DEPARTMENT OF INSURANCE
Affiliations
NameTriple Crown Insurance, LLCDOIID808123NAIC NPN16940100
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveResidentAgentHealth4/17/20133/31/2025 
InactiveResidentAgentProperty4/17/20133/31/2025 
InactiveResidentAgentLife4/17/20133/31/2025 
InactiveResidentAgentCasualty4/17/20133/31/2025 
InactiveResidentSurplus Lines BrokerNot Applicable4/3/20193/31/2025 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveACE American Insurance Company300625Agent - Casualty2/14/20194/3/2025
InactiveACE American Insurance Company300625Agent - Property2/14/20194/3/2025
InactiveACE Fire Underwriters Insurance Company301679Agent - Casualty2/14/20194/3/2025
InactiveACE Fire Underwriters Insurance Company301679Agent - Property2/14/20194/3/2025
InactiveACE Property and Casualty Insurance Company300520Agent - Casualty2/14/20194/3/2025
InactiveACE Property and Casualty Insurance Company300520Agent - Property2/14/20194/3/2025
InactiveAccident Fund General Insurance Company626282Agent - Casualty5/28/20193/31/2025
InactiveAccident Fund Insurance Company of America518734Agent - Casualty5/28/20193/31/2025
InactiveAccident Fund National Insurance Company626286Agent - Casualty5/28/20193/31/2025
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
InactiveAmerican Bankers Insurance Company of Florida300360Agent - Casualty1/4/20223/31/2025
InactiveAmerican Bankers Insurance Company of Florida300360Agent - Property1/4/20223/31/2025
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
InactiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty10/9/20183/31/2025
InactiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property10/9/20183/31/2025
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
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health9/23/201312/16/2024
InactiveAnthem Health Plans of New Hampshire, Inc.944064Agent - Health11/1/202212/16/2024
InactiveAnthem Insurance Companies, Inc.300941Agent - Health6/12/202112/16/2024
InactiveAnthem Life Insurance Company301209Agent - Health9/23/201312/16/2024
InactiveAnthem Life Insurance Company301209Agent - Life9/23/201312/16/2024
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
InactiveBankers Standard Insurance Company301620Agent - Casualty2/14/20194/3/2025
InactiveBankers Standard Insurance Company301620Agent - Property2/14/20194/3/2025
InactiveBanner Life Insurance Company301696Agent - Life7/30/20143/31/2025
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
InactiveChubb Indemnity Insurance Company300438Agent - Casualty2/14/20194/3/2025
InactiveChubb Indemnity Insurance Company300438Agent - Property2/14/20194/3/2025
InactiveChubb National Insurance Company301392Agent - Casualty2/14/20194/3/2025
InactiveChubb National Insurance Company301392Agent - Property2/14/20194/3/2025
InactiveCincinnati Life Insurance Company (The)300601Agent - Life10/16/20183/31/2025
InactiveClearPath Insurance Company979815Agent - Casualty1/1/20183/31/2025
InactiveColonial Life and Accident Insurance Company300846Agent - Health5/26/20153/31/2025
InactiveColonial Life and Accident Insurance Company300846Agent - Life5/26/20153/31/2025
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
InactiveCompcare Health Services Insurance Corporation948751Agent - Health9/25/202112/16/2024
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
InactiveExecutive Risk Indemnity Inc.301510Agent - Casualty2/14/20194/3/2025
InactiveFarmington Casualty Company301137Agent - Casualty4/30/201811/18/2021
InactiveFarmington Casualty Company301137Agent - Property4/30/201811/18/2021
InactiveFederal Insurance Company301144Agent - Casualty2/14/20194/3/2025
InactiveFederal Insurance Company301144Agent - Property2/14/20194/3/2025
InactiveFidelity Security Life Insurance Company300466Agent - Health1/25/201612/17/2024
InactiveFidelity Security Life Insurance Company300466Agent - Life1/25/201612/17/2024
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
InactiveGreat Midwest Insurance Company301418Agent - Casualty9/17/20133/31/2025
InactiveGreat Midwest Insurance Company301418Agent - Property9/17/20133/31/2025
InactiveGreat Northern Insurance Company301107Agent - Casualty2/14/20194/3/2025
InactiveGreat Northern Insurance Company301107Agent - Property2/14/20194/3/2025
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
InactiveHiscox Insurance Company Inc.300894Agent - Casualty6/1/20143/31/2025
InactiveHiscox Insurance Company Inc.300894Agent - Property6/1/20143/31/2025
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
InactiveInsurance Company of the State of Pennsylvania300807Agent - Casualty11/26/20133/31/2025
