveYingling, Erin Marie 1087253Agent - Casualty7/14/20205/4/2022
InactiveYingling, Erin Marie 1087253Agent - Property7/14/20205/4/2022
ActiveZimmerman, Andria R 927900Agent - Casualty12/1/2016 
ActiveZimmerman, Andria R 927900Agent - Health4/29/2024 
ActiveZimmerman, Andria R 927900Agent - Life4/29/2024 
ActiveZimmerman, Andria R 927900Agent - Property12/1/2016 
ActiveZimmerman, Andria R 927900Surplus Lines Broker - Not Applicable5/2/2024 
InactiveZylstra, Renee K 814551Agent - Casualty8/19/20132/2/2015
InactiveZylstra, Renee K 814551Agent - Property8/19/20132/2/2015

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