DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	River Valley Insurance Inc	DOIID	985700	NAIC NPN	13829413

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	2/26/2018	3/31/2022
Inactive	Non Resident	Agent	Life	8/14/2019	3/31/2022
Inactive	Non Resident	Agent	Health	8/14/2019	3/31/2022
Inactive	Non Resident	Agent	Property	2/26/2018	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	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	3/31/2022
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	3/31/2022
Inactive	Humana Benefit Plan of Illinois, Inc.	781543	Agent - Health	11/13/2019	12/15/2020
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	11/13/2019	12/15/2020
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/13/2019	12/15/2020
Inactive	Humana Insurance Company	301104	Agent - Health	11/13/2019	12/15/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/13/2019	12/15/2020
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/13/2019	12/15/2020
Inactive	Humana Medical Plan, Inc.	801568	Agent - Health	11/13/2019	12/15/2020
Inactive	Humana Wisconsin Health Organization Insurance Corporation	830687	Agent - Health	11/13/2019	12/15/2020
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/4/2018	3/31/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/4/2018	3/31/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/4/2018	3/31/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/4/2018	3/31/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Prophet, Jeffrey R	982240	Agent - Casualty	2/26/2018	3/31/2022
Inactive	Prophet, Jeffrey R	982240	Agent - Property	2/26/2018	3/31/2022
Inactive	Troyer, Bryan	513552	Agent - Health	8/14/2019	3/31/2022
Inactive	Troyer, Bryan	513552	Agent - Life	8/14/2019	3/31/2022