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DEPARTMENT OF INSURANCE
Affiliations
Name
Insurance, etc,.Inc.
DOIID
584143
NAIC NPN
7992588
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Inactive
Resident
Agent
Health
3/3/2004
3/31/2010
Inactive
Resident
Agent
Life
3/3/2004
3/31/2010
Inactive
Resident
Agent
Property
3/3/2004
3/31/2010
Inactive
Resident
Agent
Casualty
3/3/2004
3/31/2010
* 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
Inactive
AIG Assurance Company
300897
Agent - Casualty
9/12/2005
7/19/2006
Inactive
AIG Assurance Company
300897
Agent - Property
9/12/2005
7/19/2006
Inactive
Allstate Indemnity Company
300778
Agent - Casualty
5/21/2004
6/4/2007
Inactive
Allstate Indemnity Company
300778
Agent - Property
5/21/2004
6/4/2007
Inactive
Allstate Insurance Company
300773
Agent - Casualty
5/21/2004
6/4/2007
Inactive
Allstate Insurance Company
300773
Agent - Property
5/21/2004
6/4/2007
Inactive
Allstate Property and Casualty Insurance Company
300593
Agent - Casualty
8/12/2005
6/4/2007
Inactive
Allstate Property and Casualty Insurance Company
300593
Agent - Property
8/12/2005
6/4/2007
Inactive
American Casualty Company of Reading, Pennsylvania
300956
Agent - Casualty
6/29/2006
3/31/2010
Inactive
American Casualty Company of Reading, Pennsylvania
300956
Agent - Property
6/29/2006
3/31/2010
Inactive
American Economy Insurance Company
300315
Agent - Casualty
1/12/2007
3/31/2010
Inactive
American Economy Insurance Company
300315
Agent - Property
1/12/2007
3/31/2010
Inactive
American Fire and Casualty Company
300567
Agent - Casualty
10/16/2008
3/31/2010
Inactive
American Fire and Casualty Company
300567
Agent - Property
10/16/2008
3/31/2010
Inactive
American Heritage Life Insurance Company
300272
Agent - Health
10/26/2004
6/23/2008
Inactive
American Heritage Life Insurance Company
300272
Agent - Life
10/26/2004
6/23/2008
Inactive
American States Insurance Company
301230
Agent - Casualty
1/12/2007
3/31/2010
Inactive
American States Insurance Company
301230
Agent - Property
1/12/2007
3/31/2010
Inactive
American Zurich Insurance Company
300592
Agent - Casualty
10/30/2008
6/23/2009
Inactive
American Zurich Insurance Company
300592
Agent - Property
10/30/2008
6/23/2009
Inactive
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
6/4/2007
3/31/2010
Inactive
Anthem Insurance Companies, Inc.
300941
Agent - Health
6/4/2007
3/31/2010
Inactive
Anthem Life Insurance Company
301209
Agent - Health
6/4/2007
3/31/2010
Inactive
Anthem Life Insurance Company
301209
Agent - Life
6/4/2007
3/31/2010
Inactive
Assurance Company of America
300432
Agent - Casualty
6/16/2004
6/23/2009
Inactive
Assurance Company of America
300432
Agent - Property
6/16/2004
6/23/2009
Inactive
Celina Mutual Insurance Company (The)
301908
Agent - Casualty
10/27/2005
6/30/2006
Inactive
Celina Mutual Insurance Company (The)
301908
Agent - Property
10/27/2005
6/30/2006
Inactive
Charter Oak Fire Insurance Company (The)
301501
Agent - Casualty
5/28/2008
3/30/2010
Inactive
Charter Oak Fire Insurance Company (The)
301501
Agent - Property
5/28/2008
3/30/2010
Inactive
Consolidated Insurance Company
300943
Agent - Casualty
10/16/2008
3/31/2010
Inactive
Consolidated Insurance Company
300943
Agent - Property
10/16/2008
3/31/2010
Inactive
Continental Casualty Company
301019
Agent - Casualty
6/29/2006
3/31/2010
Inactive
Continental Casualty Company
301019
Agent - Property
6/29/2006
3/31/2010
Inactive
Continental Insurance Company (The)
301242
Agent - Casualty
6/29/2006
3/31/2010
Inactive
Continental Insurance Company (The)
301242
Agent - Property
6/29/2006
3/31/2010
Inactive
Everlake Life Insurance Company
300873
Agent - Health
5/21/2004
6/4/2007
Inactive
Everlake Life Insurance Company
300873
Agent - Life
5/21/2004
6/4/2007
Inactive
Farmers Insurance Exchange
300336
Agent - Casualty
10/19/2005
3/31/2010
Inactive
Farmers Insurance Exchange
