DEPARTMENT OF INSURANCE

Affiliations

Name	Patriot Ins Corp	DOIID	772710	NAIC NPN	3202519

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	8/27/2013	3/31/2018
Inactive	Non Resident	Agent	Casualty	1/13/2012	3/31/2018
Inactive	Non Resident	Agent	Health	8/27/2013	3/31/2018
Inactive	Non Resident	Agent	Property	1/13/2012	3/31/2018
* 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	AMCO Insurance Company	300204	Agent - Casualty	9/30/2015	3/31/2018
Inactive	AMCO Insurance Company	300204	Agent - Property	9/30/2015	3/31/2018
Inactive	Allied Insurance Company of America	793586	Agent - Casualty	9/30/2015	3/31/2018
Inactive	Allied Insurance Company of America	793586	Agent - Property	9/30/2015	3/31/2018
Inactive	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	9/30/2015	3/31/2018
Inactive	Allied Property and Casualty Insurance Company	300279	Agent - Property	9/30/2015	3/31/2018
Inactive	American Alternative Insurance Corporation	301697	Agent - Casualty	7/1/2015	8/15/2017
Inactive	American Alternative Insurance Corporation	301697	Agent - Property	7/1/2015	8/15/2017
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	12/12/2016	5/11/2018
Inactive	American Family Home Insurance Company	301817	Agent - Property	12/12/2016	5/11/2018
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	12/12/2016	5/11/2018
Inactive	American Modern Home Insurance Company	300791	Agent - Property	12/12/2016	5/11/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/8/2016	5/11/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/8/2016	5/11/2018
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	12/12/2016	5/11/2018
Inactive	American Southern Home Insurance Company	626276	Agent - Property	12/12/2016	5/11/2018
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	3/7/2012	2/27/2018
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	3/7/2012	2/27/2018
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Health	8/29/2013	3/31/2018
Inactive	Auto-Owners Life Insurance Company	301368	Agent - Life	8/29/2013	3/31/2018
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	1/29/2013	12/12/2017
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	1/29/2013	12/12/2017
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	8/8/2012	8/15/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	8/8/2012	8/15/2017
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	7/9/2014	11/29/2017
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Property	7/9/2014	11/29/2017
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	7/29/2013	12/3/2014
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	7/29/2013	12/3/2014
Inactive	ClearPath Insurance Company	979815	Agent - Casualty	1/1/2018	3/31/2018
Inactive	Depositors Insurance Company	301634	Agent - Casualty	9/30/2015	3/31/2018
Inactive	Depositors Insurance Company	301634	Agent - Property	9/30/2015	3/31/2018
Inactive	Farmington Casualty Company	301137	Agent - Casualty	7/29/2013	12/3/2014
Inactive	Farmington Casualty Company	301137	Agent - Property	7/29/2013	12/3/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/8/2012	8/15/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/8/2012	8/15/2017
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	7/17/2012	9/13/2017
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	7/17/2012	9/13/2017
Inactive	Grange Insurance Company	300234	Agent - Casualty	7/17/2012	9/13/2017
Inactive	Grange Insurance Company	300234	Agent - Property	7/17/2012	9/13/2017
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	7/17/2012	9/13/2017
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	7/17/2012	9/13/2017
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/23/2012	8/21/2017
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/23/2012	8/21/2017
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	2/27/2012	6/28/2017
Inactive	Meridian Security Insurance Company	300423	Agent - Property	2/27/2012	6/28/2017
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	6/21/2012	3/31/2018
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	6/21/2012	3/31/2018
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	8/25/2016	3/31/2018
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	8/25/2016	3/31/2018
Inactive	Owners Insurance Company	300796	Agent - Casualty	9/2/2016	2/27/2018
Inactive	Owners Insurance Company	300796	Agent - Property	9/2/2016	2/27/2018
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	10/15/2013	9/6/2017
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	10/15/2013	9/6/2017
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	7/29/2013	12/3/2014
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	7/29/2013	12/3/2014
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	7/29/2013	12/3/2014
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	7/29/2013	12/3/2014
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	7/29/2013	12/3/2014
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	7/29/2013	12/3/2014
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	1/29/2013	12/12/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	1/29/2013	12/12/2017
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	2/27/2012	6/28/2017
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	2/27/2012	6/28/2017
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	2/27/2012	6/28/2017
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	2/27/2012	6/28/2017
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	1/29/2013	12/3/2014
Inactive	The Phoenix Insurance Company	301502	Agent - Property	1/29/2013	12/3/2014
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	7/29/2013	12/21/2015
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	7/29/2013	12/21/2015
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	7/29/2013	12/3/2014
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	7/29/2013	12/3/2014
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	1/6/2014	12/12/2017
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	1/6/2014	12/12/2017
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	1/29/2013	12/3/2014
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	1/29/2013	12/3/2014
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	1/29/2013	12/12/2017
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	1/29/2013	12/12/2017
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	1/29/2013	12/3/2014
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	1/29/2013	12/3/2014
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	1/29/2013	12/3/2014
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	1/29/2013	12/3/2014
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	7/29/2013	12/3/2014
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	7/29/2013	12/3/2014
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	7/29/2013	12/3/2014
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	7/29/2013	12/3/2014
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	7/17/2012	9/13/2017
Inactive	Trustgard Insurance Company	300104	Agent - Property	7/17/2012	9/13/2017
Inactive	United Financial Casualty Company	301886	Agent - Casualty	10/15/2013	9/6/2017
Inactive	United Financial Casualty Company	301886	Agent - Property	10/15/2013	9/6/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Catt, Ryan Christopher	919431	Agent - Casualty	8/24/2016	3/31/2018
Inactive	Catt, Ryan Christopher	919431	Agent - Property	8/24/2016	3/31/2018
Inactive	Hartzler, Ryan W	818136	Agent - Casualty	9/8/2016	3/31/2018
Inactive	Hartzler, Ryan W	818136	Agent - Health	8/27/2013	3/31/2018
Inactive	Hartzler, Ryan W	818136	Agent - Life	8/27/2013	3/31/2018
Inactive	Hartzler, Ryan W	818136	Agent - Property	9/8/2016	3/31/2018
Inactive	Mcknight, Jeffrey Dean	926992	Agent - Casualty	9/8/2016	3/31/2018
Inactive	Mcknight, Jeffrey Dean	926992	Agent - Property	9/8/2016	3/31/2018
Inactive	Parrish, James Mason	628713	Agent - Casualty	8/28/2013	11/1/2013
Inactive	Parrish, James Mason	628713	Agent - Property	8/28/2013	11/1/2013
Inactive	Plank, Marcella Jo	769216	Agent - Casualty	1/13/2012	10/6/2016
Inactive	Plank, Marcella Jo	769216	Agent - Property	1/13/2012	10/6/2016
Denied	Schafer, Dawn Marie	921728	Agent - Casualty
Inactive	Schafer, Dawn Marie	921728	Agent - Property	8/25/2016	3/31/2018