DEPARTMENT OF INSURANCE

Affiliations

Name	Simons, Larry John	DOIID	889413	NAIC NPN	3761882

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/1/2015	10/31/2026
Active	Non Resident	Agent	Property	9/1/2015	10/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	1/13/2017	10/31/2026
* 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
Active	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/9/2019
Active	American Fire and Casualty Company	300567	Agent - Casualty	1/14/2016
Active	American Fire and Casualty Company	300567	Agent - Property	1/14/2016
Inactive	BrickStreet Mutual Insurance Company	709251	Agent - Casualty	11/27/2021	11/27/2021
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	1/14/2016	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	1/14/2016	10/13/2022
Inactive	Indiana Insurance Company	301909	Agent - Casualty	1/14/2016	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	1/14/2016	2/3/2023
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	1/14/2016	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	1/14/2016	4/26/2024
Inactive	NorthStone Insurance Company	818905	Agent - Casualty	11/27/2021	11/27/2021
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	1/14/2016
Active	Ohio Casualty Insurance Company	301492	Agent - Property	1/14/2016
Active	Ohio Security Insurance Company	300622	Agent - Casualty	1/14/2016
Active	Ohio Security Insurance Company	300622	Agent - Property	1/14/2016
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	1/14/2016
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	1/14/2016
Inactive	Peerless Insurance Company	301910	Agent - Casualty	1/14/2016	5/8/2025
Inactive	Peerless Insurance Company	301910	Agent - Property	1/14/2016	5/8/2025
Inactive	PinnaclePoint Insurance Company	819085	Agent - Casualty	11/27/2021	11/27/2021
Active	RLI Insurance Company	301217	Agent - Casualty	12/18/2018
Active	RLI Insurance Company	301217	Agent - Property	12/18/2018
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	1/14/2016
Active	SAFECO Insurance Company of America	300159	Agent - Property	1/14/2016
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	1/14/2016
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	1/14/2016
Inactive	SummitPoint Insurance Company	819084	Agent - Casualty	11/27/2021	11/27/2021
Active	West American Insurance Company	301112	Agent - Casualty	1/14/2016
Active	West American Insurance Company	301112	Agent - Property	1/14/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Assuredpartners Of Indiana Llc	804612	Agent - Casualty	1/14/2016
Active	Assuredpartners Of Indiana Llc	804612	Agent - Property	1/14/2016
Active	Assuredpartners Of Indiana Llc	804612	Surplus Lines Broker - Not Applicable	1/17/2017