DEPARTMENT OF INSURANCE
Affiliations
NameCMS Ins Service IncDOIID582547NAIC NPN3273516
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty12/29/2003 3/31/2027
ActiveNon ResidentAgentCasualty12/29/2003 3/31/2027
ActiveNon ResidentAgentLife8/2/2004 3/31/2027
InactiveNon ResidentAgentHealth5/17/201110/1/2021 
ActiveNon ResidentManaging General AgentNot Applicable3/16/2016 3/31/2027
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAccendo Insurance Company300312Agent - Life6/10/2020 
InactiveAegis Security Insurance Company300492Agent - Casualty3/17/201711/8/2022
InactiveAegis Security Insurance Company300492Agent - Property3/17/201711/8/2022
InactiveAetna Health and Life Insurance Company300523Agent - Health4/20/20207/7/2020
InactiveAmerican Continental Insurance Company643130Agent - Life4/20/20207/7/2020
InactiveAmerican Economy Insurance Company300315Agent - Casualty11/9/20193/29/2024
InactiveAmerican Economy Insurance Company300315Agent - Property11/9/20193/29/2024
InactiveAmerican Family Home Insurance Company301817Agent - Casualty8/26/200811/14/2021
InactiveAmerican Family Home Insurance Company301817Agent - Property8/26/200811/14/2021
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty8/26/200812/13/2023
InactiveAmerican Modern Home Insurance Company300791Agent - Property8/26/200812/13/2023
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty5/28/2018 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property5/28/2018 
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty8/26/200811/14/2021
InactiveAmerican Modern Select Insurance Company581481Agent - Property8/26/200811/14/2021
ActiveAmerican Select Insurance Company301229Agent - Casualty3/9/2023 
ActiveAmerican Select Insurance Company301229Agent - Property3/9/2023 
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty8/26/200811/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Property8/26/200811/14/2021
ActiveAmerican Strategic Insurance Corp883540Agent - Casualty3/8/2017 
ActiveAmerican Strategic Insurance Corp883540Agent - Property3/8/2017 
InactiveAmerican Zurich Insurance Company300592Agent - Casualty11/8/20049/15/2014
InactiveAmerican Zurich Insurance Company300592Agent - Property11/8/20049/15/2014
InactiveAssurance Company of America300432Agent - Casualty11/8/20049/15/2014
InactiveAssurance Company of America300432Agent - Property11/8/20049/15/2014
InactiveBrickStreet Mutual Insurance Company709251Agent - Casualty11/27/202111/27/2021
InactiveBristol West Insurance Company301655Agent - Casualty7/29/200912/20/2024
InactiveBristol West Insurance Company301655Agent - Property7/29/200912/20/2024
InactiveContinental Life Insurance Company of Brentwood Tennessee301526Agent - Health4/20/20207/7/2020
InactiveEncompass Indemnity Company546376Agent - Casualty4/7/202010/3/2024
InactiveEncompass Indemnity Company546376Agent - Property4/7/202010/3/2024
InactiveEncova Life Insurance Company301818Agent - Life8/16/20043/17/2010
InactiveFarmers Casualty Insurance Company301616Agent - Casualty12/20/20041/25/2006
InactiveFarmers Casualty Insurance Company301616Agent - Property12/20/20041/25/2006
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Casualty6/4/200710/30/2008
InactiveFarmers Direct Property and Casualty Insurance Company300957Agent - Property6/4/200710/30/2008
InactiveFarmers Insurance Exchange300336Agent - Casualty12/17/20088/23/2012
InactiveFarmers Insurance Exchange300336Agent - Property12/17/20088/23/2012
ActiveFarmers Property and Casualty Insurance Company301237Agent - Casualty4/5/2012 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Property4/5/2012 
InactiveFarmington Casualty Company301137Agent - Casualty3/22/201311/26/2024
InactiveFarmington Casualty Company301137Agent - Property3/22/201311/26/2024
ActiveFidelity and Guaranty Insurance Company301009Agent - Casualty12/1/2021 
ActiveFidelity and Guaranty Insurance Company301009Agent - Property12/1/2021 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty11/14/2008 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property11/14/2008 