300336
Agent - Property
10/19/2005
3/31/2010
Inactive
Farmington Casualty Company
301137
Agent - Casualty
5/28/2008
3/30/2010
Inactive
Farmington Casualty Company
301137
Agent - Property
5/28/2008
3/30/2010
Inactive
First National Insurance Company of America
301690
Agent - Casualty
5/26/2004
3/31/2010
Inactive
First National Insurance Company of America
301690
Agent - Property
5/26/2004
3/31/2010
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Casualty
3/25/2004
3/31/2010
Inactive
Foremost Insurance Company Grand Rapids, Michigan
301027
Agent - Property
3/25/2004
3/31/2010
Inactive
General Insurance Company of America
300261
Agent - Casualty
1/12/2007
3/31/2010
Inactive
General Insurance Company of America
300261
Agent - Property
1/12/2007
3/31/2010
Inactive
Glatfelter Insurance Company
301640
Agent - Casualty
6/16/2004
11/30/2007
Inactive
Glatfelter Insurance Company
301640
Agent - Property
6/16/2004
11/30/2007
Inactive
Golden Rule Insurance Company
301943
Agent - Health
1/3/2007
11/10/2008
Inactive
Golden Rule Insurance Company
301943
Agent - Life
1/3/2007
11/10/2008
Inactive
Granite State Insurance Company
300818
Agent - Casualty
9/12/2005
7/19/2006
Inactive
Granite State Insurance Company
300818
Agent - Property
9/12/2005
7/19/2006
Inactive
Humana Health Plan, Inc.
300142
Agent - Health
6/11/2004
6/30/2009
Inactive
Humana Insurance Company
301104
Agent - Health
6/11/2004
6/30/2009
Inactive
Humana Insurance Company
301104
Agent - Life
6/11/2004
6/30/2009
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Health
6/11/2004
6/30/2009
Inactive
Humana Insurance Company of Kentucky
300826
Agent - Life
6/11/2004
6/30/2009
Inactive
Indiana Insurance Company
301909
Agent - Casualty
10/16/2008
3/31/2010
Inactive
Indiana Insurance Company
301909
Agent - Property
10/16/2008
3/31/2010
Inactive
Lincoln Benefit Life Company
301110
Agent - Health
1/22/2009
3/31/2010
Inactive
Lincoln Benefit Life Company
301110
Agent - Life
1/22/2009
3/31/2010
Inactive
Maryland Casualty Company
301719
Agent - Casualty
6/16/2004
6/23/2009
Inactive
Maryland Casualty Company
301719
Agent - Property
6/16/2004
6/23/2009
Inactive
National Fire Insurance Company of Hartford
301063
Agent - Casualty
6/29/2006
3/31/2010
Inactive
National Fire Insurance Company of Hartford
301063
Agent - Property
6/29/2006
3/31/2010
Inactive
Netherlands Insurance Company (The)
300339
Agent - Casualty
10/16/2008
3/31/2010
Inactive
Netherlands Insurance Company (The)
300339
Agent - Property
10/16/2008
3/31/2010
Inactive
Northern Insurance Company of New York
301317
Agent - Casualty
6/16/2004
6/23/2009
Inactive
Northern Insurance Company of New York
301317
Agent - Property
6/16/2004
6/23/2009
Inactive
Ohio Casualty Insurance Company
301492
Agent - Casualty
10/16/2008
3/31/2010
Inactive
Ohio Casualty Insurance Company
301492
Agent - Property
10/16/2008
3/31/2010
Inactive
Ohio Security Insurance Company
300622
Agent - Casualty
10/16/2008
3/31/2010
Inactive
Ohio Security Insurance Company
300622
Agent - Property
10/16/2008
3/31/2010
Inactive
Peerless Indemnity Insurance Company
571682
Agent - Casualty
10/16/2008
3/31/2010
Inactive
Peerless Indemnity Insurance Company
571682
Agent - Property
10/16/2008
3/31/2010
Inactive
Peerless Insurance Company
301910
Agent - Casualty
10/16/2008
3/31/2010
Inactive
Peerless Insurance Company
301910
Agent - Property
10/16/2008
3/31/2010
Inactive
Progressive Casualty Insurance Company
300696
Agent - Casualty
11/12/2008
5/7/2009
Inactive
Progressive Casualty Insurance Company
300696
Agent - Property
11/12/2008
5/7/2009
Inactive
Progressive Northern Insurance Company
301378
Agent - Casualty
11/12/2008
5/7/2009
Inactive
Progressive Northern Insurance Company
301378
Agent - Property
11/12/2008
5/7/2009
Inactive
SAFECO Insurance Company of America
300159
Agent - Casualty
5/26/2004
3/31/2010
Inactive
