DEPARTMENT OF INSURANCE
Affiliations
NameMJ Insurance IncDOIID518163NAIC NPN765420
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty12/21/2000 3/31/2026
ActiveNon ResidentAgentHealth6/10/2009 3/31/2026
ActiveNon ResidentAgentProperty12/21/2000 3/31/2026
ActiveNon ResidentAgentLife6/10/2009 3/31/2026
DeniedNon ResidentLife & Health ConsultantNot Applicable   
ActiveNon ResidentSurplus Lines BrokerNot Applicable2/14/2007 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Surplus Lines Broker01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveACE American Insurance Company300625Agent - Casualty8/30/2006 
ActiveACE American Insurance Company300625Agent - Property8/30/2006 
ActiveACE Fire Underwriters Insurance Company301679Agent - Casualty8/30/2006 
ActiveACE Fire Underwriters Insurance Company301679Agent - Property8/30/2006 
ActiveACE Property and Casualty Insurance Company300520Agent - Casualty8/30/2006 
ActiveACE Property and Casualty Insurance Company300520Agent - Property8/30/2006 
ActiveACUITY, A Mutual Insurance Company300095Agent - Casualty12/10/2002 
ActiveACUITY, A Mutual Insurance Company300095Agent - Property12/10/2002 
ActiveAGCS Marine Insurance Company300403Agent - Casualty10/18/2019 
ActiveAGCS Marine Insurance Company300403Agent - Property10/18/2019 
ActiveAMCO Insurance Company300204Agent - Casualty1/29/2018 
ActiveAMCO Insurance Company300204Agent - Property1/29/2018 
InactiveAddison Insurance Company874810Agent - Casualty11/23/20163/2/2017
InactiveAddison Insurance Company874810Agent - Property11/23/20163/2/2017
InactiveAegis Security Insurance Company300492Agent - Casualty2/1/20118/1/2017
InactiveAegis Security Insurance Company300492Agent - Property2/1/20118/1/2017
ActiveAll America Insurance Company300078Agent - Casualty11/7/2022 
ActiveAll America Insurance Company300078Agent - Property11/7/2022 
InactiveAllegheny Casualty Company545740Agent - Casualty7/28/201612/22/2020
ActiveAllied Insurance Company of America793586Agent - Casualty1/29/2018 
ActiveAllied Insurance Company of America793586Agent - Property1/29/2018 
ActiveAllied Property and Casualty Insurance Company300279Agent - Casualty1/29/2018 
ActiveAllied Property and Casualty Insurance Company300279Agent - Property1/29/2018 
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Casualty8/19/200211/14/2016
InactiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Property8/19/200211/14/2016
ActiveAmerican Contractors Indemnity Company536843Agent - Casualty8/29/2016 
InactiveAmerican Economy Insurance Company300315Agent - Casualty7/10/20033/29/2024
InactiveAmerican Economy Insurance Company300315Agent - Property7/10/20033/29/2024
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health6/24/2010 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life6/24/2010 
InactiveAmerican Fire and Casualty Company300567Agent - Casualty10/16/20083/29/2024
InactiveAmerican Fire and Casualty Company300567Agent - Property10/16/20083/29/2024
ActiveAmerican Guarantee and Liability Insurance Company301216Agent - Casualty6/8/2009 
ActiveAmerican Guarantee and Liability Insurance Company301216Agent - Property6/8/2009 
ActiveAmerican Interstate Insurance Company301092Agent - Casualty2/24/2025 
InactiveAmerican Interstate Insurance Company301092Agent - Property6/10/200411/16/2018
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty9/10/2023 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property9/10/2023 
ActiveAmerican Select Insurance Company301229Agent - Casualty1/14/2023 
ActiveAmerican Select Insurance Company301229Agent - Property1/14/2023 
InactiveAmerican States Insurance Company301230Agent - Casualty7/10/20033/29/2024
InactiveAmerican States Insurance Company301230Agent - Property7/10/20033/29/2024
ActiveAmerican Zurich Insurance Company300592Agent - Casualty6/8/2009 
ActiveAmerican Zurich Insurance Company300592Agent - Property6/8/2009 
InactiveAmeritas Life Insurance Corporation300126Agent - Health7/15/201610/26/2021
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health6/26/20078/1/2008
