DEPARTMENT OF INSURANCE

Affiliations

Name	Custom Commercial Insurance Solutions, LLC DBA : Workcompone	DOIID	742175	NAIC NPN	13120400

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	2/16/2022	3/31/2026
Active	Non Resident	Agent	Property	2/16/2022	3/31/2026
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	5/11/2023	12/1/2023
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	5/11/2023	12/1/2023
Active	AmTrust Insurance Company	300179	Agent - Casualty	6/28/2022
Active	AmTrust Insurance Company	300179	Agent - Property	6/28/2022
Active	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	3/10/2022
Active	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	3/10/2022
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	12/13/2012	12/9/2013
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	12/13/2012	12/9/2013
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	12/12/2012	12/9/2013
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	12/12/2012	12/9/2013
Active	Continental Casualty Company	301019	Agent - Casualty	3/10/2022
Active	Continental Casualty Company	301019	Agent - Property	3/10/2022
Active	Continental Insurance Company (The)	301242	Agent - Casualty	3/10/2022
Active	Continental Insurance Company (The)	301242	Agent - Property	3/10/2022
Active	Employers Assurance Company	300120	Agent - Casualty	2/21/2022
Active	Employers Compensation Insurance Company	797885	Agent - Casualty	2/21/2022
Active	Employers Preferred Insurance Company	520656	Agent - Casualty	2/21/2022
Inactive	Farmington Casualty Company	301137	Agent - Casualty	12/12/2012	3/31/2014
Inactive	Farmington Casualty Company	301137	Agent - Property	12/12/2012	3/31/2014
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	11/15/2010	6/12/2012
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	11/15/2010	6/12/2012
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	12/27/2018	12/1/2021
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	12/27/2018	12/1/2021
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	10/5/2021	12/1/2021
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	10/5/2021	12/1/2021
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	10/15/2020	12/1/2021
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	10/15/2020	12/1/2021
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	6/28/2022
Active	Milford Casualty Insurance Company	301460	Agent - Property	6/28/2022
Active	National Fire Insurance Company of Hartford	301063	Agent - Casualty	3/10/2022
Active	National Fire Insurance Company of Hartford	301063	Agent - Property	3/10/2022
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	9/20/2022	3/29/2024
Inactive	Ohio Security Insurance Company	300622	Agent - Property	9/20/2022	3/29/2024
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	5/31/2011	3/1/2014
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	5/31/2011	3/1/2014
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	5/31/2011	12/9/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	5/31/2011	12/9/2013
Active	Security National Insurance Company	301151	Agent - Casualty	6/28/2022
Active	Security National Insurance Company	301151	Agent - Property	6/28/2022
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	10/15/2020	12/1/2021
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	10/15/2020	12/1/2021
Active	Sequoia Insurance Company	628046	Agent - Casualty	6/28/2022
Active	Sequoia Insurance Company	628046	Agent - Property	6/28/2022
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	12/13/2012	12/9/2013
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	12/13/2012	12/9/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	12/13/2012	12/9/2013
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	12/13/2012	12/9/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	12/13/2012	12/9/2013
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	12/13/2012	12/9/2013
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	12/12/2012	3/31/2014
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	12/12/2012	3/31/2014
Active	Technology Insurance Company	613278	Agent - Casualty	6/28/2022
Active	Technology Insurance Company	613278	Agent - Property	6/28/2022
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	12/12/2012	3/31/2014
Inactive	The Phoenix Insurance Company	301502	Agent - Property	12/12/2012	3/31/2014
Active	Transportation Insurance Company	301575	Agent - Casualty	3/10/2022
Active	Transportation Insurance Company	301575	Agent - Property	3/10/2022
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	12/12/2012	3/31/2014
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	12/12/2012	3/31/2014
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	12/12/2012	12/9/2013
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	12/12/2012	12/9/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	12/13/2012	12/9/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	12/13/2012	12/9/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	12/13/2012	3/31/2014
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	12/13/2012	3/31/2014
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	12/12/2012	12/9/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	12/12/2012	12/9/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	12/12/2012	3/31/2014
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	12/12/2012	3/31/2014
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	12/12/2012	12/9/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	12/12/2012	12/9/2013
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	12/12/2012	12/9/2013
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	12/12/2012	12/9/2013
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	5/28/2019	12/1/2021
Inactive	Trumbull Insurance Company	300242	Agent - Property	5/28/2019	12/1/2021
Inactive	United Financial Casualty Company	301886	Agent - Casualty	5/31/2011	3/1/2014
Inactive	United Financial Casualty Company	301886	Agent - Property	5/31/2011	3/1/2014
Active	Valley Forge Insurance Company	301052	Agent - Casualty	3/10/2022
Active	Valley Forge Insurance Company	301052	Agent - Property	3/10/2022
Active	Wesco Insurance Company	300534	Agent - Casualty	6/28/2022
Active	Wesco Insurance Company	300534	Agent - Property	6/28/2022
Inactive	Westfield Insurance Company	301950	Agent - Casualty	6/2/2011	10/9/2012
Inactive	Westfield Insurance Company	301950	Agent - Property	6/2/2011	10/9/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Balzarini, William James	795092	Agent - Casualty	12/10/2018	9/30/2021
Inactive	Balzarini, William James	795092	Agent - Property	12/10/2018	9/30/2021
Inactive	Crosby, Bing	780758	Agent - Casualty	1/4/2013	6/30/2013
Inactive	Crosby, Bing	780758	Agent - Property	1/4/2013	6/30/2013
Inactive	Cummings, Taquana Kaleta	1029312	Agent - Casualty	4/27/2022	3/31/2023
Inactive	Cummings, Taquana Kaleta	1029312	Agent - Property	4/27/2022	3/31/2023
Inactive	Fleming, Brenda Renee	780771	Agent - Casualty	1/8/2013	2/4/2013
Inactive	Fleming, Brenda Renee	780771	Agent - Property	1/8/2013	2/4/2013
Denied	Fries, Abigail C	1226475	Agent - Casualty
Denied	Fries, Abigail C	1226475	Agent - Property
Inactive	Jones, Susan	793233	Agent - Casualty	1/4/2013	2/25/2013
Inactive	Jones, Susan	793233	Agent - Property	1/4/2013	2/25/2013
Denied	Mcdaniels, Keith	789858	Agent - Casualty
Denied	Mcdaniels, Keith	789858	Agent - Property
Active	Smith, Todd R	1090460	Agent - Casualty	2/16/2022
Active	Smith, Todd R	1090460	Agent - Property	2/16/2022
Inactive	Stelmarski, Debra	1204306	Agent - Casualty	5/24/2022	12/1/2023
Inactive	Stelmarski, Debra	1204306	Agent - Property	5/24/2022	12/1/2023
Inactive	Talley, Lauri Josiette	781134	Agent - Casualty	1/4/2013	2/4/2013
Inactive	Talley, Lauri Josiette	781134	Agent - Property	1/4/2013	2/4/2013
Inactive	Valko, Tracy Ann	737972	Agent - Casualty	11/15/2010	3/31/2014
Inactive	Valko, Tracy Ann	737972	Agent - Property	11/15/2010	3/31/2014