DEPARTMENT OF INSURANCE

Affiliations

Name	Assured Nl Ins Services Inc DBA : Risk Management Service Company	DOIID	769431	NAIC NPN	16363684

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	10/31/2017	8/28/2024
Active	Resident	Agent	Property	1/15/2024		3/31/2027
Active	Resident	Agent	Life	6/20/2012		3/31/2027
Active	Resident	Agent	Health	6/20/2012		3/31/2027
Active	Resident	Agent	Casualty	1/15/2024		3/31/2027
Active	Resident	Independent Adjuster	Property & Casualty	2/27/2012		3/31/2027
Denied	Non Resident	Independent Adjuster	Crop
Denied	Non Resident	Independent Adjuster	Workers' Compensation
* 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 General Life Insurance Company	301585	Agent - Health	2/1/2017	1/17/2018
Inactive	American General Life Insurance Company	301585	Agent - Life	2/1/2017	1/17/2018
Active	American Heritage Life Insurance Company	300272	Agent - Health	5/29/2017
Active	American Heritage Life Insurance Company	300272	Agent - Life	5/29/2017
Active	Berkshire Life Insurance Company of America	300983	Agent - Health	4/28/2018
Active	Berkshire Life Insurance Company of America	300983	Agent - Life	4/28/2018
Active	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	1/17/2024
Active	Guardian Life Insurance Company of America	301316	Agent - Health	4/28/2018
Active	Guardian Life Insurance Company of America	301316	Agent - Life	4/28/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anderson, Eric Earl	311358	Agent - Health	11/17/2016	9/7/2022
Inactive	Anderson, Eric Earl	311358	Agent - Life	11/17/2016	9/7/2022
Denied	Belanger, Roberta Ann	683434	Independent Adjuster - Workers' Compensation
Inactive	Bozarth, Jonathan E	1208610	Agent - Health	9/16/2022	3/29/2024
Denied	Bozarth, Jonathan E	1208610	Agent - Life
Active	Cook, Brooke Elizabeth	302432	Independent Adjuster - Property & Casualty	12/29/2014
Inactive	Funkhouser, Marlene Deanne	353676	Independent Adjuster - Property & Casualty	2/9/2015	11/17/2016
Inactive	Gardner, Paula J	307461	Independent Adjuster - Property & Casualty	2/27/2012	11/17/2016
Active	Greenwell, Meghan E	797030	Independent Adjuster - Property & Casualty	2/9/2015
Denied	Haga, Seth	1251792	Agent - Casualty
Active	Haga, Seth	1251792	Agent - Health	2/20/2024
Active	Haga, Seth	1251792	Agent - Life	2/20/2024
Denied	Haga, Seth	1251792	Agent - Property
Active	Hagan, Kelly Drury	337003	Administrator - Not Applicable	10/31/2017
Active	Hagan, Kelly Drury	337003	Agent - Health	9/19/2017
Active	Hagan, Kelly Drury	337003	Agent - Life	9/19/2017
Inactive	Head, Jeremy Michael	583602	Independent Adjuster - Property & Casualty	2/9/2015	12/31/2020
Inactive	Heiser, Scott R	385313	Agent - Health	6/20/2012	9/7/2022
Inactive	Heiser, Scott R	385313	Agent - Life	6/20/2012	9/7/2022
Active	Houston, Debra E	389774	Independent Adjuster - Property & Casualty	2/9/2015
Active	Mattingly, Joseph Harold	309176	Independent Adjuster - Property & Casualty	2/27/2012
Active	McAlister, Kimberly Nunn	363873	Independent Adjuster - Property & Casualty	2/9/2015
Inactive	McCulloch, James Clarke	550243	Independent Adjuster - Property & Casualty	2/9/2015	3/29/2024
Inactive	Miller, Sarah	659932	Independent Adjuster - Property & Casualty	2/9/2015	2/1/2019
Inactive	Musselman, Elaine Mary	341410	Agent - Health	10/16/2017	9/30/2021
Inactive	Musselman, Elaine Mary	341410	Agent - Life	10/16/2017	9/30/2021
Inactive	Prisco, David J	616562	Independent Adjuster - Property & Casualty	2/9/2015	4/11/2022
Active	Reid, Jennifer Lynn	319876	Independent Adjuster - Property & Casualty	10/30/2013
Active	Rigdon, Lori Jane	550240	Independent Adjuster - Property & Casualty	2/9/2015
Inactive	Rusche, Melanie Elizabeth	731908	Independent Adjuster - Property & Casualty	2/9/2015	1/12/2016
Inactive	Rusche, Teresa Gail	550242	Independent Adjuster - Property & Casualty	2/27/2012	9/7/2022
Active	Valenzuela, Hannah Paige	757986	Independent Adjuster - Property & Casualty	2/9/2015
Active	Welch, Christopher J	502399	Independent Adjuster - Property & Casualty	2/9/2015
Inactive	West, Gary Elwood	559185	Independent Adjuster - Property & Casualty	2/27/2012	9/7/2022
Active	Witte, David Anthony	513678	Agent - Casualty	1/15/2024
Active	Witte, David Anthony	513678	Agent - Property	1/15/2024