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	12/31/2026
Active	Non Resident	Agent	Personal Lines	6/3/2010	12/31/2026
Active	Non Resident	Agent	Casualty	6/3/2010	12/31/2026
* 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	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