DEPARTMENT OF INSURANCE

Affiliations

Name	Max Ins Agency Inc	DOIID	588185	NAIC NPN	7866920

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	6/7/2004		3/31/2026
Active	Non Resident	Agent	Property	6/7/2004		3/31/2026
Inactive	Non Resident	Agent	Health	7/2/2012	7/26/2013
Inactive	Non Resident	Agent	Life	7/2/2012	7/26/2013
* 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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019	3/29/2024
Inactive	American Economy Insurance Company	300315	Agent - Property	11/9/2019	3/29/2024
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/16/2008	7/13/2012
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/16/2008	7/13/2012
Active	American Zurich Insurance Company	300592	Agent - Casualty	9/13/2012
Active	American Zurich Insurance Company	300592	Agent - Property	9/13/2012
Inactive	Assurance Company of America	300432	Agent - Casualty	9/13/2012	12/6/2013
Inactive	Assurance Company of America	300432	Agent - Property	9/13/2012	12/6/2013
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	8/17/2021
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	8/17/2021
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	4/2/2021	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	4/2/2021	12/20/2024
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	11/8/2005	12/9/2009
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	11/8/2005	12/9/2009
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/16/2008	7/13/2012
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/16/2008	7/13/2012
Inactive	Farmington Casualty Company	301137	Agent - Casualty	5/9/2006	12/9/2009
Inactive	Farmington Casualty Company	301137	Agent - Property	5/9/2006	12/9/2009
Inactive	First National Insurance Company of America	301690	Agent - Casualty	6/15/2004	7/13/2012
Inactive	First National Insurance Company of America	301690	Agent - Property	6/15/2004	7/13/2012
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/19/2005
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/19/2005
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	11/20/2012	8/29/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	11/20/2012	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	11/20/2012	8/29/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	11/20/2012	8/29/2018
Inactive	General Insurance Company of America	300261	Agent - Casualty	3/8/2005	7/13/2012
Inactive	General Insurance Company of America	300261	Agent - Property	3/8/2005	7/13/2012
Active	GuideOne Elite Insurance Company	300490	Agent - Casualty	10/19/2004
Active	GuideOne Elite Insurance Company	300490	Agent - Property	10/19/2004
Active	GuideOne Insurance Company	301794	Agent - Casualty	10/19/2004
Active	GuideOne Insurance Company	301794	Agent - Property	10/19/2004
Active	GuideOne Specialty Insurance Company	300278	Agent - Casualty	10/19/2004
Active	GuideOne Specialty Insurance Company	300278	Agent - Property	10/19/2004
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	6/28/2017	9/27/2019
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	6/28/2017	9/27/2019
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	7/1/2004	11/7/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	7/1/2004	11/7/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	7/1/2004	11/7/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	7/1/2004	11/7/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	7/1/2004	11/7/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	7/1/2004	11/7/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	7/1/2004	11/7/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	7/1/2004	11/7/2008
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/16/2008	7/13/2012
Inactive	Indiana Insurance Company	301909	Agent - Property	10/16/2008	7/13/2012
Inactive	Maryland Casualty Company	301719	Agent - Casualty	9/13/2012	12/6/2013
Inactive	Maryland Casualty Company	301719	Agent - Property	9/13/2012	12/6/2013
Active	Milbank Insurance Company	925185	Agent - Casualty	5/15/2020
Active	Milbank Insurance Company	925185	Agent - Property	5/15/2020
Active	National General Insurance Company	300152	Agent - Casualty	10/7/2010
Active	National General Insurance Company	300152	Agent - Property	10/7/2010
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/16/2008	7/13/2012
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/16/2008	7/13/2012
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	9/13/2012	12/6/2013
Inactive	Northern Insurance Company of New York	301317	Agent - Property	9/13/2012	12/6/2013
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/16/2008	7/13/2012
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/16/2008	7/13/2012
