DEPARTMENT OF INSURANCE

Affiliations

Name	Ely, Elizabeth A	DOIID	845614	NAIC NPN	8339241

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/15/2018	11/30/2025
Active	Non Resident	Agent	Property	8/15/2018	11/30/2025
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/8/2022	11/30/2025
* 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	American Fire and Casualty Company	300567	Agent - Casualty	11/20/2014	12/7/2015
Inactive	American Fire and Casualty Company	300567	Agent - Property	11/20/2014	12/7/2015
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	11/20/2014	12/7/2015
Inactive	Consolidated Insurance Company	300943	Agent - Property	11/20/2014	12/7/2015
Inactive	Employers Insurance Company of Wausau	301813	Agent - Casualty	7/30/2014	12/7/2015
Inactive	Employers Insurance Company of Wausau	301813	Agent - Property	7/30/2014	12/7/2015
Inactive	Farmington Casualty Company	301137	Agent - Casualty	8/28/2018	8/3/2022
Inactive	Farmington Casualty Company	301137	Agent - Property	8/28/2018	8/3/2022
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	7/30/2014	12/7/2015
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	7/30/2014	12/7/2015
Inactive	Indiana Insurance Company	301909	Agent - Casualty	11/20/2014	12/7/2015
Inactive	Indiana Insurance Company	301909	Agent - Property	11/20/2014	12/7/2015
Inactive	LM Insurance Corporation	301061	Agent - Casualty	7/30/2014	12/7/2015
Inactive	LM Insurance Corporation	301061	Agent - Property	7/30/2014	12/7/2015
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	7/30/2014	12/7/2015
Inactive	Liberty Insurance Corporation	300444	Agent - Property	7/30/2014	12/7/2015
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	7/30/2014	12/7/2015
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	7/30/2014	12/7/2015
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	7/30/2014	12/7/2015
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	7/30/2014	12/7/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	11/20/2014	12/7/2015
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	11/20/2014	12/7/2015
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	7/14/2021	11/30/2022
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	7/14/2021	11/30/2022
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	3/19/2019	11/30/2022
Inactive	Ohio Security Insurance Company	300622	Agent - Property	3/19/2019	11/30/2022
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	11/20/2014	12/7/2015
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	11/20/2014	12/7/2015
Inactive	Peerless Insurance Company	301910	Agent - Casualty	11/20/2014	12/7/2015
Inactive	Peerless Insurance Company	301910	Agent - Property	11/20/2014	12/7/2015
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	8/28/2018	12/9/2019
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	8/28/2018	12/9/2019
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	8/28/2018	12/9/2019
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	8/28/2018	12/9/2019
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	8/28/2018	12/9/2019
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	8/28/2018	12/9/2019
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/28/2018	8/3/2022
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/28/2018	8/3/2022
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/28/2018	8/3/2022
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/28/2018	8/3/2022
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	8/28/2018	8/3/2022
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	8/28/2018	8/3/2022
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	8/28/2018	8/3/2022
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	8/28/2018	8/3/2022
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	8/28/2018	8/3/2022
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	8/28/2018	8/3/2022
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	8/28/2018	8/3/2022
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	8/28/2018	8/3/2022
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	8/28/2018	8/3/2022
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	8/28/2018	8/3/2022
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	8/28/2018	8/3/2022
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	8/28/2018	8/3/2022
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	8/28/2018	8/3/2022
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	8/28/2018	8/3/2022
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	7/30/2014	8/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	7/30/2014	8/31/2015
Inactive	West American Insurance Company	301112	Agent - Casualty	11/20/2014	12/7/2015
Inactive	West American Insurance Company	301112	Agent - Property	11/20/2014	12/7/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dutchie Insurance Services LLC	1198073	Agent - Casualty	4/8/2022	11/30/2022
Inactive	Dutchie Insurance Services LLC	1198073	Agent - Property	4/8/2022	11/30/2022
Active	Dutchie Insurance Services LLC	1198073	Surplus Lines Broker - Not Applicable	4/19/2022
Inactive	Paychex Insurance Agency Inc	509469	Agent - Casualty	7/30/2014	12/3/2015
Inactive	Paychex Insurance Agency Inc	509469	Agent - Property	7/30/2014	12/3/2015