DEPARTMENT OF INSURANCE

Affiliations

Name	Kemble, Phyllis Ann	DOIID	362248	NAIC NPN	7196901

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		8/31/2025
Active	Resident	Agent	Life	1/31/1991		8/31/2025
Active	Resident	Agent	Casualty	8/15/2000		8/31/2025
Active	Resident	Agent	Health	1/31/1991		8/31/2025
Inactive	Resident	Agent	General Lines	9/26/1996	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	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	AIG Assurance Company	300897	Agent - Casualty	11/19/2002	10/2/2010
Inactive	AIG Assurance Company	300897	Agent - Property	11/19/2002	10/2/2010
Inactive	Aegis Security Insurance Company	300492	Agent - Casualty	5/11/2011	11/3/2022
Inactive	Aegis Security Insurance Company	300492	Agent - Property	5/11/2011	11/3/2022
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	8/15/2003	2/22/2016
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	8/15/2003	2/22/2016
Inactive	AmTrust Insurance Company	300179	Agent - Casualty	5/31/2002	10/14/2009
Inactive	AmTrust Insurance Company	300179	Agent - Property	5/31/2002	10/14/2009
Active	American Economy Insurance Company	300315	Agent - Casualty	6/20/2022
Active	American Economy Insurance Company	300315	Agent - Property	6/20/2022
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	11/15/2002	2/24/2009
Inactive	American Equity Specialty Insurance Company	517546	Agent - Casualty	2/5/2001	3/23/2001
Inactive	American Equity Specialty Insurance Company	517546	Agent - Property	2/5/2001	3/23/2001
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	8/15/2000	9/27/2002
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	8/20/1997	8/15/2000
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/15/2000	9/27/2002
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	5/27/2022
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	5/27/2022
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	9/1/2015	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	8/20/1997	8/15/2000
Inactive	American Modern Home Insurance Company	300791	Agent - Property	9/1/2015	11/14/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	10/30/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	10/30/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/1/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/1/2015	11/14/2021
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	8/8/2002	11/10/2003
Inactive	American Reliable Insurance Company	301889	Agent - Property	8/8/2002	11/10/2003
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/1/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/1/2015	11/14/2021
Inactive	American States Insurance Company	301230	Agent - Casualty	5/5/2003	8/10/2005
Inactive	American States Insurance Company	301230	Agent - Property	5/5/2003	8/10/2005
Active	American Strategic Insurance Corp	883540	Agent - Casualty	3/27/2023
Active	American Strategic Insurance Corp	883540	Agent - Property	3/27/2023
Active	American Zurich Insurance Company	300592	Agent - Casualty	10/21/2005
Active	American Zurich Insurance Company	300592	Agent - Property	10/21/2005
Inactive	Assurance Company of America	300432	Agent - Casualty	10/21/2005	12/17/2014
Inactive	Assurance Company of America	300432	Agent - Property	10/21/2005	12/17/2014
Inactive	Athene Annuity and Life Company	301893	Agent - Life	9/23/2008	6/30/2009
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Casualty	11/29/2010	6/1/2023
Inactive	Auto Club Property-Casualty Insurance Company	650781	Agent - Property	11/29/2010	6/1/2023
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	1/29/2009	6/6/2013
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	1/29/2009	6/6/2013
Active	Bristol West Insurance Company	301655	Agent - Casualty	2/13/2007
Active	Bristol West Insurance Company	301655	Agent - Property	2/13/2007
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	10/18/2007	3/1/2016
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Property	10/18/2007	3/1/2016
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	3/2/2009	12/9/2013
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	3/2/2009	12/9/2013
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Health	4/17/2015
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	4/17/2015	10/8/2019
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	9/25/2006	9/2/2008
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	9/25/2006	9/2/2008
Inactive	Combined Insurance Company of America	301472	Agent - Health	1/31/2014	10/20/2021
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	12/5/2014
Inactive	Conseco Health Insurance Company	301725	Agent - Health	6/1/2005	4/24/2007
Inactive	Conseco Health Insurance Company	301725	Agent - Life	6/1/2005	4/24/2007
Inactive	Conseco Insurance Company	301202	Agent - Health	6/1/2005	1/2/2007
Inactive	Conseco Insurance Company	301202	Agent - Life	6/1/2005	1/2/2007
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	4/26/2024
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	4/26/2024
Inactive	Continental Casualty Company	301019	Agent - Health	12/11/2002	11/29/2004
Inactive	Continental General Insurance Company	300691	Agent - Health	12/6/1996	12/28/1998
Inactive	Continental General Insurance Company	300691	Agent - Life	12/6/1996	12/28/1998
