DEPARTMENT OF INSURANCE
Affiliations
NamePremier Group Ins IncDOIID787886NAIC NPN6786911
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty10/9/2013 3/31/2025
ActiveNon ResidentAgentProperty10/9/2013 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
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE American Insurance Company300625Agent - Casualty6/8/2015 
ActiveACE American Insurance Company300625Agent - Property6/8/2015 
InactiveACE Fire Underwriters Insurance Company301679Agent - Casualty6/8/20159/22/2017
InactiveACE Fire Underwriters Insurance Company301679Agent - Property6/8/20159/22/2017
InactiveACE Property and Casualty Insurance Company300520Agent - Casualty6/8/20159/22/2017
InactiveACE Property and Casualty Insurance Company300520Agent - Property6/8/20159/22/2017
ActiveAMCO Insurance Company300204Agent - Casualty10/23/2014 
ActiveAMCO Insurance Company300204Agent - Property10/23/2014 
InactiveAegis Security Insurance Company300492Agent - Casualty9/3/20141/10/2019
InactiveAegis Security Insurance Company300492Agent - Property9/3/20141/10/2019
ActiveAllied Insurance Company of America793586Agent - Casualty12/23/2014 
ActiveAllied Insurance Company of America793586Agent - Property12/23/2014 
ActiveAllied Property and Casualty Insurance Company300279Agent - Casualty10/23/2014 
ActiveAllied Property and Casualty Insurance Company300279Agent - Property10/23/2014 
ActiveAllmerica Financial Alliance Insurance Company300823Agent - Casualty4/12/2018 
ActiveAllmerica Financial Alliance Insurance Company300823Agent - Property4/12/2018 
ActiveAllmerica Financial Benefit Insurance Company301223Agent - Casualty4/12/2018 
ActiveAllmerica Financial Benefit Insurance Company301223Agent - Property4/12/2018 
ActiveAllstate Indemnity Company300778Agent - Casualty4/14/2021 
ActiveAllstate Indemnity Company300778Agent - Property4/14/2021 
ActiveAllstate Insurance Company300773Agent - Casualty4/14/2021 
ActiveAllstate Insurance Company300773Agent - Property4/14/2021 
ActiveAllstate Property and Casualty Insurance Company300593Agent - Casualty4/14/2021 
ActiveAllstate Property and Casualty Insurance Company300593Agent - Property4/14/2021 
ActiveAllstate Vehicle & Property Insurance Company301429Agent - Casualty4/14/2021 
ActiveAllstate Vehicle & Property Insurance Company301429Agent - Property4/14/2021 
ActiveAmGUARD Insurance Company500010Agent - Casualty8/10/2021 
ActiveAmGUARD Insurance Company500010Agent - Property8/10/2021 
ActiveAmTrust Insurance Company300179Agent - Casualty5/28/2021 
ActiveAmTrust Insurance Company300179Agent - Property5/28/2021 
InactiveAmerican Alternative Insurance Corporation301697Agent - Casualty10/9/201411/11/2020
InactiveAmerican Alternative Insurance Corporation301697Agent - Property10/9/201411/11/2020
ActiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Casualty4/3/2023 
ActiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Property4/3/2023 
ActiveAmerican Economy Insurance Company300315Agent - Casualty4/2/2024 
ActiveAmerican Economy Insurance Company300315Agent - Property4/2/2024 
ActiveAmerican Family Home Insurance Company301817Agent - Casualty9/11/2023 
ActiveAmerican Family Home Insurance Company301817Agent - Property9/11/2023 
InactiveAmerican Fire and Casualty Company300567Agent - Casualty11/24/20143/29/2024
InactiveAmerican Fire and Casualty Company300567Agent - Property11/24/20143/29/2024
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty2/26/201611/14/2021
InactiveAmerican Modern Home Insurance Company300791Agent - Property2/26/201611/14/2021
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty8/13/2018 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property8/13/2018 
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty2/26/201611/14/2021
InactiveAmerican Modern Select Insurance Company581481Agent - Property2/26/201611/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty2/26/201611/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Property2/26/201611/14/2021
ActiveAmerican Strategic Insurance Corp883540Agent - Casualty4/17/2018 
