DEPARTMENT OF INSURANCE

Affiliations

Name	City Securities Ins LLC	DOIID	767851	NAIC NPN	16251527

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	12/1/2011	3/31/2025
Active	Non Resident	Agent	Casualty	12/1/2011	3/31/2025
Active	Non Resident	Agent	Property	12/1/2011	3/31/2025
Active	Non Resident	Agent	Health	12/1/2011	3/31/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/26/2014	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

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025
Surplus Lines Broker	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE American Insurance Company	300625	Agent - Casualty	3/4/2016	4/4/2017
Inactive	ACE American Insurance Company	300625	Agent - Property	3/4/2016	4/4/2017
Active	AIG Property Casualty Company	300621	Agent - Casualty	1/31/2014
Active	AIG Property Casualty Company	300621	Agent - Property	1/31/2014
Inactive	AMCO Insurance Company	300204	Agent - Casualty	6/12/2014	11/21/2017
Inactive	AMCO Insurance Company	300204	Agent - Property	6/12/2014	11/21/2017
Inactive	Allied Insurance Company of America	793586	Agent - Casualty	12/23/2014	11/21/2017
Inactive	Allied Insurance Company of America	793586	Agent - Property	12/23/2014	11/21/2017
Inactive	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	6/12/2014	11/21/2017
Inactive	Allied Property and Casualty Insurance Company	300279	Agent - Property	6/12/2014	11/21/2017
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	4/4/2017	8/14/2017
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	4/4/2017	8/14/2017
Active	American United Life Insurance Company	300498	Agent - Health	6/11/2015
Active	American United Life Insurance Company	300498	Agent - Life	6/11/2015
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	9/20/2013	5/11/2023
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	9/20/2013	5/11/2023
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	3/4/2016	4/4/2017
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	3/4/2016	4/4/2017
Inactive	Chubb Indemnity Insurance Company	300438	Agent - Casualty	8/23/2012	4/4/2017
Inactive	Chubb Indemnity Insurance Company	300438	Agent - Property	8/23/2012	4/4/2017
Inactive	Chubb National Insurance Company	301392	Agent - Casualty	8/23/2012	4/4/2017
Inactive	Chubb National Insurance Company	301392	Agent - Property	8/23/2012	4/4/2017
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	1/28/2014	9/18/2017
Inactive	Cincinnati Insurance Company	301298	Agent - Property	1/28/2014	9/18/2017
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	8/24/2015	9/18/2017
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	8/24/2015	9/18/2017
Inactive	Continental Casualty Company	301019	Agent - Casualty	9/13/2016	8/14/2017
Inactive	Continental Casualty Company	301019	Agent - Property	9/13/2016	8/14/2017
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	12/5/2016	8/14/2017
Inactive	Continental Insurance Company (The)	301242	Agent - Property	12/5/2016	8/14/2017
Active	Crestbrook Insurance Company	805354	Agent - Casualty	3/21/2016
Active	Crestbrook Insurance Company	805354	Agent - Property	3/21/2016
Inactive	Depositors Insurance Company	301634	Agent - Casualty	6/12/2014	11/21/2017
Inactive	Depositors Insurance Company	301634	Agent - Property	6/12/2014	11/21/2017
Inactive	Executive Risk Indemnity Inc.	301510	Agent - Casualty	8/23/2012	4/4/2017
Inactive	FCCI Insurance Company	557454	Agent - Casualty	6/12/2013	1/17/2018
Inactive	FCCI Insurance Company	557454	Agent - Property	6/12/2013	1/17/2018
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	8/2/2013	11/30/2017
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	8/2/2013	11/30/2017
Inactive	Federal Insurance Company	301144	Agent - Casualty	8/23/2012	4/4/2017
Inactive	Federal Insurance Company	301144	Agent - Property	8/23/2012	4/4/2017
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	12/30/2013	10/20/2017
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	12/30/2013	10/20/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/28/2012	2/16/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/28/2012	2/16/2018
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	8/23/2012	4/4/2017
Inactive	Great Northern Insurance Company	301107	Agent - Property	8/23/2012	4/4/2017
Inactive	Guarantee Insurance Company	300611	Agent - Casualty	12/27/2012	12/18/2017
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	1/22/2015	8/22/2017
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	1/22/2015	8/22/2017
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	4/28/2016	9/19/2017
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	4/28/2016	9/19/2017
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/12/2015
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/12/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/3/2013	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	7/3/2013	5/4/2015
Inactive	Humana Insurance Company	301104	Agent - Life	7/3/2013	5/4/2015
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	3/4/2016	4/4/2017
