DEPARTMENT OF INSURANCE

Affiliations

Name	Freeman Insurance Group	DOIID	752301	NAIC NPN	16201064

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	4/18/2011	9/1/2016
Inactive	Resident	Agent	Property	5/2/2011	9/1/2016
Inactive	Resident	Agent	Health	4/18/2011	9/1/2016
Inactive	Resident	Agent	Life	4/18/2011	9/1/2016
* 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 Retirement Life Insurance Company	706303	Agent - Health	12/10/2014	9/1/2016
Inactive	American Retirement Life Insurance Company	706303	Agent - Life	12/10/2014	9/1/2016
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	9/16/2011	9/1/2016
Inactive	Bristol West Insurance Company	301655	Agent - Property	9/16/2011	9/1/2016
Inactive	Clear Spring Life and Annuity Company	300919	Agent - Life	7/8/2013	9/1/2016
Inactive	Combined Insurance Company of America	301472	Agent - Health	3/31/2016	9/1/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/16/2011	9/1/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/16/2011	9/1/2016
Inactive	Gerber Life Insurance Company	300529	Agent - Health	6/30/2011	12/26/2012
Inactive	Gerber Life Insurance Company	300529	Agent - Life	6/30/2011	12/26/2012
Inactive	Independent Order of Foresters	300743	Agent - Life	4/12/2012	12/22/2014
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/30/2011	12/26/2012
Inactive	Omaha Insurance Company	751908	Agent - Health	5/18/2012	6/24/2013
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	5/25/2011	9/1/2016
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	5/25/2011	9/1/2016
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	5/25/2011	9/1/2016
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	5/25/2011	9/1/2016
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	5/31/2011	9/1/2016
Inactive	United Financial Casualty Company	301886	Agent - Casualty	5/25/2011	9/1/2016
Inactive	United Financial Casualty Company	301886	Agent - Property	5/25/2011	9/1/2016
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	6/30/2011	12/26/2012
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	6/30/2011	12/26/2012
Inactive	Wysh Life and Health Insurance Company	779030	Agent - Health	10/15/2012	3/31/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Freeman, Matthew Ross	646597	Agent - Casualty	4/18/2011	7/1/2016
Inactive	Freeman, Matthew Ross	646597	Agent - Health	4/18/2011	7/1/2016
Inactive	Freeman, Matthew Ross	646597	Agent - Life	4/18/2011	7/1/2016
Inactive	Freeman, Matthew Ross	646597	Agent - Property	5/2/2011	7/1/2016