InactiveAnthem Insurance Companies, Inc.300941Agent - Health6/26/20078/1/2008
InactiveAnthem Life Insurance Company301209Agent - Health6/26/20078/1/2008
InactiveAnthem Life Insurance Company301209Agent - Life6/26/20078/1/2008
ActiveArch Insurance Company300688Agent - Casualty5/3/2018 
InactiveArch Insurance Company300688Agent - Health6/18/20125/1/2018
ActiveArch Insurance Company300688Agent - Property5/3/2018 
ActiveArgonaut Insurance Company301422Agent - Casualty1/1/2016 
ActiveArgonaut Insurance Company301422Agent - Property1/1/2016 
InactiveAspen American Insurance Company301513Agent - Casualty12/21/20167/28/2022
InactiveAspen American Insurance Company301513Agent - Property12/21/20167/28/2022
InactiveAssurance Company of America300432Agent - Casualty10/7/200212/17/2014
InactiveAssurance Company of America300432Agent - Property10/7/200212/17/2014
InactiveAtlantic Specialty Insurance Company518595Agent - Casualty6/11/20156/7/2018
InactiveAtlantic Specialty Insurance Company518595Agent - Property6/11/20156/7/2018
ActiveAuto-Owners Insurance Company301480Agent - Casualty1/31/2011 
ActiveAuto-Owners Insurance Company301480Agent - Property1/31/2011 
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty9/15/201511/16/2023
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property9/15/201511/16/2023
ActiveBankers Standard Insurance Company301620Agent - Casualty8/30/2006 
ActiveBankers Standard Insurance Company301620Agent - Property8/30/2006 
ActiveBanner Life Insurance Company301696Agent - Life1/28/2013 
InactiveBaptist Health Plan, Inc.300157Agent - Health5/28/20103/31/2019
InactiveBerkley Casualty Company300731Agent - Casualty2/10/20202/3/2025
InactiveBerkley Casualty Company300731Agent - Property2/10/20202/3/2025
ActiveBerkley Regional Insurance Company300920Agent - Casualty9/16/2021 
ActiveBerkley Regional Insurance Company300920Agent - Property9/16/2021 
InactiveBerkshire Life Insurance Company of America300983Agent - Health3/3/20109/13/2013
InactiveBerkshire Life Insurance Company of America300983Agent - Life3/3/20109/13/2013
ActiveBrickStreet Mutual Insurance Company709251Agent - Casualty7/30/2021 
ActiveCIGNA Dental Health of Kentucky, Inc.300904Agent - Health5/12/2023 
ActiveCIGNA Health & Life Insurance Company301783Agent - Health5/12/2023 
InactiveCarolina Casualty Insurance Company300271Agent - Casualty2/10/20202/3/2025
InactiveCarolina Casualty Insurance Company300271Agent - Property2/10/20202/3/2025
ActiveCentral Insurance Company300965Agent - Casualty11/7/2022 
ActiveCentral Insurance Company300965Agent - Property11/7/2022 
ActiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty1/11/2012 
ActiveCharter Oak Fire Insurance Company (The)301501Agent - Property1/11/2012 
ActiveChubb Indemnity Insurance Company300438Agent - Casualty11/5/2021 
ActiveChubb Indemnity Insurance Company300438Agent - Property11/5/2021 
ActiveCincinnati Casualty Company (The)300308Agent - Casualty8/3/2022 
ActiveCincinnati Casualty Company (The)300308Agent - Property8/3/2022 
ActiveCincinnati Indemnity Company (The)301566Agent - Casualty8/3/2022 
ActiveCincinnati Indemnity Company (The)301566Agent - Property8/3/2022 
ActiveCincinnati Insurance Company301298Agent - Casualty8/3/2022 
ActiveCincinnati Insurance Company301298Agent - Property8/3/2022 
InactiveCincinnati Life Insurance Company (The)300601Agent - Health8/28/200910/26/2015
InactiveCincinnati Life Insurance Company (The)300601Agent - Life8/28/200910/26/2015
InactiveClearPath Insurance Company979815Agent - Casualty1/1/20182/7/2019
ActiveColonial Life and Accident Insurance Company300846Agent - Health7/13/2020 
ActiveColonial Life and Accident Insurance Company300846Agent - Life7/13/2020 
InactiveCompBenefits Dental, Inc.591692Agent - Health7/23/201312/13/2016
InactiveCompBenefits Insurance Company301864Agent - Health4/25/20088/1/2008
InactiveCompBenefits Insurance Company301864Agent - Life4/25/20088/1/2008
InactiveConsolidated Insurance Company300943Agent - Casualty10/16/200810/13/2022
InactiveConsolidated Insurance Company300943Agent - Property10/16/200810/13/2022