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	3/4/2016	4/4/2017
Inactive	John Alden Life Insurance Company	300573	Agent - Health	1/31/2012	3/20/2013
Inactive	John Alden Life Insurance Company	300573	Agent - Life	1/31/2012	3/20/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/3/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/3/2013	12/5/2014
Active	Merchants Bonding Company (Mutual)	300170	Agent - Casualty	2/8/2013
Active	Merchants National Bonding Inc.	787525	Agent - Casualty	2/8/2013
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	10/19/2016	1/19/2018
Inactive	Meridian Security Insurance Company	300423	Agent - Property	10/19/2016	1/19/2018
Inactive	Milbank Insurance Company	925185	Agent - Casualty	11/8/2017	1/19/2018
Inactive	Milbank Insurance Company	925185	Agent - Property	11/8/2017	1/19/2018
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Casualty	6/12/2013	1/17/2018
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Property	6/12/2013	1/17/2018
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/29/2016	8/14/2017
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/29/2016	8/14/2017
Inactive	National Trust Insurance Company	300367	Agent - Casualty	6/12/2013	1/17/2018
Inactive	National Trust Insurance Company	300367	Agent - Property	6/12/2013	1/17/2018
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	8/25/2016	11/21/2017
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	8/25/2016	11/21/2017
Inactive	Owners Insurance Company	300796	Agent - Casualty	9/20/2013	5/11/2023
Inactive	Owners Insurance Company	300796	Agent - Property	9/20/2013	5/11/2023
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	3/4/2016	4/4/2017
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	3/4/2016	4/4/2017
Inactive	Pacific Indemnity Company	301610	Agent - Casualty	8/23/2012	4/4/2017
Inactive	Pacific Indemnity Company	301610	Agent - Property	8/23/2012	4/4/2017
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	5/10/2012	11/6/2017
Inactive	Selective Insurance Company of America	500018	Agent - Property	5/10/2012	11/6/2017
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	5/10/2012	11/6/2017
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	5/10/2012	11/6/2017
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	5/10/2012	11/6/2017
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	5/10/2012	11/6/2017
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	10/19/2016	1/19/2018
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	10/19/2016	1/19/2018
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	10/19/2016	1/19/2018
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	10/19/2016	1/19/2018
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	2/24/2012	12/14/2016
Inactive	The Phoenix Insurance Company	301502	Agent - Property	2/24/2012	12/14/2016
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	2/24/2012	11/20/2017
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	2/24/2012	11/20/2017
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	3/14/2017	8/14/2017
Inactive	Valley Forge Insurance Company	301052	Agent - Property	3/14/2017	8/14/2017
Inactive	Vigilant Insurance Company	301143	Agent - Casualty	8/23/2012	4/4/2017
Inactive	Vigilant Insurance Company	301143	Agent - Property	8/23/2012	4/4/2017
Inactive	Westfield Insurance Company	301950	Agent - Casualty	8/1/2012	10/2/2013
Inactive	Westfield Insurance Company	301950	Agent - Property	8/1/2012	10/2/2013
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	12/30/2013	10/20/2017
Inactive	Zurich American Insurance Company	301121	Agent - Property	12/30/2013	10/20/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bill, Jude	521429	Agent - Health	6/11/2015	5/2/2017
Inactive	Bill, Jude	521429	Agent - Life	6/11/2015	5/2/2017
Denied	Cardamon, Paul Michael	986280	Agent - Casualty
Denied	Cardamon, Paul Michael	986280	Agent - Property
Denied	Dickemann, Laura	1217943	Agent - Casualty
Denied	Dickemann, Laura	1217943	Agent - Property
Active	Dillon, John J	980705	Agent - Casualty	10/1/2019
Active	Dillon, John J	980705	Agent - Property	10/1/2019
Active	Lanning, Clint	639600	Surplus Lines Broker - Not Applicable	6/26/2014
Denied	Laughlin, Susan M	941919	Agent - Casualty
Denied	Laughlin, Susan M	941919	Agent - Property
Active	Laughlin, Susan M	941919	Surplus Lines Broker - Not Applicable	1/18/2017
Active	Mcclarnon, Kelly	1110766	Agent - Health	11/19/2020
Active	Mcclarnon, Kelly	1110766	Agent - Life	11/19/2020
Inactive	Schmidt, Kevin W	678497	Agent - Health	12/1/2011	6/10/2013
Inactive	Schmidt, Kevin W	678497	Agent - Life	12/1/2011	6/10/2013
Denied	Warner, Derick Lee	981480	Agent - Casualty
Denied	Warner, Derick Lee	981480	Agent - Property
Inactive	White, Michael H	326649	Agent - Casualty	12/1/2011	8/31/2020
Inactive	White, Michael H	326649	Agent - Health	12/1/2011	8/31/2020
Inactive	White, Michael H	326649	Agent - Life	12/1/2011	8/31/2020
Inactive	White, Michael H	326649	Agent - Property	12/1/2011	8/31/2020