InactiveInsurance Company of the State of Pennsylvania300807Agent - Health11/26/20133/31/2025
InactiveInsurance Company of the State of Pennsylvania300807Agent - Property11/26/20133/31/2025
InactiveInsurance Company of the West301520Agent - Casualty2/12/20183/17/2022
InactiveInsurance Company of the West301520Agent - Property2/12/20183/17/2022
InactiveIronshore Indemnity Inc.300088Agent - Casualty12/5/20223/31/2025
InactiveIronshore Indemnity Inc.300088Agent - Property12/5/20223/31/2025
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Health7/28/20153/31/2025
InactiveJohn Hancock Life Insurance Company (U.S.A.)300132Agent - Life7/28/20153/31/2025
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
InactiveLiberty Mutual Insurance Company301159Agent - Casualty3/22/20233/31/2025
InactiveLiberty Mutual Insurance Company301159Agent - Property3/22/20233/31/2025
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
InactiveMarkel Insurance Company301475Agent - Casualty10/13/20153/31/2025
InactiveMarkel Insurance Company301475Agent - Health10/13/20153/31/2025
InactiveMarkel Insurance Company301475Agent - Property10/13/20153/31/2025
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
InactiveNationwide Life and Annuity Insurance Company300714Agent - Health1/10/20143/31/2025
InactiveNationwide Life and Annuity Insurance Company300714Agent - Life1/10/20143/31/2025
InactiveNetherlands Insurance Company (The)300339Agent - Casualty7/8/20133/2/2022
InactiveNetherlands Insurance Company (The)300339Agent - Property7/8/20133/2/2022
InactiveNew Hampshire Insurance Company301670Agent - Casualty11/9/20193/31/2025
InactiveNew Hampshire Insurance Company301670Agent - Property11/9/20193/31/2025
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
InactivePacific Indemnity Company301610Agent - Casualty2/14/20194/3/2025
InactivePacific Indemnity Company301610Agent - Property2/14/20194/3/2025
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
InactivePrincipal National Life Insurance Company301926Agent - Life10/24/20163/31/2025
InactiveProSelect Insurance Company826988Agent - Casualty6/25/20203/31/2025
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
InactiveReliance Standard Life Insurance Company300584Agent - Health2/9/20163/31/2025
InactiveReliance Standard Life Insurance Company300584Agent - Life2/9/20163/31/2025
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
InactiveSECURA Insurance Company301656Agent - Casualty9/16/20173/31/2025
InactiveSECURA Insurance Company301656Agent - Property9/16/20173/31/2025
InactiveSECURA Supreme Insurance Company645533Agent - Casualty9/16/20173/31/2025
InactiveSECURA Supreme Insurance Company645533Agent - Property9/16/20173/31/2025
InactiveSafety National Casualty Corporation300390Agent - Casualty6/17/20203/31/2025
InactiveSafety National Casualty Corporation300390Agent - Property6/17/20203/31/2025
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
InactiveStar Insurance Company301553Agent - Casualty10/22/20193/31/2025
InactiveStar Insurance Company301553Agent - Property10/22/20193/31/2025
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
InactiveTransamerica Life Insurance Company300571Agent - Health10/6/20143/31/2025
InactiveTransamerica Life Insurance Company300571Agent - Life10/6/20143/31/2025
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
InactiveVigilant Insurance Company301143Agent - Casualty2/14/20194/3/2025
InactiveVigilant Insurance Company301143Agent - Property2/14/20194/3/2025
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
InactiveWest Bend Insurance Company672974Agent - Casualty6/20/20173/31/2025
InactiveWest Bend Insurance Company672974Agent - Property6/20/20173/31/2025
InactiveWestchester Fire Insurance Company300990Agent - Casualty8/1/20194/3/2025
InactiveWestchester Fire Insurance Company300990Agent - Property8/1/20194/3/2025
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
InactiveWestfield Touchstone Insurance Company1055057Agent - Casualty6/9/20213/31/2025
InactiveWestfield Touchstone Insurance Company1055057Agent - Property6/9/20213/31/2025
InactiveWilliamsburg National Insurance Company301825Agent - Casualty10/22/20193/31/2025
InactiveWilliamsburg National Insurance Company301825Agent - Property10/22/20193/31/2025
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
InactiveElswick, Jacqueline Sue 651713Agent - Health7/24/20133/31/2025
InactiveElswick, Jacqueline Sue 651713Agent - Life7/24/20133/31/2025
InactiveEslinger, Sheri Lynn 502984Agent - Casualty7/22/20137/6/2018
