DEPARTMENT OF INSURANCE
Affiliations
NameTriple Crown Insurance, LLCDOIID808123NAIC NPN16940100
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentCasualty4/17/2013 3/31/2025
ActiveResidentAgentHealth4/17/2013 3/31/2025
ActiveResidentAgentProperty4/17/2013 3/31/2025
ActiveResidentAgentLife4/17/2013 3/31/2025
ActiveResidentSurplus Lines BrokerNot Applicable4/3/2019 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   
Surplus Lines Broker01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE American Insurance Company300625Agent - Casualty2/14/2019 
ActiveACE American Insurance Company300625Agent - Property2/14/2019 
ActiveACE Fire Underwriters Insurance Company301679Agent - Casualty2/14/2019 
ActiveACE Fire Underwriters Insurance Company301679Agent - Property2/14/2019 
ActiveACE Property and Casualty Insurance Company300520Agent - Casualty2/14/2019 
ActiveACE Property and Casualty Insurance Company300520Agent - Property2/14/2019 
ActiveAccident Fund General Insurance Company626282Agent - Casualty5/28/2019 
ActiveAccident Fund Insurance Company of America518734Agent - Casualty5/28/2019 
ActiveAccident Fund National Insurance Company626286Agent - Casualty5/28/2019 
InactiveAegis Security Insurance Company300492Agent - Casualty5/8/201510/31/2022
InactiveAegis Security Insurance Company300492Agent - Property5/8/201510/31/2022
InactiveAll Savers Insurance Company301940Agent - Health3/25/20155/31/2023
InactiveAll Savers Insurance Company301940Agent - Life3/25/20155/31/2023
InactiveAllmerica Financial Alliance Insurance Company300823Agent - Casualty9/1/201711/16/2021
InactiveAllmerica Financial Alliance Insurance Company300823Agent - Property9/1/201711/16/2021
InactiveAllmerica Financial Benefit Insurance Company301223Agent - Casualty9/1/201711/16/2021
InactiveAllmerica Financial Benefit Insurance Company301223Agent - Property9/1/201711/16/2021
InactiveAmGUARD Insurance Company500010Agent - Casualty11/3/201711/19/2021
InactiveAmGUARD Insurance Company500010Agent - Property5/27/202011/19/2021
InactiveAmerican Alternative Insurance Corporation301697Agent - Casualty3/31/201410/1/2020
InactiveAmerican Alternative Insurance Corporation301697Agent - Property3/31/201410/1/2020
ActiveAmerican Bankers Insurance Company of Florida300360Agent - Casualty1/4/2022 
ActiveAmerican Bankers Insurance Company of Florida300360Agent - Property1/4/2022 
InactiveAmerican Commerce Insurance Company301665Agent - Casualty9/16/20133/31/2018
InactiveAmerican Commerce Insurance Company301665Agent - Property9/16/20133/31/2018
InactiveAmerican Economy Insurance Company300315Agent - Casualty11/9/20193/2/2022
InactiveAmerican Economy Insurance Company300315Agent - Property11/9/20193/2/2022
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health2/21/20153/21/2022
InactiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life2/21/20153/21/2022
InactiveAmerican Fire and Casualty Company300567Agent - Casualty7/8/20133/2/2022
InactiveAmerican Fire and Casualty Company300567Agent - Property7/8/20133/2/2022
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty8/20/201312/13/2023
InactiveAmerican Modern Home Insurance Company300791Agent - Property8/20/201312/13/2023
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty10/9/2018 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property10/9/2018 
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty3/22/201611/14/2021
InactiveAmerican Modern Select Insurance Company581481Agent - Property3/22/201611/14/2021
InactiveAmerican Select Insurance Company301229Agent - Casualty8/26/20133/29/2022
InactiveAmerican Select Insurance Company301229Agent - Property8/26/20133/29/2022
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty8/20/201311/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Property8/20/201311/14/2021
InactiveAmeritas Life Insurance Corporation300126Agent - Health1/9/20196/11/2023
InactiveAmeritas Life Insurance Corporation300126Agent - Life1/9/20196/11/2023
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health9/23/2013 
ActiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health11/1/2022 
ActiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/2021 
ActiveAnthem Life Insurance Company301209Agent - Health9/23/2013 
ActiveAnthem Life Insurance Company301209Agent - Life9/23/2013 
InactiveArcadian Health Plan, Inc.728196Agent - Health1/13/20202/10/2022
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty1/30/201711/18/2021
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property1/30/201711/18/2021
InactiveBITCO General Insurance Corporation301305Agent - Casualty8/21/20132/7/2018
InactiveBITCO General Insurance Corporation301305Agent - Property8/21/20132/7/2018
InactiveBITCO National Insurance Company301366Agent - Casualty8/21/20132/7/2018
InactiveBITCO National Insurance Company301366Agent - Property8/21/20132/7/2018
ActiveBankers Standard Insurance Company301620Agent - Casualty2/14/2019 
ActiveBankers Standard Insurance Company301620Agent - Property2/14/2019 
ActiveBanner Life Insurance Company301696Agent - Life7/30/2014 
InactiveBaptist Health Plan, Inc.300157Agent - Health5/4/20153/31/2019
InactiveBerkley Casualty Company300731Agent - Casualty9/19/201310/4/2017
InactiveBerkley Casualty Company300731Agent - Property9/19/201310/4/2017
InactiveBerkshire Life Insurance Company of America300983Agent - Health4/20/20159/24/2018
InactiveBerkshire Life Insurance Company of America300983Agent - Life4/20/20159/24/2018
InactiveBrickStreet Mutual Insurance Company709251Agent - Casualty8/5/20138/3/2023
InactiveBridgefield Casualty Insurance Company500013Agent - Casualty9/11/201311/10/2021
InactiveBristol West Insurance Company301655Agent - Casualty1/16/201411/30/2021
InactiveBristol West Insurance Company301655Agent - Property1/16/201411/30/2021
InactiveBusinessFirst Insurance Company722488Agent - Casualty11/15/201311/10/2021
InactiveCSI Life Insurance Company596032Agent - Health1/11/201712/18/2019
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty6/24/201311/18/2021
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property6/24/201311/18/2021
ActiveChubb Indemnity Insurance Company300438Agent - Casualty2/14/2019 
ActiveChubb Indemnity Insurance Company300438Agent - Property2/14/2019 
ActiveChubb National Insurance Company301392Agent - Casualty2/14/2019 
ActiveChubb National Insurance Company301392Agent - Property2/14/2019 
ActiveCincinnati Life Insurance Company (The)300601Agent - Life10/16/2018 
ActiveClearPath Insurance Company979815Agent - Casualty1/1/2018 
ActiveColonial Life and Accident Insurance Company300846Agent - Health5/26/2015 
ActiveColonial Life and Accident Insurance Company300846Agent - Life5/26/2015 
InactiveCombined Insurance Company of America301472Agent - Health9/17/20148/16/2021
InactiveCompBenefits Dental, Inc.591692Agent - Health12/8/20143/14/2019
InactiveCompBenefits Insurance Company301864Agent - Health12/4/20192/10/2022
ActiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/2021 
InactiveConsolidated Insurance Company300943Agent - Casualty7/8/20133/2/2022
InactiveConsolidated Insurance Company300943Agent - Property7/8/20133/2/2022
InactiveContinental General Insurance Company300691Agent - Health8/9/20181/25/2019
InactiveContinental General Insurance Company300691Agent - Life8/9/20181/25/2019
InactiveDearborn Life Insurance Company300401Agent - Health2/25/201512/8/2017
InactiveDearborn Life Insurance Company300401Agent - Life2/25/201512/8/2017
InactiveDental Concern Inc. (The)301641Agent - Health1/21/20142/10/2022
InactiveEMC National Life Company300388Agent - Health4/22/201411/9/2021
InactiveEMC National Life Company300388Agent - Life4/22/201411/9/2021
InactiveEMC Property & Casualty Company955217Agent - Casualty5/20/20212/8/2022
InactiveEMC Property & Casualty Company955217Agent - Property5/20/20212/8/2022
InactiveEMCASCO Insurance Company842790Agent - Casualty2/13/20152/8/2022
InactiveEMCASCO Insurance Company842790Agent - Property2/13/20152/8/2022
InactiveEmployers Insurance Company of Wausau301813Agent - Casualty10/23/20133/2/2022
InactiveEmployers Insurance Company of Wausau301813Agent - Property10/23/20133/2/2022
