DEPARTMENT OF INSURANCE

Affiliations

Name	Evans, Monica K	DOIID	739980	NAIC NPN	4503374

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	10/15/2010		8/31/2026
Active	Non Resident	Agent	Casualty	10/15/2010		8/31/2026
Active	Non Resident	Agent	Property	10/15/2010		8/31/2026
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	12/9/2010	11/7/2012
* 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	Bristol West Insurance Company	301655	Agent - Casualty	6/5/2018	10/16/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/5/2018	10/16/2019
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	11/28/2011
Active	Employers Insurance Company of Wausau	301813	Agent - Property	11/28/2011
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	11/28/2011
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	11/28/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/5/2018	10/16/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/5/2018	10/16/2019
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	5/6/2013	7/28/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	5/6/2013	7/28/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	5/6/2013	7/28/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	5/6/2013	7/28/2016
Active	LM Insurance Corporation	301061	Agent - Casualty	11/28/2011
Active	LM Insurance Corporation	301061	Agent - Property	11/28/2011
Active	Liberty Insurance Corporation	300444	Agent - Casualty	11/28/2011
Active	Liberty Insurance Corporation	300444	Agent - Property	11/28/2011
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	11/23/2015
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Property	11/23/2015
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	11/28/2011
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	11/28/2011
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	11/28/2011
Active	Liberty Mutual Insurance Company	301159	Agent - Property	11/28/2011
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	5/18/2011	12/18/2012
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	5/18/2011	12/18/2012
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	11/28/2011	3/31/2015
Inactive	Wausau Business Insurance Company	301476	Agent - Property	11/28/2011	3/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	11/28/2011	8/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	11/28/2011	8/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Alera Group, Inc.	941451	Agent - Property	6/28/2022
Active	Alera Group, Inc.	941451	Agent - Casualty	6/28/2022
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	7/15/2014	10/9/2019
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	7/15/2014	10/9/2019
Inactive	Usi Insurance Services LLC	669260	Agent - Property	12/27/2018	12/13/2019
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	12/27/2018	12/13/2019
Inactive	Willis Towers Watson Northeast Inc	537673	Agent - Property	5/18/2011	9/13/2012
Inactive	Willis Towers Watson Northeast Inc	537673	Agent - Casualty	5/18/2011	9/13/2012