DEPARTMENT OF INSURANCE

Affiliations

Name	Evertree Mid-Atlantic Insurance Services, LLC	DOIID	1181590	NAIC NPN	20183798

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Casualty	1/6/2022	3/31/2026
Active	Non Resident	Agent	Health	7/13/2022	3/31/2026
Active	Non Resident	Agent	Property	1/6/2022	3/31/2026
Active	Non Resident	Agent	Life	7/13/2022	3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AMCO Insurance Company	300204	Agent - Casualty	4/3/2023
Active	AMCO Insurance Company	300204	Agent - Property	4/3/2023
Active	Allied Insurance Company of America	793586	Agent - Casualty	4/3/2023
Active	Allied Insurance Company of America	793586	Agent - Property	4/3/2023
Active	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	4/3/2023
Active	Allied Property and Casualty Insurance Company	300279	Agent - Property	4/3/2023
Active	Allstate Indemnity Company	300778	Agent - Casualty	1/11/2023
Active	Allstate Indemnity Company	300778	Agent - Property	1/11/2023
Active	Allstate Insurance Company	300773	Agent - Casualty	1/11/2023
Active	Allstate Insurance Company	300773	Agent - Property	1/11/2023
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	1/11/2023
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Property	1/11/2023
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	1/11/2023
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	1/11/2023
Active	American Economy Insurance Company	300315	Agent - Casualty	3/25/2025
Active	American Economy Insurance Company	300315	Agent - Property	3/25/2025
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	3/15/2024
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	3/15/2024
Active	American Strategic Insurance Corp	883540	Agent - Casualty	5/19/2023
Active	American Strategic Insurance Corp	883540	Agent - Property	5/19/2023
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	1/18/2023	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	1/18/2023	12/20/2024
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	4/10/2023	11/26/2024
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	4/10/2023	11/26/2024
Active	Crestbrook Insurance Company	805354	Agent - Casualty	1/25/2023
Active	Crestbrook Insurance Company	805354	Agent - Property	1/25/2023
Active	Depositors Insurance Company	301634	Agent - Casualty	4/3/2023
Active	Depositors Insurance Company	301634	Agent - Property	4/3/2023
Active	Encompass Insurance Company	300188	Agent - Casualty	9/11/2024
Active	Encompass Insurance Company	300188	Agent - Property	9/11/2024
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	2/27/2023	6/3/2025
Active	First Benefits Insurance Mutual, Inc.	1090183	Agent - Casualty	4/20/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/18/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/18/2023
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	10/3/2023
Active	Grange Indemnity Insurance Company	300793	Agent - Property	10/3/2023
Active	Grange Insurance Company	300234	Agent - Casualty	10/3/2023
Active	Grange Insurance Company	300234	Agent - Property	10/3/2023
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	10/3/2023
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	10/3/2023
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	4/3/2023
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	4/3/2023
Active	Nationwide Assurance Company	300166	Agent - Casualty	4/3/2023
Active	Nationwide Assurance Company	300166	Agent - Property	4/3/2023
Active	Nationwide General Insurance Company	300603	Agent - Casualty	4/3/2023
Active	Nationwide General Insurance Company	300603	Agent - Property	4/3/2023
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	4/3/2023
Active	Nationwide Insurance Company of America	300333	Agent - Property	4/3/2023
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	1/25/2023
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	1/25/2023
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	4/3/2023
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	4/3/2023
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	4/25/2023
Active	Progressive Casualty Insurance Company	300696	Agent - Property	4/25/2023
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	4/10/2023	11/26/2024
