DEPARTMENT OF INSURANCE

Affiliations

Name	Select Insurance, Llc	DOIID	779284	NAIC NPN	16612278

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	4/13/2012	6/9/2017
Inactive	Resident	Agent	Property	4/13/2012	6/9/2017
* 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	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	8/2/2012	6/6/2017
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	8/2/2012	6/6/2017
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	3/30/2015	6/9/2017
Inactive	American Fire and Casualty Company	300567	Agent - Property	3/30/2015	6/9/2017
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	9/29/2015	6/9/2017
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	9/29/2015	6/9/2017
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	7/13/2012	6/9/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	7/13/2012	6/9/2017
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	3/30/2015	6/9/2017
Inactive	Consolidated Insurance Company	300943	Agent - Property	3/30/2015	6/9/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/13/2012	6/9/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/13/2012	6/9/2017
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	11/11/2013	6/9/2017
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	11/11/2013	6/9/2017
Inactive	Grange Insurance Company	300234	Agent - Casualty	11/11/2013	6/9/2017
Inactive	Grange Insurance Company	300234	Agent - Property	11/11/2013	6/9/2017
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	11/11/2013	6/9/2017
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	11/11/2013	6/9/2017
Inactive	Indiana Insurance Company	301909	Agent - Casualty	3/30/2015	6/9/2017
Inactive	Indiana Insurance Company	301909	Agent - Property	3/30/2015	6/9/2017
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	3/30/2015	6/9/2017
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	3/30/2015	6/9/2017
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	3/30/2015	6/9/2017
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	3/30/2015	6/9/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	3/30/2015	6/9/2017
Inactive	Ohio Security Insurance Company	300622	Agent - Property	3/30/2015	6/9/2017
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	3/30/2015	6/9/2017
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	3/30/2015	6/9/2017
Inactive	Peerless Insurance Company	301910	Agent - Casualty	3/30/2015	6/9/2017
Inactive	Peerless Insurance Company	301910	Agent - Property	3/30/2015	6/9/2017
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	7/24/2012	6/9/2017
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	7/24/2012	6/9/2017
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	7/24/2012	12/9/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	7/24/2012	12/9/2013
Inactive	RLI Insurance Company	301217	Agent - Casualty	6/30/2014	6/9/2017
Inactive	RLI Insurance Company	301217	Agent - Property	6/30/2014	6/9/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/23/2012	6/9/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/23/2012	6/9/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/23/2012	6/9/2017
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/23/2012	6/9/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	6/2/2015	6/9/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	6/2/2015	6/9/2017
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	9/29/2015	6/9/2017
Inactive	The Phoenix Insurance Company	301502	Agent - Property	9/29/2015	6/9/2017
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	7/24/2012	12/9/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	7/24/2012	12/9/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	5/20/2015	6/9/2017
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	5/20/2015	6/9/2017
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	7/24/2012	12/21/2015
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	7/24/2012	12/21/2015
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	7/24/2012	12/9/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	7/24/2012	12/9/2013
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	11/11/2013	6/9/2017
Inactive	Trustgard Insurance Company	300104	Agent - Property	11/11/2013	6/9/2017
Inactive	United Financial Casualty Company	301886	Agent - Casualty	7/24/2012	6/9/2017
Inactive	United Financial Casualty Company	301886	Agent - Property	7/24/2012	6/9/2017
Inactive	West American Insurance Company	301112	Agent - Casualty	3/30/2015	6/9/2017
Inactive	West American Insurance Company	301112	Agent - Property	3/30/2015	6/9/2017
Inactive	West Bend Insurance Company	672974	Agent - Casualty	7/18/2016	6/9/2017
Inactive	West Bend Insurance Company	672974	Agent - Property	7/18/2016	6/9/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Courtney, Kristy Leanne	605094	Agent - Casualty	7/25/2012	9/5/2014
Inactive	Courtney, Kristy Leanne	605094	Agent - Property	7/25/2012	9/5/2014
Inactive	Hudgins, Kalyn	824191	Agent - Casualty	9/5/2014	10/1/2016
Inactive	Hudgins, Kalyn	824191	Agent - Property	2/28/2014	10/1/2016
Inactive	Smith, D'anne Marie	307384	Agent - Casualty	7/13/2012	6/9/2017
Inactive	Smith, D'anne Marie	307384	Agent - Property	7/13/2012	6/9/2017