DEPARTMENT OF INSURANCE

Affiliations

Name	Kemmons Wilson Insurance Group LLC	DOIID	838854	NAIC NPN	17218920

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Health	2/7/2019	3/31/2026
Active	Non Resident	Agent	Casualty	4/20/2018	3/31/2026
Active	Non Resident	Agent	Property	4/20/2018	3/31/2026
Active	Non Resident	Agent	Life	2/7/2019	3/31/2026
* 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	AIG Property Casualty Company	300621	Agent - Casualty	9/26/2016	2/1/2017
Inactive	AIG Property Casualty Company	300621	Agent - Property	9/26/2016	2/1/2017
Active	AMCO Insurance Company	300204	Agent - Casualty	8/17/2018
Active	AMCO Insurance Company	300204	Agent - Property	8/17/2018
Active	All Savers Insurance Company	301940	Agent - Health	4/25/2024
Active	All Savers Insurance Company	301940	Agent - Life	4/25/2024
Active	Allied Insurance Company of America	793586	Agent - Casualty	8/17/2018
Active	Allied Insurance Company of America	793586	Agent - Property	8/17/2018
Active	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	8/17/2018
Active	Allied Property and Casualty Insurance Company	300279	Agent - Property	8/17/2018
Active	AmTrust Insurance Company	300179	Agent - Casualty	6/11/2018
Active	AmTrust Insurance Company	300179	Agent - Property	6/11/2018
Active	American Bankers Insurance Company of Florida	300360	Agent - Casualty	11/7/2018
Active	American Bankers Insurance Company of Florida	300360	Agent - Property	11/7/2018
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	5/31/2016	2/1/2017
Inactive	American Fire and Casualty Company	300567	Agent - Property	5/31/2016	2/1/2017
Active	Auto-Owners Insurance Company	301480	Agent - Casualty	11/14/2019
Active	Auto-Owners Insurance Company	301480	Agent - Property	11/14/2019
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	7/28/2014	12/14/2016
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	7/28/2014	12/14/2016
Active	ClearPath Insurance Company	979815	Agent - Casualty	4/26/2018
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	5/31/2016	2/1/2017
Inactive	Consolidated Insurance Company	300943	Agent - Property	5/31/2016	2/1/2017
Active	Dental Concern Inc. (The)	301641	Agent - Health	2/22/2021
Active	Depositors Insurance Company	301634	Agent - Casualty	8/17/2018
Active	Depositors Insurance Company	301634	Agent - Property	8/17/2018
Active	Employers Assurance Company	300120	Agent - Casualty	5/13/2024
Active	Employers Compensation Insurance Company	797885	Agent - Casualty	5/13/2024
Active	Employers Preferred Insurance Company	520656	Agent - Casualty	5/13/2024
Inactive	Farmington Casualty Company	301137	Agent - Casualty	7/28/2014	2/1/2017
Inactive	Farmington Casualty Company	301137	Agent - Property	7/28/2014	2/1/2017
Inactive	Federal Insurance Company	301144	Agent - Casualty	2/20/2019	9/27/2023
Inactive	Federal Insurance Company	301144	Agent - Property	2/20/2019	9/27/2023
Active	General Casualty Company of Wisconsin	300930	Agent - Casualty	4/28/2020
Active	General Casualty Company of Wisconsin	300930	Agent - Property	4/28/2020
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	6/11/2019
Active	Grange Indemnity Insurance Company	300793	Agent - Property	6/11/2019
Active	Grange Insurance Company	300234	Agent - Casualty	6/11/2019
Active	Grange Insurance Company	300234	Agent - Property	6/11/2019
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	6/11/2019
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	6/11/2019
Active	Harleysville Insurance Company	301462	Agent - Property	3/23/2021
Active	Humana Health Plan, Inc.	300142	Agent - Health	2/22/2021
Active	Humana Insurance Company	301104	Agent - Health	2/22/2021
Active	Humana Insurance Company of Kentucky	300826	Agent - Health	2/22/2021
Active	Humana Insurance Company of Kentucky	300826	Agent - Life	2/22/2021
Inactive	Indiana Insurance Company	301909	Agent - Casualty	5/31/2016	2/1/2017
Inactive	Indiana Insurance Company	301909	Agent - Property	5/31/2016	2/1/2017
Inactive	Key Risk Insurance Company	630687	Agent - Casualty	2/24/2020	8/31/2020
Inactive	Key Risk Insurance Company	630687	Agent - Property	2/24/2020	8/31/2020
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	3/19/2015	2/1/2017
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Property	3/19/2015	2/1/2017
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	6/11/2018
Active	Milford Casualty Insurance Company	301460	Agent - Property	6/11/2018
Active	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	1/4/2019
Active	Mount Vernon Fire Insurance Company	301397	Agent - Property	1/4/2019
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	8/17/2018
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	8/17/2018
Active	Nationwide Assurance Company	300166	Agent - Casualty	3/4/2020
Active	Nationwide General Insurance Company	300603	Agent - Casualty	8/28/2019
Active	Nationwide General Insurance Company	300603	Agent - Property	8/28/2019
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	8/28/2019
Active	Nationwide Insurance Company of America	300333	Agent - Property	8/28/2019
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	8/17/2018
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	8/17/2018
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	2/2/2022
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	2/2/2022
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	5/31/2016	2/1/2017
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	5/31/2016	2/1/2017
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	11/5/2018
