DEPARTMENT OF INSURANCE

Affiliations

Name	Ellis, Kathleen Martha	DOIID	754931	NAIC NPN	16111230

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Denied	Non Resident	Agent	Personal Lines
Inactive	Non Resident	Agent	Casualty	6/6/2011	6/30/2020
Inactive	Non Resident	Agent	Property	6/6/2011	6/30/2020
Inactive	Non Resident	Agent	Life	9/22/2016	6/30/2020
Inactive	Non Resident	Agent	Health	9/22/2016	6/30/2020
Denied	Non Resident	Property & Casualty Consultant	Not Applicable
* 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 Economy Insurance Company	300315	Agent - Casualty	11/9/2019	6/30/2020
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	6/30/2020
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	11/12/2012	1/9/2017
Inactive	American Modern Home Insurance Company	300791	Agent - Property	11/12/2012	1/9/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	11/12/2012	1/9/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Property	11/12/2012	1/9/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	11/12/2012	1/9/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Property	11/12/2012	1/9/2017
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/22/2013	5/2/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/22/2013	5/2/2017
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	7/18/2011	3/31/2017
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	7/18/2011	3/31/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	10/29/2013	5/2/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	10/29/2013	5/2/2017
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/21/2016	6/30/2020
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/21/2016	6/30/2020
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	6/22/2011	2/16/2017
Inactive	QBE Insurance Corporation	300515	Agent - Property	6/22/2011	2/16/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/6/2011	6/30/2020
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/6/2011	6/30/2020
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/6/2011	6/30/2020
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/6/2011	6/30/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/21/2016	6/30/2020
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/21/2016	6/30/2020
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	1/24/2013	6/26/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	1/24/2013	6/26/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Casualty	9/17/2018	8/2/2019
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Property	9/17/2018	8/2/2019
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Life	9/17/2018	8/2/2019
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Health	9/17/2018	8/2/2019
Inactive	Regions Insurance, Inc.	502037	Agent - Casualty	8/10/2011	10/8/2018
Inactive	Regions Insurance, Inc.	502037	Agent - Property	8/10/2011	10/8/2018