InactiveEmployers Mutual Casualty Company300202Agent - Casualty4/17/20142/8/2022
InactiveEmployers Mutual Casualty Company300202Agent - Property4/17/20142/8/2022
InactiveEncompass Indemnity Company546376Agent - Casualty12/23/20197/26/2023
InactiveEncompass Indemnity Company546376Agent - Property12/23/20197/26/2023
ActiveExecutive Risk Indemnity Inc.301510Agent - Casualty2/14/2019 
InactiveFarmington Casualty Company301137Agent - Casualty4/30/201811/18/2021
InactiveFarmington Casualty Company301137Agent - Property4/30/201811/18/2021
ActiveFederal Insurance Company301144Agent - Casualty2/14/2019 
ActiveFederal Insurance Company301144Agent - Property2/14/2019 
ActiveFidelity Security Life Insurance Company300466Agent - Health1/25/2016 
ActiveFidelity Security Life Insurance Company300466Agent - Life1/25/2016 
InactiveFirst Liberty Insurance Corporation (The)301060Agent - Casualty3/5/20143/2/2022
InactiveFirst Liberty Insurance Corporation (The)301060Agent - Property3/5/20143/2/2022
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty9/14/201311/30/2021
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property9/14/201311/30/2021
InactiveForemost Property and Casualty Insurance Company300871Agent - Casualty1/17/20145/10/2017
InactiveForemost Property and Casualty Insurance Company300871Agent - Property1/17/20145/10/2017
InactiveForemost Signature Insurance Company300140Agent - Casualty1/17/20145/10/2017
InactiveForemost Signature Insurance Company300140Agent - Property1/17/20145/10/2017
InactiveGenworth Life and Annuity Insurance Company301276Agent - Health12/30/201311/24/2014
InactiveGenworth Life and Annuity Insurance Company301276Agent - Life12/30/201311/24/2014
InactiveGreat American Alliance Insurance Company301247Agent - Casualty4/23/20143/5/2021
InactiveGreat American Alliance Insurance Company301247Agent - Property4/23/20143/5/2021
InactiveGreat American Assurance Company300327Agent - Casualty4/23/20143/5/2021
InactiveGreat American Assurance Company300327Agent - Property4/23/20143/5/2021
InactiveGreat American Insurance Company301586Agent - Casualty4/23/20143/5/2021
InactiveGreat American Insurance Company301586Agent - Property4/23/20143/5/2021
InactiveGreat American Insurance Company of New York301897Agent - Casualty4/23/20143/5/2021
InactiveGreat American Insurance Company of New York301897Agent - Property4/23/20143/5/2021
ActiveGreat Midwest Insurance Company301418Agent - Casualty9/17/2013 
ActiveGreat Midwest Insurance Company301418Agent - Property9/17/2013 
ActiveGreat Northern Insurance Company301107Agent - Casualty2/14/2019 
ActiveGreat Northern Insurance Company301107Agent - Property2/14/2019 
InactiveGuardian Life Insurance Company of America301316Agent - Health4/20/201512/6/2022
InactiveGuardian Life Insurance Company of America301316Agent - Life4/20/201512/6/2022
InactiveHamilton Mutual Insurance Company301111Agent - Casualty4/17/201412/15/2017
InactiveHamilton Mutual Insurance Company301111Agent - Property4/17/201412/15/2017
InactiveHanover American Insurance Company (The)300447Agent - Casualty9/1/201711/16/2021
InactiveHanover American Insurance Company (The)300447Agent - Property9/1/201711/16/2021
InactiveHanover Insurance Company (The)300508Agent - Casualty9/1/201711/16/2021
InactiveHanover Insurance Company (The)300508Agent - Property9/1/201711/16/2021
InactiveHartford Life and Accident Insurance Company300878Agent - Health1/11/201811/24/2021
InactiveHartford Life and Accident Insurance Company300878Agent - Life1/11/201811/24/2021
InactiveHealthcare Underwriters Group, Inc,863144Agent - Casualty10/8/201510/31/2022
ActiveHiscox Insurance Company Inc.300894Agent - Casualty6/1/2014 
ActiveHiscox Insurance Company Inc.300894Agent - Property6/1/2014 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health11/11/20142/10/2022
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health1/13/20202/10/2022
InactiveHumana Health Plan, Inc.300142Agent - Health12/13/20132/10/2022
InactiveHumana Insurance Company301104Agent - Health12/13/20132/10/2022
