DEPARTMENT OF INSURANCE

Affiliations

Name	Seven Corners Inc	DOIID	596764	NAIC NPN	3320233

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Administrator	Not Applicable	5/4/2005	3/31/2027
Active	Non Resident	Agent	Travel	12/4/2015	3/31/2027
Active	Non Resident	Agent	Casualty	5/10/2007	3/31/2027
Active	Non Resident	Agent	Life	8/20/2007	3/31/2027
Active	Non Resident	Agent	Health	8/20/2007	3/31/2027
Active	Non Resident	Agent	Property	5/10/2007	3/31/2027
Active	Non Resident	Independent Adjuster	Property & Casualty	1/10/2013	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	8/28/2014	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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	2/27/2013	9/20/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	2/27/2013	9/20/2021
Inactive	HCC Life Insurance Company	301827	Agent - Health	3/21/2017	6/12/2017
Active	Life Insurance Company of North America	300711	Agent - Health	7/29/2021
Active	Life Insurance Company of North America	300711	Agent - Life	7/29/2021
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Casualty	8/21/2017
Active	Mitsui Sumitomo Insurance Company of America	301070	Agent - Property	8/21/2017
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Casualty	8/21/2017
Active	Mitsui Sumitomo Insurance USA Inc.	301681	Agent - Property	8/21/2017
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	9/10/2007	7/26/2024
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	9/10/2007	7/26/2024
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	6/5/2007
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	6/5/2007
Active	Spinnaker Insurance Company	300099	Agent - Travel	6/1/2025
Inactive	Starr Indemnity and Liability Company	301685	Agent - Casualty	10/17/2017	7/30/2019
Inactive	Starr Indemnity and Liability Company	301685	Agent - Health	10/17/2017	7/30/2019
Inactive	Starr Indemnity and Liability Company	301685	Agent - Property	10/17/2017	7/30/2019
Active	Starr Indemnity and Liability Company	301685	Agent - Travel	10/17/2017
Active	United States Fire Insurance Company	582240	Agent - Health	4/9/2010
Active	United States Fire Insurance Company	582240	Agent - Travel	2/16/2016
Inactive	Virginia Surety Company, Inc.	301022	Agent - Casualty	8/21/2007	10/7/2021
Inactive	Virginia Surety Company, Inc.	301022	Agent - Property	8/21/2007	10/7/2021
Active	Zurich American Insurance Company	301121	Agent - Casualty	7/22/2014
Active	Zurich American Insurance Company	301121	Agent - Property	7/22/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allison, Rebecca	1042580	Independent Adjuster - Property & Casualty	6/20/2019	11/12/2021
Active	Anderson, Kendra K	1149051	Agent - Casualty	4/20/2022
Active	Anderson, Kendra K	1149051	Agent - Health	10/19/2021
Active	Anderson, Kendra K	1149051	Agent - Property	4/20/2022
Active	Anderson, Kendra K	1149051	Agent - Travel	7/9/2024
Active	Bailey, Deawna	1187524	Agent - Casualty	4/25/2022
Active	Bailey, Deawna	1187524	Agent - Health	4/25/2022
Active	Bailey, Deawna	1187524	Agent - Property	4/25/2022
Active	Bailey, Deawna	1187524	Agent - Travel	11/4/2022
Inactive	Baker, Valerie Deanne	943207	Agent - Casualty	7/26/2017	11/26/2019
Inactive	Baker, Valerie Deanne	943207	Agent - Health	7/26/2017	11/26/2019
Inactive	Baker, Valerie Deanne	943207	Agent - Property	7/26/2017	11/26/2019
Active	Bland, LaShonda	626646	Independent Adjuster - Property & Casualty	2/2/2022
Inactive	Boehnlein, Tara	972619	Agent - Casualty	4/25/2018	8/22/2019
Inactive	Boehnlein, Tara	972619	Agent - Health	9/6/2018	8/22/2019
Inactive	Boehnlein, Tara	972619	Agent - Property	4/25/2018	8/22/2019
Inactive	Brown, Jay Randolph	1225192	Independent Adjuster - Property & Casualty	9/15/2022	9/30/2023
Inactive	Canady, Tanisha	928359	Agent - Casualty	7/26/2017	3/31/2018
Inactive	Canady, Tanisha	928359	Agent - Property	7/26/2017	3/31/2018
