DEPARTMENT OF INSURANCE
Affiliations
NameIMA IncDOIID766098NAIC NPN9906586
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty10/12/2011 3/31/2025
ActiveNon ResidentAgentCasualty10/12/2011 3/31/2025
ActiveNon ResidentAgentHealth10/12/2011 3/31/2025
ActiveNon ResidentAgentLife10/12/2011 3/31/2025
ActiveNon ResidentSurplus Lines BrokerNot Applicable10/12/2011 3/31/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Surplus Lines Broker01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE American Insurance Company300625Agent - Casualty2/1/2013 
ActiveACE American Insurance Company300625Agent - Property2/1/2013 
ActiveACE Fire Underwriters Insurance Company301679Agent - Casualty4/29/2013 
ActiveACE Fire Underwriters Insurance Company301679Agent - Property4/29/2013 
ActiveACE Property and Casualty Insurance Company300520Agent - Casualty4/29/2013 
ActiveACE Property and Casualty Insurance Company300520Agent - Property4/29/2013 
ActiveAIG Property Casualty Company300621Agent - Casualty10/17/2019 
ActiveAIG Property Casualty Company300621Agent - Property10/17/2019 
ActiveAMCO Insurance Company300204Agent - Casualty2/9/2021 
ActiveAMCO Insurance Company300204Agent - Property2/9/2021 
ActiveAXIS Insurance Company301290Agent - Casualty12/11/2020 
ActiveAXIS Insurance Company301290Agent - Property12/11/2020 
ActiveAccendo Insurance Company300312Agent - Life9/18/2020 
ActiveAetna Health Inc. (PA)660717Agent - Health10/17/2017 
ActiveAetna Health and Life Insurance Company300523Agent - Health9/18/2020 
ActiveAetna Health of Ohio Inc.1065035Agent - Health8/21/2020 
ActiveAetna Life Insurance Company301140Agent - Health10/17/2017 
ActiveAetna Life Insurance Company301140Agent - Life10/17/2017 
ActiveAll Savers Insurance Company301940Agent - Health4/19/2023 
ActiveAll Savers Insurance Company301940Agent - Life4/19/2023 
ActiveAllied Insurance Company of America793586Agent - Casualty2/9/2021 
ActiveAllied Insurance Company of America793586Agent - Property2/9/2021 
ActiveAllied Property and Casualty Insurance Company300279Agent - Casualty2/9/2021 
ActiveAllied Property and Casualty Insurance Company300279Agent - Property2/9/2021 
ActiveAmTrust Insurance Company300179Agent - Casualty6/12/2017 
ActiveAmTrust Insurance Company300179Agent - Property6/12/2017 
ActiveAmerican Alternative Insurance Corporation301697Agent - Casualty11/22/2016 
ActiveAmerican Alternative Insurance Corporation301697Agent - Property11/22/2016 
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Casualty2/21/201212/11/2017
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Property2/21/201212/11/2017
InactiveAmerican Continental Insurance Company643130Agent - Life9/18/202012/6/2021
InactiveAmerican Guarantee and Liability Insurance Company301216Agent - Casualty1/6/20124/5/2021
InactiveAmerican Guarantee and Liability Insurance Company301216Agent - Property1/6/20124/5/2021
InactiveAmerican Zurich Insurance Company300592Agent - Casualty1/6/20124/5/2021
InactiveAmerican Zurich Insurance Company300592Agent - Property1/6/20124/5/2021
ActiveAmerisure Insurance Company300298Agent - Casualty4/25/2022 
ActiveAmerisure Insurance Company300298Agent - Property4/25/2022 
ActiveAmerisure Mutual Insurance Company301576Agent - Casualty4/25/2022 
ActiveAmerisure Mutual Insurance Company301576Agent - Property4/25/2022 
ActiveArch Indemnity Insurance Company301459Agent - Casualty6/25/2021 
ActiveArch Indemnity Insurance Company301459Agent - Property6/25/2021 
ActiveArch Insurance Company300688Agent - Casualty1/1/2012 
InactiveArch Insurance Company300688Agent - Health4/17/20148/19/2014
ActiveArch Insurance Company300688Agent - Property1/1/2012 
ActiveArgonaut Insurance Company301422Agent - Casualty2/5/2015 
ActiveArgonaut Insurance Company301422Agent - Property2/5/2015 
InactiveAssurance Company of America300432Agent - Casualty1/6/201212/13/2013
InactiveAssurance Company of America300432Agent - Property1/6/201212/13/2013
InactiveAtlantic Specialty Insurance Company518595Agent - Casualty4/23/20136/7/2018
InactiveAtlantic Specialty Insurance Company518595Agent - Property4/23/20136/7/2018
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty10/31/2022 
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property10/31/2022 
ActiveBankers Standard Insurance Company301620Agent - Casualty4/29/2013 
