DEPARTMENT OF INSURANCE

Affiliations

Name	Nielsen, Adam N	DOIID	813648	NAIC NPN	16998812

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	7/16/2013	8/31/2026
Active	Resident	Agent	Life	5/15/2014	8/31/2026
Active	Resident	Agent	Health	4/29/2014	8/31/2026
Active	Resident	Agent	Property	7/16/2013	8/31/2026
Denied	Resident	Agent	Personal Lines
* 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	1st Choice Advantage Insurance Company, Inc.	750782	Agent - Casualty	9/1/2013	1/1/2016
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	1/11/2016	5/20/2019
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	1/11/2016	5/20/2019
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	9/30/2013	12/21/2015
Inactive	American Fire and Casualty Company	300567	Agent - Property	9/30/2013	12/21/2015
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	3/21/2019	12/18/2019
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/6/2015	12/8/2015
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/30/2013	12/21/2015
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/30/2013	12/21/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	7/6/2015	12/8/2015
Inactive	EMC Property & Casualty Company	955217	Agent - Casualty	5/21/2021	11/18/2022
Inactive	EMC Property & Casualty Company	955217	Agent - Property	5/21/2021	11/18/2022
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	10/25/2017	11/18/2022
Inactive	EMCASCO Insurance Company	842790	Agent - Property	10/25/2017	11/18/2022
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	10/25/2017	11/18/2022
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	10/25/2017	11/18/2022
Inactive	Everett Cash Mutual Insurance Company	750768	Agent - Casualty	9/1/2013	1/1/2016
Inactive	Everett Cash Mutual Insurance Company	750768	Agent - Property	9/1/2013	1/1/2016
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	10/25/2017	1/30/2018
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	10/25/2017	1/30/2018
Active	Hartford Fire Insurance Company	300628	Agent - Casualty	12/19/2017
Active	Hartford Fire Insurance Company	300628	Agent - Property	12/19/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/6/2015	12/8/2015
Inactive	Humana Insurance Company	301104	Agent - Health	7/6/2015	4/10/2017
Inactive	Humana Insurance Company	301104	Agent - Life	7/6/2015	4/10/2017
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/6/2015	12/8/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/6/2015	12/8/2015
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/30/2013	12/21/2015
Inactive	Indiana Insurance Company	301909	Agent - Property	9/30/2013	12/21/2015
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/6/2015	10/22/2015
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/6/2015	10/22/2015
Inactive	Motorists Commercial Mutual Insurance Company	301941	Agent - Casualty	5/1/2019	7/21/2021
Inactive	Motorists Commercial Mutual Insurance Company	301941	Agent - Property	5/1/2019	7/21/2021
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	2/17/2016	7/21/2021
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	2/17/2016	7/21/2021
Active	Nationwide General Insurance Company	300603	Agent - Casualty	3/15/2020
Active	Nationwide General Insurance Company	300603	Agent - Property	3/15/2020
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/30/2013	12/21/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/30/2013	12/21/2015
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	3/21/2019	12/18/2019
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	9/30/2013	12/21/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	9/30/2013	12/21/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	9/30/2013	12/21/2015
Inactive	Ohio Security Insurance Company	300622	Agent - Property	9/30/2013	12/21/2015
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/30/2013	12/21/2015
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/30/2013	12/21/2015
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/30/2013	12/21/2015
Inactive	Peerless Insurance Company	301910	Agent - Property	9/30/2013	12/21/2015
Inactive	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	8/9/2013	1/22/2016
Inactive	Philadelphia Indemnity Insurance Company	301221	Agent - Property	8/9/2013	1/22/2016
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	3/21/2019	12/18/2019
Active	Principal National Life Insurance Company	301926	Agent - Life	1/17/2017
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/19/2013	12/21/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/19/2013	12/21/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/19/2013	12/21/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/19/2013	12/21/2015
Inactive	Sagamore Insurance Company	300942	Agent - Casualty	12/8/2015	12/22/2015
Inactive	Sagamore Insurance Company	300942	Agent - Property	12/8/2015	12/22/2015
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	1/23/2017	5/20/2019
Inactive	Selective Insurance Company of America	500018	Agent - Property	1/23/2017	5/20/2019
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	1/23/2017	5/20/2019
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	1/23/2017	5/20/2019
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	1/23/2017	5/20/2019
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	1/23/2017	5/20/2019
Inactive	Sentry Select Insurance Company	301648	Agent - Casualty	3/4/2016	4/24/2020
Inactive	Sentry Select Insurance Company	301648	Agent - Property	3/4/2016	4/24/2020
Active	Southern States Insurance Exchange	301277	Agent - Casualty	2/28/2020
Active	Southern States Insurance Exchange	301277	Agent - Property	2/28/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	3/6/2020
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	3/6/2020
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	3/21/2019	12/18/2019
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	10/25/2017	11/18/2022
Inactive	Union Insurance Company of Providence	842791	Agent - Property	10/25/2017	11/18/2022
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	1/19/2018	10/31/2018
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	1/19/2018	10/31/2018
Inactive	West American Insurance Company	301112	Agent - Casualty	9/30/2013	12/21/2015
Inactive	West American Insurance Company	301112	Agent - Property	9/30/2013	12/21/2015
Inactive	West Bend Insurance Company	672974	Agent - Casualty	11/30/2016	2/29/2024
Inactive	West Bend Insurance Company	672974	Agent - Property	11/30/2016	2/29/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Al Torstrick Insurance Agency, LLC	400026	Agent - Casualty	8/9/2013	12/21/2015
Inactive	Al Torstrick Insurance Agency, LLC	400026	Agent - Property	8/9/2013	12/21/2015
Inactive	Morgan Trevathan and Gunn Inc.	398365	Agent - Casualty	1/6/2016	5/17/2019
Inactive	Morgan Trevathan and Gunn Inc.	398365	Agent - Property	1/6/2016	5/17/2019
Inactive	Morgan Trevathan and Gunn Inc.	398365	Agent - Life	1/6/2016	5/17/2019
Inactive	Morgan Trevathan and Gunn Inc.	398365	Agent - Health	1/19/2018	10/31/2018