DEPARTMENT OF INSURANCE

Affiliations

Name	Supermarket Group Inc	DOIID	742083	NAIC NPN	15976152

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Personal Lines	11/9/2010	1/25/2018
Inactive	Non Resident	Agent	Life	11/9/2010	1/25/2018
Inactive	Non Resident	Agent	Casualty	11/9/2010	1/25/2018
Inactive	Non Resident	Agent	Property	11/9/2010	1/25/2018
Inactive	Non Resident	Agent	Health	11/9/2010	1/25/2018
* 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	AmTrust Insurance Company	300179	Agent - Casualty	7/10/2017	1/25/2018
Inactive	AmTrust Insurance Company	300179	Agent - Property	7/10/2017	1/25/2018
Inactive	American Compensation Insurance Company	807550	Agent - Casualty	10/1/2014	5/1/2017
Inactive	Bloomington Compensation Insurance Company	807534	Agent - Casualty	10/1/2014	5/1/2017
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	9/27/2011	1/25/2018
Inactive	Meridian Security Insurance Company	300423	Agent - Property	9/27/2011	1/25/2018
Inactive	Milford Casualty Insurance Company	301460	Agent - Casualty	7/10/2017	1/25/2018
Inactive	Milford Casualty Insurance Company	301460	Agent - Property	7/10/2017	1/25/2018
Inactive	Park National Insurance Company	692514	Agent - Casualty	7/10/2017	1/25/2018
Inactive	Park National Insurance Company	692514	Agent - Property	7/10/2017	1/25/2018
Inactive	Pie Insurance Company (The)	300514	Agent - Casualty	9/4/2013	1/25/2018
Inactive	Pie Insurance Company (The)	300514	Agent - Property	9/4/2013	1/25/2018
Inactive	Plaza Insurance Company	300748	Agent - Casualty	1/31/2011	5/1/2017
Inactive	Plaza Insurance Company	300748	Agent - Property	9/27/2011	1/25/2018
Inactive	Security National Insurance Company	301151	Agent - Casualty	7/10/2017	1/25/2018
Inactive	Security National Insurance Company	301151	Agent - Property	7/10/2017	1/25/2018
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	9/27/2011	1/25/2018
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	9/27/2011	1/25/2018
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	9/27/2011	1/25/2018
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	9/27/2011	1/25/2018
Inactive	Technology Insurance Company	613278	Agent - Casualty	7/10/2017	1/25/2018
Inactive	Technology Insurance Company	613278	Agent - Property	7/10/2017	1/25/2018
Inactive	Wesco Insurance Company	300534	Agent - Casualty	7/10/2017	1/25/2018
Inactive	Wesco Insurance Company	300534	Agent - Property	7/10/2017	1/25/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Morrison, William Ray	739208	Agent - Casualty	11/9/2010	1/25/2018
Inactive	Morrison, William Ray	739208	Agent - Health	11/9/2010	1/25/2018
Inactive	Morrison, William Ray	739208	Agent - Life	11/9/2010	1/25/2018
Inactive	Morrison, William Ray	739208	Agent - Personal Lines	11/9/2010	1/25/2018
Inactive	Morrison, William Ray	739208	Agent - Property	11/9/2010	1/25/2018