DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Middleton, Claire Holsapple	DOIID	813432	NAIC NPN	16996475

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	7/5/2013		7/31/2025
Active	Resident	Agent	Casualty	7/5/2013		7/31/2025
Active	Resident	Surplus Lines Broker	Not Applicable	10/29/2019		7/31/2025
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	7/19/2013	2/19/2014
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	7/19/2013	2/19/2014
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	7/19/2013	2/19/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Risk Placement Services Inc	509419	Agent - Casualty
Denied	Risk Placement Services Inc	509419	Agent - Property
Inactive	Risk Placement Services Inc	509419	Surplus Lines Broker - Not Applicable	12/4/2019	1/27/2021