DEPARTMENT OF INSURANCE

Affiliations

Name	Affordable American INS	DOIID	1040584	NAIC NPN	8331232

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	12/5/2019	3/31/2027
Active	Non Resident	Agent	Property	12/5/2019	3/31/2027
Active	Non Resident	Agent	Life	12/5/2019	3/31/2027
Denied	Non Resident	Agent	Health
Denied	Non Resident	Managing General Agent	Not Applicable
* 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	AMCO Insurance Company	300204	Agent - Casualty	2/28/2020
Active	AMCO Insurance Company	300204	Agent - Property	2/28/2020
Active	Allied Insurance Company of America	793586	Agent - Casualty	2/2/2022
Active	Allied Insurance Company of America	793586	Agent - Property	2/2/2022
Active	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	2/28/2020
Active	Allied Property and Casualty Insurance Company	300279	Agent - Property	2/28/2020
Active	American Economy Insurance Company	300315	Agent - Casualty	4/23/2024
Active	American Economy Insurance Company	300315	Agent - Property	4/23/2024
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/11/2021	7/7/2022
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	4/18/2022
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	4/18/2022
Active	American Strategic Insurance Corp	883540	Agent - Casualty	1/27/2023
Active	American Strategic Insurance Corp	883540	Agent - Property	1/27/2023
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	1/14/2025
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	1/14/2025
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	3/5/2020	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/5/2020	12/20/2024
Active	CSAA Fire & Casualty Insurance Company	606666	Agent - Casualty	5/9/2023
Active	CSAA Fire & Casualty Insurance Company	606666	Agent - Property	5/9/2023
Active	CSAA General Insurance Company	606675	Agent - Casualty	5/9/2023
Active	CSAA General Insurance Company	606675	Agent - Property	5/9/2023
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	6/21/2024
Active	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	6/21/2024
Active	Depositors Insurance Company	301634	Agent - Casualty	2/28/2020
Active	Depositors Insurance Company	301634	Agent - Property	2/28/2020
Active	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	2/12/2024
Active	Fidelity and Guaranty Insurance Company	301009	Agent - Property	2/12/2024
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/5/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/5/2020
Active	Hartford Accident and Indemnity Company	301917	Agent - Casualty	6/21/2023
Active	Hartford Accident and Indemnity Company	301917	Agent - Property	6/21/2023
Active	Markel Insurance Company	301475	Agent - Casualty	10/21/2024
Active	Markel Insurance Company	301475	Agent - Property	10/21/2024
Active	National Specialty Insurance Company	300993	Agent - Casualty	4/26/2022
Active	National Specialty Insurance Company	300993	Agent - Property	4/26/2022
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	2/28/2020
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	2/28/2020
Active	Nationwide Assurance Company	300166	Agent - Casualty	3/4/2020
Active	Nationwide Assurance Company	300166	Agent - Property	9/13/2022
Active	Nationwide General Insurance Company	300603	Agent - Casualty	2/28/2020
Active	Nationwide General Insurance Company	300603	Agent - Property	2/28/2020
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	2/28/2020
Active	Nationwide Insurance Company of America	300333	Agent - Property	2/28/2020
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	2/28/2020
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	2/28/2020
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	2/2/2022
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	2/2/2022
Active	Next Insurance US Company	1083825	Agent - Casualty	4/26/2022
Active	Next Insurance US Company	1083825	Agent - Property	4/26/2022
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	5/28/2025
Active	Ohio Casualty Insurance Company	301492	Agent - Property	5/28/2025
Active	Ohio Security Insurance Company	300622	Agent - Casualty	4/7/2024
Active	Ohio Security Insurance Company	300622	Agent - Property	4/7/2024