ActiveContinental American Insurance Company301700Agent - Health12/13/2017 
ActiveContinental American Insurance Company301700Agent - Life12/13/2017 
ActiveContinental Casualty Company301019Agent - Casualty8/19/2002 
ActiveContinental Casualty Company301019Agent - Property8/19/2002 
ActiveContinental Insurance Company (The)301242Agent - Casualty1/22/2019 
ActiveContinental Insurance Company (The)301242Agent - Property1/22/2019 
ActiveCrestbrook Insurance Company805354Agent - Casualty3/25/2016 
ActiveCrestbrook Insurance Company805354Agent - Property3/25/2016 
InactiveDental Concern Inc. (The)301641Agent - Health7/23/201312/13/2016
ActiveDepositors Insurance Company301634Agent - Casualty1/29/2018 
ActiveDepositors Insurance Company301634Agent - Property1/29/2018 
InactiveDevelopers Surety and Indemnity Company516432Agent - Casualty10/16/200812/13/2022
ActiveEmployers Insurance Company of Wausau301813Agent - Casualty10/25/2011 
ActiveEmployers Insurance Company of Wausau301813Agent - Property10/25/2011 
InactiveEncompass Indemnity Company546376Agent - Casualty12/4/200310/3/2024
InactiveEncompass Indemnity Company546376Agent - Property12/4/200310/3/2024
InactiveEncompass Insurance Company of America556578Agent - Casualty1/23/200412/13/2018
InactiveEncompass Insurance Company of America556578Agent - Property1/23/200412/13/2018
InactiveEverest National Insurance Company301319Agent - Casualty3/23/200411/15/2006
InactiveEverest National Insurance Company301319Agent - Property3/23/200411/15/2006
InactiveFarmers Casualty Insurance Company301616Agent - Casualty9/28/200512/27/2013
InactiveFarmers Casualty Insurance Company301616Agent - Property9/28/200512/27/2013
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Casualty9/28/200512/27/2013
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Property9/28/200512/27/2013
ActiveFarmers Property and Casualty Insurance Company301237Agent - Casualty7/11/2018 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Property7/11/2018 
InactiveFarmington Casualty Company301137Agent - Casualty5/9/200612/9/2009
InactiveFarmington Casualty Company301137Agent - Property5/9/200612/9/2009
ActiveFederal Insurance Company301144Agent - Casualty7/3/2001 
InactiveFederal Insurance Company301144Agent - Health12/19/20058/1/2008
ActiveFederal Insurance Company301144Agent - Property7/3/2001 
InactiveFidelity and Casualty Company of New York (The)300160Agent - Casualty8/19/200212/22/2005
InactiveFidelity and Casualty Company of New York (The)300160Agent - Property8/19/200212/22/2005
ActiveFidelity and Deposit Company of Maryland300976Agent - Casualty12/24/2013 
ActiveFidelity and Deposit Company of Maryland300976Agent - Property12/24/2013 
InactiveFireman's Fund Insurance Company301423Agent - Casualty2/26/200112/8/2015
InactiveFireman's Fund Insurance Company301423Agent - Property2/26/200112/8/2015
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Casualty10/25/2011 
ActiveFirst Liberty Insurance Corporation (The)301060Agent - Property10/25/2011 
InactiveFirst National Insurance Company of America301690Agent - Casualty7/10/200310/13/2022
InactiveFirst National Insurance Company of America301690Agent - Property7/10/200310/13/2022
InactiveGeneral Insurance Company of America300261Agent - Casualty7/10/20033/29/2024
InactiveGeneral Insurance Company of America300261Agent - Property7/10/20033/29/2024
InactiveGlatfelter Insurance Company301640Agent - Casualty10/7/200211/30/2007
InactiveGlatfelter Insurance Company301640Agent - Property10/7/200211/30/2007
InactiveGlens Falls Insurance Company (The)301922Agent - Casualty8/19/200212/17/2002
InactiveGlens Falls Insurance Company (The)301922Agent - Property8/19/200212/17/2002
InactiveGrange Indemnity Insurance Company300793Agent - Casualty9/23/200911/19/2020
InactiveGrange Indemnity Insurance Company300793Agent - Property9/23/200911/19/2020
InactiveGrange Insurance Company300234Agent - Casualty9/23/200911/19/2020
InactiveGrange Insurance Company300234Agent - Property9/23/200911/19/2020
ActiveGreat American Alliance Insurance Company301247Agent - Casualty5/22/2013 
