DEPARTMENT OF INSURANCE

Affiliations

Name	Counselman, Albert Roloson	DOIID	348288	NAIC NPN	256374

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	8/15/2000	5/31/2022
Inactive	Non Resident	Agent	Life	6/12/2001	5/31/2022
Inactive	Non Resident	Agent	Casualty	8/15/2000	5/31/2022
Inactive	Non Resident	Agent	General Lines	2/28/1992	8/15/2000
Inactive	Non Resident	Agent	Health	6/12/2001	5/31/2022
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	1/12/2005	6/11/2012
* 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
Inactive	ACE American Insurance Company	300625	Agent - Casualty	4/23/2008	6/16/2021
Inactive	ACE American Insurance Company	300625	Agent - Property	4/23/2008	6/16/2021
Inactive	AIG Property Casualty Company	300621	Agent - Casualty	8/31/2016	7/26/2021
Inactive	AIG Property Casualty Company	300621	Agent - Property	8/31/2016	7/26/2021
Inactive	Allegheny Casualty Company	545740	Agent - Casualty	2/8/2018	12/22/2020
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	6/3/2008	9/9/2011
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	6/3/2008	9/9/2011
Inactive	Arch Insurance Company	300688	Agent - Casualty	12/12/2017	5/31/2022
Inactive	Arch Insurance Company	300688	Agent - Property	12/12/2017	5/31/2022
Inactive	Arrowood Indemnity Company	300144	Agent - Casualty	12/31/2004	6/8/2007
Inactive	Arrowood Indemnity Company	300144	Agent - Property	12/31/2004	6/8/2007
Inactive	Great American Insurance Company	301586	Agent - Casualty	8/4/2008	4/25/2019
Inactive	Great American Insurance Company	301586	Agent - Property	8/4/2008	4/25/2019
Inactive	Guarantee Company of North America USA (The)	300857	Agent - Casualty	7/26/2016	5/11/2021
Inactive	Harco National Insurance Company	300706	Agent - Casualty	3/13/2019	5/31/2022
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	11/1/2018	6/22/2021
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	2/28/1992	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	11/1/2018	6/22/2021
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	12/23/2015
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	2/28/1992	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	12/23/2015
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	2/28/1992	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	2/28/1992	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	11/5/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	2/28/1992	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	11/5/2008
Inactive	International Fidelity Insurance Company	301131	Agent - Casualty	2/8/2018	5/31/2022
Inactive	Lexon Insurance Company	300352	Agent - Casualty	12/21/2017	5/31/2022
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	6/6/2005	5/27/2022
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	6/6/2005	5/27/2022
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	7/11/2006	6/17/2021
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	7/11/2006	6/17/2021
Inactive	Reliance Insurance Company	300785	Agent - Casualty	8/15/2000	6/5/2001
Inactive	Reliance Insurance Company	300785	Agent - General Lines	2/11/2000	8/15/2000
Inactive	Reliance Insurance Company	300785	Agent - Property	8/15/2000	6/5/2001
Inactive	Reliance National Indemnity Company	301939	Agent - General Lines	2/11/2000	8/15/2000
Inactive	Reliance National Insurance Company	301675	Agent - General Lines	2/11/2000	8/15/2000
Inactive	Royal Insurance Company of America	301120	Agent - Casualty	11/13/2000	12/31/2004
Inactive	Royal Insurance Company of America	301120	Agent - Property	11/13/2000	12/31/2004
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	11/20/2018	6/16/2021
Inactive	Selective Insurance Company of America	500018	Agent - Property	11/20/2018	6/16/2021
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	11/20/2018	6/16/2021
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	11/20/2018	6/16/2021
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	11/20/2018	6/16/2021
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	11/20/2018	6/16/2021
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	10/31/2017	9/26/2019
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	10/31/2017	9/26/2019
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	7/18/2017	6/22/2021
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	2/28/1992	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	7/18/2017	6/22/2021
Inactive	United Pacific Insurance Company	300538	Agent - General Lines	2/11/2000	8/15/2000
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/12/2001	11/21/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/12/2001	11/21/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	RCM&D Inc.	643195	Agent - Property	11/13/2006	5/31/2022
Inactive	RCM&D Inc.	643195	Agent - Casualty	11/13/2006	5/31/2022
Inactive	RCM&D Inc.	643195	Agent - Life	11/13/2006	6/17/2021
Inactive	RCM&D Inc.	643195	Agent - Health	11/13/2006	6/17/2021
Inactive	RCM&D Inc.	643195	Surplus Lines Broker - Not Applicable	3/29/2010	6/11/2012