ActiveBankers Standard Insurance Company301620Agent - Property4/29/2013 
ActiveBerkley Regional Insurance Company300920Agent - Casualty3/28/2023 
ActiveBerkley Regional Insurance Company300920Agent - Property3/28/2023 
InactiveBrickStreet Mutual Insurance Company709251Agent - Casualty11/27/202111/27/2021
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty1/26/201212/3/2014
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property1/26/201212/3/2014
ActiveCincinnati Casualty Company (The)300308Agent - Casualty6/15/2020 
ActiveCincinnati Casualty Company (The)300308Agent - Property6/15/2020 
ActiveCincinnati Indemnity Company (The)301566Agent - Casualty6/15/2020 
ActiveCincinnati Indemnity Company (The)301566Agent - Property6/15/2020 
ActiveCincinnati Insurance Company301298Agent - Casualty6/15/2020 
ActiveCincinnati Insurance Company301298Agent - Property6/15/2020 
InactiveClearPath Insurance Company979815Agent - Casualty1/1/20182/7/2019
ActiveColonial American Casualty & Surety Company300769Agent - Casualty1/6/2012 
ActiveColonial American Casualty & Surety Company300769Agent - Property1/6/2012 
InactiveCompBenefits Dental, Inc.591692Agent - Health7/17/20125/2/2017
InactiveCompBenefits Insurance Company301864Agent - Health9/28/20126/26/2013
InactiveCompBenefits Insurance Company301864Agent - Life9/28/20126/26/2013
ActiveContinental Casualty Company301019Agent - Casualty2/21/2012 
ActiveContinental Casualty Company301019Agent - Property2/21/2012 
ActiveContinental Indemnity Company301905Agent - Casualty6/6/2024 
ActiveContinental Indemnity Company301905Agent - Health6/6/2024 
ActiveContinental Indemnity Company301905Agent - Property6/6/2024 
ActiveContinental Insurance Company (The)301242Agent - Casualty2/21/2012 
ActiveContinental Insurance Company (The)301242Agent - Property2/21/2012 
ActiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health9/18/2020 
ActiveCorePointe Insurance Company300406Agent - Casualty11/1/2021 
ActiveCorePointe Insurance Company300406Agent - Property11/1/2021 
InactiveDental Concern Inc. (The)301641Agent - Health7/17/20125/2/2017
ActiveDepositors Insurance Company301634Agent - Casualty2/9/2021 
ActiveDepositors Insurance Company301634Agent - Property2/9/2021 
ActiveDevelopers Surety and Indemnity Company516432Agent - Casualty8/4/2023 
ActiveEMC Property & Casualty Company955217Agent - Casualty7/30/2019 
ActiveEMC Property & Casualty Company955217Agent - Property7/30/2019 
ActiveEMCASCO Insurance Company842790Agent - Casualty7/30/2019 
ActiveEMCASCO Insurance Company842790Agent - Property7/30/2019 
ActiveEmployers Assurance Company300120Agent - Casualty9/12/2012 
ActiveEmployers Compensation Insurance Company797885Agent - Casualty8/6/2018 
ActiveEmployers Insurance Company of Wausau301813Agent - Casualty1/20/2012 
ActiveEmployers Insurance Company of Wausau301813Agent - Property1/20/2012 
ActiveEmployers Mutual Casualty Company300202Agent - Casualty7/30/2019 
ActiveEmployers Mutual Casualty Company300202Agent - Property7/30/2019 
ActiveEmployers Preferred Insurance Company520656Agent - Casualty9/12/2012 
ActiveEndurance American Insurance Company724397Agent - Casualty8/4/2021 
ActiveEndurance American Insurance Company724397Agent - Property8/4/2021 
InactiveFarmington Casualty Company301137Agent - Casualty1/26/201212/21/2015
InactiveFarmington Casualty Company301137Agent - Property1/26/201212/21/2015
ActiveFederal Insurance Company301144Agent - Casualty8/1/2012 
ActiveFederal Insurance Company301144Agent - Property8/1/2012 
InactiveFidelity and Deposit Company of Maryland300976Agent - Casualty1/6/20124/5/2021
InactiveFidelity and Deposit Company of Maryland300976Agent - Property1/6/20124/5/2021
ActiveFidelity and Guaranty Insurance Company301009Agent - Casualty2/6/2023 
ActiveFidelity and Guaranty Insurance Company301009Agent - Property2/6/2023 
ActiveFirst Health Life & Health Insurance Company301735Agent - Health10/17/2017 
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Casualty1/20/2012 
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Property1/20/2012 
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty11/13/20122/9/2022
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property11/13/20122/9/2022
InactiveForemost Property and Casualty Insurance Company300871Agent - Casualty11/13/201211/26/2019