Active	Ohio Casualty Insurance Company	301492	Agent - Property	11/5/2018
Active	Ohio Security Insurance Company	300622	Agent - Casualty	8/31/2018
Active	Ohio Security Insurance Company	300622	Agent - Property	8/31/2018
Active	Owners Insurance Company	300796	Agent - Casualty	5/26/2021
Active	Owners Insurance Company	300796	Agent - Property	5/26/2021
Inactive	Park National Insurance Company	692514	Agent - Casualty	6/11/2018	7/15/2024
Inactive	Park National Insurance Company	692514	Agent - Property	6/11/2018	7/15/2024
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	5/31/2016	2/1/2017
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	5/31/2016	2/1/2017
Inactive	Peerless Insurance Company	301910	Agent - Casualty	5/31/2016	2/1/2017
Inactive	Peerless Insurance Company	301910	Agent - Property	5/31/2016	2/1/2017
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	5/11/2022
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	5/11/2022
Active	Regent Insurance Company	300411	Agent - Casualty	4/28/2020
Active	Regent Insurance Company	300411	Agent - Property	4/28/2020
Active	Reliance Standard Life Insurance Company	300584	Agent - Health	5/1/2019
Active	Reliance Standard Life Insurance Company	300584	Agent - Life	5/1/2019
Active	Security National Insurance Company	301151	Agent - Casualty	6/11/2018
Active	Security National Insurance Company	301151	Agent - Property	6/11/2018
Active	Sentinel Insurance Company, Limited	501696	Agent - Casualty	5/16/2018
Active	Sentinel Insurance Company, Limited	501696	Agent - Property	5/16/2018
Active	Sequoia Insurance Company	628046	Agent - Casualty	5/5/2020
Active	Sequoia Insurance Company	628046	Agent - Property	5/5/2020
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	1/23/2017	2/1/2017
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	1/23/2017	2/1/2017
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	1/23/2017	2/1/2017
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	1/23/2017	2/1/2017
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	1/23/2017	2/1/2017
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	1/23/2017	2/1/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	1/23/2017	2/1/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	1/23/2017	2/1/2017
Inactive	StarNet Insurance Company	502746	Agent - Casualty	3/20/2020	8/31/2020
Inactive	StarNet Insurance Company	502746	Agent - Property	3/20/2020	8/31/2020
Active	Starr Indemnity and Liability Company	301685	Agent - Casualty	2/11/2020
Active	Starr Indemnity and Liability Company	301685	Agent - Health	2/11/2020
Active	Starr Indemnity and Liability Company	301685	Agent - Property	2/11/2020
Active	Technology Insurance Company	613278	Agent - Casualty	6/11/2018
Active	Technology Insurance Company	613278	Agent - Property	6/11/2018
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	1/23/2017	2/1/2017
Inactive	The Phoenix Insurance Company	301502	Agent - Property	1/23/2017	2/1/2017
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	7/28/2014	2/1/2017
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	7/28/2014	2/1/2017
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	7/28/2014	2/1/2017
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	7/28/2014	2/1/2017
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	7/28/2014	2/1/2017
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	7/28/2014	2/1/2017
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	1/23/2017	2/1/2017
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	1/23/2017	2/1/2017
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	1/23/2017	2/1/2017
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	1/23/2017	2/1/2017
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	1/23/2017	2/1/2017
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	1/23/2017	2/1/2017
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	1/23/2017	2/1/2017
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	1/23/2017	2/1/2017
Active	Trustgard Insurance Company	300104	Agent - Casualty	6/11/2019
Active	Trustgard Insurance Company	300104	Agent - Property	6/11/2019
Active	Twin City Fire Insurance Company	300721	Agent - Casualty	5/14/2018
Active	Twin City Fire Insurance Company	300721	Agent - Property	5/14/2018
Active	UnitedHealthcare Insurance Company	300946	Agent - Health	2/13/2019
Active	UnitedHealthcare Insurance Company	300946	Agent - Life	2/13/2019
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	2/13/2019
Active	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Life	2/13/2019
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	2/13/2019
Active	UnitedHealthcare of Ohio, Inc.	300493	Agent - Life	2/13/2019
Active	Wesco Insurance Company	300534	Agent - Casualty	6/11/2018
Active	Wesco Insurance Company	300534	Agent - Property	6/11/2018
Inactive	West American Insurance Company	301112	Agent - Casualty	5/31/2016	2/1/2017
Inactive	West American Insurance Company	301112	Agent - Property	5/31/2016	2/1/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Floyd, Michael Edward	611312	Agent - Casualty	4/22/2014	11/30/2016
Inactive	Floyd, Michael Edward	611312	Agent - Property	4/22/2014	11/30/2016
Active	Klatt, Cynthia H	1121659	Agent - Casualty	5/26/2021
Active	Klatt, Cynthia H	1121659	Agent - Property	5/26/2021
Active	Rogers, Christopher Wayne	994000	Agent - Health	2/7/2019
Active	Rogers, Christopher Wayne	994000	Agent - Life	2/7/2019
Inactive	Thomas, Dave	914423	Agent - Casualty	4/20/2018	1/31/2022
Inactive	Thomas, Dave	914423	Agent - Property	4/20/2018	1/31/2022