InactiveHumana Insurance Company301104Agent - Life12/13/20132/10/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Health12/30/20142/10/2022
InactiveHumana Insurance Company of Kentucky300826Agent - Life1/21/20142/10/2022
InactiveHumana Medical Plan, Inc.801568Agent - Health1/13/20202/10/2022
InactiveHumana Wisconsin Health Organization Insurance Corporation830687Agent - Health1/13/20202/10/2022
InactiveImperium Insurance Company300804Agent - Casualty9/17/20137/25/2023
InactiveImperium Insurance Company300804Agent - Property9/17/20137/25/2023
InactiveIndiana Insurance Company301909Agent - Casualty7/8/20133/2/2022
InactiveIndiana Insurance Company301909Agent - Property7/8/20133/2/2022
ActiveInsurance Company of the State of Pennsylvania300807Agent - Casualty11/26/2013 
ActiveInsurance Company of the State of Pennsylvania300807Agent - Health11/26/2013 
ActiveInsurance Company of the State of Pennsylvania300807Agent - Property11/26/2013 
InactiveInsurance Company of the West301520Agent - Casualty2/12/20183/17/2022
InactiveInsurance Company of the West301520Agent - Property2/12/20183/17/2022
ActiveIronshore Indemnity Inc.300088Agent - Casualty12/5/2022 
ActiveIronshore Indemnity Inc.300088Agent - Property12/5/2022 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health7/28/2015 
ActiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life7/28/2015 
InactiveKanawha Insurance Company300127Agent - Health12/13/20138/9/2018
InactiveKanawha Insurance Company300127Agent - Life12/13/20138/9/2018
InactiveKentucky Health Cooperative, Inc.798780Agent - Health10/21/201310/29/2015
InactiveLM Insurance Corporation301061Agent - Casualty3/5/20143/2/2022
InactiveLM Insurance Corporation301061Agent - Property3/5/20143/2/2022
InactiveLiberty Insurance Corporation300444Agent - Casualty3/5/20143/2/2022
InactiveLiberty Insurance Corporation300444Agent - Property3/5/20143/2/2022
InactiveLiberty Mutual Fire Insurance Company301913Agent - Casualty10/23/20133/2/2022
InactiveLiberty Mutual Fire Insurance Company301913Agent - Property10/23/20133/2/2022
ActiveLiberty Mutual Insurance Company301159Agent - Casualty3/22/2023 
ActiveLiberty Mutual Insurance Company301159Agent - Property3/22/2023 
InactiveLincoln National Life Insurance Company (The)301382Agent - Health12/17/202110/19/2023
InactiveLincoln National Life Insurance Company (The)301382Agent - Life12/17/202110/19/2023
InactiveMICO Insurance Company301664Agent - Casualty11/23/20228/3/2023
InactiveMICO Insurance Company301664Agent - Property11/23/20228/3/2023
ActiveMarkel Insurance Company301475Agent - Casualty10/13/2015 
ActiveMarkel Insurance Company301475Agent - Health10/13/2015 
ActiveMarkel Insurance Company301475Agent - Property10/13/2015 
InactiveMassachusetts Bay Insurance Company300898Agent - Casualty9/1/201711/16/2021
InactiveMassachusetts Bay Insurance Company300898Agent - Property9/1/201711/16/2021
InactiveMilbank Insurance Company925185Agent - Casualty6/11/20201/10/2022
InactiveMilbank Insurance Company925185Agent - Property6/11/20201/10/2022
InactiveMotorists Commercial Mutual Insurance Company301941Agent - Casualty3/23/20238/3/2023
InactiveMotorists Commercial Mutual Insurance Company301941Agent - Property3/23/20238/3/2023
ActiveNationwide Life and Annuity Insurance Company300714Agent - Health1/10/2014 
ActiveNationwide Life and Annuity Insurance Company300714Agent - Life1/10/2014 
InactiveNetherlands Insurance Company (The)300339Agent - Casualty7/8/20133/2/2022
InactiveNetherlands Insurance Company (The)300339Agent - Property7/8/20133/2/2022
ActiveNew Hampshire Insurance Company301670Agent - Casualty11/9/2019 
ActiveNew Hampshire Insurance Company301670Agent - Property11/9/2019 
InactiveNorGUARD Insurance Company500015Agent - Casualty11/3/201711/19/2021
InactiveNorthStone Insurance Company818905Agent - Casualty2/25/20148/3/2023
InactiveOhio Casualty Insurance Company301492Agent - Casualty7/8/20133/2/2022
InactiveOhio Casualty Insurance Company301492Agent - Property7/8/20133/2/2022
InactiveOhio Farmers Insurance Company301667Agent - Casualty8/26/20133/29/2022
