DEPARTMENT OF INSURANCE

Affiliations

Name	Black, Steven D	DOIID	566957	NAIC NPN	7648823

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Casualty	4/17/2003	6/30/2027
Active	Resident	Agent	Health	4/8/2003	6/30/2027
Active	Resident	Agent	Life	4/8/2003	6/30/2027
Active	Resident	Agent	Property	4/15/2003	6/30/2027
* 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
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	11/5/2009
Active	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	11/5/2009
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	7/23/2015	11/14/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	7/23/2015	11/14/2021
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	10/11/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	10/11/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/23/2015	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/23/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	7/23/2015	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	7/23/2015	11/14/2021
Active	American Strategic Insurance Corp	883540	Agent - Casualty	7/26/2020
Active	American Strategic Insurance Corp	883540	Agent - Property	7/26/2020
Inactive	Assurity Life Insurance Company	301099	Agent - Health	2/8/2008	1/21/2009
Inactive	Assurity Life Insurance Company	301099	Agent - Life	2/8/2008	1/21/2009
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	1/26/2017	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	1/26/2017	12/20/2024
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	5/27/2003	1/23/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/23/2006	12/20/2023
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/23/2006	12/20/2023
Denied	Foremost Signature Insurance Company	300140	Agent - Casualty
Denied	Foremost Signature Insurance Company	300140	Agent - Property
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	8/8/2007	5/26/2011
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	8/8/2007	5/26/2011
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	11/4/2005
Active	Progressive Casualty Insurance Company	300696	Agent - Property	11/4/2005
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	5/31/2017	11/22/2021
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	5/31/2017	11/22/2021
Active	Shelter General Insurance Company	301109	Agent - Casualty	4/17/2003
Active	Shelter General Insurance Company	301109	Agent - Property	4/15/2003
Active	Shelter Life Insurance Company	300391	Agent - Health	4/8/2003
Active	Shelter Life Insurance Company	300391	Agent - Life	4/8/2003
Active	Shelter Mutual Insurance Company	301870	Agent - Casualty	4/17/2003
Active	Shelter Mutual Insurance Company	301870	Agent - Property	4/15/2003
Active	United Financial Casualty Company	301886	Agent - Casualty	4/24/2008
Active	United Financial Casualty Company	301886	Agent - Property	4/24/2008
Inactive	United Home Life Insurance Company	300421	Agent - Life	10/19/2006	6/20/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Daniel Boone Agency, LLC.	515760	Agent - Health	5/30/2003
Active	Daniel Boone Agency, LLC.	515760	Agent - Life	5/30/2003
Active	Daniel Boone Agency, LLC.	515760	Agent - Casualty	5/30/2003
Active	Daniel Boone Agency, LLC.	515760	Agent - Property	5/30/2003