DEPARTMENT OF INSURANCE

Affiliations

Name	Professional Medical Insurance Services Inc	DOIID	640029	NAIC NPN	2449664

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	10/13/2006	6/26/2015
Inactive	Non Resident	Agent	Health	4/14/2008	6/26/2015
Inactive	Non Resident	Agent	Life	4/14/2008	6/26/2015
Inactive	Non Resident	Agent	Casualty	10/13/2006	6/26/2015
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	5/28/2009	6/26/2015
* 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	Aetna Health Inc. (PA)	660717	Agent - Health	8/28/2008	6/26/2015
Inactive	Aetna Life Insurance Company	301140	Agent - Health	7/31/2008	6/26/2015
Inactive	Aetna Life Insurance Company	301140	Agent - Life	7/31/2008	6/26/2015
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	12/16/2008	5/6/2015
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	12/16/2008	5/6/2015
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	12/16/2008	5/6/2015
Inactive	American Zurich Insurance Company	300592	Agent - Property	12/16/2008	5/6/2015
Inactive	Arch Insurance Company	300688	Agent - Casualty	6/12/2009	6/26/2015
Inactive	Arch Insurance Company	300688	Agent - Property	6/12/2009	6/26/2015
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	4/6/2009	9/16/2013
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	4/6/2009	9/16/2013
Inactive	Employers Assurance Company	300120	Agent - Casualty	4/9/2012	6/26/2015
Inactive	Employers Preferred Insurance Company	520656	Agent - Casualty	4/9/2012	6/26/2015
Inactive	Federal Insurance Company	301144	Agent - Casualty	12/20/2006	6/26/2015
Inactive	Federal Insurance Company	301144	Agent - Property	12/20/2006	6/26/2015
Inactive	First National Insurance Company of America	301690	Agent - Casualty	7/7/2008	4/2/2010
Inactive	First National Insurance Company of America	301690	Agent - Property	7/7/2008	4/2/2010
Inactive	General Insurance Company of America	300261	Agent - Casualty	7/7/2008	4/2/2010
Inactive	General Insurance Company of America	300261	Agent - Property	7/7/2008	4/2/2010
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	4/6/2009	6/26/2015
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	4/6/2009	11/15/2013
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	4/6/2009	11/15/2013
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	12/4/2009	6/26/2015
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	12/4/2009	6/26/2015
Inactive	Medical Protective Company (The)	301207	Agent - Casualty	3/25/2008	1/15/2015
Inactive	Medical Protective Company (The)	301207	Agent - Property	3/25/2008	1/15/2015
Inactive	Midwest Employers Casualty Company	300124	Agent - Casualty	8/13/2007	6/26/2015
Inactive	Principal Life Insurance Company	300129	Agent - Health	12/23/2009	6/26/2015
Inactive	Principal Life Insurance Company	300129	Agent - Life	12/23/2009	6/26/2015
Inactive	RLI Insurance Company	301217	Agent - Casualty	2/16/2009	5/29/2015
Inactive	RLI Insurance Company	301217	Agent - Property	2/16/2009	5/29/2015
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	2/20/2012	6/26/2015
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	2/20/2012	6/26/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/7/2008	4/2/2010
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/7/2008	4/2/2010
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	7/7/2008	4/2/2010
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	7/7/2008	4/2/2010
Inactive	Safety National Casualty Corporation	300390	Agent - Casualty	6/22/2010	6/26/2015
Inactive	Safety National Casualty Corporation	300390	Agent - Property	6/22/2010	6/26/2015
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	3/9/2010	6/26/2015
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	3/9/2010	6/26/2015
Inactive	Union Security Insurance Company	301844	Agent - Health	4/18/2008	12/19/2012
Inactive	Union Security Insurance Company	301844	Agent - Life	4/18/2008	12/19/2012
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	6/30/2009	6/26/2015
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	6/30/2009	6/26/2015
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	6/30/2009	6/26/2015
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	6/30/2009	6/26/2015
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	12/16/2008	5/6/2015
Inactive	Zurich American Insurance Company	301121	Agent - Property	12/16/2008	5/6/2015
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	12/16/2008	5/6/2015
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	12/16/2008	5/6/2015

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Reese, William J	723616	Agent - Casualty
Denied	Reese, William J	723616	Agent - Property
Inactive	Reese, William Joseph	393205	Agent - Casualty	10/13/2006	6/26/2015
Inactive	Reese, William Joseph	393205	Agent - Health	4/14/2008	6/26/2015
Inactive	Reese, William Joseph	393205	Agent - Life	7/10/2009	6/26/2015
Inactive	Reese, William Joseph	393205	Agent - Property	10/13/2006	6/26/2015
Inactive	Reese, William Joseph	393205	Surplus Lines Broker - Not Applicable	5/28/2009	11/30/2017