Inactive	Cotton States Life Insurance Company	300268	Agent - Life	10/24/1996	6/30/2003
Inactive	Cotton States Mutual Insurance Company	300269	Agent - Casualty	8/15/2000	6/30/2003
Inactive	Cotton States Mutual Insurance Company	300269	Agent - General Lines	10/24/1996	8/15/2000
Inactive	Cotton States Mutual Insurance Company	300269	Agent - Property	8/15/2000	6/30/2003
Active	Dairyland Insurance Company	301370	Agent - Casualty	10/14/2004
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	12/5/2014
Active	Encompass Insurance Company	300188	Agent - Casualty	11/20/2023
Active	Encompass Insurance Company	300188	Agent - Property	11/20/2023
Inactive	Encova Life Insurance Company	301818	Agent - Life	6/25/2009	1/1/2024
Inactive	EquiTrust Life Insurance Company	502870	Agent - Life	4/7/2008	1/13/2009
Inactive	Falls Lake National Insurance Company	301796	Agent - Casualty	8/15/2000	12/15/2003
Inactive	Falls Lake National Insurance Company	301796	Agent - General Lines	9/24/1998	8/15/2000
Active	Farmers Casualty Insurance Company	301616	Agent - Casualty	4/14/2005
Active	Farmers Casualty Insurance Company	301616	Agent - Property	4/14/2005
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	4/14/2005
Active	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	4/14/2005
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	3/7/2008	8/22/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	3/7/2008	8/22/2012
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	4/14/2005
Active	Farmers Property and Casualty Insurance Company	301237	Agent - Property	4/14/2005
Inactive	Farmington Casualty Company	301137	Agent - Casualty	3/2/2009	12/9/2013
Inactive	Farmington Casualty Company	301137	Agent - Property	3/2/2009	12/9/2013
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	5/7/2002	3/5/2009
Inactive	First Colony Life Insurance Company	301179	Agent - Health	8/16/2003	12/20/2006
Inactive	First Colony Life Insurance Company	301179	Agent - Life	8/16/2003	12/20/2006
Inactive	First National Insurance Company of America	301690	Agent - Casualty	9/30/2002	8/10/2005
Inactive	First National Insurance Company of America	301690	Agent - Property	9/30/2002	8/10/2005
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	9/19/2003	12/24/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	9/19/2003	12/24/2008
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/15/2000
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - General Lines	1/27/1997	8/15/2000
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/15/2000
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	8/15/2000	12/1/2003
Inactive	Foremost Signature Insurance Company	300140	Agent - General Lines	1/27/1997	8/15/2000
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	8/15/2000	12/1/2003
Inactive	General Insurance Company of America	300261	Agent - Casualty	9/30/2002	8/10/2005
Inactive	General Insurance Company of America	300261	Agent - Property	9/30/2002	8/10/2005
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/20/2005	12/13/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/20/2005	12/13/2012
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Life	2/5/2014	3/17/2025
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	8/13/2014
Active	Grange Indemnity Insurance Company	300793	Agent - Property	8/13/2014
Active	Grange Insurance Company	300234	Agent - Casualty	8/13/2014
Active	Grange Insurance Company	300234	Agent - Property	8/13/2014
Inactive	Grange Life Insurance Company	300128	Agent - Health	8/13/2014	3/31/2021
Inactive	Grange Life Insurance Company	300128	Agent - Life	8/13/2014	12/30/2020
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	8/13/2014
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	8/13/2014
Inactive	Granite State Insurance Company	300818	Agent - Casualty	11/19/2002	10/2/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	11/19/2002	10/2/2010
Inactive	Great American Casualty Insurance Company	301764	Agent - General Lines	9/26/1996	11/4/1996
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	5/26/2015	3/10/2017
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	5/26/2015	3/10/2017
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	5/28/2015	3/10/2017
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	5/28/2015	3/10/2017
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	6/24/2015	3/10/2017
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	6/24/2015	3/10/2017
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/20/2009	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Health	6/8/2006	4/13/2015
Inactive	Humana Insurance Company	301104	Agent - Life	6/8/2006	4/13/2015
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/8/2006	12/5/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/8/2006	12/5/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	6/8/2006	2/24/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	6/8/2006	2/24/2012
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	11/19/2002	10/2/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	11/19/2002	10/2/2010
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	2/3/2023
Inactive	Indianapolis Life Insurance Company	301381	Agent - Life	10/5/2002	10/1/2008
Inactive	Infinity Casualty Insurance Company	301280	Agent - Casualty	8/15/2000	12/15/2003