Inactive	Carlisle, Jadzia Lee	1200027	Independent Adjuster - Property & Casualty	5/4/2022	4/4/2025
Inactive	Carter, Damon Keith	560575	Independent Adjuster - Property & Casualty	2/12/2020	7/14/2020
Inactive	Cooley, Deborah R	922273	Independent Adjuster - Property & Casualty	8/22/2016	2/19/2019
Active	Dahmen, Molly Ann	1278669	Independent Adjuster - Property & Casualty	7/10/2023
Active	Day, Tiffany Alexandria	943834	Agent - Casualty	7/26/2017
Active	Day, Tiffany Alexandria	943834	Agent - Health	7/26/2017
Active	Day, Tiffany Alexandria	943834	Agent - Property	7/26/2017
Active	Day, Tiffany Alexandria	943834	Agent - Travel	11/4/2022
Inactive	De Jong, Joshua	1197589	Agent - Casualty	6/3/2022	12/4/2023
Inactive	De Jong, Joshua	1197589	Agent - Health	6/3/2022	12/4/2023
Inactive	De Jong, Joshua	1197589	Agent - Property	6/3/2022	12/4/2023
Inactive	De Jong, Joshua	1197589	Agent - Travel	11/4/2022	12/4/2023
Active	Drake, Katherine E	1225491	Independent Adjuster - Property & Casualty	9/16/2022
Inactive	Durbin, Noah David	1266434	Independent Adjuster - Property & Casualty	4/27/2023	2/5/2024
Active	Finch, Lori Beth	1087989	Independent Adjuster - Property & Casualty	9/29/2020
Inactive	Franz, Matthew	1138565	Independent Adjuster - Property & Casualty	7/18/2023	2/5/2024
Inactive	Fulton, Ronald Allen	942564	Agent - Casualty	7/26/2017	4/2/2019
Inactive	Fulton, Ronald Allen	942564	Agent - Health	7/26/2017	4/2/2019
Inactive	Fulton, Ronald Allen	942564	Agent - Property	7/26/2017	4/2/2019
Active	Gifford, Jamee Elizabeth	1197453	Agent - Casualty	6/3/2022
Active	Gifford, Jamee Elizabeth	1197453	Agent - Health	6/3/2022
Active	Gifford, Jamee Elizabeth	1197453	Agent - Property	6/3/2022
Active	Gifford, Jamee Elizabeth	1197453	Agent - Travel	11/4/2022
Active	Goddard, Robert Charles	317871	Independent Adjuster - Property & Casualty	12/28/2015
Active	Hinds, Olivia	1354752	Independent Adjuster - Property & Casualty	8/21/2024
Active	Holtzapple, Julie	1207070	Agent - Casualty	7/19/2022
Active	Holtzapple, Julie	1207070	Agent - Health	7/19/2022
Active	Holtzapple, Julie	1207070	Agent - Property	7/19/2022
Inactive	Jackson, Lance Wesley	1058186	Agent - Casualty	2/20/2020	12/20/2020
Inactive	Jackson, Lance Wesley	1058186	Agent - Health	12/17/2020	12/21/2022
Inactive	Jackson, Lance Wesley	1058186	Agent - Life	12/17/2020	12/21/2022
Active	Jones, Kelly	1266625	Independent Adjuster - Property & Casualty	4/27/2023
Inactive	Jones, Nikki A	740642	Independent Adjuster - Property & Casualty	3/9/2022	1/22/2025
Active	Keller, Jona	1199095	Agent - Casualty	5/24/2022
Active	Keller, Jona	1199095	Agent - Health	5/24/2022
Active	Keller, Jona	1199095	Agent - Property	5/24/2022
Active	Keller, Jona	1199095	Agent - Travel	11/4/2022
Inactive	Kelso, Jeremy Ramon	967823	Agent - Casualty	4/25/2018	2/12/2019
Inactive	Kelso, Jeremy Ramon	967823	Agent - Property	4/25/2018	2/12/2019
Inactive	Kimura, Leila	943254	Agent - Casualty	7/26/2017	11/26/2019
Inactive	Kimura, Leila	943254	Agent - Property	7/26/2017	11/26/2019
Inactive	Kleinschmidt, Heather L	1023761	Agent - Casualty	12/17/2019	7/2/2024
Inactive	Kleinschmidt, Heather L	1023761	Agent - Health	3/7/2023	7/2/2024
Inactive	Kleinschmidt, Heather L	1023761	Agent - Property	4/25/2022	7/2/2024
Inactive	Kleinschmidt, Heather L	1023761	Agent - Travel	11/4/2022	7/2/2024
Active	Krampen, James J	575393	Administrator - Not Applicable	5/4/2005
Active	Krampen, James J	575393	Agent - Casualty	5/10/2007
Active	Krampen, James J	575393	Agent - Health	8/20/2007
Active	Krampen, James J	575393	Agent - Life	8/20/2007
Active	Krampen, James J	575393	Agent - Property	5/10/2007
Active	Krampen, James J	575393	Agent - Travel	12/4/2015
Active	Krampen, James J	575393	Surplus Lines Broker - Not Applicable	8/28/2014
Active	Lain, Troy Dewayne	1064075	Agent - Casualty	4/20/2022
Active	Lain, Troy Dewayne	1064075	Agent - Health	12/17/2019