InactiveForemost Property and Casualty Insurance Company300871Agent - Property11/13/201211/26/2019
InactiveForemost Signature Insurance Company300140Agent - Casualty11/13/201211/26/2019
InactiveForemost Signature Insurance Company300140Agent - Property11/13/201211/26/2019
ActiveGeneral Casualty Company of Wisconsin300930Agent - Casualty8/16/2017 
ActiveGeneral Casualty Company of Wisconsin300930Agent - Property8/16/2017 
ActiveGreat American Alliance Insurance Company301247Agent - Casualty3/15/2021 
ActiveGreat American Alliance Insurance Company301247Agent - Property3/15/2021 
ActiveGreat American Insurance Company301586Agent - Casualty3/15/2021 
ActiveGreat American Insurance Company301586Agent - Property3/15/2021 
ActiveGreat Midwest Insurance Company301418Agent - Casualty8/5/2014 
ActiveGreat Midwest Insurance Company301418Agent - Property8/5/2014 
ActiveGreat Northern Insurance Company301107Agent - Casualty12/30/2013 
ActiveGreat Northern Insurance Company301107Agent - Property12/30/2013 
InactiveGuarantee Company of North America USA (The)300857Agent - Casualty5/2/201711/13/2023
InactiveGuarantee Company of North America USA (The)300857Agent - Property5/2/201711/13/2023
InactiveGuardian Life Insurance Company of America301316Agent - Health4/10/20124/10/2015
InactiveGuardian Life Insurance Company of America301316Agent - Life4/10/20124/10/2015
ActiveHDI Global Insurance Company676678Agent - Casualty4/30/2012 
ActiveHDI Global Insurance Company676678Agent - Property4/30/2012 
ActiveHanover American Insurance Company (The)300447Agent - Casualty1/4/2012 
ActiveHanover American Insurance Company (The)300447Agent - Property1/4/2012 
ActiveHanover Insurance Company (The)300508Agent - Casualty1/4/2012 
ActiveHanover Insurance Company (The)300508Agent - Property1/4/2012 
ActiveHartford Accident and Indemnity Company301917Agent - Casualty9/26/2016 
ActiveHartford Accident and Indemnity Company301917Agent - Property9/26/2016 
ActiveHartford Fire Insurance Company300628Agent - Casualty4/22/2012 
ActiveHartford Fire Insurance Company300628Agent - Property4/22/2012 
ActiveHudson Insurance Company523144Agent - Casualty10/13/2020 
ActiveHudson Insurance Company523144Agent - Property10/13/2020 
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health10/9/20145/2/2017
InactiveHumana Health Plan, Inc.300142Agent - Health7/17/20125/2/2017
InactiveHumana Insurance Company301104Agent - Health12/19/201912/13/2022
InactiveHumana Insurance Company301104Agent - Life7/17/20125/2/2017
InactiveHumana Insurance Company of Kentucky300826Agent - Health7/17/20125/2/2017
InactiveHumana Insurance Company of Kentucky300826Agent - Life7/17/20125/2/2017
InactiveHumanaDental Insurance Company301457Agent - Health9/28/201212/19/2012
InactiveHumanaDental Insurance Company301457Agent - Life9/28/201212/19/2012
InactiveImperium Insurance Company300804Agent - Casualty8/5/20147/25/2023
InactiveImperium Insurance Company300804Agent - Property8/5/20147/25/2023
ActiveIndemnity Insurance Company of North America301760Agent - Casualty4/29/2013 
ActiveIndemnity Insurance Company of North America301760Agent - Property4/29/2013 
InactiveKanawha Insurance Company300127Agent - Health7/17/20125/2/2017
InactiveKanawha Insurance Company300127Agent - Life7/17/20125/2/2017
ActiveLM Insurance Corporation301061Agent - Casualty1/20/2012 
ActiveLM Insurance Corporation301061Agent - Property1/20/2012 
ActiveLiberty Insurance Corporation300444Agent - Casualty1/20/2012 
ActiveLiberty Insurance Corporation300444Agent - Property1/20/2012 
ActiveLiberty Insurance Underwriters Inc.301391Agent - Casualty4/13/2015 
ActiveLiberty Insurance Underwriters Inc.301391Agent - Property4/13/2015 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Casualty1/20/2012 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Property1/20/2012 
ActiveLiberty Mutual Insurance Company301159Agent - Casualty1/20/2012 
ActiveLiberty Mutual Insurance Company301159Agent - Property1/20/2012 
ActiveManufacturers Alliance Insurance Company519940Agent - Casualty10/18/2019 
ActiveManufacturers Alliance Insurance Company519940Agent - Property10/18/2019 
InactiveMaryland Casualty Company301719Agent - Casualty1/6/201212/13/2013
InactiveMaryland Casualty Company301719Agent - Property1/6/201212/13/2013