ActiveGreat American Alliance Insurance Company301247Agent - Property5/22/2013 
ActiveGreat American Assurance Company300327Agent - Casualty5/22/2013 
ActiveGreat American Assurance Company300327Agent - Property5/22/2013 
ActiveGreat American Insurance Company301586Agent - Casualty5/22/2013 
ActiveGreat American Insurance Company301586Agent - Property5/22/2013 
InactiveGreat American Insurance Company of New York301897Agent - Casualty5/22/20131/11/2022
InactiveGreat American Insurance Company of New York301897Agent - Property5/22/20131/11/2022
ActiveGreat Midwest Insurance Company301418Agent - Casualty3/3/2025 
InactiveGreat Midwest Insurance Company301418Agent - Property8/1/20176/26/2023
ActiveGreat Northern Insurance Company301107Agent - Casualty7/3/2001 
ActiveGreat Northern Insurance Company301107Agent - Property7/3/2001 
InactiveGuardian Insurance & Annuity Company Inc. (The)301920Agent - Life3/3/201010/5/2021
ActiveGuardian Life Insurance Company of America301316Agent - Health3/3/2010 
ActiveGuardian Life Insurance Company of America301316Agent - Life3/3/2010 
ActiveHDI Global Insurance Company676678Agent - Casualty8/9/2023 
ActiveHDI Global Insurance Company676678Agent - Property8/9/2023 
ActiveHanover Insurance Company (The)300508Agent - Casualty3/11/2021 
ActiveHanover Insurance Company (The)300508Agent - Property3/11/2021 
ActiveHarco National Insurance Company300706Agent - Casualty3/13/2019 
InactiveHarleysville Mutual Insurance Company301393Agent - Casualty9/17/20085/1/2012
InactiveHarleysville Mutual Insurance Company301393Agent - Property9/17/20085/1/2012
InactiveHartford Casualty Insurance Company301332Agent - Casualty11/10/20089/27/2019
InactiveHartford Casualty Insurance Company301332Agent - Property11/10/20089/27/2019
InactiveHartford Fire Insurance Company300628Agent - Casualty8/11/20088/21/2017
InactiveHartford Fire Insurance Company300628Agent - Property8/11/20088/21/2017
ActiveHartford Life and Accident Insurance Company300878Agent - Health2/8/2011 
ActiveHartford Life and Accident Insurance Company300878Agent - Life2/8/2011 
InactiveHumana Benefit Plan of Illinois, Inc.781543Agent - Health1/14/201512/13/2016
InactiveHumana Health Plan of Ohio Inc.301565Agent - Health1/17/201312/13/2016
InactiveHumana Health Plan, Inc.300142Agent - Health10/21/201912/15/2020
InactiveHumana Insurance Company301104Agent - Health1/17/201312/13/2016
InactiveHumana Insurance Company301104Agent - Life2/20/20048/1/2008
InactiveHumana Insurance Company of Kentucky300826Agent - Health1/17/201312/13/2016
InactiveHumana Medical Plan, Inc.801568Agent - Health1/14/201512/13/2016
InactiveImperium Insurance Company300804Agent - Casualty8/1/20177/25/2023
InactiveImperium Insurance Company300804Agent - Property8/1/20177/25/2023
ActiveIndemnity Insurance Company of North America301760Agent - Casualty9/21/2011 
ActiveIndemnity Insurance Company of North America301760Agent - Property9/21/2011 
InactiveIndiana Insurance Company301909Agent - Casualty10/16/20082/3/2023
InactiveIndiana Insurance Company301909Agent - Property10/16/20082/3/2023
ActiveInternational Fidelity Insurance Company301131Agent - Casualty11/30/2006 
InactiveJohn Alden Life Insurance Company300573Agent - Health3/19/20028/1/2008
InactiveJohn Alden Life Insurance Company300573Agent - Life3/19/20028/1/2008
InactiveKanawha Insurance Company300127Agent - Health7/12/201210/22/2015
InactiveKanawha Insurance Company300127Agent - Life7/12/201210/22/2015
InactiveKansas City Fire and Marine Insurance Company301936Agent - Casualty8/19/200212/15/2004
InactiveKansas City Fire and Marine Insurance Company301936Agent - Property8/19/200212/15/2004
InactiveKey Risk Insurance Company630687Agent - Casualty2/10/20202/3/2025
InactiveKey Risk Insurance Company630687Agent - Property2/10/20202/3/2025
ActiveLM Insurance Corporation301061Agent - Casualty10/25/2011 
ActiveLM Insurance Corporation301061Agent - Property10/25/2011 
ActiveLiberty Insurance Corporation300444Agent - Casualty10/25/2011 
