DEPARTMENT OF INSURANCE

Affiliations

Name	Grass, Lori Ann	DOIID	729602	NAIC NPN	15785564

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	6/3/2010	12/31/2024
Active	Non Resident	Agent	Personal Lines	6/3/2010	12/31/2024
Active	Non Resident	Agent	Casualty	6/3/2010	12/31/2024
* 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	10/15/2024	12/31/2024

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	11/12/2014	10/15/2021
Inactive	American Fire and Casualty Company	300567	Agent - Property	11/12/2014	10/15/2021
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	11/12/2014	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	11/12/2014	4/26/2024
Inactive	Indiana Insurance Company	301909	Agent - Casualty	11/12/2014	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	11/12/2014	2/3/2023
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	11/12/2014	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	11/12/2014	4/26/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	11/12/2014
Active	Ohio Casualty Insurance Company	301492	Agent - Property	11/12/2014
Active	Ohio Security Insurance Company	300622	Agent - Casualty	11/12/2014
Active	Ohio Security Insurance Company	300622	Agent - Property	11/12/2014
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	11/12/2014
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	11/12/2014
Active	Peerless Insurance Company	301910	Agent - Casualty	11/12/2014
Active	Peerless Insurance Company	301910	Agent - Property	11/12/2014
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	5/23/2016	8/18/2017
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	5/23/2016	8/18/2017
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	11/12/2012
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	11/12/2012
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	5/5/2016	8/18/2017
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	5/5/2016	8/18/2017
Active	West American Insurance Company	301112	Agent - Casualty	11/12/2014
Active	West American Insurance Company	301112	Agent - Property	11/12/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Paychex Insurance Agency Inc	509469	Agent - Property	3/14/2024
Active	Paychex Insurance Agency Inc	509469	Agent - Casualty	3/14/2024