ActiveMassachusetts Bay Insurance Company300898Agent - Casualty1/4/2012 
ActiveMassachusetts Bay Insurance Company300898Agent - Property1/4/2012 
ActiveMerchants Bonding Company (Mutual)300170Agent - Casualty10/27/2020 
InactiveMerchants National Bonding Inc.787525Agent - Casualty10/8/20122/1/2019
ActiveMilford Casualty Insurance Company301460Agent - Casualty6/12/2017 
ActiveMilford Casualty Insurance Company301460Agent - Property6/12/2017 
ActiveMitsui Sumitomo Insurance Company of America301070Agent - Casualty4/8/2019 
ActiveMitsui Sumitomo Insurance Company of America301070Agent - Property4/8/2019 
ActiveMitsui Sumitomo Insurance USA Inc.301681Agent - Casualty4/8/2019 
ActiveMitsui Sumitomo Insurance USA Inc.301681Agent - Property4/8/2019 
ActiveNational Fire Insurance Company of Hartford301063Agent - Casualty12/12/2016 
ActiveNational Fire Insurance Company of Hartford301063Agent - Property12/12/2016 
ActiveNationwide Agribusiness Insurance Company301008Agent - Casualty2/9/2021 
ActiveNationwide Agribusiness Insurance Company301008Agent - Property2/9/2021 
ActiveNationwide Assurance Company300166Agent - Casualty2/9/2021 
ActiveNationwide Assurance Company300166Agent - Property2/9/2021 
ActiveNationwide General Insurance Company300603Agent - Casualty2/9/2021 
ActiveNationwide General Insurance Company300603Agent - Property2/9/2021 
ActiveNationwide Insurance Company of America300333Agent - Casualty2/9/2021 
ActiveNationwide Insurance Company of America300333Agent - Property2/9/2021 
ActiveNationwide Mutual Insurance Company301749Agent - Casualty2/9/2021 
ActiveNationwide Mutual Insurance Company301749Agent - Property2/9/2021 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Casualty2/9/2021 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Property2/9/2021 
InactiveNorth Pointe Insurance Company301029Agent - Casualty7/20/20128/2/2013
InactiveNorth Pointe Insurance Company301029Agent - Property7/20/20128/2/2013
ActiveNorth River Insurance Company (The)301739Agent - Casualty2/23/2022 
ActiveNorth River Insurance Company (The)301739Agent - Property2/23/2022 
InactiveNorthStone Insurance Company818905Agent - Casualty11/27/202111/27/2021
InactiveNorthern Insurance Company of New York301317Agent - Casualty1/6/201212/13/2013
InactiveNorthern Insurance Company of New York301317Agent - Property1/6/201212/13/2013
InactiveOhio Casualty Insurance Company301492Agent - Casualty1/19/20173/29/2024
InactiveOhio Casualty Insurance Company301492Agent - Property1/19/20173/29/2024
ActiveOld Republic Insurance Company301225Agent - Casualty10/26/2015 
ActiveOld Republic Insurance Company301225Agent - Property10/26/2015 
ActivePacific Employers Insurance Company301753Agent - Casualty4/29/2013 
ActivePacific Employers Insurance Company301753Agent - Property4/29/2013 
ActivePark National Insurance Company692514Agent - Casualty6/12/2017 
ActivePark National Insurance Company692514Agent - Property6/12/2017 
ActivePennsylvania Insurance Company301219Agent - Casualty6/6/2024 
ActivePennsylvania Insurance Company301219Agent - Property6/6/2024 
ActivePennsylvania Manufacturers Association Insurance Company300228Agent - Casualty10/18/2019 
ActivePennsylvania Manufacturers Association Insurance Company300228Agent - Property10/18/2019 
ActivePennsylvania Manufacturers Indemnity Company519939Agent - Casualty10/18/2019 
ActivePennsylvania Manufacturers Indemnity Company519939Agent - Property10/18/2019 
ActivePhiladelphia Indemnity Insurance Company301221Agent - Casualty9/10/2022 
ActivePhiladelphia Indemnity Insurance Company301221Agent - Property9/10/2022 
InactivePinnaclePoint Insurance Company819085Agent - Casualty11/27/202111/27/2021
InactivePraetorian Insurance Company301021Agent - Casualty7/20/20128/2/2013
InactivePraetorian Insurance Company301021Agent - Property7/20/20128/2/2013
ActiveProvident Life and Accident Insurance Company301525Agent - Health10/8/2014 
ActiveProvident Life and Accident Insurance Company301525Agent - Life10/8/2014 
InactiveQBE Insurance Corporation300515Agent - Casualty2/20/201412/5/2017
InactiveQBE Insurance Corporation300515Agent - Property2/20/201412/5/2017
ActiveRLI Insurance Company301217Agent - Casualty10/15/2021 
ActiveRLI Insurance Company301217Agent - Property10/15/2021 
ActiveRegent Insurance Company300411Agent - Casualty9/25/2020 
