DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Four Rivers Insurance Agency LLC	DOIID	904192	NAIC NPN	17827566

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	1/15/2016		3/31/2026
Active	Resident	Agent	Property	1/15/2016		3/31/2026
Active	Resident	Agent	Life	2/15/2016		3/31/2026
Denied	Resident	Agent	Personal Lines
* 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	Erie Family Life Insurance Company	301400	Agent - Life	3/30/2016
Active	Erie Insurance Company	300230	Agent - Casualty	2/15/2016
Active	Erie Insurance Company	300230	Agent - Property	2/15/2016
Active	Erie Insurance Company of New York	789916	Agent - Casualty	2/15/2016
Active	Erie Insurance Company of New York	789916	Agent - Property	2/15/2016
Active	Erie Insurance Exchange	300789	Agent - Casualty	2/15/2016
Active	Erie Insurance Exchange	300789	Agent - Property	2/15/2016
Active	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	2/15/2016
Active	Erie Insurance Property & Casualty Company	789942	Agent - Property	2/15/2016
Active	Flagship City Insurance Company	789965	Agent - Casualty	2/15/2016
Active	Flagship City Insurance Company	789965	Agent - Property	2/15/2016
Active	Kentucky Home Life Insurance Company	300477	Agent - Life	6/24/2020
Inactive	Milbank Insurance Company	925185	Agent - Casualty	1/24/2020	2/1/2023
Inactive	Milbank Insurance Company	925185	Agent - Property	1/24/2020	2/1/2023
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/15/2016
Active	Progressive Casualty Insurance Company	300696	Agent - Property	3/15/2016
Active	United Financial Casualty Company	301886	Agent - Casualty	3/15/2016
Active	United Financial Casualty Company	301886	Agent - Property	3/15/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Austin, Robert Tyler	597832	Agent - Casualty	1/15/2016
Active	Austin, Robert Tyler	597832	Agent - Life	2/15/2016
Active	Austin, Robert Tyler	597832	Agent - Property	1/15/2016