DEPARTMENT OF INSURANCE

Affiliations

Name	Camico Services, Inc. DBA : Camico Insurance Services	DOIID	510811	NAIC NPN	1641512

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	8/15/2000		3/31/2026
Active	Non Resident	Agent	Property	8/15/2000		3/31/2026
Inactive	Non Resident	Agent	General Lines	7/13/2000	8/15/2000
Active	Non Resident	Independent Adjuster	Property & Casualty	7/22/2010		3/31/2026
Inactive	Non Resident	Managing General Agent	Not Applicable	6/15/2011	3/22/2021
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	5/18/2018	8/22/2018
* 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
Independent Adjuster	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CAMICO Mutual Insurance Company	517952	Agent - Casualty	7/31/2001
Active	CAMICO Mutual Insurance Company	517952	Agent - Property	7/31/2001
Inactive	Design Professionals Insurance Company	301608	Agent - Casualty	8/15/2000	12/31/2002
Inactive	Design Professionals Insurance Company	301608	Agent - General Lines	7/13/2000	8/15/2000
Inactive	Design Professionals Insurance Company	301608	Agent - Property	8/15/2000	12/31/2002
Active	Great Divide Insurance Company	301636	Agent - Casualty	10/30/2014
Active	Great Divide Insurance Company	301636	Agent - Property	10/30/2014
Inactive	Liberty Insurance Underwriters Inc.	301896	Agent - Casualty	3/4/2010	1/3/2011
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	1/3/2011
Inactive	Liberty Insurance Underwriters Inc.	301896	Agent - Property	3/4/2010	1/3/2011
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Property	1/3/2011
Inactive	Security Insurance Company of Hartford	300973	Agent - Casualty	12/31/2002	6/14/2007
Inactive	Security Insurance Company of Hartford	300973	Agent - Property	12/31/2002	6/14/2007
Active	Trumbull Insurance Company	300242	Agent - Casualty	6/9/2024
Active	Trumbull Insurance Company	300242	Agent - Property	6/9/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aubrey, Mark Allen	589435	Independent Adjuster - Property & Casualty	10/13/2011	5/18/2020
Inactive	Bacher, Richard E	574887	Agent - Casualty	8/3/2022	8/12/2024
Denied	Bacher, Richard E	574887	Agent - Property
Active	Bullard, Beverly Kay	1111541	Agent - Casualty	8/3/2022
Denied	Bullard, Beverly Kay	1111541	Agent - Property
Inactive	Dennis, Gail Ann	509371	Agent - Casualty	2/11/2005	4/28/2010
Inactive	Dennis, Gail Ann	509371	Agent - General Lines	7/13/2000	8/15/2000
Inactive	Dennis, Gail Ann	509371	Agent - Property	2/11/2005	4/28/2010
Active	Evans, Alpa Patel	932086	Agent - Casualty	8/3/2022
Denied	Evans, Alpa Patel	932086	Agent - Property
Active	Florian, Gary Matthew	943053	Agent - Casualty	2/10/2017
Active	Florian, Gary Matthew	943053	Agent - Property	2/15/2017
Inactive	Florian, Gary Matthew	943053	Surplus Lines Broker - Not Applicable	5/18/2018	8/22/2018
Active	Hauptman, Harris	509369	Agent - Casualty	7/9/2014
Inactive	Hauptman, Harris	509369	Agent - General Lines	7/13/2000	8/15/2000
Active	Hauptman, Harris	509369	Agent - Property	7/9/2014
Active	Jawgiel, Ruth Anastasia	878512	Independent Adjuster - Property & Casualty	5/18/2020
Active	Kahane, Rachel Tindel	665347	Agent - Casualty	5/7/2025
Active	Mcmanus, Stephanie Lanae	1395381	Agent - Casualty	5/7/2025
Active	Olivares, Agustin Nicolas	1210202	Agent - Casualty	8/3/2022
Denied	Olivares, Agustin Nicolas	1210202	Agent - Property
Active	Painter, Rachel Joy	795318	Agent - Casualty	7/9/2014
Active	Painter, Rachel Joy	795318	Agent - Property	7/9/2014
Inactive	Piety, Christopher Gay	729725	Independent Adjuster - Property & Casualty	7/22/2010	10/4/2011
Inactive	Porter, David Campbell	678468	Agent - Casualty	8/31/2009	1/31/2013
Inactive	Robison, Shelly Jean	601341	Agent - Casualty	8/31/2009	2/10/2017
Denied	Robison, Shelly Jean	601341	Agent - Property
Inactive	Rogers, Kacey Marie	829588	Agent - Casualty	7/9/2014	9/1/2015
Inactive	Witherspoon, John	688335	Agent - Casualty	8/31/2009	12/3/2014
Inactive	Witherspoon, John	688335	Agent - Property	8/31/2009	12/3/2014
Inactive	Witherspoon, John	688335	Surplus Lines Broker - Not Applicable	7/2/2009	11/9/2009