DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hays, David E	DOIID	876565	NAIC NPN	7379682

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	4/30/2015		4/30/2026
Active	Non Resident	Agent	Casualty	4/30/2015		4/30/2026
Active	Non Resident	Agent	Life	4/30/2015		4/30/2026
Active	Non Resident	Agent	Health	4/30/2015		4/30/2026
Active	Non Resident	Agent	Travel	3/30/2021		4/30/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	9/25/2020		4/30/2026
* 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
Active	Berkshire Hathaway Specialty Insurance Company	300908	Agent - Casualty	10/18/2017
Active	Berkshire Hathaway Specialty Insurance Company	300908	Agent - Property	10/18/2017
Active	Century-National Insurance Company	300540	Agent - Casualty	5/3/2021
Active	Century-National Insurance Company	300540	Agent - Property	5/3/2021
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	11/29/2017
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	11/29/2017
Active	Praetorian Insurance Company	301021	Agent - Casualty	3/12/2021
Active	Praetorian Insurance Company	301021	Agent - Property	3/12/2021
Active	Spinnaker Insurance Company	300099	Agent - Casualty	4/30/2021
Active	Spinnaker Insurance Company	300099	Agent - Property	4/30/2021
Active	Trisura Insurance Company	1077019	Agent - Casualty	5/11/2022
Active	Trisura Insurance Company	1077019	Agent - Property	5/11/2022
Active	United States Fire Insurance Company	582240	Agent - Casualty	8/31/2023
Active	United States Fire Insurance Company	582240	Agent - Health	8/31/2023
Active	United States Fire Insurance Company	582240	Agent - Property	8/31/2023
Active	United States Fire Insurance Company	582240	Agent - Travel	8/31/2023

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Epremium Insurance Agency LLC	684937	Agent - Casualty	10/13/2020
Active	Epremium Insurance Agency LLC	684937	Agent - Property	10/13/2020
Active	Epremium Insurance Agency LLC	684937	Surplus Lines Broker - Not Applicable	10/13/2020
Denied	Pac7 LLC	896791	Agent - Casualty
Denied	Pac7 LLC	896791	Agent - Property
Active	Resman Insurance Agency LLC	997568	Agent - Casualty	3/14/2022
Active	Resman Insurance Agency LLC	997568	Agent - Property	3/14/2022
Active	Resman Insurance Agency LLC	997568	Surplus Lines Broker - Not Applicable	3/17/2022
Active	Sandhills Insurance Group, LLC	972859	Agent - Casualty	11/13/2017
Active	Sandhills Insurance Group, LLC	972859	Agent - Property	11/13/2017
Active	Sandhills Insurance Group, LLC	972859	Surplus Lines Broker - Not Applicable	12/14/2023
Active	Sandhills Insurance Group, LLC	972859	Agent - Travel	3/1/2022