DEPARTMENT OF INSURANCE

Affiliations

Name	Hulsman, Donna Gail	DOIID	385502	NAIC NPN	7206990

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Casualty	8/15/2000		4/30/2026
Active	Resident	Agent	Property	8/15/2000		4/30/2026
Inactive	Resident	Agent	General Lines	5/31/1988	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
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	8/15/2000	12/5/2006
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - General Lines	3/20/1995	8/15/2000
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	8/15/2000	12/5/2006
Inactive	American Economy Insurance Company	300315	Agent - Casualty	9/2/2009	4/29/2011
Inactive	American Economy Insurance Company	300315	Agent - Property	9/2/2009	4/29/2011
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	9/2/2009	4/29/2011
Inactive	American Fire and Casualty Company	300567	Agent - Property	9/2/2009	4/29/2011
Inactive	American States Insurance Company	301230	Agent - Casualty	9/2/2009	4/29/2011
Inactive	American States Insurance Company	301230	Agent - Property	9/2/2009	4/29/2011
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	7/30/2009	9/9/2009
Inactive	American Zurich Insurance Company	300592	Agent - Property	7/30/2009	9/9/2009
Inactive	Arch Insurance Company	300688	Agent - Casualty	6/2/2011	7/26/2018
Inactive	Arch Insurance Company	300688	Agent - Property	6/2/2011	7/26/2018
Inactive	Assurance Company of America	300432	Agent - Casualty	7/30/2009	9/9/2009
Inactive	Assurance Company of America	300432	Agent - Property	7/30/2009	9/9/2009
Inactive	BancInsure, Inc.	301707	Agent - Casualty	10/8/2007	8/18/2010
Inactive	BancInsure, Inc.	301707	Agent - Property	10/8/2007	8/18/2010
Inactive	Bridgefield Casualty Insurance Company	500013	Agent - Casualty	3/8/2010	12/18/2013
Inactive	Buckeye Union Insurance Company (The)	300597	Agent - General Lines	2/5/1997	3/31/1998
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Casualty	7/24/2009	4/22/2011
Inactive	Cincinnati Casualty Company (The)	300308	Agent - Property	7/24/2009	4/22/2011
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Casualty	7/24/2009	4/22/2011
Inactive	Cincinnati Indemnity Company (The)	301566	Agent - Property	7/24/2009	4/22/2011
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	7/24/2009	4/22/2011
Inactive	Cincinnati Insurance Company	301298	Agent - Property	7/24/2009	4/22/2011
Inactive	Commercial Insurance Company of Newark, New Jersey	300328	Agent - General Lines	2/5/1997	3/31/1998
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	9/2/2009	4/29/2011
Inactive	Consolidated Insurance Company	300943	Agent - General Lines	4/13/1998	3/1/1999
Inactive	Consolidated Insurance Company	300943	Agent - Property	9/2/2009	4/29/2011
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/15/2000	12/5/2006
Inactive	Continental Casualty Company	301019	Agent - General Lines	3/20/1995	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	8/15/2000	12/5/2006
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	8/15/2000	8/3/2022
Inactive	Continental Insurance Company (The)	301242	Agent - General Lines	2/5/1997	8/15/2000
Inactive	Continental Insurance Company (The)	301242	Agent - Property	8/15/2000	8/3/2022
Inactive	Fidelity and Casualty Company of New York (The)	300160	Agent - General Lines	2/1/1997	3/31/1998
Inactive	Fireman's Fund Insurance Company	301423	Agent - Casualty	9/18/2006	9/18/2009
Inactive	Fireman's Fund Insurance Company	301423	Agent - Property	9/18/2006	9/18/2009
Inactive	Firemen's Insurance Company of Newark, New Jersey	300247	Agent - General Lines	2/4/1997	3/31/1998
Inactive	First National Insurance Company of America	301690	Agent - Casualty	9/2/2009	4/29/2011
Inactive	First National Insurance Company of America	301690	Agent - Property	9/2/2009	4/29/2011
Inactive	General Insurance Company of America	300261	Agent - Casualty	9/2/2009	4/29/2011
Inactive	General Insurance Company of America	300261	Agent - Property	9/2/2009	4/29/2011
Inactive	Glens Falls Insurance Company (The)	301922	Agent - General Lines	2/3/1997	3/31/1998
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	7/29/2009	11/1/2011
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	7/29/2009	11/1/2011
Inactive	Grange Insurance Company	300234	Agent - Casualty	7/29/2009	11/1/2011
Inactive	Grange Insurance Company	300234	Agent - Property	7/29/2009	11/1/2011
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	7/29/2009	11/1/2011
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	7/29/2009	11/1/2011
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	6/15/2011	6/26/2019
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	6/15/2011	6/26/2019
Inactive	Great American Assurance Company	300327	Agent - Casualty	6/15/2011	6/26/2019
Inactive	Great American Assurance Company	300327	Agent - Property	6/15/2011	6/26/2019
Inactive	Great American Insurance Company	301586	Agent - Casualty	6/15/2011	6/26/2019
Inactive	Great American Insurance Company	301586	Agent - Property	6/15/2011	6/26/2019
Inactive	Great West Casualty Company	301015	Agent - General Lines	9/8/1995	6/19/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	9/28/2020
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	5/31/1988	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	9/28/2020
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	9/28/2020
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	5/31/1988	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	9/28/2020
