DEPARTMENT OF INSURANCE

Affiliations

Name	Mayne Insurance Agency LLC	DOIID	906396	NAIC NPN	17852118

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	11/14/2023		3/31/2026
Active	Resident	Agent	Property	2/15/2016		3/31/2026
Active	Resident	Agent	Casualty	2/15/2016		3/31/2026
Inactive	Resident	Agent	Health	11/14/2023	7/24/2024
* 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	ACE American Insurance Company	300625	Agent - Casualty	8/2/2017
Active	ACE American Insurance Company	300625	Agent - Property	8/2/2017
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	8/2/2017
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	8/2/2017
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	8/2/2017
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	8/2/2017
Active	AMCO Insurance Company	300204	Agent - Casualty	6/24/2019
Active	AMCO Insurance Company	300204	Agent - Property	6/24/2019
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	3/15/2024	7/24/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/15/2024	7/24/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/15/2024	7/24/2024
Active	Allied Insurance Company of America	793586	Agent - Casualty	6/24/2019
Active	Allied Insurance Company of America	793586	Agent - Property	6/24/2019
Active	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	6/24/2019
Active	Allied Property and Casualty Insurance Company	300279	Agent - Property	6/24/2019
Inactive	American Commerce Insurance Company	301665	Agent - Casualty	2/24/2016	3/31/2018
Inactive	American Commerce Insurance Company	301665	Agent - Property	2/24/2016	3/31/2018
Active	American Economy Insurance Company	300315	Agent - Casualty	4/25/2024
Active	American Economy Insurance Company	300315	Agent - Property	4/25/2024
Inactive	Assurity Life Insurance Company	301099	Agent - Health	11/22/2023	7/24/2024
Inactive	Assurity Life Insurance Company	301099	Agent - Life	11/22/2023	12/9/2024
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	6/8/2018
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	6/8/2018
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	8/2/2017
Active	Bankers Standard Insurance Company	301620	Agent - Property	8/2/2017
Active	Branch Insurance Exchange	1143306	Agent - Casualty	11/21/2024
Active	Branch Insurance Exchange	1143306	Agent - Property	12/9/2024
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	4/8/2020	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	4/8/2020	12/20/2024
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	6/8/2018	12/9/2019
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	6/8/2018	12/9/2019
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	12/4/2023	7/24/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	12/4/2023	1/6/2025
Active	Chubb Indemnity Insurance Company	300438	Agent - Casualty	8/2/2017
Active	Chubb Indemnity Insurance Company	300438	Agent - Property	8/2/2017
Active	Chubb National Insurance Company	301392	Agent - Casualty	8/2/2017
Active	Chubb National Insurance Company	301392	Agent - Property	8/2/2017
Inactive	ClearPath Insurance Company	979815	Agent - Casualty	1/23/2019	1/9/2025
Active	Clearcover Insurance Company	1118667	Agent - Casualty	3/1/2022
Active	Clearcover Insurance Company	1118667	Agent - Property	3/1/2022
Active	Depositors Insurance Company	301634	Agent - Casualty	6/24/2019
Active	Depositors Insurance Company	301634	Agent - Property	6/24/2019
Inactive	Economy Preferred Insurance Company	300480	Agent - Casualty	3/12/2018	12/25/2020
Inactive	Economy Preferred Insurance Company	300480	Agent - Property	3/12/2018	12/25/2020
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	3/15/2019	10/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	3/15/2019	10/3/2024
Active	Executive Risk Indemnity Inc.	301510	Agent - Casualty	8/2/2017
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	3/14/2018	12/20/2024
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	3/14/2018	12/20/2024
Inactive	Farmington Casualty Company	301137	Agent - Casualty	4/9/2021	11/4/2022
Inactive	Farmington Casualty Company	301137	Agent - Property	4/9/2021	11/4/2022
Active	Federal Insurance Company	301144	Agent - Casualty	8/2/2017
Active	Federal Insurance Company	301144	Agent - Property	8/2/2017
Active	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	12/2/2021
Active	Fidelity and Guaranty Insurance Company	301009	Agent - Property	12/2/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/18/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/18/2020
Active	Great Northern Insurance Company	301107	Agent - Casualty	8/2/2017
Active	Great Northern Insurance Company	301107	Agent - Property	8/2/2017
Inactive	Great Western Insurance Company	501693	Agent - Life	12/28/2023	8/26/2024
Active	Kentucky Home Life Insurance Company	300477	Agent - Life	11/20/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Life	12/20/2023	11/21/2024
Active	Meridian Security Insurance Company	300423	Agent - Casualty	4/8/2016
Active	Meridian Security Insurance Company	300423	Agent - Property	4/8/2016
Active	Milbank Insurance Company	925185	Agent - Casualty	11/8/2017
Active	Milbank Insurance Company	925185	Agent - Property	11/8/2017
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	6/24/2019
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	6/24/2019
Active	Nationwide Assurance Company	300166	Agent - Casualty	3/4/2020
Active	Nationwide Assurance Company	300166	Agent - Property	6/5/2023
Active	Nationwide General Insurance Company	300603	Agent - Casualty	8/28/2019
Active	Nationwide General Insurance Company	300603	Agent - Property	8/28/2019
