DEPARTMENT OF INSURANCE
Affiliations
NameCostco Insurance Agency IncDOIID638888NAIC NPN1906384
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty9/7/2006 3/31/2026
ActiveNon ResidentAgentLife10/22/2008 3/31/2026
ActiveNon ResidentAgentCasualty9/7/2006 3/31/2026
ActiveNon ResidentAgentHealth10/22/2008 3/31/2026
DeniedNon ResidentAgentCrop   
DeniedNon ResidentAgentLimited Line Credit   
* 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
InactiveAMEX Assurance Company301728Agent - Casualty9/22/20067/19/2007
InactiveAMEX Assurance Company301728Agent - Property9/22/20067/19/2007
ActiveAetna Health Inc. (PA)660717Agent - Health12/30/2008 
ActiveAetna Life Insurance Company301140Agent - Health12/30/2008 
InactiveAmerican Economy Insurance Company300315Agent - Casualty3/10/20084/15/2022
InactiveAmerican Economy Insurance Company300315Agent - Property3/10/20084/15/2022
ActiveAmerican Family Connect Property and Casualty Insurance Company622403Agent - Casualty9/22/2006 
ActiveAmerican Family Connect Property and Casualty Insurance Company622403Agent - Health7/23/2009 
ActiveAmerican Family Connect Property and Casualty Insurance Company622403Agent - Property9/22/2006 
InactiveAmerican Fire and Casualty Company300567Agent - Casualty10/16/20084/15/2022
InactiveAmerican Fire and Casualty Company300567Agent - Property10/16/20084/15/2022
InactiveAmerican States Insurance Company301230Agent - Casualty3/10/20084/15/2022
InactiveAmerican States Insurance Company301230Agent - Property3/10/20084/15/2022
InactiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health11/30/201512/10/2020
InactiveAnthem Life Insurance Company301209Agent - Health11/30/201512/10/2020
InactiveAnthem Life Insurance Company301209Agent - Life11/30/201512/10/2020
InactiveConsolidated Insurance Company300943Agent - Casualty10/16/20084/15/2022
InactiveConsolidated Insurance Company300943Agent - Property10/16/20084/15/2022
InactiveFirst National Insurance Company of America301690Agent - Casualty3/10/20084/15/2022
InactiveFirst National Insurance Company of America301690Agent - Property3/10/20084/15/2022
InactiveGeneral Insurance Company of America300261Agent - Casualty3/10/20084/15/2022
InactiveGeneral Insurance Company of America300261Agent - Property3/10/20084/15/2022
InactiveGerber Life Insurance Company300529Agent - Health8/30/20172/5/2024
InactiveGerber Life Insurance Company300529Agent - Life8/30/20172/5/2024
ActiveIndependence American Insurance Company524747Agent - Casualty5/20/2025 
ActiveIndependence American Insurance Company524747Agent - Property4/27/2021 
InactiveIndiana Insurance Company301909Agent - Casualty10/16/20084/15/2022
InactiveIndiana Insurance Company301909Agent - Property10/16/20084/15/2022
InactiveNetherlands Insurance Company (The)300339Agent - Casualty10/16/20084/15/2022
InactiveNetherlands Insurance Company (The)300339Agent - Property10/16/20084/15/2022
InactiveOhio Casualty Insurance Company301492Agent - Casualty10/16/20084/15/2022
InactiveOhio Casualty Insurance Company301492Agent - Property10/16/20084/15/2022
InactiveOhio Security Insurance Company300622Agent - Casualty10/16/20084/15/2022
InactiveOhio Security Insurance Company300622Agent - Property10/16/20084/15/2022
InactivePeerless Indemnity Insurance Company571682Agent - Casualty10/16/20084/15/2022
InactivePeerless Indemnity Insurance Company571682Agent - Property10/16/20084/15/2022
InactivePeerless Insurance Company301910Agent - Casualty10/16/20084/15/2022
InactivePeerless Insurance Company301910Agent - Property10/16/20084/15/2022
ActiveProtective Life Insurance Company300638Agent - Health10/10/2014 
ActiveProtective Life Insurance Company300638Agent - Life10/10/2014 
InactiveSAFECO Insurance Company of America300159Agent - Casualty3/10/20084/15/2022
InactiveSAFECO Insurance Company of America300159Agent - Property3/10/20084/15/2022
InactiveTime Insurance Company300683Agent - Health11/13/201411/15/2019
InactiveTime Insurance Company300683Agent - Life11/13/201411/15/2019
InactiveWest American Insurance Company301112Agent - Casualty10/16/20084/15/2022
InactiveWest American Insurance Company301112Agent - Property10/16/20084/15/2022
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveCastaneda, Elizabeth G 703333Agent - Casualty12/16/2009 
DeniedCastaneda, Elizabeth G 703333Agent - Health  
DeniedCastaneda, Elizabeth G 703333Agent - Life  
ActiveCastaneda, Elizabeth G 703333Agent - Property12/16/2009 
ActiveConlon, John S 638144Agent - Casualty5/27/2008 
ActiveConlon, John S 638144Agent - Health10/22/2008 
ActiveConlon, John S 638144Agent - Life10/22/2008 
ActiveConlon, John S 638144Agent - Property5/27/2008 
InactiveFragnoli, Dellanie P 638145Agent - Casualty9/7/20068/4/2009
DeniedFragnoli, Dellanie P 638145Agent - Health  
DeniedFragnoli, Dellanie P 638145Agent - Life  
InactiveFragnoli, Dellanie P 638145Agent - Property9/7/20068/4/2009

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