DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Tri-State Insurance Brokerage Llc	DOIID	1227777	NAIC NPN	20449020

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	6/6/2024		3/31/2026
Active	Non Resident	Agent	Casualty	6/6/2024		3/31/2026
Denied	Non Resident	Agent	Crop
Denied	Non Resident	Agent	Self-Service Storage Space
Inactive	Non Resident	Agent	Health	9/6/2022	1/2/2024
Inactive	Non Resident	Agent	Life	9/6/2022	1/2/2024
* 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	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	2/24/2025
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	2/24/2025
Inactive	National Specialty Insurance Company	300993	Agent - Casualty	2/27/2023	3/31/2024
Inactive	National Specialty Insurance Company	300993	Agent - Property	2/27/2023	3/31/2024
Inactive	Next Insurance US Company	1083825	Agent - Casualty	2/27/2023	3/31/2024
Inactive	Next Insurance US Company	1083825	Agent - Property	2/27/2023	3/31/2024
Inactive	State National Insurance Company, Inc.	300888	Agent - Casualty	2/27/2023	3/31/2024
Inactive	State National Insurance Company, Inc.	300888	Agent - Property	2/27/2023	3/31/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Lohmiller, Lindsay Carole	1285482	Agent - Casualty	6/6/2024
Active	Lohmiller, Lindsay Carole	1285482	Agent - Property	6/6/2024
Inactive	Webb, Sondra L	1065192	Agent - Casualty	9/6/2022	10/31/2023
Inactive	Webb, Sondra L	1065192	Agent - Health	9/6/2022	10/31/2023
Inactive	Webb, Sondra L	1065192	Agent - Life	9/6/2022	10/31/2023
Inactive	Webb, Sondra L	1065192	Agent - Property	9/6/2022	10/31/2023