DEPARTMENT OF INSURANCE

Affiliations

Name	Osbourne, Derinda K	DOIID	318480	NAIC NPN	7166697

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Property	8/15/2000		8/31/2026
Active	Resident	Agent	Casualty	8/15/2000		8/31/2026
Inactive	Resident	Agent	General Lines	10/10/1997	8/15/2000
* 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	American Economy Insurance Company	300315	Agent - Casualty	3/31/2020
Active	American Economy Insurance Company	300315	Agent - Property	3/31/2020
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	8/15/2000	11/14/2021
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	5/13/1998	8/15/2000
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/15/2000	11/14/2021
Active	American Fire and Casualty Company	300567	Agent - Casualty	5/21/2004
Active	American Fire and Casualty Company	300567	Agent - Property	5/21/2004
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/15/2000	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	5/11/1998	8/15/2000
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/15/2000	11/14/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	11/26/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	11/26/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/14/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/14/2015	11/14/2021
Inactive	American Select Insurance Company	301229	Agent - Casualty	3/10/2004	9/30/2009
Inactive	American Select Insurance Company	301229	Agent - Property	3/10/2004	9/30/2009
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	8/6/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	8/6/2015	11/14/2021
Inactive	Bedivere Insurance Company	300710	Agent - Casualty	12/23/2003	1/5/2010
Inactive	Bedivere Insurance Company	300710	Agent - Property	12/23/2003	1/5/2010
Inactive	ClearPath Insurance Company	979815	Agent - Casualty	3/5/2024	1/8/2025
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/8/2007	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/8/2007	10/13/2022
Active	Countryway Insurance Company	300809	Agent - Casualty	5/2/2017
Active	Countryway Insurance Company	300809	Agent - Property	2/14/2014
Active	First Benefits Insurance Mutual, Inc.	1090183	Agent - Casualty	9/2/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/25/2004	12/8/2004
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/25/2004	12/8/2004
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	11/16/2000
Active	Grange Indemnity Insurance Company	300793	Agent - Property	11/16/2000
Active	Grange Insurance Company	300234	Agent - Casualty	11/13/2000
Active	Grange Insurance Company	300234	Agent - Property	11/13/2000
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	2/7/2008
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	2/7/2008
Inactive	GuideOne Elite Insurance Company	300490	Agent - Casualty	8/13/2013	12/7/2021
Inactive	GuideOne Elite Insurance Company	300490	Agent - Property	8/13/2013	12/7/2021
Inactive	GuideOne Insurance Company	301794	Agent - Casualty	8/13/2013	12/7/2021
Inactive	GuideOne Insurance Company	301794	Agent - Property	8/13/2013	12/7/2021
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Casualty	8/13/2013	12/7/2021
Inactive	GuideOne Specialty Insurance Company	300278	Agent - Property	8/13/2013	12/7/2021
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/8/2007	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	9/8/2007	2/3/2023
Inactive	Lamorak Insurance Company	301231	Agent - Casualty	12/23/2003	10/29/2008
Inactive	Lamorak Insurance Company	301231	Agent - Property	12/23/2003	10/29/2008
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	6/16/2020
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	6/16/2020
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/8/2007	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/8/2007	4/26/2024
Active	Ohio Casualty Insurance Company	301492	Agent - Casualty	5/21/2004
Active	Ohio Casualty Insurance Company	301492	Agent - Property	5/21/2004
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	8/15/2000	9/30/2009
Inactive	Ohio Farmers Insurance Company	301667	Agent - General Lines	10/10/1997	8/15/2000
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	8/15/2000	9/30/2009
Active	Ohio Security Insurance Company	300622	Agent - Casualty	5/21/2004
Active	Ohio Security Insurance Company	300622	Agent - Property	5/21/2004
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/3/2021	6/14/2021
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/8/2007
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	9/8/2007
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/8/2007	5/8/2025
Inactive	Peerless Insurance Company	301910	Agent - Property	9/8/2007	5/8/2025
Inactive	Pennsylvania Insurance Company	301219	Agent - Casualty	4/15/2004	12/6/2010
Inactive	Pennsylvania Insurance Company	301219	Agent - Property	4/15/2004	12/6/2010
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	3/31/2020
Active	SAFECO Insurance Company of America	300159	Agent - Property	3/31/2020
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	3/31/2020
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	3/31/2020
Active	Trustgard Insurance Company	300104	Agent - Casualty	11/13/2000
Active	Trustgard Insurance Company	300104	Agent - Property	11/13/2000
Active	West American Insurance Company	301112	Agent - Casualty	5/21/2004
Active	West American Insurance Company	301112	Agent - Property	5/21/2004
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/3/2021	6/14/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	8/15/2000
Inactive	Westfield Insurance Company	301950	Agent - General Lines	10/10/1997	8/15/2000
Active	Westfield Insurance Company	301950	Agent - Property	8/15/2000
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	8/15/2000	9/30/2009
Inactive	Westfield National Insurance Company	301036	Agent - General Lines	10/10/1997	8/15/2000
Inactive	Westfield National Insurance Company	301036	Agent - Property	8/15/2000	9/30/2009
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/3/2021	6/14/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/3/2021	6/14/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/3/2021	6/14/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/3/2021	6/14/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	McElroy-Wharton & Boldrick Inc.	399573	Agent - Property	2/7/2003
Active	McElroy-Wharton & Boldrick Inc.	399573	Agent - Casualty	2/7/2003