DEPARTMENT OF INSURANCE

Affiliations

Name	Corepointe Ins Agency Inc	DOIID	400558	NAIC NPN	661341

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/14/2012		3/31/2026
Active	Non Resident	Agent	Casualty	8/14/2012		3/31/2026
Inactive	Non Resident	Agent	Health	7/8/1994	7/1/2012
Inactive	Non Resident	Agent	Life	7/8/1994	7/1/2012
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	AmTrust Insurance Company	300179	Agent - Casualty	5/10/2018
Active	AmTrust Insurance Company	300179	Agent - Property	5/10/2018
Active	CorePointe Insurance Company	300406	Agent - Casualty	7/1/2013
Active	CorePointe Insurance Company	300406	Agent - Property	7/1/2013
Inactive	Forethought Life Assurance Company	301577	Agent - Health	7/8/1994	8/10/1998
Inactive	Forethought Life Assurance Company	301577	Agent - Life	7/8/1994	8/10/1998
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	12/27/2001	5/18/2002
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/27/2001	5/18/2002
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	5/10/2018
Active	Milford Casualty Insurance Company	301460	Agent - Property	5/10/2018
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Health	1/22/2001	5/18/2002
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Life	1/22/2001	5/18/2002
Active	Security National Insurance Company	301151	Agent - Casualty	5/10/2018
Active	Security National Insurance Company	301151	Agent - Property	5/10/2018
Active	Technology Insurance Company	613278	Agent - Casualty	5/10/2018
Active	Technology Insurance Company	613278	Agent - Property	5/10/2018
Inactive	Union Security Life Insurance Company	300903	Agent - Health	1/3/2003	1/13/2005
Inactive	Union Security Life Insurance Company	300903	Agent - Life	1/3/2003	1/13/2005
Active	Wesco Insurance Company	300534	Agent - Casualty	5/10/2018
Active	Wesco Insurance Company	300534	Agent - Property	5/10/2018

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Condon, Vincent Patrick	569032	Agent - Health	9/6/2006	7/20/2009
Inactive	Condon, Vincent Patrick	569032	Agent - Life	9/6/2006	7/20/2009
Active	Foy, Christopher H	853670	Agent - Casualty	4/9/2019
Active	Foy, Christopher H	853670	Agent - Property	4/9/2019
Inactive	Geisler, Curtis Grant	515905	Agent - Casualty		3/14/2017
Inactive	Geisler, Curtis Grant	515905	Agent - Property	8/14/2012	3/14/2017
Inactive	Herbst, Karl	585060	Agent - Casualty	8/14/2012	10/31/2014
Inactive	Herbst, Karl	585060	Agent - Property	8/14/2012	10/31/2014
Inactive	Hollander, Stuart Dov	579477	Agent - Casualty	3/14/2017	1/17/2018
Inactive	Hollander, Stuart Dov	579477	Agent - Property	3/14/2017	1/17/2018
Inactive	Kennedy, James Hutchinson	389994	Agent - Health	7/8/1994	8/10/1998
Inactive	Mazza, Joseph James	336410	Agent - Health	1/22/2001	5/17/2002
Inactive	Mazza, Joseph James	336410	Agent - Life	1/22/2001	5/17/2002
Active	Seymour, James G	913493	Agent - Casualty	2/13/2020
Active	Seymour, James G	913493	Agent - Property	2/13/2020
Inactive	Stevens, Charles Edward	343127	Agent - Health	7/27/2009	4/30/2012
Inactive	Stevens, Charles Edward	343127	Agent - Life	7/27/2009	4/30/2012
Inactive	Trivison, Delynn Dotherow	622432	Agent - Casualty	1/17/2018	4/3/2019
Inactive	Trivison, Delynn Dotherow	622432	Agent - Property	1/17/2018	4/3/2019