InactiveOhio Farmers Insurance Company301667Agent - Property8/26/20133/29/2022
InactiveOhio Security Insurance Company300622Agent - Casualty7/8/20133/2/2022
InactiveOhio Security Insurance Company300622Agent - Property7/8/20133/2/2022
InactiveOld Guard Insurance Company533854Agent - Casualty6/9/20213/29/2022
InactiveOld Guard Insurance Company533854Agent - Property6/9/20213/29/2022
InactiveOld Republic Insurance Company301225Agent - Casualty4/27/201611/18/2021
ActivePacific Indemnity Company301610Agent - Casualty2/14/2019 
ActivePacific Indemnity Company301610Agent - Property2/14/2019 
InactivePeerless Indemnity Insurance Company571682Agent - Casualty7/8/20133/2/2022
InactivePeerless Indemnity Insurance Company571682Agent - Property7/8/20133/2/2022
InactivePeerless Insurance Company301910Agent - Casualty7/8/20133/2/2022
InactivePeerless Insurance Company301910Agent - Property7/8/20133/2/2022
InactivePhiladelphia Indemnity Insurance Company301221Agent - Casualty9/14/202011/10/2021
InactivePhiladelphia Indemnity Insurance Company301221Agent - Property9/14/202011/10/2021
InactivePinnaclePoint Insurance Company819085Agent - Casualty2/25/20148/3/2023
ActivePrincipal National Life Insurance Company301926Agent - Life10/24/2016 
ActiveProSelect Insurance Company826988Agent - Casualty6/25/2020 
InactiveProgressive Casualty Insurance Company300696Agent - Casualty8/1/201312/2/2021
InactiveProgressive Casualty Insurance Company300696Agent - Property8/1/201312/2/2021
InactivePruco Life Insurance Company300954Agent - Life11/13/201311/23/2022
InactiveReliaStar Life Insurance Company301712Agent - Health11/29/20132/27/2016
InactiveReliaStar Life Insurance Company301712Agent - Life11/29/20132/27/2016
ActiveReliance Standard Life Insurance Company300584Agent - Health2/9/2016 
ActiveReliance Standard Life Insurance Company300584Agent - Life2/9/2016 
InactiveSAFECO Insurance Company of America300159Agent - Casualty7/8/20133/2/2022
InactiveSAFECO Insurance Company of America300159Agent - Property7/8/20133/2/2022
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty7/8/20133/2/2022
InactiveSAFECO Insurance Company of Illinois301350Agent - Property7/8/20133/2/2022
ActiveSECURA Insurance Company301656Agent - Casualty9/16/2017 
ActiveSECURA Insurance Company301656Agent - Property9/16/2017 
ActiveSECURA Supreme Insurance Company645533Agent - Casualty9/16/2017 
ActiveSECURA Supreme Insurance Company645533Agent - Property9/16/2017 
ActiveSafety National Casualty Corporation300390Agent - Casualty6/17/2020 
ActiveSafety National Casualty Corporation300390Agent - Property6/17/2020 
InactiveSeneca Insurance Company Inc.301762Agent - Casualty7/24/20132/24/2022
InactiveSeneca Insurance Company Inc.301762Agent - Property7/24/20132/24/2022
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty8/1/201311/18/2021
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Property8/1/201311/18/2021
InactiveSt. Paul Guardian Insurance Company301372Agent - Casualty8/1/201312/3/2014
InactiveSt. Paul Guardian Insurance Company301372Agent - Property8/1/201312/3/2014
InactiveSt. Paul Mercury Insurance Company300783Agent - Casualty8/1/201311/18/2021
InactiveSt. Paul Mercury Insurance Company300783Agent - Property8/1/201311/18/2021
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty6/24/201311/18/2021
InactiveStandard Fire Insurance Company (The)301068Agent - Property6/24/201311/18/2021
ActiveStar Insurance Company301553Agent - Casualty10/22/2019 
ActiveStar Insurance Company301553Agent - Property10/22/2019 
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty9/1/20201/10/2022
InactiveState Automobile Mutual Insurance Company301824Agent - Property9/1/20201/10/2022
InactiveSummitPoint Insurance Company819084Agent - Casualty2/25/20148/3/2023
InactiveThe Phoenix Insurance Company301502Agent - Casualty3/26/201511/18/2021
InactiveThe Phoenix Insurance Company301502Agent - Property3/26/201511/18/2021
InactiveThe Savings Bank Mutual Life Insurance Company of Massachusetts690290Agent - Life10/29/201311/29/2018
InactiveTime Insurance Company300683Agent - Health6/6/20139/17/2020
