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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2026	08/31/2026

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 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	General Insurance Company of America	300261	Agent - Casualty	8/14/2025
Active	General Insurance Company of America	300261	Agent - Property	8/14/2025
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
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Casualty	7/14/2015	11/14/2021
Inactive	Trusted Resource Underwriters Exchange of Ohio	581481	Agent - Property	7/14/2015	11/14/2021
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
Active	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	1/23/2026
Active	Westfield Touchstone Insurance Company	1055057	Agent - Property	1/23/2026

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