SAFECO Insurance Company of America
300159
Agent - Property
5/26/2004
3/31/2010
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - Casualty
5/26/2004
3/31/2010
Inactive
SAFECO Insurance Company of Illinois
301350
Agent - Property
5/26/2004
3/31/2010
Inactive
Standard Fire Insurance Company (The)
301068
Agent - Casualty
5/28/2008
3/30/2010
Inactive
Standard Fire Insurance Company (The)
301068
Agent - Property
5/28/2008
3/30/2010
Inactive
The Phoenix Insurance Company
301502
Agent - Casualty
5/28/2008
3/30/2010
Inactive
The Phoenix Insurance Company
301502
Agent - Property
5/28/2008
3/30/2010
Inactive
Transcontinental Insurance Company
301731
Agent - Casualty
6/29/2006
9/27/2007
Inactive
Transcontinental Insurance Company
301731
Agent - Property
6/29/2006
9/27/2007
Inactive
Transportation Insurance Company
301575
Agent - Casualty
6/29/2006
3/31/2010
Inactive
Transportation Insurance Company
301575
Agent - Property
6/29/2006
3/31/2010
Inactive
Travelers Casualty Insurance Company of America
300522
Agent - Casualty
5/28/2008
3/30/2010
Inactive
Travelers Casualty Insurance Company of America
300522
Agent - Property
5/28/2008
3/30/2010
Inactive
Travelers Casualty and Surety Company
301067
Agent - Casualty
5/28/2008
3/30/2010
Inactive
Travelers Casualty and Surety Company
301067
Agent - Property
5/28/2008
3/30/2010
Inactive
Travelers Indemnity Company (The)
301855
Agent - Casualty
5/28/2008
3/30/2010
Inactive
Travelers Indemnity Company (The)
301855
Agent - Property
5/28/2008
3/30/2010
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Casualty
5/28/2008
3/30/2010
Inactive
Travelers Indemnity Company of America (The)
301093
Agent - Property
5/28/2008
3/30/2010
Inactive
Travelers Indemnity Company of Connecticut (The)
301591
Agent - Casualty
5/28/2008
3/30/2010
Inactive
Travelers Indemnity Company of Connecticut (The)
301591
Agent - Property
5/28/2008
3/30/2010
Inactive
Travelers Property Casualty Company of America
301649
Agent - Casualty
5/28/2008
3/30/2010
Inactive
Travelers Property Casualty Company of America
301649
Agent - Property
5/28/2008
3/30/2010
Inactive
Truck Insurance Exchange
300335
Agent - Casualty
5/8/2007
3/31/2010
Inactive
Truck Insurance Exchange
300335
Agent - Property
5/8/2007
3/31/2010
Inactive
United Financial Casualty Company
301886
Agent - Casualty
11/12/2008
5/7/2009
Inactive
United Financial Casualty Company
301886
Agent - Property
11/12/2008
5/7/2009
Inactive
Valley Forge Insurance Company
301052
Agent - Casualty
6/29/2006
3/31/2010
Inactive
Valley Forge Insurance Company
301052
Agent - Property
6/29/2006
3/31/2010
Inactive
West American Insurance Company
301112
Agent - Casualty
10/16/2008
3/31/2010
Inactive
West American Insurance Company
301112
Agent - Property
10/16/2008
3/31/2010
Inactive
Western Surety Company
300283
Agent - Casualty
6/8/2004
6/11/2009
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Estes, Garry R
350263
Agent - Casualty
3/3/2004
12/31/2008
Inactive
Estes, Garry R
350263
Agent - Health
3/3/2004
12/31/2008
Inactive
Estes, Garry R
350263
Agent - Life
3/3/2004
12/31/2008
Inactive
Estes, Garry R
350263
Agent - Property
3/3/2004
12/31/2008
Inactive
Estes, Michelle
581327
Agent - Casualty
4/21/2004
3/31/2010
Inactive
Estes, Michelle
581327
Agent - Health
4/21/2004
3/31/2010
Inactive
Estes, Michelle
581327
Agent - Life
4/21/2004
3/31/2010
Inactive
Estes, Michelle
581327
Agent - Property
8/6/2008
3/31/2010
Inactive
Grider, Charles Scott
321513
Agent - Casualty
1/22/2007
3/26/2008
Inactive
Grider, Charles Scott
321513
Agent - Health
1/22/2007
3/26/2008
Inactive
Grider, Charles Scott
321513
Agent - Life
1/22/2007
3/26/2008
Inactive
Grider, Charles Scott
321513
Agent - Property
1/22/2007
3/26/2008
Denied
Stephens, Angela Ladon
372137
Agent - Casualty
Denied
Stephens, Angela Ladon
372137
Agent - Property
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