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	9/24/1998	8/15/2000
Active	Integon General Insurance Corporation	301186	Agent - Casualty	12/29/2022
Active	Integon General Insurance Corporation	301186	Agent - Property	12/29/2022
Active	Integon Indemnity Corporation	300674	Agent - Casualty	6/5/2024
Active	Integon Indemnity Corporation	300674	Agent - Property	6/5/2024
Inactive	Kanawha Insurance Company	300127	Agent - Health	11/14/2012	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	11/14/2012	12/5/2014
Active	Kansas City Life Insurance Company	301444	Agent - Life	5/1/2019
Active	Kentucky Home Life Insurance Company	300477	Agent - Health	10/17/2018
Active	Kentucky Home Life Insurance Company	300477	Agent - Life	10/17/2018
Active	Kentucky National Insurance Company	301625	Agent - Casualty	6/21/2018
Active	Kentucky National Insurance Company	301625	Agent - Property	6/21/2018
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	9/30/2014	1/20/2023
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	9/30/2014	1/20/2023
Inactive	Life Insurance Company of Alabama	301439	Agent - Health	12/4/1996	3/31/1997
Inactive	Life Insurance Company of Alabama	301439	Agent - Life	12/4/1996	3/31/1997
Inactive	Lincoln General Insurance Company	301580	Agent - Casualty	5/2/2002	4/17/2006
Inactive	Lincoln General Insurance Company	301580	Agent - Property	5/2/2002	4/17/2006
Inactive	Loyal American Life Insurance Company	301172	Agent - Health	9/25/2008	12/7/2010
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	9/25/2008	12/7/2010
Inactive	Maryland Casualty Company	301719	Agent - Casualty	10/21/2005	12/16/2014
Inactive	Maryland Casualty Company	301719	Agent - Property	10/21/2005	12/16/2014
Active	Meridian Security Insurance Company	300423	Agent - Casualty	4/28/2016
Active	Meridian Security Insurance Company	300423	Agent - Property	4/28/2016
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	4/14/2005	12/24/2020
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	4/14/2005	12/24/2020
Inactive	Midland National Life Insurance Company	300923	Agent - Life	5/24/2002	10/4/2004
Active	Milbank Insurance Company	925185	Agent - Casualty	11/8/2017
Active	Milbank Insurance Company	925185	Agent - Property	11/8/2017
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/16/2012	6/24/2013
Active	National General Insurance Company	300152	Agent - Casualty	12/29/2022
Active	National General Insurance Company	300152	Agent - Property	12/29/2022
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	4/26/2024
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	11/21/1996	10/18/2005
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	4/23/2014	1/7/2017
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	10/21/2005	12/16/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	10/21/2005	12/16/2014
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	5/27/2022
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	5/27/2022
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	5/27/2022
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	5/27/2022
Active	Old American Insurance Company	300762	Agent - Life	3/3/2022
Inactive	Order of United Commercial Travelers of America	301723	Agent - Life	3/5/1997	3/31/1998
Active	Palomar Specialty Insurance Company	841441	Agent - Casualty	1/8/2025
Active	Palomar Specialty Insurance Company	841441	Agent - Property	1/8/2025
Active	Pan-American Life Insurance Company	301530	Agent - Life	1/1/2024
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008	5/8/2025
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2008	5/8/2025
Inactive	Pinnacle National Insurance Company	300698	Agent - Casualty	8/15/2000	6/26/2001
Inactive	Pinnacle National Insurance Company	300698	Agent - General Lines	12/9/1999	8/15/2000
Inactive	Pinnacle National Insurance Company	300698	Agent - Property	8/15/2000	6/26/2001
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	1/11/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	1/11/2011
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	6/25/2004
Active	Progressive Casualty Insurance Company	300696	Agent - Property	6/25/2004
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	7/9/2001	12/11/2009
Inactive	Progressive Max Insurance Company	301034	Agent - Property	7/9/2001	12/11/2009
Active	Progressive Northern Insurance Company	301378	Agent - Casualty	7/9/2001
Active	Progressive Northern Insurance Company	301378	Agent - Property	7/9/2001
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	7/9/2001	12/28/2005
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	7/9/2001	12/28/2005
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/1/2007	1/5/2007
Inactive	Pruco Life Insurance Company	300954	Agent - Life	5/6/2015	12/22/2016
Inactive	QBE Insurance Corporation	300515	Agent - Casualty	5/2/2002	11/1/2002
Inactive	QBE Insurance Corporation	300515	Agent - Property	5/2/2002	11/1/2002
Inactive	Reserve National Insurance Company	301073	Agent - Health	7/1/2014	2/10/2016
Inactive	Reserve National Insurance Company	301073	Agent - Life	7/1/2014	2/10/2016
Inactive	Response Worldwide Direct Auto Insurance Company	300121	Agent - General Lines	9/26/1996	11/4/1996
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	9/30/2002
Active	SAFECO Insurance Company of America	300159	Agent - Property	9/30/2002