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/16/2008	7/13/2012
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/16/2008	7/13/2012
Inactive	Omni Indemnity Company	301456	Agent - Casualty	7/1/2004	4/22/2008
Inactive	Omni Indemnity Company	301456	Agent - Property	7/1/2004	4/22/2008
Inactive	Omni Insurance Company	301545	Agent - Casualty	7/1/2004	4/22/2008
Inactive	Omni Insurance Company	301545	Agent - Property	7/1/2004	4/22/2008
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/16/2008	7/13/2012
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/16/2008	7/13/2012
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/16/2008	7/13/2012
Inactive	Peerless Insurance Company	301910	Agent - Property	10/16/2008	7/13/2012
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	6/29/2004
Active	Progressive Casualty Insurance Company	300696	Agent - Property	6/29/2004
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	6/29/2004	12/9/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	6/29/2004	12/9/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/27/2012	3/29/2024
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/27/2012	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/27/2012	3/29/2024
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/27/2012	3/29/2024
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	7/1/2004	11/7/2008
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	7/1/2004	11/7/2008
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	7/1/2004	12/9/2009
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	7/1/2004	12/9/2009
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Casualty	2/21/2014	12/21/2015
Inactive	St. Paul Guardian Insurance Company	301372	Agent - Property	2/21/2014	12/21/2015
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Casualty	2/21/2014	12/21/2015
Inactive	St. Paul Mercury Insurance Company	300783	Agent - Property	2/21/2014	12/21/2015
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/12/2021
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	8/12/2021
Inactive	Star Insurance Company	301553	Agent - Casualty	10/27/2004	11/29/2010
Inactive	Star Insurance Company	301553	Agent - Property	10/27/2004	11/29/2010
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	7/23/2012	12/9/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Property	7/23/2012	12/9/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	5/22/2017	10/5/2021
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	5/22/2017	10/5/2021
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	7/23/2012	12/20/2018
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	7/23/2012	12/20/2018
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	11/8/2005	12/9/2009
Inactive	Travelers Casualty and Surety Company of America	301334	Agent - Property	11/8/2005	12/9/2009
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	5/9/2006	12/9/2009
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	5/9/2006	12/9/2009
Active	Travelers Indemnity Company (The)	301855	Agent - Casualty	5/25/2017
Active	Travelers Indemnity Company (The)	301855	Agent - Property	5/25/2017
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	7/23/2012	11/4/2022
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	7/23/2012	11/4/2022
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	7/23/2012	11/16/2023
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	7/23/2012	11/16/2023
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	7/2/2021
Active	Travelers Personal Insurance Company	705785	Agent - Property	7/2/2021
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	7/23/2012	12/3/2014
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	7/23/2012	12/3/2014
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	7/1/2004	11/7/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	7/1/2004	11/7/2008
Active	United Financial Casualty Company	301886	Agent - Casualty	12/2/2005
Active	United Financial Casualty Company	301886	Agent - Property	12/2/2005
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Casualty	7/1/2004	12/9/2009
Inactive	United States Fidelity and Guaranty Company	301449	Agent - Property	7/1/2004	12/9/2009
Inactive	West American Insurance Company	301112	Agent - Casualty	10/16/2008	7/13/2012
Inactive	West American Insurance Company	301112	Agent - Property	10/16/2008	7/13/2012
Inactive	Williamsburg National Insurance Company	301825	Agent - Casualty	3/17/2008	11/29/2010
Inactive	Williamsburg National Insurance Company	301825	Agent - Property	3/17/2008	11/29/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Adair, Sean	1115035	Agent - Casualty	11/19/2022	2/19/2025
