DEPARTMENT OF INSURANCE

Affiliations

Name	Audubon Insurance Service Inc.	DOIID	398441	NAIC NPN	7220895

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	6/11/2021		3/31/2027
Active	Resident	Agent	Property	6/11/2021		3/31/2027
Active	Resident	Agent	Life	6/11/2021		3/31/2027
Active	Resident	Agent	Casualty	6/11/2021		3/31/2027
Denied	Resident	Agent	Personal Lines
Inactive	Resident	Agent	General Lines	3/31/1982	8/15/2000
Inactive	Resident	Agent	Health Maintenance Organization	10/25/1996	3/2/1999
* 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	Allstate Northbrook Indemnity Company	301309	Agent - Casualty	12/15/2004	2/28/2008
Inactive	Allstate Northbrook Indemnity Company	301309	Agent - Property	12/15/2004	2/28/2008
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	8/15/2000	2/28/2008
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - General Lines	1/27/1998	8/15/2000
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	8/15/2000	2/28/2008
Inactive	American Economy Insurance Company	300315	Agent - General Lines	7/31/1995	3/31/1998
Inactive	American States Insurance Company	301230	Agent - General Lines	7/31/1995	3/31/1998
Inactive	American States Life Insurance Company	301884	Agent - Health	7/31/1995	11/26/2001
Inactive	American States Life Insurance Company	301884	Agent - Life	7/31/1995	11/26/2001
Inactive	American States Preferred Insurance Company	300609	Agent - General Lines	7/31/1995	3/31/1998
Inactive	Assurance Company of America	300432	Agent - General Lines	2/21/1996	8/15/2000
Inactive	Celtic Insurance Company	300877	Agent - Health	3/30/1995	3/31/1997
Inactive	Celtic Insurance Company	300877	Agent - Life	3/30/1995	3/31/1997
Inactive	Clear Spring Life and Annuity Company	300919	Agent - Life	7/25/2019	3/31/2021
Inactive	Globe American Casualty Company	301033	Agent - General Lines	3/30/1990	2/14/1997
Inactive	Hallmark National Insurance Company	300494	Agent - General Lines	1/6/1995	6/7/1999
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	10/25/1996	3/2/1999
Inactive	Humana Insurance Company	301104	Agent - Health	5/23/1995	3/2/1999
Inactive	Humana Insurance Company	301104	Agent - Life	5/23/1995	3/2/1999
Inactive	Infinity Insurance Company	300416	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Infinity Insurance Company	300416	Agent - General Lines	8/31/1994	8/15/2000
Inactive	Infinity Select Insurance Company	300169	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Infinity Select Insurance Company	300169	Agent - General Lines	5/17/1996	8/15/2000
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	3/31/1982	7/11/1999
Inactive	John Alden Life Insurance Company	300573	Agent - Health	6/19/2000	12/29/2008
Inactive	John Alden Life Insurance Company	300573	Agent - Life	6/19/2000	12/29/2008
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	1/10/2013
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	3/31/1982	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	1/10/2013
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	6/2/1995	4/3/2000
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/2/1995	4/3/2000
Inactive	Maryland Casualty Company	301719	Agent - General Lines	2/21/1996	8/15/2000
Inactive	Meridian Mutual Insurance Company	301303	Agent - General Lines	3/31/1982	12/9/1999
Inactive	National Casualty Company	301483	Agent - Health	1/29/1986	2/20/2003
Inactive	National Summit Insurance Company	300348	Agent - Casualty	8/15/2000	7/22/2003
Inactive	National Summit Insurance Company	300348	Agent - General Lines	9/26/1996	8/15/2000
Inactive	National Summit Insurance Company	300348	Agent - Property	8/15/2000	7/22/2003
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	5/1/1996	2/24/2000
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	5/1/1996	7/8/2003
Inactive	PAFCO General Insurance Company	301645	Agent - General Lines	3/31/1982	5/21/1997
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - General Lines	2/15/1990	6/7/1999
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	2/15/1990	6/7/1999
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	6/19/1998	9/12/2007
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	6/19/1998	9/12/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bruckert, John Allan	302355	Agent - General Lines	4/9/1981	2/9/1997
Inactive	Bruckert, John Allan	302355	Agent - Health	4/9/1981	2/9/1997
Inactive	Bruckert, John Allan	302355	Agent - Life	4/9/1981	2/9/1997
Active	Bruckert, Mark Allan	330379	Agent - Casualty	6/11/2021
Inactive	Bruckert, Mark Allan	330379	Agent - General Lines	4/9/1981	8/15/2000
Active	Bruckert, Mark Allan	330379	Agent - Health	6/11/2021
Active	Bruckert, Mark Allan	330379	Agent - Life	6/11/2021
Active	Bruckert, Mark Allan	330379	Agent - Property	6/11/2021