InactiveTime Insurance Company300683Agent - Life6/6/20139/17/2020
ActiveTransamerica Life Insurance Company300571Agent - Health10/6/2014 
ActiveTransamerica Life Insurance Company300571Agent - Life10/6/2014 
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty6/24/201311/18/2021
InactiveTravelers Casualty Insurance Company of America300522Agent - Property6/24/201311/18/2021
InactiveTravelers Casualty and Surety Company301067Agent - Casualty4/4/201911/18/2021
InactiveTravelers Casualty and Surety Company301067Agent - Property4/4/201911/18/2021
InactiveTravelers Casualty and Surety Company of America301334Agent - Casualty4/10/201411/18/2021
InactiveTravelers Casualty and Surety Company of America301334Agent - Property4/10/201411/18/2021
InactiveTravelers Commercial Insurance Company301506Agent - Casualty6/24/201312/3/2014
InactiveTravelers Commercial Insurance Company301506Agent - Property6/24/201312/3/2014
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty6/24/201311/18/2021
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property6/24/201311/18/2021
InactiveTravelers Indemnity Company (The)301855Agent - Casualty6/24/201311/18/2021
InactiveTravelers Indemnity Company (The)301855Agent - Property6/24/201311/18/2021
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty6/24/201311/18/2021
InactiveTravelers Indemnity Company of America (The)301093Agent - Property6/24/201311/18/2021
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty6/24/201311/18/2021
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property6/24/201311/18/2021
InactiveTravelers Personal Insurance Company705785Agent - Casualty10/4/201811/18/2021
InactiveTravelers Personal Insurance Company705785Agent - Property10/4/201811/18/2021
InactiveTravelers Property Casualty Company of America301649Agent - Casualty6/24/201311/18/2021
InactiveTravelers Property Casualty Company of America301649Agent - Property6/24/201311/18/2021
InactiveUnion Insurance Company of Providence842791Agent - Casualty2/13/20152/8/2022
InactiveUnion Insurance Company of Providence842791Agent - Property2/13/20152/8/2022
InactiveUnion Security Insurance Company301844Agent - Health8/20/201512/26/2020
InactiveUnion Security Insurance Company301844Agent - Life8/20/201512/26/2020
InactiveUnited Financial Casualty Company301886Agent - Casualty8/1/201312/2/2021
InactiveUnited Financial Casualty Company301886Agent - Property8/1/201312/2/2021
InactiveUnitedHealthcare Insurance Company300946Agent - Health3/15/20175/31/2023
InactiveUnitedHealthcare Insurance Company300946Agent - Life11/13/20135/31/2023
InactiveUnitedHealthcare Insurance Company of America301552Agent - Health9/16/20163/9/2017
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health11/13/20135/31/2023
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/15/20174/30/2018
InactiveUnitedHealthcare of Wisconsin, Inc.871491Agent - Health9/12/20153/9/2017
InactiveVerlan Fire Insurance Company517102Agent - Casualty7/22/202111/16/2021
InactiveVerlan Fire Insurance Company517102Agent - Property7/22/202111/16/2021
ActiveVigilant Insurance Company301143Agent - Casualty2/14/2019 
ActiveVigilant Insurance Company301143Agent - Property2/14/2019 
InactiveWausau Underwriters Insurance Company301105Agent - Casualty4/29/20148/27/2015
InactiveWausau Underwriters Insurance Company301105Agent - Property4/29/20148/27/2015
InactiveWest American Insurance Company301112Agent - Casualty7/8/20133/2/2022
InactiveWest American Insurance Company301112Agent - Property7/8/20133/2/2022
ActiveWest Bend Insurance Company672974Agent - Casualty6/20/2017 
ActiveWest Bend Insurance Company672974Agent - Property6/20/2017 
ActiveWestchester Fire Insurance Company300990Agent - Casualty8/1/2019 
ActiveWestchester Fire Insurance Company300990Agent - Property8/1/2019 
InactiveWestern Surety Company300283Agent - Casualty4/30/201411/11/2021
InactiveWestfield Champion Insurance Company1054839Agent - Casualty6/9/20213/29/2022
InactiveWestfield Champion Insurance Company1054839Agent - Property6/9/20213/29/2022
InactiveWestfield Insurance Company301950Agent - Casualty8/26/20133/29/2022
