DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Giffen, Thomas	DOIID	749978	NAIC NPN	2011905

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/14/2011	12/31/2016
Inactive	Non Resident	Agent	Casualty	3/14/2011	12/31/2016
* 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 Zurich Insurance Company	300592	Agent - Casualty	6/23/2011	12/31/2016
Inactive	American Zurich Insurance Company	300592	Agent - Property	6/23/2011	12/31/2016
Inactive	Employers Insurance Company of Wausau	301813	Agent - Casualty	8/21/2014	12/31/2016
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	8/21/2014	12/31/2016
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	8/21/2014	12/31/2016
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	8/21/2014	12/31/2016
Inactive	LM Insurance Corporation	301061	Agent - Casualty	8/21/2014	12/31/2016
Inactive	LM Insurance Corporation	301061	Agent - Property	8/21/2014	12/31/2016
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	8/21/2014	12/31/2016
Inactive	Liberty Insurance Corporation	300444	Agent - Property	8/21/2014	12/31/2016
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	8/21/2014	12/31/2016
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	8/21/2014	12/31/2016
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	8/21/2014	12/31/2016
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	8/21/2014	12/31/2016
Inactive	Markel Insurance Company	301475	Agent - Casualty	1/15/2014	12/31/2016
Inactive	Markel Insurance Company	301475	Agent - Property	1/15/2014	12/31/2016
Inactive	Westfield Insurance Company	301950	Agent - Casualty	10/28/2011	9/19/2014
Inactive	Westfield Insurance Company	301950	Agent - Property	10/28/2011	9/19/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	6/4/2013	5/6/2014
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	6/4/2013	5/6/2014
Inactive	Usi Insurance Services LLC	669260	Agent - Property	6/5/2014	5/25/2016
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	6/5/2014	5/25/2016
Denied	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Property
Denied	Wells Fargo Ins Svcs Of Wv Inc	399054	Agent - Casualty