ActiveLiberty Insurance Corporation300444Agent - Property10/25/2011 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Casualty10/25/2011 
ActiveLiberty Mutual Fire Insurance Company301913Agent - Property10/25/2011 
ActiveLiberty Mutual Insurance Company301159Agent - Casualty10/25/2011 
ActiveLiberty Mutual Insurance Company301159Agent - Property10/25/2011 
ActiveLife Insurance Company of North America300711Agent - Health8/31/2017 
ActiveLife Insurance Company of North America300711Agent - Life8/31/2017 
ActiveLincoln National Life Insurance Company (The)301382Agent - Health9/30/2022 
ActiveLincoln National Life Insurance Company (The)301382Agent - Life9/30/2022 
InactiveMaryland Casualty Company301719Agent - Casualty10/7/200212/17/2014
InactiveMaryland Casualty Company301719Agent - Property10/7/200212/17/2014
ActiveMassachusetts Bay Insurance Company300898Agent - Casualty3/11/2021 
ActiveMassachusetts Bay Insurance Company300898Agent - Property3/11/2021 
ActiveMerchants Bonding Company (Mutual)300170Agent - Casualty7/28/2005 
InactiveMerchants National Bonding Inc.787525Agent - Casualty10/5/20122/1/2019
InactiveMeridian Security Insurance Company300423Agent - Casualty5/30/201212/4/2020
InactiveMeridian Security Insurance Company300423Agent - Property5/30/201212/4/2020
InactiveMetropolitan General Insurance Company300709Agent - Casualty9/28/200512/27/2013
InactiveMetropolitan General Insurance Company300709Agent - Property9/28/200512/27/2013
ActiveMetropolitan Life Insurance Company301948Agent - Health12/29/2021 
ActiveMetropolitan Life Insurance Company301948Agent - Life12/29/2021 
InactiveMidwest Employers Casualty Company300124Agent - Casualty2/10/20202/3/2025
InactiveMidwest Employers Casualty Company300124Agent - Property2/10/20202/3/2025
InactiveMilbank Insurance Company925185Agent - Casualty11/8/201712/4/2020
InactiveMilbank Insurance Company925185Agent - Property11/8/201712/4/2020
ActiveMitsui Sumitomo Insurance Company of America301070Agent - Casualty3/19/2008 
ActiveMitsui Sumitomo Insurance Company of America301070Agent - Property3/19/2008 
ActiveMitsui Sumitomo Insurance USA Inc.301681Agent - Casualty3/19/2008 
ActiveMitsui Sumitomo Insurance USA Inc.301681Agent - Property3/19/2008 
ActiveMotorists Commercial Mutual Insurance Company301941Agent - Casualty9/1/2021 
ActiveMotorists Commercial Mutual Insurance Company301941Agent - Property9/1/2021 
ActiveMutual of Omaha Insurance Company301012Agent - Health9/25/2019 
ActiveNational Casualty Company301483Agent - Casualty2/23/2016 
ActiveNational Casualty Company301483Agent - Property2/23/2016 
ActiveNational Fire Insurance Company of Hartford301063Agent - Casualty5/14/2018 
ActiveNational Fire Insurance Company of Hartford301063Agent - Property5/14/2018 
ActiveNational Guardian Life Insurance Company300596Agent - Health1/12/2018 
ActiveNationwide Agribusiness Insurance Company301008Agent - Casualty1/29/2018 
ActiveNationwide Agribusiness Insurance Company301008Agent - Property1/29/2018 
ActiveNationwide Assurance Company300166Agent - Casualty3/4/2020 
ActiveNationwide General Insurance Company300603Agent - Casualty2/6/2020 
ActiveNationwide General Insurance Company300603Agent - Property2/6/2020 
ActiveNationwide Insurance Company of America300333Agent - Casualty2/2/2022 
ActiveNationwide Insurance Company of America300333Agent - Property2/2/2022 
ActiveNationwide Mutual Insurance Company301749Agent - Casualty5/1/2012 
ActiveNationwide Mutual Insurance Company301749Agent - Property5/1/2012 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Casualty2/2/2022 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Property2/2/2022 
InactiveNetherlands Insurance Company (The)300339Agent - Casualty10/16/20085/10/2024
InactiveNetherlands Insurance Company (The)300339Agent - Property10/16/20085/10/2024
ActiveNorthStone Insurance Company818905Agent - Casualty7/30/2021 
InactiveNorthern Insurance Company of New York301317Agent - Casualty10/7/200212/17/2014
InactiveNorthern Insurance Company of New York301317Agent - Property10/7/200212/17/2014
InactiveOhio Casualty Insurance Company301492Agent - Casualty10/16/20083/29/2024
