DEPARTMENT OF INSURANCE
Affiliations
NameProfessional Solutions Insurance Services, IncDOIID631015NAIC NPN8704162
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty5/19/2006 3/31/2026
ActiveNon ResidentAgentCasualty5/19/2006 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty5/6/201312/3/2014
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property5/6/201312/3/2014
InactiveBristol West Insurance Company301655Agent - Casualty7/3/201210/28/2016
InactiveBristol West Insurance Company301655Agent - Property7/3/201210/28/2016
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty5/6/201312/3/2014
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property5/6/201312/3/2014
InactiveEmployers Assurance Company300120Agent - Casualty3/12/20121/3/2024
InactiveEmployers Compensation Insurance Company797885Agent - Casualty8/6/20181/3/2024
InactiveEmployers Preferred Insurance Company520656Agent - Casualty3/12/20121/3/2024
InactiveFarmington Casualty Company301137Agent - Casualty5/6/201312/3/2014
InactiveFarmington Casualty Company301137Agent - Property5/6/201312/3/2014
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty2/23/2011 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property2/23/2011 
InactiveForemost Property and Casualty Insurance Company300871Agent - Casualty10/11/20168/29/2018
InactiveForemost Property and Casualty Insurance Company300871Agent - Property10/11/20168/29/2018
InactiveForemost Signature Insurance Company300140Agent - Casualty10/11/20168/29/2018
InactiveForemost Signature Insurance Company300140Agent - Property10/11/20168/29/2018
ActiveNCMIC Insurance Company301007Agent - Casualty11/28/2006 
ActiveProfessional Solutions Insurance Company569414Agent - Casualty10/18/2006 
ActiveProfessional Solutions Insurance Company569414Agent - Property10/18/2006 
ActiveSelective Insurance Company of America500018Agent - Casualty7/12/2018 
ActiveSelective Insurance Company of America500018Agent - Property7/12/2018 
ActiveSelective Insurance Company of South Carolina500012Agent - Casualty7/12/2018 
ActiveSelective Insurance Company of South Carolina500012Agent - Property7/12/2018 
ActiveSelective Insurance Company of the Southeast300381Agent - Casualty8/5/2016 
ActiveSelective Insurance Company of the Southeast300381Agent - Property8/5/2016 
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty5/6/201312/3/2014
InactiveSt. Paul Fire and Marine Insurance Company300782Agent - Property5/6/201312/3/2014
InactiveSt. Paul Guardian Insurance Company301372Agent - Casualty5/6/201312/3/2014
InactiveSt. Paul Guardian Insurance Company301372Agent - Property5/6/201312/3/2014
InactiveSt. Paul Mercury Insurance Company300783Agent - Casualty5/6/201312/3/2014
InactiveSt. Paul Mercury Insurance Company300783Agent - Property5/6/201312/3/2014
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty5/6/201312/3/2014
InactiveStandard Fire Insurance Company (The)301068Agent - Property5/6/201312/3/2014
InactiveThe Phoenix Insurance Company301502Agent - Casualty5/6/201312/3/2014
InactiveThe Phoenix Insurance Company301502Agent - Property5/6/201312/3/2014
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty3/6/202010/5/2021
InactiveTravelers Casualty Insurance Company of America300522Agent - Property3/6/202010/5/2021
InactiveTravelers Casualty and Surety Company301067Agent - Casualty5/6/201311/4/2022
InactiveTravelers Casualty and Surety Company301067Agent - Property5/6/201311/4/2022
InactiveTravelers Casualty and Surety Company of America301334Agent - Casualty5/6/201311/4/2022
InactiveTravelers Casualty and Surety Company of America301334Agent - Property5/6/201311/4/2022
InactiveTravelers Commercial Insurance Company301506Agent - Casualty5/6/201312/3/2014
InactiveTravelers Commercial Insurance Company301506Agent - Property5/6/201312/3/2014
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty5/6/201312/3/2014
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property5/6/201312/3/2014
InactiveTravelers Indemnity Company (The)301855Agent - Casualty5/6/201312/3/2014
InactiveTravelers Indemnity Company (The)301855Agent - Property5/6/201312/3/2014
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty7/30/202010/5/2021
InactiveTravelers Indemnity Company of America (The)301093Agent - Property7/30/202010/5/2021
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty5/6/201312/3/2014
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property5/6/201312/3/2014
InactiveTravelers Personal Insurance Company705785Agent - Casualty5/3/201910/5/2021
InactiveTravelers Personal Insurance Company705785Agent - Property5/3/201910/5/2021