Inactive	Adair, Sean	1115035	Agent - Property	11/19/2022	2/19/2025
Inactive	Citrano Bronder, Kimberly Ann	746681	Agent - Casualty	4/1/2011	11/19/2022
Inactive	Citrano Bronder, Kimberly Ann	746681	Agent - Health		8/9/2013
Inactive	Citrano Bronder, Kimberly Ann	746681	Agent - Life		8/9/2013
Inactive	Citrano Bronder, Kimberly Ann	746681	Agent - Property	4/1/2011	11/19/2022
Inactive	Delawder, Susan E	601944	Agent - Casualty	3/30/2005	7/10/2006
Inactive	Delawder, Susan E	601944	Agent - Property	3/30/2005	7/10/2006
Inactive	Dittman, Brandie Marie	759066	Agent - Casualty	7/5/2012	7/26/2013
Inactive	Dittman, Brandie Marie	759066	Agent - Health	7/2/2012	7/26/2013
Inactive	Dittman, Brandie Marie	759066	Agent - Life	7/2/2012	7/26/2013
Inactive	Dittman, Brandie Marie	759066	Agent - Property	7/5/2012	7/26/2013
Inactive	Eberly, Brent William	518799	Agent - Casualty	10/18/2005	11/17/2009
Inactive	Eberly, Brent William	518799	Agent - Property	10/18/2005	11/17/2009
Inactive	Elyard, Barbara Ann	601806	Agent - Casualty	3/30/2005	7/10/2006
Inactive	Elyard, Barbara Ann	601806	Agent - Property	3/30/2005	7/10/2006
Inactive	Gallagher, Terria Jean	1093129	Agent - Casualty	9/30/2020	1/30/2024
Inactive	Gallagher, Terria Jean	1093129	Agent - Property	9/30/2020	1/30/2024
Inactive	Gant, Edward Sherley	614366	Agent - Casualty	10/18/2005	6/1/2009
Inactive	Gant, Edward Sherley	614366	Agent - Property	10/18/2005	6/1/2009
Inactive	Hebdon, Diane Christine	812135	Agent - Casualty	8/1/2013	11/19/2022
Inactive	Hebdon, Diane Christine	812135	Agent - Property	8/1/2013	11/19/2022
Inactive	Hennegin, Tyler J	746699	Agent - Casualty	4/1/2011	12/6/2019
Inactive	Hennegin, Tyler J	746699	Agent - Health		8/9/2013
Inactive	Hennegin, Tyler J	746699	Agent - Life		8/9/2013
Inactive	Hennegin, Tyler J	746699	Agent - Property	4/1/2011	12/6/2019
Inactive	Herring, Laura D	1206932	Agent - Casualty	7/22/2022	9/20/2023
Inactive	Herring, Laura D	1206932	Agent - Property	7/22/2022	9/20/2023
Inactive	Hochstedler, Wayne Lee	518900	Agent - Casualty	7/2/2004	7/26/2013
Inactive	Hochstedler, Wayne Lee	518900	Agent - Property	7/2/2004	7/26/2013
Inactive	Kauffman, D Dean	333408	Agent - Casualty	6/7/2004	5/30/2018
Inactive	Kauffman, D Dean	333408	Agent - Property	6/7/2004	5/30/2018
Inactive	Laposha, Amy L	746767	Agent - Casualty	3/18/2011	10/28/2021
Inactive	Laposha, Amy L	746767	Agent - Property	3/18/2011	10/28/2021
Inactive	Larsen, Zakary Dane	838723	Agent - Casualty	1/3/2018	2/14/2019
Inactive	Larsen, Zakary Dane	838723	Agent - Property	1/3/2018	2/14/2019
Inactive	Marks, Christopher S	922666	Agent - Casualty	8/8/2016	1/24/2019
Inactive	Marks, Christopher S	922666	Agent - Property	8/8/2016	1/24/2019
Inactive	Mcgee, Sara M	1026190	Agent - Casualty	2/14/2019	5/7/2019
Inactive	Mcgee, Sara M	1026190	Agent - Property	2/14/2019	5/7/2019
Inactive	Myer, Alexi L	918164	Agent - Casualty	6/30/2016	7/13/2020
Inactive	Myer, Alexi L	918164	Agent - Property	6/30/2016	7/13/2020
Inactive	Pollock, Pamela L	737435	Agent - Casualty	10/15/2010	12/28/2011
Inactive	Pollock, Pamela L	737435	Agent - Property	10/15/2010	12/28/2011
Inactive	Schoutko, Samuel Wasilly	830628	Agent - Casualty	7/18/2014	6/10/2016
Inactive	Schoutko, Samuel Wasilly	830628	Agent - Property	7/18/2014	6/10/2016
Inactive	Scrivo, Rachael Kathleen	839340	Agent - Casualty	7/18/2014	6/10/2016
Inactive	Scrivo, Rachael Kathleen	839340	Agent - Property	7/18/2014	6/10/2016
Inactive	Shrum, Brad Ken	585320	Agent - Casualty	6/29/2004	11/19/2022
Inactive	Shrum, Brad Ken	585320	Agent - Property	6/29/2004	11/19/2022
Inactive	Smith, Anna Kumari	782585	Agent - Casualty	8/27/2012	9/10/2019
Denied	Smith, Anna Kumari	782585	Agent - Life
Inactive	Smith, Anna Kumari	782585	Agent - Property	8/27/2012	9/10/2019
Inactive	Smith, Nicholas Leonard	1090665	Agent - Casualty	8/26/2020	11/19/2022
Inactive	Smith, Nicholas Leonard	1090665	Agent - Property	8/26/2020	11/19/2022
Inactive	Stockton, Gabriel Preston	758574	Agent - Casualty	7/5/2012	2/14/2019
Inactive	Stockton, Gabriel Preston	758574	Agent - Property	7/5/2012	2/14/2019
Inactive	Thurston, Jeremy D	737433	Agent - Casualty	10/15/2010	7/26/2013
Inactive	Thurston, Jeremy D	737433	Agent - Property	10/15/2010	7/26/2013
Inactive	Trivisonno, James A	963937	Agent - Casualty	9/13/2017	11/28/2018
Inactive	Trivisonno, James A	963937	Agent - Property	9/13/2017	11/28/2018
Active	Tucker, Todd Dewitt	584679	Agent - Casualty	9/13/2012
Active	Tucker, Todd Dewitt	584679	Agent - Property	9/13/2012
Inactive	Wright, Katelyn Nicole	936053	Agent - Casualty	9/12/2017	4/19/2021
Inactive	Wright, Katelyn Nicole	936053	Agent - Property	9/12/2017	4/19/2021