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	4/10/2023	11/26/2024
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	4/10/2023
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	4/10/2023
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	4/10/2023	11/26/2024
Inactive	The Phoenix Insurance Company	301502	Agent - Property	4/10/2023	11/26/2024
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	4/10/2023
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	4/10/2023
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	4/10/2023
Active	Travelers Indemnity Company (The)	301855	Agent - Property	4/10/2023
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	4/10/2023	11/26/2024
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	4/10/2023	11/26/2024
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	4/10/2023	11/26/2024
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	4/10/2023	11/26/2024
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	4/10/2023
Active	Travelers Personal Insurance Company	705785	Agent - Property	4/10/2023
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	4/10/2023
Active	Travelers Property Casualty Company of America	301649	Agent - Property	4/10/2023
Active	Trustgard Insurance Company	300104	Agent - Casualty	10/3/2023
Active	Trustgard Insurance Company	300104	Agent - Property	10/3/2023
Active	United Financial Casualty Company	301886	Agent - Casualty	4/25/2023
Active	United Financial Casualty Company	301886	Agent - Property	4/25/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allen, Kristen Gomez	1113664	Agent - Casualty	12/29/2022
Active	Allen, Kristen Gomez	1113664	Agent - Property	12/29/2022
Active	Balkus, Megan	1116621	Agent - Casualty	12/29/2022
Active	Balkus, Megan	1116621	Agent - Property	12/29/2022
Inactive	Buskey, Collin	1179231	Agent - Casualty	6/16/2023	9/4/2024
Inactive	Buskey, Collin	1179231	Agent - Property	6/16/2023	9/4/2024
Inactive	Campos, Kristie Deann	1137735	Agent - Casualty	12/29/2022	2/14/2023
Inactive	Campos, Kristie Deann	1137735	Agent - Property	12/29/2022	2/14/2023
Active	Choate, Shawn D	1133107	Agent - Casualty	1/6/2022
Active	Choate, Shawn D	1133107	Agent - Health	7/13/2022
Active	Choate, Shawn D	1133107	Agent - Life	7/13/2022
Active	Choate, Shawn D	1133107	Agent - Property	1/6/2022
Denied	Collins, Samuel Marcus	1234327	Agent - Casualty
Denied	Collins, Samuel Marcus	1234327	Agent - Property
Active	De Valdes, Joseph Keatley	1081011	Agent - Casualty	12/29/2022
Active	De Valdes, Joseph Keatley	1081011	Agent - Property	12/29/2022
Inactive	Edwards, Brandon	1186638	Agent - Casualty	12/29/2022	9/26/2024
Inactive	Edwards, Brandon	1186638	Agent - Property	12/29/2022	9/26/2024
Denied	Gray, Kathleen M	1213241	Agent - Casualty
Denied	Gray, Kathleen M	1213241	Agent - Property
Active	Hoover, Kodey M	1214223	Agent - Casualty	2/14/2025
Denied	Hoover, Kodey M	1214223	Agent - Life
Active	Hoover, Kodey M	1214223	Agent - Property	2/14/2025
Denied	Howarth, Adam	1203056	Agent - Casualty
Denied	Howarth, Adam	1203056	Agent - Property
Inactive	Kalisik, Jacqueline Caprice	1081013	Agent - Casualty	12/29/2022	2/14/2023
Inactive	Kalisik, Jacqueline Caprice	1081013	Agent - Property	12/29/2022	2/14/2023
Active	Kennedy, Christopher Michael	1080978	Agent - Casualty	12/29/2022
Active	Kennedy, Christopher Michael	1080978	Agent - Property	12/29/2022
Active	Latimer, Christina Bridget	903162	Agent - Casualty	12/29/2022
Active	Latimer, Christina Bridget	903162	Agent - Property	12/29/2022
Inactive	Manivannan, Vivekanand	1093600	Agent - Casualty	2/14/2023	12/31/2024
Denied	Manivannan, Vivekanand	1093600	Agent - Health
Denied	Manivannan, Vivekanand	1093600	Agent - Life
Inactive	Manivannan, Vivekanand	1093600	Agent - Property	2/14/2023	12/31/2024
Active	Sawyer, Paul Henry	872588	Agent - Casualty	1/28/2025
Denied	Sawyer, Paul Henry	872588	Agent - Life
Active	Sawyer, Paul Henry	872588	Agent - Property	1/28/2025
Inactive	Scoville, Amanda Michelle	1178750	Agent - Casualty	12/29/2022	6/10/2024
Inactive	Scoville, Amanda Michelle	1178750	Agent - Property	12/29/2022	6/10/2024
Active	Stoy, Joel	1092739	Agent - Casualty	12/29/2022
Active	Stoy, Joel	1092739	Agent - Property	12/29/2022