ActiveAmerican Strategic Insurance Corp883540Agent - Property4/17/2018 
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty9/28/2020 
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property9/28/2020 
ActiveBankers Standard Insurance Company301620Agent - Casualty8/11/2015 
ActiveBankers Standard Insurance Company301620Agent - Property8/11/2015 
ActiveBristol West Insurance Company301655Agent - Casualty7/3/2014 
ActiveBristol West Insurance Company301655Agent - Property7/3/2014 
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty10/7/201412/21/2015
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property10/7/201412/21/2015
ActiveClearcover Insurance Company1118667Agent - Casualty8/16/2021 
ActiveClearcover Insurance Company1118667Agent - Property8/16/2021 
InactiveConsolidated Insurance Company300943Agent - Casualty11/24/201410/13/2022
InactiveConsolidated Insurance Company300943Agent - Property11/24/201410/13/2022
ActiveContinental Insurance Company (The)301242Agent - Casualty11/5/2019 
ActiveContinental Insurance Company (The)301242Agent - Property11/5/2019 
ActiveDepositors Insurance Company301634Agent - Casualty10/23/2014 
ActiveDepositors Insurance Company301634Agent - Property10/23/2014 
InactiveEmployers Assurance Company300120Agent - Casualty7/15/20201/3/2024
InactiveEmployers Compensation Insurance Company797885Agent - Casualty7/15/20201/3/2024
InactiveEmployers Preferred Insurance Company520656Agent - Casualty7/15/20201/3/2024
ActiveEncompass Indemnity Company546376Agent - Casualty3/26/2018 
ActiveEncompass Indemnity Company546376Agent - Property3/26/2018 
ActiveEncompass Insurance Company300188Agent - Casualty2/26/2024 
ActiveEncompass Insurance Company300188Agent - Property2/26/2024 
ActiveFarmers Direct Property and Casualty Insurance Company300957Agent - Casualty4/2/2021 
ActiveFarmers Direct Property and Casualty Insurance Company300957Agent - Property4/2/2021 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Casualty8/27/2014 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Property8/27/2014 
InactiveFarmington Casualty Company301137Agent - Casualty10/7/201412/21/2015
InactiveFarmington Casualty Company301137Agent - Property10/7/201412/21/2015
ActiveFidelity and Guaranty Insurance Company301009Agent - Casualty4/15/2022 
ActiveFidelity and Guaranty Insurance Company301009Agent - Property4/15/2022 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty7/3/2014 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property7/3/2014 
InactiveForemost Property and Casualty Insurance Company300871Agent - Casualty7/11/20145/3/2018
InactiveForemost Property and Casualty Insurance Company300871Agent - Property7/11/20145/3/2018
InactiveForemost Signature Insurance Company300140Agent - Casualty7/11/20145/3/2018
InactiveForemost Signature Insurance Company300140Agent - Property7/11/20145/3/2018
InactiveHallmark National Insurance Company300494Agent - Casualty8/5/20141/8/2018
InactiveHallmark National Insurance Company300494Agent - Property8/5/20141/8/2018
ActiveHanover American Insurance Company (The)300447Agent - Casualty4/12/2018 
ActiveHanover American Insurance Company (The)300447Agent - Property4/12/2018 
ActiveHanover Insurance Company (The)300508Agent - Casualty4/12/2018 
ActiveHanover Insurance Company (The)300508Agent - Property4/12/2018 
ActiveHarleysville Insurance Company301462Agent - Casualty6/8/2017 
ActiveHarleysville Insurance Company301462Agent - Property6/8/2017 
ActiveHartford Accident and Indemnity Company301917Agent - Casualty2/7/2024 
ActiveHartford Accident and Indemnity Company301917Agent - Property2/7/2024 
ActiveHartford Fire Insurance Company300628Agent - Casualty1/20/2021 
ActiveHartford Fire Insurance Company300628Agent - Property1/20/2021 
ActiveHartford Insurance Company of Illinois1014405Agent - Casualty6/29/2021 
ActiveHartford Insurance Company of Illinois1014405Agent - Property6/29/2021 
ActiveHartford Underwriters Insurance Company301064Agent - Casualty7/2/2020 
ActiveHartford Underwriters Insurance Company301064Agent - Property7/2/2020 
