DEPARTMENT OF INSURANCE

Affiliations

Name	Commonwealth Insurance Solutions Inc	DOIID	804077	NAIC NPN	16894310

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	2/20/2013	3/31/2015
Inactive	Resident	Agent	Property	2/20/2013	3/31/2015
Inactive	Resident	Agent	Casualty	2/20/2013	3/31/2015
Inactive	Resident	Agent	Health	3/20/2013	3/31/2015
* 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	Baptist Health Plan, Inc.	300157	Agent - Health	3/25/2013	3/31/2015
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	8/27/2013	3/31/2015
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	8/27/2013	3/31/2015
Inactive	Grange Insurance Company	300234	Agent - Casualty	8/27/2013	3/31/2015
Inactive	Grange Insurance Company	300234	Agent - Property	8/27/2013	3/31/2015
Inactive	Grange Life Insurance Company	300128	Agent - Health	8/27/2013	3/31/2015
Inactive	Grange Life Insurance Company	300128	Agent - Life	8/27/2013	3/31/2015
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	8/27/2013	3/31/2015
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	8/27/2013	3/31/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/19/2013	5/27/2015
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/19/2013	5/27/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	3/28/2013	3/31/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	3/28/2013	3/31/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	3/28/2013	3/31/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	3/28/2013	3/31/2015
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	9/2/2014	3/31/2015
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	8/27/2013	3/31/2015
Inactive	Trustgard Insurance Company	300104	Agent - Property	8/27/2013	3/31/2015
Inactive	United Financial Casualty Company	301886	Agent - Casualty	3/19/2013	3/31/2015
Inactive	United Financial Casualty Company	301886	Agent - Property	3/19/2013	3/31/2015
Inactive	West Bend Insurance Company	672974	Agent - Casualty	10/15/2013	3/31/2015
Inactive	West Bend Insurance Company	672974	Agent - Property	10/15/2013	3/31/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Patrick, Ben Kent	367845	Agent - Casualty	2/20/2013	3/31/2015
Inactive	Patrick, Ben Kent	367845	Agent - Health	3/20/2013	3/31/2015
Inactive	Patrick, Ben Kent	367845	Agent - Life	2/20/2013	3/31/2015
Inactive	Patrick, Ben Kent	367845	Agent - Property	2/20/2013	3/31/2015