DEPARTMENT OF INSURANCE
Affiliations
NameIntelli Choice Insurance LLCDOIID641327NAIC NPN8936790
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLife4/30/2007 3/31/2026
ActiveResidentAgentCasualty10/9/2006 3/31/2026
ActiveResidentAgentProperty10/9/2006 3/31/2026
ActiveResidentAgentHealth4/30/2007 3/31/2026
DeniedResidentSurplus Lines BrokerNot Applicable   
* 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
InactiveAIG Assurance Company300897Agent - Casualty5/10/20076/18/2010
InactiveAIG Assurance Company300897Agent - Property5/10/20076/18/2010
InactiveAetna Health Inc.300694Agent - Health6/22/200712/31/2007
InactiveAetna Health Inc. (PA)660717Agent - Health12/31/20079/22/2010
InactiveAetna Life Insurance Company301140Agent - Health6/22/20079/22/2010
InactiveAetna Life Insurance Company301140Agent - Life6/22/20079/22/2010
InactiveAmerican Commerce Insurance Company301665Agent - Casualty4/14/20163/31/2018
InactiveAmerican Commerce Insurance Company301665Agent - Property4/14/20163/31/2018
ActiveAmerican Economy Insurance Company300315Agent - Casualty4/24/2024 
ActiveAmerican Economy Insurance Company300315Agent - Property4/24/2024 
InactiveAmerican Family Home Insurance Company301817Agent - Casualty12/17/201211/14/2021
InactiveAmerican Family Home Insurance Company301817Agent - Property12/17/201211/14/2021
InactiveAmerican Fire and Casualty Company300567Agent - Casualty10/16/20083/29/2024
InactiveAmerican Fire and Casualty Company300567Agent - Property10/16/20083/29/2024
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty8/30/201112/13/2023
InactiveAmerican Modern Home Insurance Company300791Agent - Property8/30/201112/13/2023
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty8/13/2018 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property8/13/2018 
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty8/30/201111/14/2021
InactiveAmerican Modern Select Insurance Company581481Agent - Property8/30/201111/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty8/30/201111/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Property8/30/201111/14/2021
InactiveAmerican States Insurance Company301230Agent - Casualty4/23/20073/29/2024
InactiveAmerican States Insurance Company301230Agent - Property4/23/20073/29/2024
InactiveAmerican Zurich Insurance Company300592Agent - Casualty7/2/20071/20/2014
InactiveAmerican Zurich Insurance Company300592Agent - Property7/2/20071/20/2014
InactiveAssurance Company of America300432Agent - Casualty7/2/20071/20/2014
InactiveAssurance Company of America300432Agent - Property7/2/20071/20/2014
InactiveAssurity Life Insurance Company301099Agent - Health6/25/200711/5/2010
InactiveAssurity Life Insurance Company301099Agent - Life6/25/200711/5/2010
ActiveAuto-Owners Insurance Company301480Agent - Casualty12/17/2008 
ActiveAuto-Owners Insurance Company301480Agent - Property12/17/2008 
ActiveAuto-Owners Life Insurance Company301368Agent - Health12/17/2008 
ActiveAuto-Owners Life Insurance Company301368Agent - Life12/17/2008 
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty5/21/2007 
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property5/21/2007 
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty10/22/200812/3/2014
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property10/22/200812/3/2014
InactiveClearPath Insurance Company979815Agent - Casualty1/1/20181/9/2025
InactiveConsolidated Insurance Company300943Agent - Casualty10/16/200810/20/2011
InactiveConsolidated Insurance Company300943Agent - Property10/16/200810/20/2011
InactiveEmployers Assurance Company300120Agent - Casualty10/10/20136/4/2021
InactiveEmployers Compensation Insurance Company797885Agent - Casualty8/6/20186/4/2021
InactiveEmployers Preferred Insurance Company520656Agent - Casualty10/10/20136/4/2021
InactiveEncompass Indemnity Company546376Agent - Casualty1/2/201810/3/2024
InactiveEncompass Indemnity Company546376Agent - Property1/2/201810/3/2024
InactiveEncompass Insurance Company of America556578Agent - Casualty1/2/201812/13/2018
InactiveEncompass Insurance Company of America556578Agent - Property1/2/201812/13/2018
ActiveErie Family Life Insurance Company301400Agent - Health10/23/2019 
ActiveErie Family Life Insurance Company301400Agent - Life10/23/2019 