InactiveOhio Casualty Insurance Company301492Agent - Property10/16/20083/29/2024
InactiveOhio Security Insurance Company300622Agent - Casualty10/16/20083/29/2024
InactiveOhio Security Insurance Company300622Agent - Property10/16/20083/29/2024
ActiveOwners Insurance Company300796Agent - Casualty1/31/2011 
ActiveOwners Insurance Company300796Agent - Property1/31/2011 
ActivePacific Employers Insurance Company301753Agent - Casualty8/30/2006 
ActivePacific Employers Insurance Company301753Agent - Property8/30/2006 
ActivePacific Indemnity Company301610Agent - Casualty5/25/2011 
ActivePacific Indemnity Company301610Agent - Property5/25/2011 
InactivePeerless Indemnity Insurance Company571682Agent - Casualty10/16/20089/26/2024
InactivePeerless Indemnity Insurance Company571682Agent - Property10/16/20089/26/2024
InactivePeerless Insurance Company301910Agent - Casualty10/16/20085/8/2025
InactivePeerless Insurance Company301910Agent - Property10/16/20085/8/2025
ActivePinnaclePoint Insurance Company819085Agent - Casualty7/30/2021 
ActivePrincipal Life Insurance Company300129Agent - Health10/7/2021 
ActivePrincipal Life Insurance Company300129Agent - Life10/7/2021 
ActivePrivilege Underwriters Reciprocal Exchange769657Agent - Casualty10/2/2018 
ActivePrivilege Underwriters Reciprocal Exchange769657Agent - Property10/2/2018 
ActiveProgressive Casualty Insurance Company300696Agent - Casualty3/24/2004 
ActiveProgressive Casualty Insurance Company300696Agent - Property3/24/2004 
InactiveProgressive Northern Insurance Company301378Agent - Casualty6/26/200312/9/2013
InactiveProgressive Northern Insurance Company301378Agent - Property6/26/200312/9/2013
ActiveProperty and Casualty Insurance Company of Hartford301409Agent - Casualty7/16/2024 
ActiveProperty and Casualty Insurance Company of Hartford301409Agent - Property7/16/2024 
ActiveProvident Life and Accident Insurance Company301525Agent - Health10/4/2010 
ActiveProvident Life and Accident Insurance Company301525Agent - Life10/4/2010 
InactivePruco Life Insurance Company300954Agent - Life12/22/201611/25/2020
ActivePrudential Insurance Company of America300784Agent - Health10/8/2019 
ActivePrudential Insurance Company of America300784Agent - Life10/8/2019 
ActiveRLI Insurance Company301217Agent - Casualty3/27/2007 
ActiveRLI Insurance Company301217Agent - Property3/27/2007 
ActiveRockwood Casualty Insurance Company585116Agent - Casualty3/10/2004 
InactiveRockwood Casualty Insurance Company585116Agent - Property12/1/200910/10/2024
InactiveSAFECO Insurance Company of America300159Agent - Casualty10/13/20043/29/2024
InactiveSAFECO Insurance Company of America300159Agent - Property10/13/20043/29/2024
InactiveSelective Insurance Company of America500018Agent - Casualty10/30/200211/19/2009
InactiveSelective Insurance Company of America500018Agent - Property10/30/200211/19/2009
InactiveSelective Insurance Company of South Carolina500012Agent - Casualty10/30/200211/19/2009
InactiveSelective Insurance Company of South Carolina500012Agent - Property10/30/200211/19/2009
ActiveSelective Insurance Company of the Southeast300381Agent - Casualty8/17/2021 
ActiveSelective Insurance Company of the Southeast300381Agent - Property8/17/2021 
InactiveSompo America Insurance Company300149Agent - Casualty1/14/201312/20/2018
InactiveSompo America Insurance Company300149Agent - Property1/14/201312/20/2018
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty9/17/2015 
ActiveStandard Fire Insurance Company (The)301068Agent - Property9/17/2015 
ActiveStandard Insurance Company300185Agent - Health6/22/2021 
ActiveStandard Insurance Company300185Agent - Life6/22/2021 
ActiveStar Insurance Company301553Agent - Casualty1/12/2021 
ActiveStar Insurance Company301553Agent - Property1/12/2021 
ActiveStarNet Insurance Company502746Agent - Casualty2/10/2020 
ActiveStarNet Insurance Company502746Agent - Property2/10/2020 
ActiveStarmount Life Insurance Company628031Agent - Health10/26/2022 
ActiveStarr Indemnity and Liability Company301685Agent - Casualty11/1/2013 
