DEPARTMENT OF INSURANCE

Affiliations

Name	Palomar Ins Corporation	DOIID	812328	NAIC NPN	2331960

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/13/2013		3/31/2027
Active	Non Resident	Agent	Casualty	6/13/2013		3/31/2027
Inactive	Non Resident	Agent	Health	6/13/2013	8/1/2019
Inactive	Non Resident	Agent	Life	6/13/2013	8/1/2019
* 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
Active	ACE American Insurance Company	300625	Agent - Casualty	3/14/2022
Active	ACE American Insurance Company	300625	Agent - Property	3/14/2022
Active	AMCO Insurance Company	300204	Agent - Casualty	1/27/2017
Active	AMCO Insurance Company	300204	Agent - Property	1/27/2017
Active	Allied Insurance Company of America	793586	Agent - Casualty	1/27/2017
Active	Allied Insurance Company of America	793586	Agent - Property	1/27/2017
Active	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	1/27/2017
Active	Allied Property and Casualty Insurance Company	300279	Agent - Property	1/27/2017
Active	Allied World Insurance Company	301336	Agent - Casualty	7/20/2013
Active	Allied World Insurance Company	301336	Agent - Property	7/20/2013
Active	Allied World Specialty Insurance Company	301088	Agent - Casualty	7/20/2013
Active	Allied World Specialty Insurance Company	301088	Agent - Property	7/20/2013
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	3/29/2024
Inactive	American Interstate Insurance Company	301092	Agent - Casualty	10/24/2019	12/7/2020
Inactive	American Interstate Insurance Company	301092	Agent - Property	10/24/2019	12/7/2020
Active	Ansur America Insurance Company	520667	Agent - Casualty	9/6/2022
Active	Ansur America Insurance Company	520667	Agent - Property	9/6/2022
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	8/11/2016	4/14/2021
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	8/11/2016	4/14/2021
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	3/14/2022
Active	Bankers Standard Insurance Company	301620	Agent - Property	3/14/2022
Active	Berkley Regional Insurance Company	300920	Agent - Casualty	7/28/2021
Active	Berkley Regional Insurance Company	300920	Agent - Property	7/28/2021
Active	Chubb Indemnity Insurance Company	300438	Agent - Casualty	3/14/2022
Active	Chubb Indemnity Insurance Company	300438	Agent - Property	3/14/2022
Active	Chubb National Insurance Company	301392	Agent - Casualty	3/14/2022
Active	Chubb National Insurance Company	301392	Agent - Property	3/14/2022
Active	Depositors Insurance Company	301634	Agent - Casualty	1/27/2017
Active	Depositors Insurance Company	301634	Agent - Property	1/27/2017
Inactive	Employers Assurance Company	300120	Agent - Casualty	9/10/2013	4/20/2022
Inactive	Employers Compensation Insurance Company	797885	Agent - Casualty	8/6/2018	4/20/2022
Inactive	Employers Preferred Insurance Company	520656	Agent - Casualty	9/10/2013	4/20/2022
Inactive	Falls Lake National Insurance Company	301796	Agent - Casualty	7/27/2022	8/17/2025
Inactive	Falls Lake National Insurance Company	301796	Agent - Property	7/27/2022	8/17/2025
Active	Federal Insurance Company	301144	Agent - Casualty	3/14/2022
Active	Federal Insurance Company	301144	Agent - Property	3/14/2022
Active	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	12/30/2013
Active	Fidelity and Deposit Company of Maryland	300976	Agent - Property	12/30/2013
Active	Frankenmuth Insurance Company	301481	Agent - Casualty	9/6/2022
Active	Frankenmuth Insurance Company	301481	Agent - Property	9/6/2022
Active	Great Northern Insurance Company	301107	Agent - Casualty	3/14/2022
Active	Great Northern Insurance Company	301107	Agent - Property	3/14/2022
Active	Great West Casualty Company	301015	Agent - Casualty	5/6/2024
Active	Great West Casualty Company	301015	Agent - Property	5/6/2024
Active	Harco National Insurance Company	300706	Agent - Casualty	3/16/2017
Active	Harco National Insurance Company	300706	Agent - Property	3/16/2017
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	1/27/2017
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	1/27/2017
Active	Nationwide Assurance Company	300166	Agent - Casualty	3/4/2020
Active	Nationwide General Insurance Company	300603	Agent - Casualty	8/31/2019
Active	Nationwide General Insurance Company	300603	Agent - Property	8/31/2019
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	8/31/2019
Active	Nationwide Insurance Company of America	300333	Agent - Property	8/31/2019
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	1/27/2017
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	1/27/2017
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	2/2/2022
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	2/2/2022
Inactive	Owners Insurance Company	300796	Agent - Casualty	8/11/2016	4/14/2021
Inactive	Owners Insurance Company	300796	Agent - Property	8/11/2016	4/14/2021
Active	Pacific Indemnity Company	301610	Agent - Casualty	3/14/2022
Active	Pacific Indemnity Company	301610	Agent - Property	3/14/2022
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/18/2020
Active	Progressive Casualty Insurance Company	300696	Agent - Property	11/18/2020
Inactive	Protective Insurance Company	301117	Agent - Casualty	3/24/2017	5/5/2023
Inactive	Protective Insurance Company	301117	Agent - Property	3/24/2017	5/5/2023
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	10/21/2015	8/1/2019
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	10/21/2015	8/1/2019
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	9/26/2019	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	9/26/2019	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	9/26/2019	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/26/2019	3/29/2024
Inactive	Sagamore Insurance Company	300942	Agent - Casualty	11/30/2015	5/5/2023
Inactive	Sagamore Insurance Company	300942	Agent - Property	11/30/2015	5/5/2023
Active	Sentry Select Insurance Company	301648	Agent - Casualty	4/8/2025
Active	Sentry Select Insurance Company	301648	Agent - Property	4/8/2025
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	7/16/2025
Active	Travelers Property Casualty Company of America	301649	Agent - Property	7/16/2025
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	10/21/2015	8/1/2019
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	10/21/2015	8/1/2019
Active	United Financial Casualty Company	301886	Agent - Casualty	11/18/2020
Active	United Financial Casualty Company	301886	Agent - Property	11/18/2020
Active	Vigilant Insurance Company	301143	Agent - Casualty	3/14/2022
Active	Vigilant Insurance Company	301143	Agent - Property	3/14/2022
Active	Zurich American Insurance Company	301121	Agent - Casualty	12/30/2013
Active	Zurich American Insurance Company	301121	Agent - Property	12/30/2013

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Berryman, Sonya D	990471	Agent - Casualty	8/8/2019
Denied	Berryman, Sonya D	990471	Agent - Health
Denied	Berryman, Sonya D	990471	Agent - Life
Active	Berryman, Sonya D	990471	Agent - Property	8/8/2019
Active	Coomer, Melody Amber	578333	Agent - Casualty	10/23/2025
Active	Coomer, Melody Amber	578333	Agent - Property	10/23/2025
Inactive	Skipper, Cullman Leonard	577715	Agent - Casualty	6/13/2013	5/31/2019
Inactive	Skipper, Cullman Leonard	577715	Agent - Health	6/13/2013	5/31/2019
Inactive	Skipper, Cullman Leonard	577715	Agent - Life	6/13/2013	5/31/2019
Inactive	Skipper, Cullman Leonard	577715	Agent - Property	6/13/2013	5/31/2019