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	9/28/2020
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	5/31/1988	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	9/28/2020
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	9/28/2020
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	5/31/1988	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	9/28/2020
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	9/28/2020
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	5/31/1988	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	9/28/2020
Inactive	Indiana Insurance Company	301909	Agent - Casualty	9/2/2009	4/29/2011
Inactive	Indiana Insurance Company	301909	Agent - General Lines	4/13/1998	3/1/1999
Inactive	Indiana Insurance Company	301909	Agent - Property	9/2/2009	4/29/2011
Inactive	Kansas City Fire and Marine Insurance Company	301936	Agent - General Lines	2/4/1997	3/31/1998
Inactive	Maryland Casualty Company	301719	Agent - Casualty	7/30/2009	9/9/2009
Inactive	Maryland Casualty Company	301719	Agent - Property	7/30/2009	9/9/2009
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/15/2000	12/5/2006
Inactive	National Fire Insurance Company of Hartford	301063	Agent - General Lines	3/20/1995	8/15/2000
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/15/2000	12/5/2006
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	9/2/2009	4/29/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - General Lines	4/13/1998	3/1/1999
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	9/2/2009	4/29/2011
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	7/30/2009	9/9/2009
Inactive	Northern Insurance Company of New York	301317	Agent - Property	7/30/2009	9/9/2009
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	9/2/2009	4/29/2011
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	9/2/2009	4/29/2011
Active	Ohio Indemnity Company	301745	Agent - Casualty	5/20/2011
Active	Ohio Indemnity Company	301745	Agent - Property	5/20/2011
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	9/2/2009	4/29/2011
Inactive	Ohio Security Insurance Company	300622	Agent - Property	9/2/2009	4/29/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	9/2/2009	4/29/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	9/2/2009	4/29/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	9/2/2009	4/29/2011
Inactive	Peerless Insurance Company	301910	Agent - General Lines	4/13/1998	3/1/1999
Inactive	Peerless Insurance Company	301910	Agent - Property	9/2/2009	4/29/2011
Inactive	Reliance Insurance Company	300785	Agent - Casualty	8/15/2000	6/5/2001
Inactive	Reliance Insurance Company	300785	Agent - General Lines	6/13/1988	8/15/2000
Inactive	Reliance Insurance Company	300785	Agent - Property	8/15/2000	6/5/2001
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	9/2/2009	4/29/2011
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	9/2/2009	4/29/2011
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	9/2/2009	4/29/2011
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	9/2/2009	4/29/2011
Inactive	Transcontinental Insurance Company	301731	Agent - General Lines	3/20/1995	8/15/2000
Inactive	Transportation Insurance Company	301575	Agent - General Lines	3/20/1995	8/15/2000
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - General Lines	8/18/1999	5/12/2000
Inactive	Travelers Casualty and Surety Company	301067	Agent - General Lines	8/18/1999	5/12/2000
Inactive	Travelers Commercial Casualty Company	301695	Agent - General Lines	8/18/1999	5/12/2000
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	7/29/2009	11/1/2011
Inactive	Trustgard Insurance Company	300104	Agent - Property	7/29/2009	11/1/2011
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	9/29/2020
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	5/31/1988	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	9/29/2020
Inactive	Valley Forge Insurance Company	301052	Agent - General Lines	3/20/1995	8/15/2000
Inactive	West American Insurance Company	301112	Agent - Casualty	9/2/2009	4/29/2011
Inactive	West American Insurance Company	301112	Agent - Property	9/2/2009	4/29/2011
Active	West Bend Insurance Company	672974	Agent - Casualty	3/10/2011
Active	West Bend Insurance Company	672974	Agent - Property	3/10/2011
Inactive	Westfield Insurance Company	301950	Agent - Casualty	8/18/2009	4/22/2011
Inactive	Westfield Insurance Company	301950	Agent - Property	8/18/2009	4/22/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	BMSI Marketing, Inc.	562056	Agent - Property	3/23/2007	9/17/2013
Inactive	BMSI Marketing, Inc.	562056	Agent - Casualty	3/23/2007	9/17/2013
Active	Innovation Growth Partners Specialty, LLC	502865	Agent - Property	5/10/2017
Active	Innovation Growth Partners Specialty, LLC	502865	Agent - Casualty	5/10/2017
Inactive	Lee & Mason Financial Services Inc	895515	Agent - Property	4/5/2017	4/17/2017
Inactive	Lee & Mason Financial Services Inc	895515	Agent - Casualty	4/5/2017	4/17/2017
Inactive	Old Colony Insurance Service, Inc.	401277	Agent - General Lines	2/27/1995	8/15/2000
Inactive	Old Colony Insurance Service, Inc.	401277	Agent - Property	8/15/2000	9/29/2003
Inactive	Old Colony Insurance Service, Inc.	401277	Agent - Casualty	8/15/2000	9/29/2003
Inactive	Plantside Holdings, Inc.	398775	Agent - Property	7/13/2009	4/25/2011
Inactive	Plantside Holdings, Inc.	398775	Agent - Casualty	7/13/2009	4/25/2011