Active	Lain, Troy Dewayne	1064075	Agent - Property	4/20/2022
Active	Lain, Troy Dewayne	1064075	Agent - Travel	11/4/2022
Inactive	Milam, Merriel E	943233	Agent - Casualty	7/26/2017	9/16/2021
Inactive	Milam, Merriel E	943233	Agent - Health	7/26/2017	9/16/2021
Inactive	Milam, Merriel E	943233	Agent - Property	7/26/2017	9/16/2021
Active	Morning, Betsy Ann Louise	1380624	Independent Adjuster - Property & Casualty	2/5/2025
Inactive	Newnum, Sean J	1043510	Agent - Casualty	11/20/2019	8/23/2023
Inactive	Newnum, Sean J	1043510	Agent - Health	4/25/2022	8/23/2023
Inactive	Newnum, Sean J	1043510	Agent - Property	5/18/2023	8/23/2023
Inactive	Newnum, Sean J	1043510	Agent - Travel	11/4/2022	8/23/2023
Active	Osbourne, Sherry Shonelle	675407	Independent Adjuster - Property & Casualty	12/28/2015
Inactive	Parker, Kimaya Ariel	680159	Independent Adjuster - Property & Casualty	12/28/2015	6/20/2019
Inactive	Peterson, Andrea N	1046648	Independent Adjuster - Property & Casualty	7/23/2019	7/6/2021
Inactive	Petty-Miles, Nikki	1087971	Independent Adjuster - Property & Casualty	9/29/2020	5/2/2024
Inactive	Rafferty, Kristin	1224410	Independent Adjuster - Property & Casualty	9/15/2022	4/30/2025
Inactive	Satoski, Brittney	1266617	Independent Adjuster - Property & Casualty	4/27/2023	7/11/2023
Active	Schilling, Tristan Jonathan	1122252	Agent - Casualty	4/20/2022
Active	Schilling, Tristan Jonathan	1122252	Agent - Health	10/19/2021
Active	Schilling, Tristan Jonathan	1122252	Agent - Property	4/20/2022
Active	Schilling, Tristan Jonathan	1122252	Agent - Travel	11/4/2022
Inactive	Schulze, Diane	1147649	Independent Adjuster - Property & Casualty	11/22/2024	1/22/2025
Inactive	Schutt, Aaron	937759	Independent Adjuster - Property & Casualty	12/20/2016	1/1/2017
Active	Smith, Heather Danielle	1343925	Independent Adjuster - Property & Casualty	6/20/2024
Inactive	Smith, Joseph Frederick	755901	Independent Adjuster - Property & Casualty	12/28/2015	6/20/2019
Active	Stage, Sureleen Lene	755899	Independent Adjuster - Property & Casualty	12/28/2015
Active	Stainbrook, Jacinda Jill	302114	Independent Adjuster - Property & Casualty	2/5/2013
Inactive	Stutesman, Maxwell Scott	1201815	Independent Adjuster - Property & Casualty	5/26/2022	12/14/2022
Active	Taylor, Lauren Marie	1359835	Independent Adjuster - Property & Casualty	9/18/2024
Inactive	Teets, Christopher	982799	Independent Adjuster - Property & Casualty	6/5/2018	6/23/2021
Inactive	Thompson, Riley	1187320	Agent - Casualty	4/25/2022	6/22/2023
Inactive	Thompson, Riley	1187320	Agent - Health	4/25/2022	6/22/2023
Inactive	Thompson, Riley	1187320	Agent - Property	4/25/2022	6/22/2023
Inactive	Thompson, Riley	1187320	Agent - Travel	11/4/2022	6/22/2023
Inactive	Tsehaineh, Hiwet M	1239704	Agent - Casualty	11/18/2022	7/11/2023
Inactive	Tsehaineh, Hiwet M	1239704	Agent - Health	11/18/2022	7/11/2023
Inactive	Tsehaineh, Hiwet M	1239704	Agent - Property	11/18/2022	7/11/2023
Inactive	Turk, Albert	1180269	Independent Adjuster - Property & Casualty	2/2/2022	1/22/2025
Active	Tysdal, Justin Jay	596765	Administrator - Not Applicable	5/4/2005
Active	Welch Pennell, April Michelle	1137763	Agent - Casualty	4/20/2022
Active	Welch Pennell, April Michelle	1137763	Agent - Health	10/19/2021
Active	Welch Pennell, April Michelle	1137763	Agent - Property	4/20/2022
Active	Welch Pennell, April Michelle	1137763	Agent - Travel	7/9/2024
Inactive	Wolfe, Bret Aaron	1020203	Agent - Casualty	11/20/2019	9/1/2021
Inactive	Wood, Dennis Lee	326683	Independent Adjuster - Property & Casualty	1/10/2013	11/1/2016
Active	Wooster, Violetta	951260	Agent - Casualty	7/26/2017
Active	Wooster, Violetta	951260	Agent - Health	9/6/2018
Active	Wooster, Violetta	951260	Agent - Property	7/26/2017
Active	Wooster, Violetta	951260	Agent - Travel	11/4/2022
Inactive	Zimmerman, Marlee	1201834	Independent Adjuster - Property & Casualty	8/2/2022	1/26/2024