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	Casualty	6/13/2013		3/31/2027
Active	Non Resident	Agent	Property	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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2027	03/31/2027

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