DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	05/15/2025	07/31/2025
Surplus Lines Broker	05/15/2025	07/31/2025

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