DEPARTMENT OF INSURANCE

Affiliations

Name	Esix 3 LLC	DOIID	770959	NAIC NPN	11099552

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	12/16/2011	10/1/2016
Inactive	Non Resident	Agent	Casualty	12/16/2011	4/12/2017
Inactive	Non Resident	Agent	Property	12/16/2011	4/12/2017
Inactive	Non Resident	Agent	Health	12/16/2011	4/12/2017
* 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 Guarantee and Liability Insurance Company	301216	Agent - Casualty	7/12/2016	4/12/2017
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Health	7/12/2016	4/12/2017
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	7/12/2016	4/12/2017
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	7/12/2016	4/12/2017
Inactive	American Zurich Insurance Company	300592	Agent - Health	7/12/2016	4/12/2017
Inactive	American Zurich Insurance Company	300592	Agent - Property	7/12/2016	4/12/2017
Inactive	Berkley Life and Health Insurance Company	301421	Agent - Health	5/26/2016	4/12/2017
Inactive	Chubb Indemnity Insurance Company	300438	Agent - Casualty	2/28/2012	4/12/2017
Inactive	Chubb Indemnity Insurance Company	300438	Agent - Property	2/28/2012	4/12/2017
Inactive	Executive Risk Indemnity Inc.	301510	Agent - Casualty	4/11/2012	4/12/2017
Inactive	Executive Risk Indemnity Inc.	301510	Agent - Property	4/11/2012	4/12/2017
Inactive	Federal Insurance Company	301144	Agent - Casualty	1/6/2012	4/12/2017
Inactive	Federal Insurance Company	301144	Agent - Property	1/6/2012	4/12/2017
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	1/6/2012	4/12/2017
Inactive	Great Northern Insurance Company	301107	Agent - Property	1/6/2012	4/12/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/26/2012	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Health	7/26/2012	9/3/2013
Inactive	Humana Insurance Company	301104	Agent - Life	7/26/2012	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/26/2012	9/3/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/26/2012	9/3/2013
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	11/8/2012	4/12/2017
Inactive	Starr Indemnity and Liability Company	301685	Agent - Casualty	9/15/2013	4/12/2017
Inactive	Starr Indemnity and Liability Company	301685	Agent - Property	9/15/2013	4/12/2017
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	7/12/2016	4/12/2017
Inactive	Zurich American Insurance Company	301121	Agent - Health	7/12/2016	4/12/2017
Inactive	Zurich American Insurance Company	301121	Agent - Property	7/12/2016	4/12/2017
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Health	7/12/2016	4/12/2017
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	7/12/2016	4/12/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Melcher, Randy Paul	919186	Agent - Casualty	9/20/2016	4/12/2017
Inactive	Melcher, Randy Paul	919186	Agent - Health	9/20/2016	4/12/2017
Denied	Melcher, Randy Paul	919186	Agent - Life
Inactive	Melcher, Randy Paul	919186	Agent - Property	9/20/2016	4/12/2017
Inactive	Price, Mike Alexander	714183	Agent - Casualty	12/16/2011	7/31/2016
Inactive	Price, Mike Alexander	714183	Agent - Health	12/16/2011	7/31/2016
Inactive	Price, Mike Alexander	714183	Agent - Life	12/16/2011	7/31/2016
Inactive	Price, Mike Alexander	714183	Agent - Property	12/16/2011	7/31/2016