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	8/28/2019
Active	Nationwide Insurance Company of America	300333	Agent - Property	8/28/2019
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	6/24/2019
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	6/24/2019
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	11/14/2019
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	11/14/2019
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	8/2/2017
Active	Pacific Employers Insurance Company	301753	Agent - Property	8/2/2017
Active	Pacific Indemnity Company	301610	Agent - Casualty	8/2/2017
Active	Pacific Indemnity Company	301610	Agent - Property	8/2/2017
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	2/4/2020
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	2/4/2020
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/14/2017
Active	Progressive Casualty Insurance Company	300696	Agent - Property	3/14/2017
Active	S.USA Life Insurance Company, Inc.	301774	Agent - Life	12/28/2023
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	4/30/2024
Active	SAFECO Insurance Company of America	300159	Agent - Property	4/30/2024
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	5/16/2024
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	5/16/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	3/15/2024	7/24/2024
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	12/8/2021	11/4/2022
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	12/8/2021	11/4/2022
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	6/8/2018
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	6/8/2018
Active	Standard Life and Casualty Insurance Company	301699	Agent - Life	1/4/2024
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	4/8/2016
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	4/8/2016
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	4/8/2016
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	4/8/2016
Denied	Symetra Life Insurance Company	301691	Agent - Health
Active	Symetra Life Insurance Company	301691	Agent - Life	7/30/2024
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	1/13/2020	11/26/2024
Inactive	The Phoenix Insurance Company	301502	Agent - Property	1/13/2020	11/26/2024
Active	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	6/8/2018
Active	Travelers Casualty Insurance Company of America	300522	Agent - Property	6/8/2018
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	6/8/2018
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	6/8/2018
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	6/8/2018
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	6/8/2018
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	6/8/2018	12/15/2020
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	6/8/2018	12/15/2020
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	12/8/2021	11/4/2022
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	12/8/2021	11/4/2022
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	6/8/2018	12/9/2019
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	6/8/2018	12/9/2019
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	4/17/2019
Active	Travelers Personal Insurance Company	705785	Agent - Property	4/17/2019
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	4/13/2021
Active	Travelers Property Casualty Company of America	301649	Agent - Property	4/13/2021
Active	Twin City Fire Insurance Company	300721	Agent - Casualty	5/27/2019
Active	Twin City Fire Insurance Company	300721	Agent - Property	5/27/2019
Active	United Financial Casualty Company	301886	Agent - Casualty	3/14/2017
Active	United Financial Casualty Company	301886	Agent - Property	3/14/2017
Active	Vigilant Insurance Company	301143	Agent - Casualty	8/2/2017
Active	Vigilant Insurance Company	301143	Agent - Property	8/2/2017
Inactive	West Bend Insurance Company	672974	Agent - Casualty	3/22/2017	7/23/2020
Inactive	West Bend Insurance Company	672974	Agent - Property	3/22/2017	7/23/2020
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	8/2/2017
Active	Westchester Fire Insurance Company	300990	Agent - Property	8/2/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bethel, Michael Glen	521705	Agent - Casualty	11/20/2017	2/1/2019
Inactive	Bethel, Michael Glen	521705	Agent - Life	11/20/2017	2/1/2018
Inactive	Bethel, Michael Glen	521705	Agent - Property	11/20/2017	2/1/2019
Active	Blair, Kyle	1343792	Agent - Casualty	6/22/2024
Active	Blair, Kyle	1343792	Agent - Life	7/30/2024
Active	Blair, Kyle	1343792	Agent - Property	6/22/2024
Active	Gramig, David Andrew	911076	Agent - Casualty	8/15/2017
Active	Gramig, David Andrew	911076	Agent - Property	8/15/2017
Active	Gramig, Steven Bruce	687505	Agent - Casualty	11/15/2023
Active	Gramig, Steven Bruce	687505	Agent - Property	11/15/2023
Active	McKenzie, Jim	1053385	Agent - Casualty	1/7/2020
Active	McKenzie, Jim	1053385	Agent - Property	1/7/2020
Inactive	McVeigh, Deborah Rae	335137	Agent - Casualty	4/13/2016	8/1/2022
Inactive	McVeigh, Deborah Rae	335137	Agent - Life	2/15/2016	8/1/2022
Inactive	McVeigh, Deborah Rae	335137	Agent - Property	4/13/2016	8/1/2022
Inactive	Ryan, Chad Aaron	965588	Agent - Health	11/14/2023	7/24/2024
Inactive	Ryan, Chad Aaron	965588	Agent - Life	11/14/2023	7/24/2024
Inactive	Sharp, Jason G	1135483	Agent - Casualty	9/17/2024	12/31/2024
Inactive	Sharp, Jason G	1135483	Agent - Property	9/17/2024	12/31/2024
Inactive	Tate, Jason Lee	1047497	Agent - Casualty	8/20/2019	6/30/2022
Inactive	Tate, Jason Lee	1047497	Agent - Property	8/20/2019	6/30/2022