DEPARTMENT OF INSURANCE

Affiliations

Name	Costco Insurance Agency Inc	DOIID	638888	NAIC NPN	1906384

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	9/7/2006	3/31/2026
Active	Non Resident	Agent	Life	10/22/2008	3/31/2026
Active	Non Resident	Agent	Casualty	9/7/2006	3/31/2026
Active	Non Resident	Agent	Health	10/22/2008	3/31/2026
Denied	Non Resident	Agent	Crop
Denied	Non Resident	Agent	Limited 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

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	AMEX Assurance Company	301728	Agent - Casualty	9/22/2006	7/19/2007
Inactive	AMEX Assurance Company	301728	Agent - Property	9/22/2006	7/19/2007
Active	Aetna Health Inc. (PA)	660717	Agent - Health	12/30/2008
Active	Aetna Life Insurance Company	301140	Agent - Health	12/30/2008
Inactive	American Economy Insurance Company	300315	Agent - Casualty	3/10/2008	4/15/2022
Inactive	American Economy Insurance Company	300315	Agent - Property	3/10/2008	4/15/2022
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Casualty	9/22/2006
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Health	7/23/2009
Active	American Family Connect Property and Casualty Insurance Company	622403	Agent - Property	9/22/2006
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/16/2008	4/15/2022
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/16/2008	4/15/2022
Inactive	American States Insurance Company	301230	Agent - Casualty	3/10/2008	4/15/2022
Inactive	American States Insurance Company	301230	Agent - Property	3/10/2008	4/15/2022
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	11/30/2015	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/30/2015	12/10/2020
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/30/2015	12/10/2020
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/16/2008	4/15/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/16/2008	4/15/2022
Inactive	First National Insurance Company of America	301690	Agent - Casualty	3/10/2008	4/15/2022
Inactive	First National Insurance Company of America	301690	Agent - Property	3/10/2008	4/15/2022
Inactive	General Insurance Company of America	300261	Agent - Casualty	3/10/2008	4/15/2022
Inactive	General Insurance Company of America	300261	Agent - Property	3/10/2008	4/15/2022
Inactive	Gerber Life Insurance Company	300529	Agent - Health	8/30/2017	2/5/2024
Inactive	Gerber Life Insurance Company	300529	Agent - Life	8/30/2017	2/5/2024
Active	Independence American Insurance Company	524747	Agent - Casualty	5/20/2025
Active	Independence American Insurance Company	524747	Agent - Property	4/27/2021
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/16/2008	4/15/2022
Inactive	Indiana Insurance Company	301909	Agent - Property	10/16/2008	4/15/2022
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/16/2008	4/15/2022
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/16/2008	4/15/2022
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/16/2008	4/15/2022
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/16/2008	4/15/2022
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/16/2008	4/15/2022
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/16/2008	4/15/2022
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/16/2008	4/15/2022
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/16/2008	4/15/2022
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/16/2008	4/15/2022
Inactive	Peerless Insurance Company	301910	Agent - Property	10/16/2008	4/15/2022
Active	Protective Life Insurance Company	300638	Agent - Health	10/10/2014
Active	Protective Life Insurance Company	300638	Agent - Life	10/10/2014
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	3/10/2008	4/15/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	3/10/2008	4/15/2022
Inactive	Time Insurance Company	300683	Agent - Health	11/13/2014	11/15/2019
Inactive	Time Insurance Company	300683	Agent - Life	11/13/2014	11/15/2019
Inactive	West American Insurance Company	301112	Agent - Casualty	10/16/2008	4/15/2022
Inactive	West American Insurance Company	301112	Agent - Property	10/16/2008	4/15/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Castaneda, Elizabeth G	703333	Agent - Casualty	12/16/2009
Denied	Castaneda, Elizabeth G	703333	Agent - Health
Denied	Castaneda, Elizabeth G	703333	Agent - Life
Active	Castaneda, Elizabeth G	703333	Agent - Property	12/16/2009
Active	Conlon, John S	638144	Agent - Casualty	5/27/2008
Active	Conlon, John S	638144	Agent - Health	10/22/2008
Active	Conlon, John S	638144	Agent - Life	10/22/2008
Active	Conlon, John S	638144	Agent - Property	5/27/2008
Inactive	Fragnoli, Dellanie P	638145	Agent - Casualty	9/7/2006	8/4/2009
Denied	Fragnoli, Dellanie P	638145	Agent - Health
Denied	Fragnoli, Dellanie P	638145	Agent - Life
Inactive	Fragnoli, Dellanie P	638145	Agent - Property	9/7/2006	8/4/2009