ActiveRegent Insurance Company300411Agent - Property9/25/2020 
ActiveSafety National Casualty Corporation300390Agent - Casualty3/8/2012 
ActiveSafety National Casualty Corporation300390Agent - Property3/8/2012 
ActiveSecurity National Insurance Company301151Agent - Casualty6/12/2017 
ActiveSecurity National Insurance Company301151Agent - Property6/12/2017 
ActiveSelective Insurance Company of the Southeast300381Agent - Casualty12/8/2020 
ActiveSelective Insurance Company of the Southeast300381Agent - Property12/8/2020 
ActiveSequoia Insurance Company628046Agent - Casualty5/5/2020 
ActiveSequoia Insurance Company628046Agent - Property5/5/2020 
ActiveSilverScript Insurance Company663526Agent - Health10/17/2019 
ActiveSiriusPoint America Insurance Company301148Agent - Casualty6/6/2024 
ActiveSiriusPoint America Insurance Company301148Agent - Property6/6/2024 
ActiveSouthern Insurance Company301630Agent - Casualty11/1/2021 
ActiveSouthern Insurance Company301630Agent - Property11/1/2021 
ActiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty1/26/2012 
ActiveSt. Paul Fire and Marine Insurance Company300782Agent - Property1/26/2012 
InactiveSt. Paul Guardian Insurance Company301372Agent - Casualty1/26/201212/3/2014
InactiveSt. Paul Guardian Insurance Company301372Agent - Property1/26/201212/3/2014
ActiveSt. Paul Mercury Insurance Company300783Agent - Casualty1/26/2012 
ActiveSt. Paul Mercury Insurance Company300783Agent - Property1/26/2012 
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty6/17/201312/3/2014
InactiveStandard Fire Insurance Company (The)301068Agent - Property6/17/201312/3/2014
ActiveStarmount Life Insurance Company628031Agent - Health5/12/2022 
ActiveStarr Indemnity and Liability Company301685Agent - Casualty11/6/2017 
ActiveStarr Indemnity and Liability Company301685Agent - Health11/6/2017 
ActiveStarr Indemnity and Liability Company301685Agent - Property11/6/2017 
InactiveState National Insurance Company, Inc.300888Agent - Casualty8/25/20147/24/2015
InactiveState National Insurance Company, Inc.300888Agent - Property8/25/20147/24/2015
InactiveSummitPoint Insurance Company819084Agent - Casualty11/27/202111/27/2021
ActiveTechnology Insurance Company613278Agent - Casualty6/12/2017 
ActiveTechnology Insurance Company613278Agent - Property6/12/2017 
InactiveThe Phoenix Insurance Company301502Agent - Casualty1/26/201212/3/2014
InactiveThe Phoenix Insurance Company301502Agent - Property1/26/201212/3/2014
ActiveTransportation Insurance Company301575Agent - Casualty10/28/2019 
ActiveTransportation Insurance Company301575Agent - Property10/28/2019 
ActiveTravelers Casualty Insurance Company of America300522Agent - Casualty1/26/2012 
ActiveTravelers Casualty Insurance Company of America300522Agent - Property1/26/2012 
ActiveTravelers Casualty and Surety Company301067Agent - Casualty1/26/2012 
ActiveTravelers Casualty and Surety Company301067Agent - Property1/26/2012 
ActiveTravelers Casualty and Surety Company of America301334Agent - Casualty1/26/2012 
ActiveTravelers Casualty and Surety Company of America301334Agent - Property1/26/2012 
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty1/26/201212/9/2013
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property1/26/201212/9/2013
ActiveTravelers Indemnity Company (The)301855Agent - Casualty1/26/2012 
ActiveTravelers Indemnity Company (The)301855Agent - Property1/26/2012 
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty1/26/201212/3/2014
InactiveTravelers Indemnity Company of America (The)301093Agent - Property1/26/201212/3/2014
ActiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty1/26/2012 
ActiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property1/26/2012 
ActiveTravelers Property Casualty Company of America301649Agent - Casualty1/26/2012 
ActiveTravelers Property Casualty Company of America301649Agent - Property1/26/2012 
ActiveTrisura Insurance Company1077019Agent - Casualty9/1/2021 
ActiveU.S. Specialty Insurance Company300186Agent - Casualty1/16/2014 
ActiveU.S. Specialty Insurance Company300186Agent - Property1/16/2014 
ActiveUNUM Life Insurance Company of America300817Agent - Health10/8/2014 
ActiveUNUM Life Insurance Company of America300817Agent - Life10/8/2014 
ActiveUnion Insurance Company of Providence842791Agent - Casualty7/30/2019 
