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DEPARTMENT OF INSURANCE
Affiliations
Name
Potter, Patrick Michael
DOIID
718863
NAIC NPN
15361931
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Life
2/16/2010
7/1/2013
Inactive
Resident
Agent
Casualty
12/22/2009
7/1/2013
Inactive
Resident
Agent
Property
12/22/2009
7/1/2013
Inactive
Resident
Agent
Health
2/16/2010
7/1/2013
* 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 Fire and Casualty Company
300567
Agent - Casualty
12/7/2011
7/1/2013
Inactive
American Fire and Casualty Company
300567
Agent - Property
12/7/2011
7/1/2013
Inactive
Ansur America Insurance Company
520667
Agent - Casualty
3/31/2011
7/1/2013
Inactive
Ansur America Insurance Company
520667
Agent - Property
3/31/2011
7/1/2013
Inactive
Bridgefield Casualty Insurance Company
500013
Agent - Casualty
4/6/2011
7/1/2013
Inactive
Capitol Indemnity Corporation
301030
Agent - Casualty
2/14/2011
7/25/2012
Inactive
Capitol Indemnity Corporation
301030
Agent - Health
2/14/2011
7/25/2012
Inactive
Capitol Indemnity Corporation
301030
Agent - Property
2/14/2011
7/25/2012
Inactive
Consolidated Insurance Company
300943
Agent - Casualty
3/31/2010
10/20/2011
Inactive
Consolidated Insurance Company
300943
Agent - Property
3/31/2010
10/20/2011
Inactive
Encompass Indemnity Company
546376
Agent - Casualty
6/15/2010
7/1/2013
Inactive
Encompass Indemnity Company
546376
Agent - Property
6/15/2010
7/1/2013
Inactive
Encompass Insurance Company of America
556578
Agent - Casualty
6/15/2010
7/1/2013
Inactive
Encompass Insurance Company of America
556578
Agent - Property
6/15/2010
7/1/2013
Inactive
First National Insurance Company of America
301690
Agent - Casualty
3/31/2010
10/20/2011
Inactive
First National Insurance Company of America
301690
Agent - Property
3/31/2010
10/20/2011
Inactive
Frankenmuth Insurance Company
301481
Agent - Casualty
3/31/2011
7/1/2013
Inactive
Frankenmuth Insurance Company
301481
Agent - Property
3/31/2011
7/1/2013
Inactive
General Insurance Company of America
300261
Agent - Casualty
3/31/2010
10/20/2011
Inactive
General Insurance Company of America
300261
Agent - Property
3/31/2010
10/20/2011
Inactive
Genworth Life Insurance Company
300623
Agent - Health
8/4/2010
7/1/2013
Inactive
Genworth Life Insurance Company
300623
Agent - Life
8/4/2010
7/1/2013
Inactive
Guarantee Insurance Company
300611
Agent - Casualty
12/7/2012
7/1/2013
Inactive
Indiana Insurance Company
301909
Agent - Casualty
3/31/2010
7/1/2013
Inactive
Indiana Insurance Company
301909
Agent - Property
3/31/2010
7/1/2013
Inactive
Mitsui Sumitomo Insurance Company of America
301070
Agent - Casualty
9/21/2012
7/1/2013
Inactive
Mitsui Sumitomo Insurance Company of America
301070
Agent - Property
9/21/2012
7/1/2013
Inactive
Mitsui Sumitomo Insurance USA Inc.
301681
Agent - Casualty
9/21/2012
7/1/2013
Inactive
Mitsui Sumitomo Insurance USA Inc.
301681
Agent - Property
9/21/2012
7/1/2013
Inactive
Netherlands Insurance Company (The)
300339
Agent - Casualty
3/31/2010
10/20/2011
Inactive
Netherlands Insurance Company (The)
300339
Agent - Property
3/31/2010
10/20/2011
Inactive
Ohio Casualty Insurance Company
301492
Agent - Casualty
12/7/2011
7/1/2013
Inactive
Ohio Casualty Insurance Company
301492
Agent - Property
12/7/2011
7/1/2013
Inactive
Ohio Security Insurance Company
300622
Agent - Casualty
12/7/2011
7/1/2013
Inactive
Ohio Security Insurance Company
300622
Agent - Property
12/7/2011
7/1/2013
Inactive
Peerless Indemnity Insurance Company
571682
Agent - Casualty
3/31/2010
10/20/2011
Inactive
Peerless Indemnity Insurance Company
571682
Agent - Property
3/31/2010
10/20/2011
Inactive
Peerless Insurance Company
301910
Agent - Casualty
3/31/2010
10/20/2011
Inactive
Peerless Insurance Company
301910
Agent - Property
3/31/2010
10/20/2011
Inactive
Pruco Life Insurance Company
300954
Agent - Health
5/25/2011
7/1/2013
Inactive
Pruco Life Insurance Company
300954
Agent - Life
5/25/2011
7/1/2013
Inactive
Reliance Standard Life Insurance Company
300584
Agent - Health
1/15/2012
7/1/2013
Inactive
Reliance Standard Life Insurance Company
300584
Agent - Life
1/15/2012
7/1/2013
Inactive
SAFECO Insurance Company of America
300159
Agent - Casualty
3/31/2010
7/1/2013
Inactive
SAFECO Insurance Company of America
300159
Agent - Property
3/31/2010
7/1/2013
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - Casualty
3/31/2010
7/1/2013
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - Property
3/31/2010
7/1/2013
Inactive
Travelers Indemnity Company (The)
301855
Agent - Casualty
2/19/2010
7/1/2013
Inactive
Travelers Indemnity Company (The)
301855
Agent - Property
2/19/2010
7/1/2013
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
3/12/2010
7/1/2013
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
3/12/2010
7/1/2013
Inactive
West American Insurance Company
301112
Agent - Casualty
12/7/2011
7/1/2013
Inactive
West American Insurance Company
301112
Agent - Property
12/7/2011
7/1/2013
Inactive
West Bend Insurance Company
672974
Agent - Casualty
3/3/2011
3/20/2013
Inactive
West Bend Insurance Company
672974
Agent - Property
3/3/2011
3/20/2013
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Robert H. Clarkson Insurance Agency
400771
Agent - Property
2/19/2010
7/1/2013
Inactive
Robert H. Clarkson Insurance Agency
400771
Agent - Casualty
2/19/2010
7/1/2013
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