ActiveErie Insurance Company300230Agent - Casualty10/23/2019 
ActiveErie Insurance Company300230Agent - Property10/23/2019 
ActiveErie Insurance Company of New York789916Agent - Casualty10/23/2019 
ActiveErie Insurance Company of New York789916Agent - Property10/23/2019 
ActiveErie Insurance Exchange300789Agent - Casualty10/23/2019 
ActiveErie Insurance Exchange300789Agent - Property10/23/2019 
ActiveErie Insurance Property & Casualty Company789942Agent - Casualty10/23/2019 
ActiveErie Insurance Property & Casualty Company789942Agent - Property10/23/2019 
InactiveFarmers Property and Casualty Insurance Company301237Agent - Casualty6/26/20132/24/2024
InactiveFarmers Property and Casualty Insurance Company301237Agent - Property6/26/20132/24/2024
InactiveFarmington Casualty Company301137Agent - Casualty10/22/200812/3/2014
InactiveFarmington Casualty Company301137Agent - Property10/22/200812/3/2014
InactiveFirst National Insurance Company of America301690Agent - Casualty4/23/200710/13/2022
InactiveFirst National Insurance Company of America301690Agent - Property4/23/200710/13/2022
ActiveFlagship City Insurance Company789965Agent - Casualty10/23/2019 
ActiveFlagship City Insurance Company789965Agent - Property10/23/2019 
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty3/26/200712/20/2023
InactiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property3/26/200712/20/2023
InactiveForemost Property and Casualty Insurance Company300871Agent - Casualty11/19/20125/10/2017
InactiveForemost Property and Casualty Insurance Company300871Agent - Property11/19/20125/10/2017
InactiveForemost Signature Insurance Company300140Agent - Casualty11/19/20125/10/2017
InactiveForemost Signature Insurance Company300140Agent - Property11/19/20125/10/2017
InactiveGeneral Insurance Company of America300261Agent - Casualty4/23/20073/29/2024
InactiveGeneral Insurance Company of America300261Agent - Property4/23/20073/29/2024
InactiveGenworth Life Insurance Company300623Agent - Health7/3/200812/3/2019
InactiveGenworth Life Insurance Company300623Agent - Life7/3/200812/3/2019
InactiveGranite State Insurance Company300818Agent - Casualty5/10/20076/18/2010
InactiveGranite State Insurance Company300818Agent - Property5/10/20076/18/2010
InactiveHallmark National Insurance Company300494Agent - Casualty5/24/201011/15/2017
InactiveHallmark National Insurance Company300494Agent - Property5/24/201011/15/2017
ActiveHartford Accident and Indemnity Company301917Agent - Casualty10/1/2010 
ActiveHartford Accident and Indemnity Company301917Agent - Property10/1/2010 
InactiveHartford Casualty Insurance Company301332Agent - Casualty9/12/20148/18/2017
InactiveHartford Casualty Insurance Company301332Agent - Property9/12/20148/18/2017
InactiveHartford Fire Insurance Company300628Agent - Casualty6/19/20129/26/2019
InactiveHartford Fire Insurance Company300628Agent - Property6/19/20129/26/2019
ActiveHartford Insurance Company of the Midwest301918Agent - Casualty12/6/2011 
ActiveHartford Insurance Company of the Midwest301918Agent - Property12/6/2011 
ActiveHartford Underwriters Insurance Company301064Agent - Casualty4/13/2021 
ActiveHartford Underwriters Insurance Company301064Agent - Property4/13/2021 
InactiveIllinois National Insurance Company301367Agent - Casualty5/10/20076/18/2010
InactiveIllinois National Insurance Company301367Agent - Property5/10/20076/18/2010
InactiveIndiana Insurance Company301909Agent - Casualty10/16/20082/3/2023
InactiveIndiana Insurance Company301909Agent - Property10/16/20082/3/2023
InactiveMaryland Casualty Company301719Agent - Casualty7/2/20071/20/2014
InactiveMaryland Casualty Company301719Agent - Property7/2/20071/20/2014
InactiveMeridian Security Insurance Company300423Agent - Casualty5/24/20104/1/2014
InactiveMeridian Security Insurance Company300423Agent - Property5/24/20104/1/2014
InactiveMidland National Life Insurance Company300923Agent - Life10/4/200711/2/2010
InactiveNetherlands Insurance Company (The)300339Agent - Casualty10/16/200810/20/2011
InactiveNetherlands Insurance Company (The)300339Agent - Property10/16/200810/20/2011
InactiveNorthern Insurance Company of New York301317Agent - Casualty7/2/20071/20/2014