InactiveWestfield Insurance Company301950Agent - Property8/26/20133/29/2022
InactiveWestfield National Insurance Company301036Agent - Casualty8/26/20133/29/2022
InactiveWestfield National Insurance Company301036Agent - Property8/26/20133/29/2022
InactiveWestfield Premier Insurance Company1055055Agent - Casualty6/9/20213/29/2022
InactiveWestfield Premier Insurance Company1055055Agent - Property6/9/20213/29/2022
InactiveWestfield Superior Insurance Company1054978Agent - Casualty6/9/20213/29/2022
InactiveWestfield Superior Insurance Company1054978Agent - Property6/9/20213/29/2022
ActiveWestfield Touchstone Insurance Company1055057Agent - Casualty6/9/2021 
ActiveWestfield Touchstone Insurance Company1055057Agent - Property6/9/2021 
ActiveWilliamsburg National Insurance Company301825Agent - Casualty10/22/2019 
ActiveWilliamsburg National Insurance Company301825Agent - Property10/22/2019 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAllen, Debra Sue 596915Agent - Casualty12/9/201610/9/2019
InactiveAllen, Debra Sue 596915Agent - Property12/9/201610/9/2019
InactiveBuster, Frank Alexander 366509Agent - Casualty12/23/20147/10/2017
InactiveBuster, Frank Alexander 366509Agent - Health12/23/20147/10/2017
InactiveBuster, Frank Alexander 366509Agent - Life12/23/20147/10/2017
InactiveBuster, Frank Alexander 366509Agent - Property12/23/20147/10/2017
InactiveCampbell, Wendy Sue 874457Agent - Casualty10/7/20197/27/2021
InactiveEisenback, Candy Lea 388054Agent - Casualty4/14/20155/27/2016
InactiveEisenback, Candy Lea 388054Agent - Health4/14/20159/16/2016
InactiveEisenback, Candy Lea 388054Agent - Life4/14/20159/16/2016
InactiveEisenback, Candy Lea 388054Agent - Property4/14/20155/27/2016
ActiveElswick, Jacqueline Sue 651713Agent - Health7/24/2013 
ActiveElswick, Jacqueline Sue 651713Agent - Life7/24/2013 
InactiveEslinger, Sheri Lynn 502984Agent - Casualty7/22/20137/6/2018
InactiveEslinger, Sheri Lynn 502984Agent - Property7/22/20137/6/2018
ActiveFay, Jennett 807195Agent - Casualty1/18/2023 
ActiveFay, Jennett 807195Agent - Health2/6/2023 
DeniedFay, Jennett 807195Agent - Life  
ActiveFay, Jennett 807195Agent - Property1/18/2023 
ActiveFord, Deborah 988260Agent - Casualty8/27/2018 
ActiveFord, Deborah 988260Agent - Property8/27/2018 
InactiveGarland, James Trent 925230Agent - Casualty5/31/20172/28/2023
InactiveGarland, James Trent 925230Agent - Property5/31/20172/28/2023
ActiveGordon, Terence A 359469Agent - Casualty7/10/2017 
ActiveGordon, Terence A 359469Agent - Health7/10/2017 
ActiveGordon, Terence A 359469Agent - Life7/10/2017 
ActiveGordon, Terence A 359469Agent - Property7/10/2017 
ActiveGupton, Bethany Anne 653655Agent - Casualty5/19/2015 
ActiveGupton, Bethany Anne 653655Agent - Property5/19/2015 
ActiveHall, Tommy D 388965Agent - Casualty7/24/2013 
ActiveHall, Tommy D 388965Agent - Property7/24/2013 
ActiveHall, Tommy Duran 390176Agent - Casualty4/17/2013 
ActiveHall, Tommy Duran 390176Agent - Health4/17/2013 
ActiveHall, Tommy Duran 390176Agent - Life4/17/2013 
ActiveHall, Tommy Duran 390176Agent - Property4/17/2013 
ActiveHall, Tommy Duran 390176Surplus Lines Broker - Not Applicable4/3/2019 
InactiveHead, Jonathan S 340068Agent - Health8/11/20145/13/2015
InactiveHead, Jonathan S 340068Agent - Life8/11/20145/13/2015
ActiveHyden, James Douglas 873870Agent - Casualty8/22/2018 
InactiveHyden, James Douglas 873870Agent - Health1/23/20173/20/2024
InactiveHyden, James Douglas 873870Agent - Life1/23/20173/20/2024
ActiveHyden, James Douglas 873870Agent - Property8/22/2018 
ActiveJohnson, Fon Michael 353867Agent - Casualty7/24/2013 
ActiveJohnson, Fon Michael 353867Agent - Property7/24/2013 
ActiveJustice, Frances K 349372Agent - Casualty9/16/2016 
ActiveJustice, Frances K 349372Agent - Property9/16/2016 
InactiveKiser, Judy Carol 321206Agent - Casualty7/22/201312/23/2014
InactiveKiser, Judy Carol 321206Agent - Property7/22/201312/23/2014
ActiveMcConnell, John James 366119Agent - Casualty8/22/2018 
ActiveMcConnell, John James 366119Agent - Health12/9/2016 