ActiveIndemnity Insurance Company of North America301760Agent - Casualty8/11/2015 
ActiveIndemnity Insurance Company of North America301760Agent - Property8/11/2015 
InactiveIndiana Insurance Company301909Agent - Casualty11/24/20142/3/2023
InactiveIndiana Insurance Company301909Agent - Property11/24/20142/3/2023
ActiveJM Specialty Insurance Company955215Agent - Casualty3/31/2021 
ActiveJM Specialty Insurance Company955215Agent - Property3/31/2021 
ActiveMarkel Insurance Company301475Agent - Casualty3/25/2021 
ActiveMarkel Insurance Company301475Agent - Property3/25/2021 
ActiveMassachusetts Bay Insurance Company300898Agent - Casualty4/12/2018 
ActiveMassachusetts Bay Insurance Company300898Agent - Property4/12/2018 
ActiveMeridian Security Insurance Company300423Agent - Casualty4/11/2016 
ActiveMeridian Security Insurance Company300423Agent - Property4/11/2016 
ActiveMilbank Insurance Company925185Agent - Casualty11/8/2017 
ActiveMilbank Insurance Company925185Agent - Property11/8/2017 
ActiveMilford Casualty Insurance Company301460Agent - Casualty5/28/2021 
ActiveMilford Casualty Insurance Company301460Agent - Property5/28/2021 
ActiveMount Vernon Fire Insurance Company301397Agent - Casualty12/9/2014 
ActiveMount Vernon Fire Insurance Company301397Agent - Property12/9/2014 
ActiveNational General Insurance Company300152Agent - Casualty1/8/2021 
ActiveNational General Insurance Company300152Agent - Property1/8/2021 
ActiveNational Specialty Insurance Company300993Agent - Casualty9/29/2022 
ActiveNational Specialty Insurance Company300993Agent - Property9/29/2022 
ActiveNationwide Agribusiness Insurance Company301008Agent - Casualty6/29/2016 
ActiveNationwide Agribusiness Insurance Company301008Agent - Property6/29/2016 
ActiveNationwide Assurance Company300166Agent - Casualty1/12/2020 
ActiveNationwide Assurance Company300166Agent - Property12/6/2021 
ActiveNationwide General Insurance Company300603Agent - Casualty8/15/2019 
ActiveNationwide General Insurance Company300603Agent - Property8/15/2019 
ActiveNationwide Insurance Company of America300333Agent - Casualty8/15/2019 
ActiveNationwide Insurance Company of America300333Agent - Property8/15/2019 
ActiveNationwide Mutual Insurance Company301749Agent - Casualty8/25/2016 
ActiveNationwide Mutual Insurance Company301749Agent - Property8/25/2016 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Casualty1/12/2020 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Property1/12/2020 
InactiveNetherlands Insurance Company (The)300339Agent - Casualty11/24/20145/10/2024
InactiveNetherlands Insurance Company (The)300339Agent - Property11/24/20145/10/2024
ActiveNext Insurance US Company1083825Agent - Casualty9/29/2022 
ActiveNext Insurance US Company1083825Agent - Property9/29/2022 
ActiveNorGUARD Insurance Company500015Agent - Casualty8/10/2021 
ActiveNutmeg Insurance Company751698Agent - Casualty6/17/2021 
ActiveNutmeg Insurance Company751698Agent - Property6/17/2021 
ActiveOhio Casualty Insurance Company301492Agent - Casualty4/22/2024 
ActiveOhio Casualty Insurance Company301492Agent - Property4/22/2024 
ActiveOhio Security Insurance Company300622Agent - Casualty4/7/2024 
ActiveOhio Security Insurance Company300622Agent - Property4/7/2024 
ActivePacific Employers Insurance Company301753Agent - Casualty6/8/2015 
ActivePacific Employers Insurance Company301753Agent - Property6/8/2015 
ActivePeerless Indemnity Insurance Company571682Agent - Casualty11/24/2014 
ActivePeerless Indemnity Insurance Company571682Agent - Property11/24/2014 
ActivePeerless Insurance Company301910Agent - Casualty11/24/2014 
ActivePeerless Insurance Company301910Agent - Property11/24/2014 
ActivePhiladelphia Indemnity Insurance Company301221Agent - Casualty7/1/2020 
ActivePhiladelphia Indemnity Insurance Company301221Agent - Property7/1/2020 
ActivePlaza Insurance Company300748Agent - Casualty12/21/2021 
ActivePlaza Insurance Company300748Agent - Property12/21/2021 
ActiveProgressive Casualty Insurance Company300696Agent - Casualty10/17/2014 
ActiveProgressive Casualty Insurance Company300696Agent - Property10/17/2014 