InactiveForemost Property and Casualty Insurance Company300871Agent - Casualty11/21/20128/29/2018
InactiveForemost Property and Casualty Insurance Company300871Agent - Property11/21/20128/29/2018
InactiveForemost Signature Insurance Company300140Agent - Casualty11/21/20128/29/2018
InactiveForemost Signature Insurance Company300140Agent - Property11/21/20128/29/2018
ActiveHartford Accident and Indemnity Company301917Agent - Casualty7/18/2018 
ActiveHartford Accident and Indemnity Company301917Agent - Property7/18/2018 
InactiveHartford Casualty Insurance Company301332Agent - Casualty6/24/201412/10/2018
InactiveHartford Casualty Insurance Company301332Agent - Property6/24/201412/10/2018
InactiveHartford Fire Insurance Company300628Agent - Casualty12/13/20118/22/2017
InactiveHartford Fire Insurance Company300628Agent - Property12/13/20118/22/2017
ActiveHartford Underwriters Insurance Company301064Agent - Casualty2/6/2020 
ActiveHartford Underwriters Insurance Company301064Agent - Property2/6/2020 
ActiveLoyal Christian Benefit Association300958Agent - Life2/6/2023 
ActiveMICO Insurance Company301664Agent - Casualty1/26/2024 
ActiveMICO Insurance Company301664Agent - Property1/26/2024 
ActiveMarkel Insurance Company301475Agent - Casualty7/29/2014 
InactiveMarkel Insurance Company301475Agent - Health7/29/201410/1/2021
ActiveMarkel Insurance Company301475Agent - Property7/29/2014 
InactiveMaryland Casualty Company301719Agent - Casualty11/8/20049/15/2014
InactiveMaryland Casualty Company301719Agent - Property11/8/20049/15/2014
InactiveMeridian Security Insurance Company300423Agent - Casualty1/6/20174/10/2025
InactiveMeridian Security Insurance Company300423Agent - Property1/6/20174/10/2025
InactiveMetropolitan General Insurance Company300709Agent - Casualty12/20/20041/25/2006
InactiveMetropolitan General Insurance Company300709Agent - Property12/20/20041/25/2006
ActiveMilbank Insurance Company925185Agent - Casualty11/8/2017 
ActiveMilbank Insurance Company925185Agent - Property11/8/2017 
ActiveMotorists Mutual Insurance Company300963Agent - Casualty3/20/2024 
ActiveMotorists Mutual Insurance Company300963Agent - Property3/20/2024 
ActiveNGM Insurance Company583837Agent - Casualty4/19/2012 
ActiveNGM Insurance Company583837Agent - Property4/19/2012 
InactiveNorthStone Insurance Company818905Agent - Casualty11/27/202111/27/2021
InactiveNorthern Insurance Company of New York301317Agent - Casualty11/8/20049/15/2014
InactiveNorthern Insurance Company of New York301317Agent - Property11/8/20049/15/2014
InactiveOhio Casualty Insurance Company301492Agent - Casualty7/1/20203/29/2024
InactiveOhio Casualty Insurance Company301492Agent - Property7/1/20203/29/2024
ActiveOhio Farmers Insurance Company301667Agent - Casualty3/9/2023 
ActiveOhio Farmers Insurance Company301667Agent - Property3/9/2023 
InactiveOhio Security Insurance Company300622Agent - Casualty5/13/20193/29/2024
InactiveOhio Security Insurance Company300622Agent - Property5/13/20193/29/2024
ActiveOld Guard Insurance Company533854Agent - Casualty3/9/2023 
ActiveOld Guard Insurance Company533854Agent - Property3/9/2023 
InactivePinnaclePoint Insurance Company819085Agent - Casualty11/27/202111/27/2021
InactiveProperty and Casualty Insurance Company of Hartford301409Agent - Casualty4/3/20147/18/2023
InactiveProperty and Casualty Insurance Company of Hartford301409Agent - Property4/3/20147/18/2023
InactiveSAFECO Insurance Company of America300159Agent - Casualty4/3/20173/29/2024
InactiveSAFECO Insurance Company of America300159Agent - Property4/3/20173/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty4/3/20173/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Property4/3/20173/29/2024
ActiveSentinel Insurance Company, Limited501696Agent - Casualty2/4/2013 
ActiveSentinel Insurance Company, Limited501696Agent - Property2/4/2013 
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty9/29/2023 
ActiveStandard Fire Insurance Company (The)301068Agent - Property9/29/2023 
InactiveState Auto Property & Casualty Insurance Company301953Agent - Casualty1/6/20174/10/2025