ActiveUnion Insurance Company of Providence842791Agent - Property7/30/2019 
ActiveUnited Concordia Insurance Company903543Agent - Health12/31/2017 
InactiveUnited Concordia Life and Health Insurance Company301220Agent - Health11/9/201612/31/2017
ActiveUnited States Fire Insurance Company582240Agent - Casualty2/23/2022 
ActiveUnited States Fire Insurance Company582240Agent - Health10/19/2018 
ActiveUnited States Fire Insurance Company582240Agent - Property2/23/2022 
ActiveUnitedHealthcare Insurance Company300946Agent - Health4/19/2023 
ActiveUnitedHealthcare Insurance Company300946Agent - Life4/19/2023 
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/20/201812/20/2018
InactiveUnitedHealthcare Insurance Company of the River Valley1027817Agent - Health8/5/20191/25/2020
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health4/19/2023 
ActiveUnitedHealthcare of Ohio, Inc.300493Agent - Health4/19/2023 
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/20/20181/25/2020
InactiveUniversal Underwriters Insurance Company301558Agent - Casualty5/15/20134/5/2021
InactiveUniversal Underwriters Insurance Company301558Agent - Property5/15/20134/5/2021
InactiveUniversal Underwriters of Texas Insurance Company639543Agent - Casualty5/15/20134/5/2021
InactiveUniversal Underwriters of Texas Insurance Company639543Agent - Property5/15/20134/5/2021
ActiveUnum Insurance Company301499Agent - Health5/12/2022 
ActiveUnum Insurance Company301499Agent - Life5/12/2022 
ActiveValley Forge Insurance Company301052Agent - Casualty2/21/2012 
ActiveValley Forge Insurance Company301052Agent - Property2/21/2012 
ActiveWCF National Insurance Company300727Agent - Casualty5/1/2022 
InactiveWausau Business Insurance Company301476Agent - Casualty1/20/20123/30/2015
InactiveWausau Business Insurance Company301476Agent - Property1/20/20123/30/2015
InactiveWausau Underwriters Insurance Company301105Agent - Casualty1/20/20128/27/2015
InactiveWausau Underwriters Insurance Company301105Agent - Property1/20/20128/27/2015
ActiveWesco Insurance Company300534Agent - Casualty6/12/2017 
ActiveWesco Insurance Company300534Agent - Property6/12/2017 
ActiveWestchester Fire Insurance Company300990Agent - Casualty4/29/2013 
ActiveWestchester Fire Insurance Company300990Agent - Property4/29/2013 
ActiveWestern Surety Company300283Agent - Casualty1/4/2012 
ActiveZenith Insurance Company300967Agent - Casualty3/22/2024 
InactiveZurich American Insurance Company301121Agent - Casualty1/6/20124/5/2021
InactiveZurich American Insurance Company301121Agent - Property1/6/20124/5/2021
InactiveZurich American Insurance Company of Illinois301805Agent - Casualty1/6/20124/5/2021
InactiveZurich American Insurance Company of Illinois301805Agent - Property1/6/20124/5/2021
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedBauer, Matthew R 1036685Agent - Casualty  
DeniedBauer, Matthew R 1036685Agent - Health  
DeniedBauer, Matthew R 1036685Agent - Life  
DeniedBauer, Matthew R 1036685Agent - Property  
InactiveBaumgartner, Brad P 586290Agent - Casualty1/12/201212/27/2017
InactiveBaumgartner, Brad P 586290Agent - Health2/3/201212/1/2016
InactiveBaumgartner, Brad P 586290Agent - Life2/3/201212/1/2016
InactiveBaumgartner, Brad P 586290Agent - Property1/12/201212/27/2017
InactiveBennett, Leigh Hirschfield 1010400Agent - Health10/17/201810/12/2020
InactiveBennett, Leigh Hirschfield 1010400Agent - Life10/24/201810/12/2020
InactiveBonnell, Timothy K 334920Agent - Casualty1/27/20147/22/2016
InactiveBonnell, Timothy K 334920Agent - Property1/27/20147/22/2016
InactiveBurke, Timothy 618611Agent - Casualty2/17/20154/28/2015
InactiveBurke, Timothy 618611Agent - Property2/17/20154/28/2015
InactiveCassata, Elizabeth 855177Agent - Casualty11/9/20211/7/2022
DeniedCassata, Elizabeth 855177Agent - Health  
InactiveCassata, Elizabeth 855177Agent - Property11/9/20211/7/2022
PendingChambers, Laura Jean 775119Agent - Casualty  
PendingChambers, Laura Jean 775119Agent - Property  
InactiveCillian, Bradley S 660860Agent - Health2/3/201212/27/2012
InactiveCillian, Bradley S 660860Agent - Life2/3/201212/27/2012
ActiveClampert, Jennifer Lynn 1120078Agent - Casualty3/18/2021 
ActiveClampert, Jennifer Lynn 1120078Agent - Property3/18/2021 
InactiveCooley, Heidi C 852663Agent - Health10/22/20145/31/2017