ActiveProperty and Casualty Insurance Company of Hartford301409Agent - Casualty2/6/2024 
ActiveProperty and Casualty Insurance Company of Hartford301409Agent - Property2/6/2024 
ActiveSAFECO Insurance Company of America300159Agent - Casualty4/15/2024 
ActiveSAFECO Insurance Company of America300159Agent - Property4/15/2024 
ActiveSAFECO Insurance Company of Illinois301350Agent - Casualty4/19/2024 
ActiveSAFECO Insurance Company of Illinois301350Agent - Property4/19/2024 
ActiveSecurity National Insurance Company301151Agent - Casualty5/28/2021 
ActiveSecurity National Insurance Company301151Agent - Property5/28/2021 
ActiveSentinel Insurance Company, Limited501696Agent - Casualty8/2/2018 
ActiveSentinel Insurance Company, Limited501696Agent - Property8/2/2018 
ActiveSequoia Insurance Company628046Agent - Casualty5/28/2021 
ActiveSequoia Insurance Company628046Agent - Property5/28/2021 
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty10/7/201412/21/2015
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Property10/7/201412/21/2015
InactiveSt. Paul Guardian Insurance Company301372Agent - Casualty10/7/201412/21/2015
InactiveSt. Paul Guardian Insurance Company301372Agent - Property10/7/201412/21/2015
InactiveSt. Paul Mercury Insurance Company300783Agent - Casualty10/7/201412/21/2015
InactiveSt. Paul Mercury Insurance Company300783Agent - Property10/7/201412/21/2015
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty9/16/2014 
ActiveStandard Fire Insurance Company (The)301068Agent - Property9/16/2014 
ActiveState Auto Property & Casualty Insurance Company301953Agent - Casualty4/11/2016 
ActiveState Auto Property & Casualty Insurance Company301953Agent - Property4/11/2016 
ActiveState Automobile Mutual Insurance Company301824Agent - Casualty4/11/2016 
ActiveState Automobile Mutual Insurance Company301824Agent - Property4/11/2016 
ActiveState National Insurance Company, Inc.300888Agent - Casualty9/29/2022 
ActiveState National Insurance Company, Inc.300888Agent - Property9/29/2022 
ActiveStillwater Insurance Company567181Agent - Casualty4/24/2024 
ActiveStillwater Insurance Company567181Agent - Property4/24/2024 
ActiveTechnology Insurance Company613278Agent - Casualty5/28/2021 
ActiveTechnology Insurance Company613278Agent - Property5/28/2021 
InactiveThe Phoenix Insurance Company301502Agent - Casualty9/16/201412/21/2015
InactiveThe Phoenix Insurance Company301502Agent - Property9/16/201412/21/2015
InactiveTitan Indemnity Company300556Agent - Casualty10/6/20146/22/2017
InactiveTitan Indemnity Company300556Agent - Property10/6/20146/22/2017
ActiveTravelers Casualty Insurance Company of America300522Agent - Casualty6/8/2020 
ActiveTravelers Casualty Insurance Company of America300522Agent - Property6/8/2020 
InactiveTravelers Casualty and Surety Company301067Agent - Casualty10/7/201412/21/2015
InactiveTravelers Casualty and Surety Company301067Agent - Property10/7/201412/21/2015
InactiveTravelers Casualty and Surety Company of America301334Agent - Casualty10/21/201412/21/2015
InactiveTravelers Casualty and Surety Company of America301334Agent - Property10/21/201412/21/2015
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty9/16/2014 
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Property9/16/2014 
InactiveTravelers Indemnity Company (The)301855Agent - Casualty10/7/201412/21/2015
InactiveTravelers Indemnity Company (The)301855Agent - Property10/7/201412/21/2015
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty10/7/201412/21/2015
InactiveTravelers Indemnity Company of America (The)301093Agent - Property10/7/201412/21/2015
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty10/7/201412/21/2015
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property10/7/201412/21/2015
ActiveTravelers Personal Insurance Company705785Agent - Casualty5/14/2019 
ActiveTravelers Personal Insurance Company705785Agent - Property5/14/2019 
InactiveTravelers Property Casualty Company of America301649Agent - Casualty10/7/201412/21/2015
InactiveTravelers Property Casualty Company of America301649Agent - Property10/7/201412/21/2015
