DEPARTMENT OF INSURANCE

Affiliations

Name	Assuredpartners Of Oregon LLC	DOIID	905764	NAIC NPN	17673239

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	2/4/2016		3/31/2026
Active	Non Resident	Agent	Property	2/4/2016		3/31/2026
Inactive	Non Resident	Agent	Life	2/4/2016	4/1/2022
Inactive	Non Resident	Agent	Health	2/4/2016	3/6/2022
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/6/2016		3/31/2026
* 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
Inactive	Allegheny Casualty Company	545740	Agent - Casualty	9/1/2016	12/22/2020
Active	American Family Home Insurance Company	301817	Agent - Casualty	11/27/2023
Active	American Family Home Insurance Company	301817	Agent - Property	11/27/2023
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	10/16/2017
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	10/16/2017
Active	American Home Assurance Company	300246	Agent - Casualty	1/17/2017
Active	American Home Assurance Company	300246	Agent - Property	1/17/2017
Active	American Zurich Insurance Company	300592	Agent - Casualty	10/16/2017
Active	American Zurich Insurance Company	300592	Agent - Property	10/16/2017
Active	Arch Indemnity Insurance Company	301459	Agent - Casualty	10/25/2021
Active	Arch Indemnity Insurance Company	301459	Agent - Property	10/25/2021
Active	Arch Insurance Company	300688	Agent - Casualty	7/5/2016
Active	Arch Insurance Company	300688	Agent - Property	7/5/2016
Active	Commerce and Industry Insurance Company	300881	Agent - Casualty	1/17/2017
Active	Commerce and Industry Insurance Company	300881	Agent - Property	1/17/2017
Active	Gray Insurance Company (The)	301532	Agent - Casualty	5/3/2023
Active	Gray Insurance Company (The)	301532	Agent - Property	5/1/2023
Active	Great American Insurance Company	301586	Agent - Casualty	8/9/2019
Active	Great American Insurance Company	301586	Agent - Property	8/9/2019
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	3/31/2018
Active	Hanover Insurance Company (The)	300508	Agent - Property	3/31/2018
Active	Harco National Insurance Company	300706	Agent - Casualty	3/13/2019
Active	Hudson Insurance Company	523144	Agent - Casualty	3/3/2021
Active	Hudson Insurance Company	523144	Agent - Property	3/3/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/3/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/3/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/3/2016	12/13/2016
Inactive	International Fidelity Insurance Company	301131	Agent - Casualty	8/31/2016	12/18/2023
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	1/17/2017
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	1/17/2017
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	1/16/2024
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	1/16/2024
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	5/6/2021
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	5/6/2021
Active	The Gray Casualty & Surety Company	661857	Agent - Casualty	5/3/2023
Active	The Gray Casualty & Surety Company	661857	Agent - Property	5/1/2023
Active	Travelers Casualty and Surety Company	301067	Agent - Casualty	7/13/2016
Active	Travelers Casualty and Surety Company	301067	Agent - Property	7/13/2016
Active	United Financial Casualty Company	301886	Agent - Casualty	7/24/2020
Active	United Financial Casualty Company	301886	Agent - Property	7/24/2020
Active	Western Surety Company	300283	Agent - Casualty	11/11/2016
Active	Zurich American Insurance Company	301121	Agent - Casualty	10/16/2017
Active	Zurich American Insurance Company	301121	Agent - Property	10/16/2017
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	10/16/2017
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	10/16/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anderson, Eric Earl	311358	Agent - Casualty	2/4/2016	3/6/2022
Inactive	Anderson, Eric Earl	311358	Agent - Health	2/4/2016	3/6/2022
Inactive	Anderson, Eric Earl	311358	Agent - Life	2/4/2016	3/6/2022
Inactive	Anderson, Eric Earl	311358	Agent - Property	2/4/2016	3/6/2022
Active	Brayman Yearous, Eileen Jo	1311497	Agent - Casualty	12/11/2023
Active	Brayman Yearous, Eileen Jo	1311497	Agent - Property	12/11/2023
Inactive	Hustrulid, Cassondra M	1207971	Agent - Casualty	11/2/2022	2/13/2024
Inactive	Hustrulid, Cassondra M	1207971	Agent - Property	11/2/2022	2/13/2024
Active	Jorgensen, Michael Henry	1307925	Surplus Lines Broker - Not Applicable	6/10/2024
Denied	Leatherman, Kenneth Roy	1281159	Agent - Casualty
Denied	Leatherman, Kenneth Roy	1281159	Agent - Property
Active	Leatherman, Kenneth Roy	1281159	Surplus Lines Broker - Not Applicable	8/17/2023
Denied	Mohr, Deborah Elizabeth	1089022	Agent - Casualty
Denied	Mohr, Deborah Elizabeth	1089022	Agent - Property
Inactive	Randall, Michael Alan	921277	Agent - Casualty	5/10/2022	2/13/2024
Inactive	Randall, Michael Alan	921277	Agent - Property	5/10/2022	2/13/2024
Inactive	Randall, Michael Alan	921277	Surplus Lines Broker - Not Applicable	5/10/2022	8/18/2023
Inactive	Reese, Glen Scott	688201	Agent - Casualty	2/8/2016	5/10/2022
Denied	Reese, Glen Scott	688201	Agent - Health
Denied	Reese, Glen Scott	688201	Agent - Life
Inactive	Reese, Glen Scott	688201	Agent - Property	2/8/2016	5/10/2022
Inactive	Reese, Glen Scott	688201	Surplus Lines Broker - Not Applicable	4/6/2016	5/10/2022
Active	Todd, Kayla Wallace	968442	Agent - Casualty	5/20/2024
Active	Todd, Kayla Wallace	968442	Agent - Property	5/20/2024