DEPARTMENT OF INSURANCE

Affiliations

Name	Capital West Ins LLC	DOIID	833298	NAIC NPN	11013290

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	2/7/2014	7/24/2020
Inactive	Non Resident	Agent	Casualty	2/7/2014	7/24/2020
Inactive	Non Resident	Agent	Health	2/7/2014	7/24/2020
Inactive	Non Resident	Agent	Life	2/7/2014	7/24/2020
* 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	AmTrust Insurance Company	300179	Agent - Casualty	3/15/2019	7/24/2020
Inactive	AmTrust Insurance Company	300179	Agent - Property	3/15/2019	7/24/2020
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/6/2014	7/24/2020
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/6/2014	7/24/2020
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/6/2014	7/24/2020
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/6/2014	7/24/2020
Inactive	Employers Assurance Company	300120	Agent - Casualty	9/22/2015	7/24/2020
Inactive	Employers Compensation Insurance Company	797885	Agent - Casualty	8/6/2018	7/24/2020
Inactive	Employers Preferred Insurance Company	520656	Agent - Casualty	9/22/2015	7/24/2020
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/24/2015	12/13/2016
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/24/2015	12/13/2016
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/24/2015	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/24/2015	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/24/2015	12/13/2016
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/24/2015	12/13/2016
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/6/2014	7/24/2020
Inactive	Indiana Insurance Company	301909	Agent - Property	10/6/2014	7/24/2020
Inactive	Milford Casualty Insurance Company	301460	Agent - Casualty	3/15/2019	7/24/2020
Inactive	Milford Casualty Insurance Company	301460	Agent - Property	3/15/2019	7/24/2020
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/6/2014	7/24/2020
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/6/2014	7/24/2020
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/6/2014	7/24/2020
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/6/2014	7/24/2020
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/6/2014	7/24/2020
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/6/2014	7/24/2020
Inactive	Park National Insurance Company	692514	Agent - Casualty	3/15/2019	7/24/2020
Inactive	Park National Insurance Company	692514	Agent - Property	3/15/2019	7/24/2020
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/6/2014	7/24/2020
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/6/2014	7/24/2020
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/6/2014	7/24/2020
Inactive	Peerless Insurance Company	301910	Agent - Property	10/6/2014	7/24/2020
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/20/2014	7/24/2020
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/20/2014	7/24/2020
Inactive	Security National Insurance Company	301151	Agent - Casualty	3/15/2019	7/24/2020
Inactive	Security National Insurance Company	301151	Agent - Property	3/15/2019	7/24/2020
Inactive	Technology Insurance Company	613278	Agent - Casualty	3/15/2019	7/24/2020
Inactive	Technology Insurance Company	613278	Agent - Property	3/15/2019	7/24/2020
Inactive	Travelers Personal Insurance Company	705785	Agent - Casualty	6/20/2019	7/24/2020
Inactive	Travelers Personal Insurance Company	705785	Agent - Property	6/20/2019	7/24/2020
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	11/6/2014	7/24/2020
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	11/6/2014	7/24/2020
Inactive	United Financial Casualty Company	301886	Agent - Casualty	3/20/2014	7/24/2020
Inactive	United Financial Casualty Company	301886	Agent - Property	3/20/2014	7/24/2020
Inactive	Wesco Insurance Company	300534	Agent - Casualty	3/15/2019	7/24/2020
Inactive	Wesco Insurance Company	300534	Agent - Property	3/15/2019	7/24/2020
Inactive	West American Insurance Company	301112	Agent - Casualty	10/6/2014	7/24/2020
Inactive	West American Insurance Company	301112	Agent - Property	10/6/2014	7/24/2020

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kourouglos, Nickos John	832556	Agent - Casualty	2/7/2014	7/24/2020
Inactive	Kourouglos, Nickos John	832556	Agent - Health	2/7/2014	7/24/2020
Inactive	Kourouglos, Nickos John	832556	Agent - Life	2/7/2014	7/24/2020
Inactive	Kourouglos, Nickos John	832556	Agent - Property	2/7/2014	7/24/2020