InactiveState Auto Property & Casualty Insurance Company301953Agent - Property1/6/20174/10/2025
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty1/6/20174/10/2025
InactiveState Automobile Mutual Insurance Company301824Agent - Property1/6/20174/10/2025
InactiveSummitPoint Insurance Company819084Agent - Casualty11/27/202111/27/2021
InactiveThe Phoenix Insurance Company301502Agent - Casualty1/9/201711/4/2022
InactiveThe Phoenix Insurance Company301502Agent - Property1/9/201711/4/2022
InactiveTitan Indemnity Company300556Agent - Casualty3/2/20116/22/2017
InactiveTitan Indemnity Company300556Agent - Property3/2/20116/22/2017
ActiveTravelers Casualty Insurance Company of America300522Agent - Casualty11/14/2011 
ActiveTravelers Casualty Insurance Company of America300522Agent - Property11/14/2011 
ActiveTravelers Casualty and Surety Company of America301334Agent - Casualty12/13/2018 
ActiveTravelers Casualty and Surety Company of America301334Agent - Property12/13/2018 
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty7/3/201811/26/2024
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property7/3/201811/26/2024
InactiveTravelers Indemnity Company (The)301855Agent - Casualty12/4/201311/26/2024
InactiveTravelers Indemnity Company (The)301855Agent - Property12/4/201311/26/2024
ActiveTravelers Indemnity Company of America (The)301093Agent - Casualty11/15/2011 
ActiveTravelers Indemnity Company of America (The)301093Agent - Property11/15/2011 
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty5/7/201212/21/2015
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property5/7/201212/21/2015
InactiveTravelers Property Casualty Company of America301649Agent - Casualty7/8/201412/15/2020
InactiveTravelers Property Casualty Company of America301649Agent - Property7/8/201412/15/2020
InactiveTruck Insurance Exchange300335Agent - Casualty12/17/20088/23/2012
InactiveTruck Insurance Exchange300335Agent - Property12/17/20088/23/2012
InactiveTrumbull Insurance Company300242Agent - Casualty10/30/20187/18/2023
InactiveTrumbull Insurance Company300242Agent - Property10/30/20187/18/2023
ActiveTwin City Fire Insurance Company300721Agent - Casualty3/20/2013 
ActiveTwin City Fire Insurance Company300721Agent - Property3/20/2013 
InactiveVictoria Fire & Casualty Company300313Agent - Casualty8/19/20106/22/2017
InactiveVictoria Fire & Casualty Company300313Agent - Property8/19/20106/22/2017
ActiveWestfield Champion Insurance Company1054839Agent - Casualty3/9/2023 
ActiveWestfield Champion Insurance Company1054839Agent - Property3/9/2023 
ActiveWestfield Insurance Company301950Agent - Casualty3/9/2023 
ActiveWestfield Insurance Company301950Agent - Property3/9/2023 
ActiveWestfield National Insurance Company301036Agent - Casualty3/9/2023 
ActiveWestfield National Insurance Company301036Agent - Property3/9/2023 
ActiveWestfield Premier Insurance Company1055055Agent - Casualty3/9/2023 
ActiveWestfield Premier Insurance Company1055055Agent - Property3/9/2023 
ActiveWestfield Superior Insurance Company1054978Agent - Casualty3/9/2023 
ActiveWestfield Superior Insurance Company1054978Agent - Property3/9/2023 
ActiveWestfield Touchstone Insurance Company1055057Agent - Casualty3/9/2023 
ActiveWestfield Touchstone Insurance Company1055057Agent - Property3/9/2023 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveJohnson, Brian Wesley 505207Agent - Health8/2/20041/31/2011
InactiveJohnson, Brian Wesley 505207Agent - Life8/2/20041/31/2011
ActiveJohnson, Conn Douglas 326583Agent - Casualty12/29/2003 
ActiveJohnson, Conn Douglas 326583Agent - Property12/29/2003 
InactiveJohnson, Lynn Robert 356300Agent - Health5/17/20117/31/2021
ActiveJohnson, Mark Douglas 353584Agent - Casualty12/29/2003 
ActiveJohnson, Mark Douglas 353584Agent - Property12/29/2003 
PendingSiddens, Robert T 354250Agent - Casualty  
ActiveSiddens, Robert T 354250Agent - Life4/18/2025 
PendingSiddens, Robert T 354250Agent - Property  

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