DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Dillingham, Adam A	DOIID	810795	NAIC NPN	14563115

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	5/22/2013		4/30/2025
Active	Non Resident	Agent	Property	5/22/2013		4/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2025	04/30/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Agri-Business Insurance Company	634731	Agent - Casualty	12/28/2020	3/18/2024
Inactive	American Agri-Business Insurance Company	634731	Agent - Property	12/28/2020	3/18/2024
Inactive	CGB Insurance Company	559048	Agent - Casualty	2/10/2014	12/28/2020
Inactive	CGB Insurance Company	559048	Agent - Property	2/10/2014	12/28/2020
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	6/11/2013	11/25/2015
Inactive	GuideOne Insurance Company	301794	Agent - Property	6/11/2013	11/25/2015
Inactive	Technology Insurance Company	613278	Agent - Casualty	3/28/2019	5/20/2022
Inactive	Technology Insurance Company	613278	Agent - Property	3/28/2019	5/20/2022
Inactive	Triangle Insurance Company, Inc.	883488	Agent - Casualty	2/19/2016	5/22/2018
Inactive	Triangle Insurance Company, Inc.	883488	Agent - Property	2/19/2016	5/22/2018

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CGB Diversified Services Inc.	510810	Agent - Property	9/24/2018	7/15/2021
Inactive	CGB Diversified Services Inc.	510810	Agent - Casualty	9/24/2018	7/15/2021