InactiveEslinger, Sheri Lynn 502984Agent - Property7/22/20137/6/2018
InactiveFay, Jennett 807195Agent - Casualty1/18/20233/31/2025
InactiveFay, Jennett 807195Agent - Health2/6/20233/31/2025
DeniedFay, Jennett 807195Agent - Life  
InactiveFay, Jennett 807195Agent - Property1/18/20233/31/2025
InactiveFord, Deborah 988260Agent - Casualty8/27/20183/31/2025
InactiveFord, Deborah 988260Agent - Property8/27/20183/31/2025
InactiveGarland, James Trent 925230Agent - Casualty5/31/20172/28/2023
InactiveGarland, James Trent 925230Agent - Property5/31/20172/28/2023
InactiveGordon, Terence A 359469Agent - Casualty7/10/20173/31/2025
InactiveGordon, Terence A 359469Agent - Health7/10/20173/31/2025
InactiveGordon, Terence A 359469Agent - Life7/10/20173/31/2025
InactiveGordon, Terence A 359469Agent - Property7/10/20173/31/2025
InactiveGupton, Bethany Anne 653655Agent - Casualty5/19/20153/31/2025
InactiveGupton, Bethany Anne 653655Agent - Property5/19/20153/31/2025
InactiveHall, Tommy D 388965Agent - Casualty7/24/20133/31/2025
InactiveHall, Tommy D 388965Agent - Property7/24/20133/31/2025
InactiveHall, Tommy Duran 390176Agent - Casualty4/17/20133/31/2025
InactiveHall, Tommy Duran 390176Agent - Health4/17/20133/31/2025
InactiveHall, Tommy Duran 390176Agent - Life4/17/20133/31/2025
InactiveHall, Tommy Duran 390176Agent - Property4/17/20133/31/2025
InactiveHall, Tommy Duran 390176Surplus Lines Broker - Not Applicable4/3/20193/31/2025
InactiveHead, Jonathan S 340068Agent - Health8/11/20145/13/2015
InactiveHead, Jonathan S 340068Agent - Life8/11/20145/13/2015
InactiveHyden, James Douglas 873870Agent - Casualty8/22/20183/31/2025
InactiveHyden, James Douglas 873870Agent - Health1/23/20173/20/2024
InactiveHyden, James Douglas 873870Agent - Life1/23/20173/20/2024
InactiveHyden, James Douglas 873870Agent - Property8/22/20183/31/2025
InactiveJohnson, Fon Michael 353867Agent - Casualty7/24/20132/1/2025
InactiveJohnson, Fon Michael 353867Agent - Property7/24/20132/1/2025
InactiveJustice, Frances K 349372Agent - Casualty9/16/20163/31/2025
InactiveJustice, Frances K 349372Agent - Property9/16/20163/31/2025
InactiveKiser, Judy Carol 321206Agent - Casualty7/22/201312/23/2014
InactiveKiser, Judy Carol 321206Agent - Property7/22/201312/23/2014
InactiveMcConnell, John James 366119Agent - Casualty8/22/20183/31/2025
InactiveMcConnell, John James 366119Agent - Health12/9/20163/31/2025
InactiveMcConnell, John James 366119Agent - Life12/9/20163/31/2025
InactiveMcConnell, John James 366119Agent - Property6/19/20173/31/2025
InactiveMichelson, Richard M 305251Agent - Casualty9/20/20193/31/2025
InactiveMichelson, Richard M 305251Agent - Health9/20/20193/31/2025
InactiveMichelson, Richard M 305251Agent - Life9/20/20193/31/2025
InactiveMichelson, Richard M 305251Agent - Property9/20/20193/31/2025
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  
InactiveNassau, Steven 833808Agent - Casualty1/18/20233/31/2025
InactiveNassau, Steven 833808Agent - Life1/18/20231/3/2024
InactiveNassau, Steven 833808Agent - Property1/18/20233/31/2025
InactiveOrwick, Sara E 359978Agent - Casualty7/10/20174/10/2018
InactiveOrwick, Sara E 359978Agent - Property7/10/20174/10/2018
InactiveQuintela, Kimberly Sexton 336044Agent - Casualty7/6/20183/31/2025
InactiveQuintela, Kimberly Sexton 336044Agent - Property7/6/20183/31/2025
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
InactiveSmith, Karen Leigh 632426Agent - Casualty5/31/20173/31/2025
InactiveSmith, Karen Leigh 632426Agent - Health7/22/20133/31/2025
InactiveSmith, Karen Leigh 632426Agent - Life7/22/20133/31/2025
InactiveSmith, Karen Leigh 632426Agent - Property5/31/20173/31/2025
InactiveSnyder, Judith C 364742Agent - Casualty5/15/20143/31/2025
InactiveSnyder, Judith C 364742Agent - Health5/15/20143/31/2025
InactiveSnyder, Judith C 364742Agent - Life5/15/20143/31/2025
InactiveSnyder, Judith C 364742Agent - Property5/15/20143/31/2025
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
InactiveVincent, Jennifer Leigh 608044Agent - Casualty4/17/20203/31/2025
InactiveVincent, Jennifer Leigh 608044Agent - Property4/17/20203/31/2025
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
InactiveWhite, Alma Jean 321121Agent - Casualty8/30/20213/31/2025
InactiveWhite, Alma Jean 321121Agent - Property8/30/20213/31/2025
InactiveWilliams, Robert James 389440Agent - Casualty9/16/20163/31/2025
DeniedWilliams, Robert James 389440Agent - Health  
DeniedWilliams, Robert James 389440Agent - Life  
InactiveWilliams, Robert James 389440Agent - Property9/16/20163/31/2025
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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