ActiveMcConnell, John James 366119Agent - Life12/9/2016 
ActiveMcConnell, John James 366119Agent - Property6/19/2017 
ActiveMichelson, Richard M 305251Agent - Casualty9/20/2019 
ActiveMichelson, Richard M 305251Agent - Health9/20/2019 
ActiveMichelson, Richard M 305251Agent - Life9/20/2019 
ActiveMichelson, Richard M 305251Agent - Property9/20/2019 
InactiveMichelson, Richard M 305251Surplus Lines Broker - Not Applicable9/20/20195/31/2020
InactiveMoir, Frederick Michael 776596Agent - Casualty9/20/20196/6/2022
InactiveMoir, Frederick Michael 776596Agent - Life9/20/20196/6/2022
InactiveMoir, Frederick Michael 776596Agent - Property9/20/20196/6/2022
InactiveMoncibaez, Stephanie 1030429Agent - Casualty3/4/20201/1/2024
InactiveMoncibaez, Stephanie 1030429Agent - Property3/4/20201/1/2024
InactiveMorgan, Ted W 312584Agent - Casualty5/21/20148/11/2014
DeniedMorgan, Ted W 312584Agent - Property  
ActiveNassau, Steven 833808Agent - Casualty1/18/2023 
InactiveNassau, Steven 833808Agent - Life1/18/20231/3/2024
ActiveNassau, Steven 833808Agent - Property1/18/2023 
InactiveOrwick, Sara E 359978Agent - Casualty7/10/20174/10/2018
InactiveOrwick, Sara E 359978Agent - Property7/10/20174/10/2018
ActiveQuintela, Kimberly Sexton 336044Agent - Casualty7/6/2018 
ActiveQuintela, Kimberly Sexton 336044Agent - Property7/6/2018 
InactiveRatliff, Teresa Boyd 358586Agent - Casualty7/16/20147/10/2017
InactiveRatliff, Teresa Boyd 358586Agent - Property7/16/20147/10/2017
InactiveReynolds, Christopher Wyatt 348006Agent - Casualty4/10/20187/9/2019
DeniedReynolds, Christopher Wyatt 348006Agent - Health  
DeniedReynolds, Christopher Wyatt 348006Agent - Life  
InactiveReynolds, Christopher Wyatt 348006Agent - Property4/10/20187/9/2019
DeniedSanders, William Cook 524870Agent - Casualty  
InactiveSanders, William Cook 524870Agent - Health12/9/20169/28/2017
InactiveSanders, William Cook 524870Agent - Life12/9/20169/28/2017
DeniedSanders, William Cook 524870Agent - Property  
InactiveShanks, Gregory Nathan 906235Agent - Casualty5/15/201711/29/2018
InactiveShanks, Gregory Nathan 906235Agent - Property5/15/201711/29/2018
ActiveSmith, Karen Leigh 632426Agent - Casualty5/31/2017 
ActiveSmith, Karen Leigh 632426Agent - Health7/22/2013 
ActiveSmith, Karen Leigh 632426Agent - Life7/22/2013 
ActiveSmith, Karen Leigh 632426Agent - Property5/31/2017 
ActiveSnyder, Judith C 364742Agent - Casualty5/15/2014 
ActiveSnyder, Judith C 364742Agent - Health5/15/2014 
ActiveSnyder, Judith C 364742Agent - Life5/15/2014 
ActiveSnyder, Judith C 364742Agent - Property5/15/2014 
InactiveSpears, Danita Gail 314126Agent - Casualty7/22/20131/29/2016
InactiveSpears, Danita Gail 314126Agent - Property7/22/20131/29/2016
InactiveTaylor, Kathleen 316262Agent - Casualty9/23/20131/29/2016
InactiveTaylor, Kathleen 316262Agent - Property9/23/20131/29/2016
ActiveVincent, Jennifer Leigh 608044Agent - Casualty4/17/2020 
ActiveVincent, Jennifer Leigh 608044Agent - Property4/17/2020 
InactiveWare-Carter, Megan 947655Agent - Casualty10/10/201710/6/2022
InactiveWare-Carter, Megan 947655Agent - Health10/10/201710/6/2022
InactiveWare-Carter, Megan 947655Agent - Life10/10/201710/6/2022
InactiveWare-Carter, Megan 947655Agent - Property10/10/201710/6/2022
InactiveWare-Carter, Megan 947655Agent - Property10/10/201710/6/2022
ActiveWhite, Alma Jean 321121Agent - Casualty8/30/2021 
ActiveWhite, Alma Jean 321121Agent - Property8/30/2021 
ActiveWilliams, Robert James 389440Agent - Casualty9/16/2016 
DeniedWilliams, Robert James 389440Agent - Health  
DeniedWilliams, Robert James 389440Agent - Life  
ActiveWilliams, Robert James 389440Agent - Property9/16/2016 
InactiveWilson, Rachelle 848129Agent - Casualty4/21/20159/16/2016
InactiveWilson, Rachelle 848129Agent - Property4/21/20159/16/2016
InactiveYoung, Jacob Scott 969500Agent - Casualty9/27/20183/25/2019
InactiveYoung, Jacob Scott 969500Agent - Property9/27/20183/25/2019
InactiveYoung, Scott Burton 329404Agent - Casualty12/1/201711/30/2020
InactiveYoung, Scott Burton 329404Agent - Property12/1/201711/30/2020

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