DEPARTMENT OF INSURANCE

Affiliations

Name	Option One Insurance Agency, Inc. DBA : H&R Block	DOIID	399356	NAIC NPN	2771704

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	General Lines	11/20/1999	8/15/2000
Inactive	Non Resident	Agent	Life	2/3/2006	11/30/2008
Inactive	Non Resident	Agent	Casualty	2/3/2006	11/30/2008
Inactive	Non Resident	Agent	Property	2/3/2006	11/30/2008
Inactive	Non Resident	Agent	Health	2/3/2006	11/30/2008
* 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	9/23/2002	5/31/2003
Inactive	ACE American Insurance Company	300625	Agent - Property	9/23/2002	5/31/2003
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Casualty	2/15/2006	8/14/2008
Inactive	American Bankers Insurance Company of Florida	300360	Agent - General Lines	12/10/1999	8/15/2000
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	2/15/2006	8/14/2008
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	12/8/1999	5/31/2003
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	12/8/1999	5/31/2003
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	10/17/2002	5/31/2003
Inactive	American Family Home Insurance Company	301817	Agent - Property	10/17/2002	5/31/2003
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/17/2002	5/31/2003
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/17/2002	5/31/2003
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	2/15/2006	11/30/2008
Inactive	American Reliable Insurance Company	301889	Agent - General Lines	8/10/2000	8/15/2000
Inactive	American Reliable Insurance Company	301889	Agent - Property	2/15/2006	11/30/2008
Inactive	American Security Insurance Company	300901	Agent - Casualty	6/10/2002	5/31/2003
Inactive	American Security Insurance Company	300901	Agent - Property	6/10/2002	5/31/2003
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	3/21/2007	11/30/2008
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	3/21/2007	11/30/2008
Inactive	Centre Insurance Company	301599	Agent - Casualty	11/29/2000	5/31/2003
Inactive	Centre Insurance Company	301599	Agent - Property	11/29/2000	5/31/2003
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	7/1/2002	5/31/2003
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	7/1/2002	5/31/2003
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	7/1/2002	5/31/2003
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	7/1/2002	5/31/2003
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	7/1/2002	5/31/2003
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	7/1/2002	5/31/2003
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	7/14/2000	5/31/2003
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	10/29/2001	5/31/2003
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	10/29/2001	5/31/2003
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	11/13/2000	5/31/2003
Inactive	Fidelity and Guaranty Insurance Company	301009	Agent - Property	11/13/2000	5/31/2003
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Casualty	11/13/2000	5/31/2003
Inactive	Fidelity and Guaranty Insurance Underwriters Inc.	300559	Agent - Property	11/13/2000	5/31/2003
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/15/2000	5/31/2003
Inactive	General Insurance Company of America	300261	Agent - General Lines	11/20/1999	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	8/15/2000	5/31/2003
Inactive	Genworth Life Insurance Company	300623	Agent - Health	2/12/2001	5/31/2003
Inactive	Genworth Life Insurance Company	300623	Agent - Life	2/12/2001	5/31/2003
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	9/5/2001	5/31/2003
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	7/1/2002	5/31/2003
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	7/1/2002	5/31/2003
Inactive	Tesla Insurance Company	300337	Agent - Casualty	10/1/2001	5/31/2003
Inactive	Tesla Insurance Company	300337	Agent - Property	10/1/2001	5/31/2003
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	2/27/2006	11/30/2008
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	2/27/2006	11/30/2008
Inactive	Union Security Insurance Company	301844	Agent - Health	1/26/2007	6/16/2008
Inactive	Union Security Insurance Company	301844	Agent - Life	1/26/2007	6/16/2008
Inactive	Union Security Life Insurance Company	300903	Agent - Health	2/15/2006	12/1/2006
Inactive	Union Security Life Insurance Company	300903	Agent - Life	2/15/2006	12/1/2006
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	10/24/2000	5/31/2003
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	10/24/2000	5/31/2003
Inactive	Wilton Reassurance Life Company of New York	300163	Agent - Life	8/26/2002	5/31/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Creith, Jamie Ann	605379	Agent - Casualty	2/3/2006	6/19/2006
Inactive	Creith, Jamie Ann	605379	Agent - Health	2/3/2006	6/19/2006
Inactive	Creith, Jamie Ann	605379	Agent - Life	2/3/2006	6/19/2006
Inactive	Creith, Jamie Ann	605379	Agent - Property	2/3/2006	6/19/2006
Inactive	Hara, Lyndon M.	539333	Agent - Casualty	2/5/2002	9/3/2002
Inactive	Martin, Scott Reese	304175	Agent - Casualty	2/5/2002	9/3/2002
Inactive	Martin, Scott Reese	304175	Agent - Life	2/5/2002	9/3/2002
Inactive	Martin, Scott Reese	304175	Agent - Property	2/5/2002	9/3/2002
Inactive	Rivelli, Dennis Earl	394404	Agent - Casualty	8/15/2000	5/31/2003
Inactive	Rivelli, Dennis Earl	394404	Agent - General Lines	11/20/1999	8/15/2000
Inactive	Rivelli, Dennis Earl	394404	Agent - Health	10/26/1999	5/31/2003
Inactive	Rivelli, Dennis Earl	394404	Agent - Life	10/26/1999	5/31/2003
Inactive	Rivelli, Dennis Earl	394404	Agent - Property	8/15/2000	5/31/2003
Inactive	Wenzel, Perry Jay	620936	Agent - Casualty	7/5/2006	11/30/2008
Inactive	Wenzel, Perry Jay	620936	Agent - Health	2/3/2006	11/30/2008
Inactive	Wenzel, Perry Jay	620936	Agent - Life	2/3/2006	11/30/2008
Inactive	Wenzel, Perry Jay	620936	Agent - Property	7/5/2006	11/30/2008