InactiveCooley, Heidi C 852663Agent - Life10/22/201412/8/2015
DeniedCoonts, Amy M 1251071Agent - Casualty  
DeniedCoonts, Amy M 1251071Agent - Property  
ActiveDobson, Karen 830241Agent - Casualty6/28/2023 
ActiveDobson, Karen 830241Agent - Property6/28/2023 
ActiveDonatelli, Monica F 747640Agent - Casualty1/12/2012 
ActiveDonatelli, Monica F 747640Agent - Property1/12/2012 
ActiveEchnoz, Charles L 696806Agent - Casualty3/8/2021 
ActiveEchnoz, Charles L 696806Agent - Property3/8/2021 
PendingFitzmaurice, Elizabeth Kaye 1253725Agent - Casualty  
PendingFitzmaurice, Elizabeth Kaye 1253725Agent - Property  
InactiveForrest, Jana M 611744Agent - Casualty1/12/20129/26/2014
InactiveForrest, Jana M 611744Agent - Property1/12/20129/26/2014
InactiveGoswick, Amy Beth 567090Agent - Health2/3/20124/30/2012
InactiveGoswick, Amy Beth 567090Agent - Life2/3/20124/30/2012
InactiveGrace, Jeffrey S 641214Agent - Casualty1/12/20121/13/2017
InactiveGrace, Jeffrey S 641214Agent - Property1/12/20121/13/2017
DeniedHearn, John Aaron 988430Agent - Health  
DeniedHearn, John Aaron 988430Agent - Life  
InactiveHoebener, Shani L 595074Agent - Casualty1/12/20121/22/2020
InactiveHoebener, Shani L 595074Agent - Property1/12/20121/22/2020
ActiveHoole, Spencer D 506143Agent - Casualty8/25/2021 
ActiveHoole, Spencer D 506143Agent - Property8/25/2021 
DeniedHutchings, Jeana L 749720Agent - Health  
DeniedHutchings, Jeana L 749720Agent - Life  
InactiveJackson, Karen Denise 870426Agent - Health3/9/20154/6/2016
InactiveJackson, Karen Denise 870426Agent - Life3/9/201512/8/2015
InactiveJenkins, Michael 910639Agent - Casualty3/27/20178/29/2022
InactiveJenkins, Michael 910639Agent - Property3/27/20178/29/2022
InactiveJohnston, Drew Jason 585133Agent - Casualty11/12/20143/19/2018
InactiveJohnston, Drew Jason 585133Agent - Property11/12/20143/19/2018
InactiveJolie, Penny E 798315Agent - Health5/13/20135/31/2014
InactiveJolie, Penny E 798315Agent - Life5/13/20135/31/2014
DeniedKennedy, Shannon C 998465Agent - Casualty  
DeniedKennedy, Shannon C 998465Agent - Property  
InactiveKonrad, Paulette 658487Agent - Casualty1/12/20124/5/2012
InactiveKonrad, Paulette 658487Agent - Property1/12/20124/5/2012
DeniedLange, Emily Ruth 1143908Agent - Casualty  
DeniedLange, Emily Ruth 1143908Agent - Property  
DeniedLeduc, Lindsey Ryan 895841Agent - Health  
DeniedLeduc, Lindsey Ryan 895841Agent - Life  
InactiveMarquis, John D 572193Agent - Casualty2/8/20139/9/2020
InactiveMarquis, John D 572193Agent - Property2/8/20139/9/2020
InactiveMartella, Elaine T 963548Agent - Casualty8/22/20225/3/2023
DeniedMartella, Elaine T 963548Agent - Health  
DeniedMartella, Elaine T 963548Agent - Life  
InactiveMartella, Elaine T 963548Agent - Property8/22/20225/3/2023
InactiveMcatee-Macrae, Joshua Earl 1085530Agent - Health6/18/20217/27/2022
InactiveMcatee-Macrae, Joshua Earl 1085530Agent - Life6/18/20217/27/2022
InactiveMckinney, David B 601711Agent - Casualty1/12/20121/19/2021
InactiveMckinney, David B 601711Agent - Property1/12/20121/19/2021
InactiveMckinney, David B 601711Surplus Lines Broker - Not Applicable3/22/20121/19/2021
DeniedMeherg, Mindy S. 720037Agent - Casualty  
DeniedMeherg, Mindy S. 720037Agent - Property  
DeniedMelvin, Kevin M 661532Agent - Casualty  
DeniedMelvin, Kevin M 661532Agent - Health  
DeniedMelvin, Kevin M 661532Agent - Life  
DeniedMelvin, Kevin M 661532Agent - Property  
ActiveMessner, Britt L 1000797Agent - Casualty12/30/2020 
ActiveMessner, Britt L 1000797Agent - Health6/28/2021 
ActiveMessner, Britt L 1000797Agent - Life6/28/2021 
ActiveMessner, Britt L 1000797Agent - Property12/30/2020 
InactiveMiles, Hayden Christine 1250463Agent - Casualty4/11/20246/10/2024
InactiveMiles, Hayden Christine 1250463Agent - Property4/11/20246/10/2024
InactiveMiller, Christopher Mark 593981Agent - Casualty11/30/201610/8/2019
InactiveMiller, Christopher Mark 593981Agent - Property11/30/201610/8/2019
DeniedMiller, Jason Scott 614151Agent - Casualty  
DeniedMiller, Jason Scott 614151Agent - Property  
DeniedMiller, Joshua Dean 1251011Agent - Casualty  
DeniedMiller, Joshua Dean 1251011Agent - Health  
DeniedMiller, Joshua Dean 1251011Agent - Life  
DeniedMiller, Joshua Dean 1251011Agent - Property  
ActiveMills, John Emmet 756501Agent - Casualty1/12/2012 
ActiveMills, John Emmet 756501Agent - Property1/12/2012 
