DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pb Personal Insurance	DOIID	926399	NAIC NPN	18087568

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Personal Lines
Inactive	Resident	Agent	Casualty	9/8/2016	3/31/2022
Inactive	Resident	Agent	Property	9/8/2016	3/31/2022
* 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	Meridian Security Insurance Company	300423	Agent - Casualty	2/1/2017	3/31/2022
Inactive	Meridian Security Insurance Company	300423	Agent - Property	2/1/2017	3/31/2022
Inactive	Milbank Insurance Company	925185	Agent - Casualty	11/8/2017	3/31/2022
Inactive	Milbank Insurance Company	925185	Agent - Property	11/8/2017	3/31/2022
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	2/1/2017	3/31/2022
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	2/1/2017	3/31/2022
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	2/1/2017	3/31/2022
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	2/1/2017	3/31/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Andrews, Taylor	887380	Agent - Casualty	9/8/2016	12/31/2021
Inactive	Andrews, Taylor	887380	Agent - Property	9/8/2016	12/31/2021
Inactive	Farnsley, Mindy Payne	616735	Agent - Casualty	1/24/2017	3/31/2022
Inactive	Farnsley, Mindy Payne	616735	Agent - Property	1/24/2017	3/31/2022