InactiveTravelers Property Casualty Company of America301649Agent - Casualty5/6/201312/3/2014
InactiveTravelers Property Casualty Company of America301649Agent - Property5/6/201312/3/2014
InactiveWestfield Insurance Company301950Agent - Casualty6/2/20109/12/2012
InactiveWestfield Insurance Company301950Agent - Property6/2/20109/12/2012
InactiveWestfield National Insurance Company301036Agent - Casualty9/9/20099/12/2012
InactiveWestfield National Insurance Company301036Agent - Property9/9/20099/12/2012
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAngerstein, Heather M 664176Agent - Casualty2/10/2016 
ActiveAngerstein, Heather M 664176Agent - Property2/10/2016 
InactiveBlessing, Danita J 936865Agent - Casualty11/30/20166/12/2025
InactiveBlessing, Danita J 936865Agent - Property11/30/20166/12/2025
InactiveCannon, Karen M 662074Agent - Casualty4/18/20113/1/2017
InactiveCannon, Karen M 662074Agent - Property4/18/20113/1/2017
InactiveClark, Barbara J 631939Agent - Casualty2/2/20073/30/2016
InactiveClark, Barbara J 631939Agent - Property2/2/20073/30/2016
InactiveClark, Linda J 632560Agent - Casualty2/6/20077/10/2007
InactiveClark, Linda J 632560Agent - Property2/6/20077/10/2007
InactiveDarnell, Douglas W 543601Agent - Casualty2/6/20077/9/2007
InactiveDarnell, Douglas W 543601Agent - Property2/6/20077/9/2007
InactiveDominguez, Ida 703615Agent - Casualty11/30/20161/31/2019
InactiveDominguez, Ida 703615Agent - Property11/30/20161/31/2019
InactiveEveritt, Kathy L 659120Agent - Casualty4/18/20116/20/2014
InactiveEveritt, Kathy L 659120Agent - Property4/18/20116/20/2014
InactiveGenck, Steven 808824Agent - Casualty6/6/20132/12/2015
InactiveGenck, Steven 808824Agent - Property6/6/20132/12/2015
ActiveGordon, Lorenzo 1316580Agent - Casualty1/30/2024 
ActiveGordon, Lorenzo 1316580Agent - Property1/30/2024 
InactiveHegland, Linda S 727056Agent - Casualty4/18/201110/25/2016
InactiveHegland, Linda S 727056Agent - Property4/18/201110/25/2016
InactiveIm, Abigail Hope 745482Agent - Casualty11/11/20191/24/2024
InactiveIm, Abigail Hope 745482Agent - Property11/11/20191/24/2024
InactiveJackson, Elisabeth M 954205Agent - Casualty6/12/20171/31/2019
InactiveJackson, Elisabeth M 954205Agent - Property6/12/20171/31/2019
InactiveJohnson, Richard J 632580Agent - Casualty2/6/20074/4/2025
InactiveJohnson, Richard J 632580Agent - Property2/6/20074/4/2025
InactiveLake, David Joseph 1025298Agent - Casualty4/23/20195/19/2020
InactiveLake, David Joseph 1025298Agent - Property4/23/20195/19/2020
InactiveMagie, Frances J 632551Agent - Casualty2/6/20072/4/2008
InactiveMagie, Frances J 632551Agent - Property2/6/20072/4/2008
InactiveMccaulley, Kimberly K 610664Agent - Casualty2/6/20077/1/2008
InactiveMccaulley, Kimberly K 610664Agent - Property2/6/20077/1/2008
ActiveMorgan, Samuel 1214754Agent - Casualty12/4/2024 
ActiveMorgan, Samuel 1214754Agent - Property12/4/2024 
InactiveNelson, Peter A 685698Agent - Casualty3/14/20142/28/2017
InactiveNelson, Peter A 685698Agent - Property3/14/20142/28/2017
InactivePesta, Irene M 944877Agent - Casualty2/20/20176/27/2025
InactivePesta, Irene M 944877Agent - Property2/20/20176/27/2025
InactivePratt, Andrew L 597050Agent - Casualty2/6/20074/18/2011
InactivePratt, Andrew L 597050Agent - Property2/6/20074/18/2011
ActiveSimpson, Arthur J 640334Agent - Casualty12/13/2019 
ActiveSimpson, Arthur J 640334Agent - Property12/13/2019 
ActiveSnell, Brendon 1140128Agent - Casualty5/9/2025 
ActiveSnell, Brendon 1140128Agent - Property5/9/2025 
InactiveSoda, Joseph S 362725Agent - Casualty5/19/200612/13/2019
InactiveSoda, Joseph S 362725Agent - Property5/19/200612/13/2019
ActiveStaley, Crystal Marie 772823Agent - Casualty3/20/2013 
ActiveStaley, Crystal Marie 772823Agent - Property3/20/2013 
InactiveStevens, Dora B 917278Agent - Casualty6/20/20168/13/2019
InactiveStevens, Dora B 917278Agent - Property6/20/20168/13/2019
InactiveThomas, Seth C 938616Agent - Casualty12/14/20167/8/2019
InactiveThomas, Seth C 938616Agent - Property12/14/20167/8/2019
ActiveTrevino, Michael 855024Agent - Casualty8/18/2022 
ActiveTrevino, Michael 855024Agent - Property8/18/2022 
InactiveWesterhold, Amanda L 951612Agent - Casualty6/12/20176/27/2025
InactiveWesterhold, Amanda L 951612Agent - Property6/12/20176/27/2025
InactiveWickman, Elizabeth A 791816Agent - Casualty3/20/20132/17/2015
InactiveWickman, Elizabeth A 791816Agent - Property3/20/20132/17/2015
InactiveWilsbacher, Pat 708398Agent - Casualty4/18/201110/5/2016
InactiveWilsbacher, Pat 708398Agent - Property4/18/201110/5/2016

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