ActiveStarr Indemnity and Liability Company301685Agent - Property11/1/2013 
InactiveState Auto Property & Casualty Insurance Company301953Agent - Casualty5/30/201212/4/2020
InactiveState Auto Property & Casualty Insurance Company301953Agent - Property5/30/201212/4/2020
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty5/30/201212/4/2020
InactiveState Automobile Mutual Insurance Company301824Agent - Property5/30/201212/4/2020
ActiveSummitPoint Insurance Company819084Agent - Casualty7/30/2021 
ActiveSun Life Assurance Company of Canada301811Agent - Health9/7/2011 
ActiveSun Life Assurance Company of Canada301811Agent - Life9/7/2011 
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Health2/14/20078/1/2008
InactiveSun Life and Health Insurance Company (U.S.)300801Agent - Life2/14/20078/1/2008
InactiveTalcott Resolution Life Insurance Company301759Agent - Health11/12/20048/1/2008
InactiveTalcott Resolution Life Insurance Company301759Agent - Life11/12/20048/1/2008
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Health11/12/20048/1/2008
InactiveTalcott Resolution Life and Annuity Insurance Company300932Agent - Life11/12/20048/1/2008
ActiveThe Phoenix Insurance Company301502Agent - Casualty9/10/2015 
ActiveThe Phoenix Insurance Company301502Agent - Property9/10/2015 
InactiveTranscontinental Insurance Company301731Agent - Casualty8/19/20029/27/2007
InactiveTranscontinental Insurance Company301731Agent - Property8/19/20029/27/2007
ActiveTransportation Insurance Company301575Agent - Casualty5/30/2017 
ActiveTransportation Insurance Company301575Agent - Property5/30/2017 
ActiveTravelers Casualty Insurance Company of America300522Agent - Casualty6/12/2015 
ActiveTravelers Casualty Insurance Company of America300522Agent - Property6/12/2015 
ActiveTravelers Casualty and Surety Company of America301334Agent - Casualty1/24/2006 
ActiveTravelers Casualty and Surety Company of America301334Agent - Property1/24/2006 
InactiveTravelers Commercial Casualty Company301695Agent - Casualty5/9/200612/9/2009
InactiveTravelers Commercial Casualty Company301695Agent - Property5/9/200612/9/2009
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty9/8/201511/16/2023
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property9/8/201511/16/2023
ActiveTravelers Indemnity Company (The)301855Agent - Casualty7/16/2020 
ActiveTravelers Indemnity Company (The)301855Agent - Property7/16/2020 
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty7/8/202011/16/2023
InactiveTravelers Indemnity Company of America (The)301093Agent - Property7/8/202011/16/2023
ActiveTravelers Personal Insurance Company705785Agent - Casualty8/11/2021 
ActiveTravelers Personal Insurance Company705785Agent - Property8/11/2021 
ActiveTravelers Property Casualty Company of America301649Agent - Casualty5/13/2002 
ActiveTravelers Property Casualty Company of America301649Agent - Property5/13/2002 
ActiveTrumbull Insurance Company300242Agent - Casualty7/16/2024 
ActiveTrumbull Insurance Company300242Agent - Property7/16/2024 
InactiveTrustgard Insurance Company300104Agent - Casualty9/23/200911/19/2020
InactiveTrustgard Insurance Company300104Agent - Property9/23/200911/19/2020
InactiveTwin City Fire Insurance Company300721Agent - Casualty8/11/200811/5/2009
InactiveTwin City Fire Insurance Company300721Agent - Property8/11/200811/5/2009
ActiveU.S. Specialty Insurance Company300186Agent - Casualty8/29/2016 
ActiveU.S. Specialty Insurance Company300186Agent - Property8/29/2016 
ActiveUNUM Life Insurance Company of America300817Agent - Health10/4/2010 
ActiveUNUM Life Insurance Company of America300817Agent - Life10/4/2010 
InactiveUnion Security Insurance Company301844Agent - Health1/4/201612/31/2020
InactiveUnion Security Insurance Company301844Agent - Life1/4/201612/31/2020
ActiveUnited Financial Casualty Company301886Agent - Casualty12/2/2005 
ActiveUnited Financial Casualty Company301886Agent - Property12/2/2005 
InactiveUnited Fire & Casualty Company301374Agent - Casualty11/23/20163/2/2017
InactiveUnited Fire & Casualty Company301374Agent - Property11/23/20163/2/2017
