DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dorn, Gregory Todd	DOIID	847789	NAIC NPN	17055836

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/9/2014	9/28/2016
Inactive	Non Resident	Agent	Health	6/22/2017	10/20/2017
Inactive	Non Resident	Agent	Casualty	8/9/2014	9/28/2016
Inactive	Non Resident	Agent	Life	6/22/2017	10/20/2017
Inactive	Non Resident	Agent	Personal Lines	4/30/2018	4/30/2021
* 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	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	8/13/2014	9/28/2016
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	8/13/2014	9/28/2016
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	7/14/2017	10/16/2017
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	7/14/2017	10/16/2017
Inactive	LM General Insurance Company	300133	Agent - Casualty	8/13/2014	9/28/2016
Inactive	LM General Insurance Company	300133	Agent - Personal Lines	11/23/2018	6/1/2020
Inactive	LM General Insurance Company	300133	Agent - Property	8/13/2014	9/28/2016
Inactive	LM Insurance Corporation	301061	Agent - Casualty	8/13/2014	9/28/2016
Inactive	LM Insurance Corporation	301061	Agent - Personal Lines	3/1/2019	6/1/2020
Inactive	LM Insurance Corporation	301061	Agent - Property	8/13/2014	9/28/2016
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	8/13/2014	9/28/2016
Inactive	Liberty Insurance Corporation	300444	Agent - Personal Lines	3/21/2019	6/1/2020
Inactive	Liberty Insurance Corporation	300444	Agent - Property	8/13/2014	9/28/2016
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	8/13/2014	9/28/2016
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	8/13/2014	9/28/2016
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	8/13/2014	9/28/2016
Inactive	Liberty Mutual Insurance Company	301159	Agent - Personal Lines	1/29/2020	6/1/2020
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	8/13/2014	9/28/2016
Inactive	Liberty Mutual Personal Insurance Company	959584	Agent - Personal Lines	9/7/2018	6/1/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ushealth Advisors Llc	713288	Agent - Life	7/14/2017	10/16/2017
Inactive	Ushealth Advisors Llc	713288	Agent - Health	7/14/2017	10/16/2017