DEPARTMENT OF INSURANCE

Affiliations

Name	Thomas, Dave	DOIID	914423	NAIC NPN	17927629

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	5/4/2016	1/31/2022
Inactive	Non Resident	Agent	Casualty	5/4/2016	1/31/2022
* 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	AIG Property Casualty Company	300621	Agent - Casualty	10/23/2017	1/31/2022
Inactive	AIG Property Casualty Company	300621	Agent - Property	10/23/2017	1/31/2022
Inactive	American Contractors Indemnity Company	536843	Agent - Casualty	7/28/2017	1/31/2022
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	5/31/2016	10/15/2021
Inactive	American Fire and Casualty Company	300567	Agent - Property	5/31/2016	10/15/2021
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	11/14/2019	12/14/2021
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	11/14/2019	12/14/2021
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	5/31/2016	1/31/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	5/31/2016	1/31/2022
Inactive	Farmington Casualty Company	301137	Agent - Casualty	1/23/2017	11/3/2021
Inactive	Farmington Casualty Company	301137	Agent - Property	1/23/2017	11/3/2021
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	5/6/2020	1/31/2022
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	5/6/2020	1/31/2022
Inactive	Grange Insurance Company	300234	Agent - Casualty	5/6/2020	1/31/2022
Inactive	Grange Insurance Company	300234	Agent - Property	5/6/2020	1/31/2022
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	5/6/2020	1/31/2022
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	5/6/2020	1/31/2022
Inactive	Indiana Insurance Company	301909	Agent - Casualty	5/31/2016	1/31/2022
Inactive	Indiana Insurance Company	301909	Agent - Property	5/31/2016	1/31/2022
Inactive	Key Risk Insurance Company	630687	Agent - Casualty	2/24/2020	8/26/2020
Inactive	Key Risk Insurance Company	630687	Agent - Property	2/24/2020	8/26/2020
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	7/31/2019	12/17/2021
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Property	7/31/2019	12/17/2021
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	5/31/2016	1/31/2022
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	5/31/2016	1/31/2022
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	5/31/2016	1/31/2022
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	5/31/2016	1/31/2022
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	5/31/2016	1/31/2022
Inactive	Ohio Security Insurance Company	300622	Agent - Property	5/31/2016	1/31/2022
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	5/31/2016	1/31/2022
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	5/31/2016	1/31/2022
Inactive	Peerless Insurance Company	301910	Agent - Casualty	5/31/2016	1/31/2022
Inactive	Peerless Insurance Company	301910	Agent - Property	5/31/2016	1/31/2022
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	5/24/2018	12/18/2019
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	5/24/2018	12/18/2019
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	1/23/2017	11/30/2017
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	1/23/2017	11/30/2017
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	1/23/2017	11/30/2017
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	1/23/2017	11/30/2017
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	1/23/2017	11/30/2017
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	1/23/2017	11/30/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	1/23/2017	11/3/2021
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	1/23/2017	11/3/2021
Inactive	StarNet Insurance Company	502746	Agent - Casualty	3/20/2020	8/26/2020
Inactive	StarNet Insurance Company	502746	Agent - Property	3/20/2020	8/26/2020
Inactive	Starr Indemnity and Liability Company	301685	Agent - Casualty	2/12/2020	1/31/2022
Inactive	Starr Indemnity and Liability Company	301685	Agent - Property	2/12/2020	1/31/2022
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	1/23/2017	11/30/2017
Inactive	The Phoenix Insurance Company	301502	Agent - Property	1/23/2017	11/30/2017
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	1/23/2017	11/30/2017
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	1/23/2017	11/30/2017
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	1/23/2017	11/3/2021
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	1/23/2017	11/3/2021
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	1/23/2017	11/3/2021
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	1/23/2017	11/3/2021
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	1/23/2017	11/30/2017
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	1/23/2017	11/30/2017
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	1/23/2017	11/30/2017
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	1/23/2017	11/30/2017
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	1/23/2017	11/30/2017
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	1/23/2017	11/30/2017
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	1/23/2017	12/20/2018
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	1/23/2017	12/20/2018
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	5/6/2020	1/31/2022
Inactive	Trustgard Insurance Company	300104	Agent - Property	5/6/2020	1/31/2022
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	5/14/2018	3/15/2021
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	5/14/2018	3/15/2021
Inactive	U.S. Specialty Insurance Company	300186	Agent - Casualty	7/28/2017	1/31/2022
Inactive	West American Insurance Company	301112	Agent - Casualty	5/31/2016	1/31/2022
Inactive	West American Insurance Company	301112	Agent - Property	5/31/2016	1/31/2022

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kemmons Wilson Insurance Group LLC	838854	Agent - Property	4/20/2018	1/31/2022
Inactive	Kemmons Wilson Insurance Group LLC	838854	Agent - Casualty	4/20/2018	1/31/2022
Inactive	Vertigo, Llc	1174072	Agent - Property	11/24/2021	1/31/2022
Inactive	Vertigo, Llc	1174072	Agent - Casualty	11/24/2021	1/31/2022