ActiveUnited World Life Insurance Company300532Agent - Health9/25/2019 
ActiveUnited of Omaha Life Insurance Company300156Agent - Health9/25/2019 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life9/25/2019 
InactiveUnitedHealthcare Insurance Company300946Agent - Health8/21/20205/31/2022
InactiveUnitedHealthcare Insurance Company300946Agent - Life8/21/20205/31/2022
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health8/21/20205/31/2022
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health8/21/20205/31/2022
ActiveUnum Insurance Company301499Agent - Health10/26/2022 
ActiveUnum Insurance Company301499Agent - Life10/26/2022 
ActiveValley Forge Insurance Company301052Agent - Casualty8/19/2002 
ActiveValley Forge Insurance Company301052Agent - Property8/19/2002 
ActiveVigilant Insurance Company301143Agent - Casualty7/3/2001 
ActiveVigilant Insurance Company301143Agent - Property7/3/2001 
ActiveVision Service Plan Insurance Company300526Agent - Health6/14/2010 
ActiveVoya Retirement Insurance and Annuity Company300643Agent - Health7/8/2011 
ActiveVoya Retirement Insurance and Annuity Company300643Agent - Life7/8/2011 
InactiveWausau Business Insurance Company301476Agent - Casualty10/25/20113/30/2015
InactiveWausau Business Insurance Company301476Agent - Property10/25/20113/30/2015
InactiveWausau Underwriters Insurance Company301105Agent - Casualty10/25/20118/27/2015
InactiveWausau Underwriters Insurance Company301105Agent - Property10/25/20118/27/2015
InactiveWest American Insurance Company301112Agent - Casualty10/16/20083/29/2024
InactiveWest American Insurance Company301112Agent - Property10/16/20083/29/2024
InactiveWestchester Fire Insurance Company301414Agent - Casualty8/30/20061/23/2009
ActiveWestchester Fire Insurance Company300990Agent - Casualty3/4/2016 
InactiveWestchester Fire Insurance Company301414Agent - Property8/30/20061/23/2009
ActiveWestchester Fire Insurance Company300990Agent - Property3/4/2016 
ActiveWestern Surety Company300283Agent - Casualty8/12/2002 
ActiveWestfield Insurance Company301950Agent - Casualty12/21/2000 
ActiveWestfield Insurance Company301950Agent - Property12/21/2000 
InactiveWestport Insurance Corporation300448Agent - Casualty6/28/200112/5/2007
ActiveWilliamsburg National Insurance Company301825Agent - Casualty1/12/2021 
ActiveWilliamsburg National Insurance Company301825Agent - Property1/12/2021 
InactiveXL Specialty Insurance Company301605Agent - Casualty10/6/20109/13/2013
InactiveXL Specialty Insurance Company301605Agent - Property10/6/20109/13/2013
ActiveZurich American Insurance Company301121Agent - Casualty6/8/2009 
ActiveZurich American Insurance Company301121Agent - Property6/8/2009 
ActiveZurich American Insurance Company of Illinois301805Agent - Casualty6/8/2009 
ActiveZurich American Insurance Company of Illinois301805Agent - Property6/8/2009 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveBill, Jude 521429Agent - Health1/16/20127/31/2018
InactiveBill, Jude 521429Agent - Life1/16/20127/31/2018
ActiveCrossland, Frank Thomas 337740Agent - Health6/6/2018 
ActiveCrossland, Frank Thomas 337740Agent - Life6/6/2018 
ActiveMacnab, John Colin 341667Agent - Casualty7/21/2018 
ActiveMacnab, John Colin 341667Agent - Property7/21/2018 
ActiveOrr, Daniel Christopher 981234Agent - Health1/14/2019 
ActiveOrr, Daniel Christopher 981234Agent - Life1/14/2019 
ActivePerkins, Joseph Allen 363727Agent - Health8/30/2017 
ActivePerkins, Joseph Allen 363727Agent - Life8/30/2017 
DeniedShrout, Britni 895567Agent - Casualty  
DeniedShrout, Britni 895567Agent - Property  
DeniedSpencer, Eric Joseph 855881Agent - Casualty  
DeniedSpencer, Eric Joseph 855881Agent - Property  
ActiveStellhorn, Cindy H 306042Agent - Casualty8/15/2000 
ActiveStellhorn, Cindy H 306042Agent - Health6/10/2009 
ActiveStellhorn, Cindy H 306042Agent - Life6/10/2009 
ActiveStellhorn, Cindy H 306042Agent - Property8/15/2000 
ActiveStellhorn, Cindy H 306042Surplus Lines Broker - Not Applicable2/14/2007 

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