ActiveTrexis Insurance Corporation599902Agent - Casualty4/11/2016 
ActiveTrexis One Insurance Corporation684197Agent - Casualty4/11/2016 
ActiveTwin City Fire Insurance Company300721Agent - Casualty2/25/2017 
ActiveTwin City Fire Insurance Company300721Agent - Property2/25/2017 
ActiveUnited Financial Casualty Company301886Agent - Casualty10/17/2014 
ActiveUnited Financial Casualty Company301886Agent - Property10/17/2014 
InactiveUnited States Fire Insurance Company582240Agent - Casualty7/17/20205/23/2022
InactiveUnited States Fire Insurance Company582240Agent - Property7/17/20205/23/2022
ActiveVerlan Fire Insurance Company517102Agent - Casualty4/12/2018 
ActiveVerlan Fire Insurance Company517102Agent - Property4/12/2018 
InactiveVictoria Fire & Casualty Company300313Agent - Casualty10/6/20146/22/2017
InactiveVictoria Fire & Casualty Company300313Agent - Property10/6/20146/22/2017
ActiveWesco Insurance Company300534Agent - Casualty5/28/2021 
ActiveWesco Insurance Company300534Agent - Property5/28/2021 
InactiveWest American Insurance Company301112Agent - Casualty11/24/20143/29/2024
InactiveWest American Insurance Company301112Agent - Property11/24/20143/29/2024
InactiveWestchester Fire Insurance Company300990Agent - Casualty6/8/20159/22/2017
InactiveWestchester Fire Insurance Company300990Agent - Property6/8/20159/22/2017
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAdams, Lowell J 900677Agent - Casualty12/17/20159/30/2018
InactiveAdams, Lowell J 900677Agent - Property12/17/20159/30/2018
InactiveAnand, Gulraj 759214Agent - Casualty10/17/201411/30/2017
InactiveAnand, Gulraj 759214Agent - Property10/17/201411/30/2017
ActiveBooth, Douglas H 698921Agent - Casualty12/6/2021 
ActiveBooth, Douglas H 698921Agent - Property12/6/2021 
ActiveByer, William H 1165664Agent - Casualty11/10/2023 
ActiveByer, William H 1165664Agent - Property11/10/2023 
ActiveCarter, Nicole Leigh 1025458Agent - Casualty1/22/2020 
ActiveCarter, Nicole Leigh 1025458Agent - Property1/22/2020 
ActiveEagin, David James 883154Agent - Casualty12/8/2020 
ActiveEagin, David James 883154Agent - Property12/8/2020 
ActiveFisher, Jo Ann 1148658Agent - Casualty8/25/2021 
ActiveFisher, Jo Ann 1148658Agent - Property8/25/2021 
InactiveGarrett, Kenneth Justin 921383Agent - Casualty4/19/20222/19/2024
InactiveGarrett, Kenneth Justin 921383Agent - Property4/19/20222/19/2024
ActiveHamm, Christa Lynn 693948Agent - Casualty2/23/2016 
ActiveHamm, Christa Lynn 693948Agent - Property2/23/2016 
ActiveMcEachern, Kevin Barry 793157Agent - Casualty10/2/2014 
ActiveMcEachern, Kevin Barry 793157Agent - Property10/2/2014 
ActiveMcgrew, Michael R 1273669Agent - Casualty5/31/2023 
ActiveMcgrew, Michael R 1273669Agent - Property5/31/2023 
ActiveNakai, Corey A 1345341Agent - Casualty6/26/2024 
ActiveNakai, Corey A 1345341Agent - Property6/26/2024 
ActivePacini, John 1313735Agent - Casualty1/3/2024 
ActivePacini, John 1313735Agent - Property1/3/2024 
ActiveRichmond, Kenneth E 866934Agent - Casualty4/13/2020 
ActiveRichmond, Kenneth E 866934Agent - Property4/13/2020 
ActiveRider, Adam 932511Agent - Casualty5/13/2020 
ActiveRider, Adam 932511Agent - Property5/13/2020 
InactiveRuddell, Teresa Esparza 861566Agent - Casualty1/19/20158/31/2017
InactiveRuddell, Teresa Esparza 861566Agent - Property1/19/20158/31/2017
ActiveSmith, William Dale 774762Agent - Casualty12/8/2022 
ActiveSmith, William Dale 774762Agent - Property12/8/2022 
ActiveVaidya, Shreyang 992564Agent - Casualty5/2/2022 
ActiveVaidya, Shreyang 992564Agent - Property5/2/2022 
ActiveWhitney, Russell E 733102Agent - Casualty7/5/2022 
ActiveWhitney, Russell E 733102Agent - Property7/5/2022 
ActiveWise, Jared L 840804Agent - Casualty3/18/2022 
ActiveWise, Jared L 840804Agent - Property3/18/2022 
ActiveWorthington, David Lynn 377887Agent - Casualty3/1/2016 
ActiveWorthington, David Lynn 377887Agent - Property3/1/2016 
ActiveYun, Youngdon 777399Agent - Casualty2/2/2015 
ActiveYun, Youngdon 777399Agent - Property2/2/2015 

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