DeniedMize, Daniel Curtis 1000499Agent - Casualty  
DeniedMize, Daniel Curtis 1000499Agent - Property  
InactiveMoore, Kristen Nichole 1065210Agent - Casualty7/17/202012/8/2022
InactiveMoore, Kristen Nichole 1065210Agent - Property10/12/202012/8/2022
InactiveMoran, Rebecca 1091059Agent - Health3/1/202311/8/2023
InactiveMoran, Rebecca 1091059Agent - Life3/1/202311/8/2023
InactiveNguyen, Tuan Van 1065126Agent - Casualty8/17/20215/2/2023
InactiveNguyen, Tuan Van 1065126Agent - Property8/17/20215/2/2023
InactiveNicholas, Tyler J 734534Agent - Casualty8/30/20138/28/2014
InactiveNicholas, Tyler J 734534Agent - Property8/30/20138/28/2014
InactivePobuda, Conrad Walter 309335Agent - Casualty10/12/20116/29/2021
InactivePobuda, Conrad Walter 309335Agent - Health10/12/20116/29/2021
InactivePobuda, Conrad Walter 309335Agent - Life10/12/20116/29/2021
InactivePobuda, Conrad Walter 309335Agent - Property10/12/20116/29/2021
InactivePobuda, Conrad Walter 309335Surplus Lines Broker - Not Applicable10/12/20116/29/2021
InactiveRini, Jessica Jean 900746Agent - Casualty1/29/201811/18/2019
InactiveRini, Jessica Jean 900746Agent - Property1/29/201811/18/2019
ActiveRomney, Miles W 1329868Agent - Health3/20/2024 
ActiveRomney, Miles W 1329868Agent - Life3/20/2024 
ActiveRooney, Paul Joseph 605444Agent - Health12/29/2023 
ActiveRooney, Paul Joseph 605444Agent - Life12/29/2023 
InactiveSacco, Yanna 907019Agent - Casualty1/12/20245/9/2024
InactiveSacco, Yanna 907019Agent - Property1/12/20245/9/2024
DeniedSalapa, Carolyn M 742560Agent - Casualty  
DeniedSalapa, Carolyn M 742560Agent - Property  
ActiveSchellenberg, Blake Russell 1255028Agent - Casualty3/26/2024 
PendingSchellenberg, Blake Russell 1255028Agent - Health  
PendingSchellenberg, Blake Russell 1255028Agent - Property  
InactiveShaw, Sheryll R 593843Agent - Casualty1/12/20125/7/2021
InactiveShaw, Sheryll R 593843Agent - Property1/12/20125/7/2021
ActiveShepard, David J 880267Agent - Casualty10/30/2015 
DeniedShepard, David J 880267Agent - Health  
DeniedShepard, David J 880267Agent - Life  
ActiveShepard, David J 880267Agent - Property10/30/2015 
ActiveSheridan, Jennifer Moore 1053099Agent - Casualty9/22/2023 
ActiveSheridan, Jennifer Moore 1053099Agent - Property9/22/2023 
ActiveSinclair, David N 650361Agent - Casualty8/23/2023 
DeniedSinclair, David N 650361Agent - Health  
DeniedSinclair, David N 650361Agent - Life  
ActiveSinclair, David N 650361Agent - Property8/23/2023 
ActiveSmith, Timothy C 535946Agent - Casualty1/12/2012 
ActiveSmith, Timothy C 535946Agent - Property1/12/2012 
ActiveSmith, Timothy C 535946Surplus Lines Broker - Not Applicable3/22/2012 
InactiveSuta, Brenda L 1135057Agent - Casualty7/22/20225/12/2023
DeniedSuta, Brenda L 1135057Agent - Property  
ActiveTodd, Kiel 1170245Agent - Casualty3/26/2024 
ActiveTodd, Kiel 1170245Agent - Property3/26/2024 
ActiveVincent, Brenda 700491Agent - Casualty7/9/2019 
DeniedVincent, Brenda 700491Agent - Health  
ActiveVincent, Brenda 700491Agent - Property7/9/2019 
ActiveVincent, Brenda 700491Surplus Lines Broker - Not Applicable7/9/2019 
InactiveWaldman, Michael Aaron 680665Agent - Health10/17/20187/8/2021
ActiveWaldman, Michael Aaron 680665Agent - Life3/8/2021 
InactiveWaldman, Stephen Alan 568595Agent - Casualty5/24/20161/3/2018
DeniedWaldman, Stephen Alan 568595Agent - Health  
DeniedWaldman, Stephen Alan 568595Agent - Life  
InactiveWaldman, Stephen Alan 568595Agent - Property5/24/20161/3/2018
ActiveWanglin, Ronald Chase 567982Agent - Casualty5/10/2024 
ActiveWanglin, Ronald Chase 567982Agent - Health5/10/2024 
ActiveWanglin, Ronald Chase 567982Agent - Life5/10/2024 
ActiveWanglin, Ronald Chase 567982Agent - Property5/10/2024 
InactiveWaterman, Kathleen A 1013622Agent - Casualty10/6/20216/16/2022
InactiveWaterman, Kathleen A 1013622Agent - Property10/6/20216/16/2022
InactiveWaterman, Kathleen A 1013622Surplus Lines Broker - Not Applicable10/6/202111/16/2021
ActiveWestmoreland, Desiree E 850700Agent - Casualty10/2/2014 
ActiveWestmoreland, Desiree E 850700Agent - Property10/2/2014 
ActiveWhittacre, Mallory Lee 1142934Agent - Casualty4/23/2024 
ActiveWhittacre, Mallory Lee 1142934Agent - Property4/23/2024 
DeniedWilson, Charissa D 1283313Agent - Casualty  
DeniedWilson, Charissa D 1283313Agent - Property  

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