DEPARTMENT OF INSURANCE

Affiliations

Name	Haines, Erica	DOIID	824925	NAIC NPN	17091929

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	11/18/2013	11/30/2024
Active	Resident	Agent	Casualty	11/18/2013	11/30/2024
* 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	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Casualty	3/26/2020	5/11/2023
Inactive	ACUITY, A Mutual Insurance Company	300095	Agent - Property	3/26/2020	5/11/2023
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	7/6/2015	10/15/2021
Inactive	American Fire and Casualty Company	300567	Agent - Property	7/6/2015	10/15/2021
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	7/6/2015	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	7/6/2015	4/26/2024
Inactive	Indiana Insurance Company	301909	Agent - Casualty	7/6/2015	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	7/6/2015	2/3/2023
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	7/6/2015	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	7/6/2015	4/26/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	7/6/2015
Active	Ohio Casualty Insurance Company	301492	Agent - Property	7/6/2015
Active	Ohio Security Insurance Company	300622	Agent - Casualty	7/6/2015
Active	Ohio Security Insurance Company	300622	Agent - Property	7/6/2015
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	7/6/2015
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	7/6/2015
Active	Peerless Insurance Company	301910	Agent - Casualty	7/6/2015
Active	Peerless Insurance Company	301910	Agent - Property	7/6/2015
Active	West American Insurance Company	301112	Agent - Casualty	7/6/2015
Active	West American Insurance Company	301112	Agent - Property	7/6/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Robert H. Clarkson Insurance Agency	400771	Agent - Casualty	6/3/2014
Active	Robert H. Clarkson Insurance Agency	400771	Agent - Property	6/3/2014