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/21/2022
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/21/2022
Inactive	Security National Insurance Company	301151	Agent - Casualty	5/31/2002	10/14/2009
Inactive	Security National Insurance Company	301151	Agent - Property	5/31/2002	10/14/2009
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	1/21/2005	3/31/2009
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	7/22/2008	3/31/2009
Inactive	Shield Insurance Company	300992	Agent - Casualty	8/15/2000	6/27/2003
Inactive	Shield Insurance Company	300992	Agent - General Lines	10/27/1998	8/15/2000
Inactive	Shield Insurance Company	300992	Agent - Property	8/15/2000	6/27/2003
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	1/29/2009	11/30/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	1/29/2009	11/30/2017
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	4/28/2016
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	4/28/2016
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	4/28/2016
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	4/28/2016
Inactive	Stillwater Insurance Company	567181	Agent - Casualty	2/2/2006	7/13/2023
Inactive	Stillwater Insurance Company	567181	Agent - Property	2/2/2006	7/13/2023
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	1/29/2009	12/9/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Property	1/29/2009	12/9/2013
Inactive	Titan Indemnity Company	300556	Agent - Casualty	3/3/2011	6/27/2017
Inactive	Titan Indemnity Company	300556	Agent - Property	3/3/2011	6/27/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	12/4/2018	2/11/2020
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	12/4/2018	2/11/2020
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	1/31/1991	11/4/1996
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	1/31/1991	11/4/1996
Active	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	3/2/2009
Active	Travelers Casualty Insurance Company of America	300522	Agent - Property	3/2/2009
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	3/2/2009	12/9/2013
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	3/2/2009	12/9/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	1/29/2009	6/6/2013
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	1/29/2009	6/6/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	1/29/2009	6/6/2013
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	1/29/2009	6/6/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	1/29/2009	12/3/2014
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	1/29/2009	12/3/2014
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	1/29/2009	12/9/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	1/29/2009	12/9/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	3/2/2009	12/9/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	3/2/2009	12/9/2013
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	3/2/2009	12/9/2013
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	3/2/2009	12/9/2013
Active	Trexis Insurance Corporation	599902	Agent - Casualty	1/10/2005
Active	Trexis One Insurance Corporation	684197	Agent - Casualty	11/5/2008
Inactive	Trinity Universal Insurance Company	300911	Agent - Casualty	5/31/2002	6/9/2009
Inactive	Trinity Universal Insurance Company	300911	Agent - Property	5/31/2002	6/9/2009
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	3/7/2008	8/22/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	3/7/2008	8/22/2012
Active	Trustgard Insurance Company	300104	Agent - Casualty	8/13/2014
Active	Trustgard Insurance Company	300104	Agent - Property	8/13/2014
Active	United Financial Casualty Company	301886	Agent - Casualty	3/8/2006
Active	United Financial Casualty Company	301886	Agent - Property	3/8/2006
Inactive	United Home Insurance Company	736677	Agent - Casualty	2/15/2019	9/18/2023
Inactive	United Home Insurance Company	736677	Agent - Property	2/15/2019	9/18/2023
Inactive	United Investors Life Insurance Company	301873	Agent - Life	5/24/2002	12/23/2004
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	3/29/2005	11/29/2007
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	3/29/2005	11/29/2007
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	10/29/2008	8/22/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/29/2008	8/22/2013
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	11/6/2007	6/27/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	11/6/2007	6/27/2017
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	5/27/2022
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	5/27/2022
Inactive	West Coast Life Insurance Company	301607	Agent - Life	8/11/2003	12/22/2006
Inactive	Wilco Life Insurance Company	300122	Agent - Health	6/1/2005	10/12/2006
Inactive	Wilco Life Insurance Company	300122	Agent - Life	6/1/2005	10/12/2006
Inactive	Windhaven National Insurance Company	300094	Agent - Casualty	8/15/2000	12/15/2003
Inactive	Windhaven National Insurance Company	300094	Agent - General Lines	9/24/1998	8/15/2000
Inactive		300277	Agent - Life	10/8/2004	1/1/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Life	1/20/2005	3/31/2024
Inactive	Medlink Inc	400721	Agent - Health	1/20/2005	3/31/2024
Active	Planchoice Inc.	400482	Agent - Life	2/12/2015
Active	Planchoice Inc.	400482	Agent - Health	2/12/2015