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	1/24/2023
Active	Progressive Casualty Insurance Company	300696	Agent - Property	1/24/2023
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	7/15/2024
Active	SAFECO Insurance Company of America	300159	Agent - Property	7/15/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	3/5/2020	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	3/5/2020	3/29/2024
Active	Selective Insurance Company of the Southeast	300381	Agent - Casualty	8/4/2021
Active	Selective Insurance Company of the Southeast	300381	Agent - Property	8/4/2021
Inactive	Spinnaker Insurance Company	300099	Agent - Property	3/22/2021	12/9/2023
Active	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	6/21/2024
Active	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	6/21/2024
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	7/16/2020
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	7/16/2020
Active	State National Insurance Company, Inc.	300888	Agent - Casualty	4/26/2022
Active	State National Insurance Company, Inc.	300888	Agent - Property	4/26/2022
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	2/22/2021	11/4/2022
Inactive	The Phoenix Insurance Company	301502	Agent - Property	2/22/2021	11/4/2022
Active	TravCo Insurance Company	301828	Agent - Casualty	2/7/2025
Active	TravCo Insurance Company	301828	Agent - Property	2/7/2025
Active	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	1/8/2024
Active	Travelers Casualty Insurance Company of America	300522	Agent - Property	1/8/2024
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	5/25/2022
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	5/25/2022
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	2/22/2021	11/4/2022
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	2/22/2021	11/4/2022
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	6/21/2024
Active	Travelers Indemnity Company (The)	301855	Agent - Property	6/21/2024
Active	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	6/21/2024
Active	Travelers Indemnity Company of America (The)	301093	Agent - Property	6/21/2024
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	6/21/2024
Active	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	6/21/2024
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	3/18/2021
Active	Travelers Personal Insurance Company	705785	Agent - Property	3/18/2021
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	6/21/2024
Active	Travelers Property Casualty Company of America	301649	Agent - Property	6/21/2024
Active	United Financial Casualty Company	301886	Agent - Casualty	1/24/2023
Active	United Financial Casualty Company	301886	Agent - Property	1/24/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Chandler, Steven L	1229152	Agent - Casualty	11/22/2022
Denied	Chandler, Steven L	1229152	Agent - Life
Active	Chandler, Steven L	1229152	Agent - Property	11/22/2022
Inactive	Conner, Jason Matthew	972408	Agent - Casualty	4/12/2022	4/28/2022
Inactive	Conner, Jason Matthew	972408	Agent - Life	4/12/2022	11/17/2022
Inactive	Conner, Jason Matthew	972408	Agent - Property	4/12/2022	4/28/2022
Active	Contreras, Andrea	1116733	Agent - Casualty	9/3/2024
Active	Contreras, Andrea	1116733	Agent - Property	2/22/2021
Active	Contreras, Edwin Alfredo	1052526	Agent - Casualty	2/10/2021
Active	Contreras, Edwin Alfredo	1052526	Agent - Life	3/30/2021
Active	Contreras, Edwin Alfredo	1052526	Agent - Property	2/10/2021
Denied	Diyali, Shaan Ti	1048014	Agent - Casualty
Inactive	Diyali, Shaan Ti	1048014	Agent - Life	6/4/2020	4/30/2021
Denied	Diyali, Shaan Ti	1048014	Agent - Property
Active	Fernandez, Anthony D	1039319	Agent - Casualty	12/5/2019
Inactive	Fernandez, Anthony D	1039319	Agent - Life	12/5/2019	7/7/2022
Active	Fernandez, Anthony D	1039319	Agent - Property	12/5/2019
Active	Genuis, Samuel	1182102	Agent - Casualty	6/4/2025
Active	Genuis, Samuel	1182102	Agent - Property	6/4/2025
Active	Henzgen, Nicholas Michael	1397136	Agent - Casualty	6/11/2025
Active	Henzgen, Nicholas Michael	1397136	Agent - Property	6/11/2025
Denied	Patel, Manish Ratibhai	1229440	Agent - Casualty
Denied	Patel, Manish Ratibhai	1229440	Agent - Life
Denied	Patel, Manish Ratibhai	1229440	Agent - Property