InactiveNorthern Insurance Company of New York301317Agent - Property7/2/20071/20/2014
InactiveOhio Casualty Insurance Company301492Agent - Casualty10/16/20083/29/2024
InactiveOhio Casualty Insurance Company301492Agent - Property10/16/20083/29/2024
InactiveOhio Security Insurance Company300622Agent - Casualty10/16/20083/29/2024
InactiveOhio Security Insurance Company300622Agent - Property10/16/20083/29/2024
ActiveOwners Insurance Company300796Agent - Casualty12/17/2008 
ActiveOwners Insurance Company300796Agent - Property12/17/2008 
InactivePeerless Indemnity Insurance Company571682Agent - Casualty10/16/200810/20/2011
InactivePeerless Indemnity Insurance Company571682Agent - Property10/16/200810/20/2011
InactivePeerless Insurance Company301910Agent - Casualty10/16/20085/8/2025
InactivePeerless Insurance Company301910Agent - Property10/16/20085/8/2025
InactivePlymouth Rock Assurance Preferred Corporation301834Agent - Casualty9/11/20072/8/2011
InactivePlymouth Rock Assurance Preferred Corporation301834Agent - Property9/11/20072/8/2011
ActiveProgressive Casualty Insurance Company300696Agent - Casualty4/20/2007 
ActiveProgressive Casualty Insurance Company300696Agent - Property4/20/2007 
ActiveProgressive Northern Insurance Company301378Agent - Casualty4/20/2007 
ActiveProgressive Northern Insurance Company301378Agent - Property4/20/2007 
ActiveSAFECO Insurance Company of America300159Agent - Casualty6/10/2024 
ActiveSAFECO Insurance Company of America300159Agent - Property6/10/2024 
ActiveSAFECO Insurance Company of Illinois301350Agent - Casualty6/7/2024 
ActiveSAFECO Insurance Company of Illinois301350Agent - Property6/7/2024 
InactiveSelective Insurance Company of America500018Agent - Casualty1/18/20128/2/2021
InactiveSelective Insurance Company of America500018Agent - Property1/18/20128/2/2021
InactiveSelective Insurance Company of South Carolina500012Agent - Casualty1/18/20128/2/2021
InactiveSelective Insurance Company of South Carolina500012Agent - Property1/18/20128/2/2021
InactiveSelective Insurance Company of the Southeast300381Agent - Casualty1/18/20128/2/2021
InactiveSelective Insurance Company of the Southeast300381Agent - Property1/18/20128/2/2021
ActiveSentinel Insurance Company, Limited501696Agent - Casualty2/6/2008 
ActiveSentinel Insurance Company, Limited501696Agent - Property2/6/2008 
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty5/21/2007 
ActiveStandard Fire Insurance Company (The)301068Agent - Property5/21/2007 
InactiveState Auto Property & Casualty Insurance Company301953Agent - Casualty5/24/20104/1/2014
InactiveState Auto Property & Casualty Insurance Company301953Agent - Property5/24/20104/1/2014
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty5/24/20104/1/2014
InactiveState Automobile Mutual Insurance Company301824Agent - Property5/24/20104/1/2014
ActiveThe Phoenix Insurance Company301502Agent - Casualty5/21/2007 
ActiveThe Phoenix Insurance Company301502Agent - Property5/21/2007 
InactiveTime Insurance Company300683Agent - Health10/7/200912/20/2014
InactiveTime Insurance Company300683Agent - Life10/7/200912/20/2014
InactiveTravCo Insurance Company301828Agent - Casualty5/21/200712/9/2013
InactiveTravCo Insurance Company301828Agent - Property5/21/200712/9/2013
InactiveTravelers Casualty Company of Connecticut301505Agent - Casualty5/21/200712/9/2013
InactiveTravelers Casualty Company of Connecticut301505Agent - Property5/21/200712/9/2013
ActiveTravelers Casualty Insurance Company of America300522Agent - Casualty10/22/2008 
ActiveTravelers Casualty Insurance Company of America300522Agent - Property10/22/2008 
InactiveTravelers Casualty and Surety Company301067Agent - Casualty10/22/200812/3/2014
InactiveTravelers Casualty and Surety Company301067Agent - Property10/22/200812/3/2014
InactiveTravelers Casualty and Surety Company of America301334Agent - Casualty5/24/201212/9/2013
InactiveTravelers Casualty and Surety Company of America301334Agent - Property5/24/201212/9/2013
InactiveTravelers Commercial Insurance Company301506Agent - Casualty5/21/200712/9/2013
InactiveTravelers Commercial Insurance Company301506Agent - Property5/21/200712/9/2013
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty5/21/2007 
ActiveTravelers Home and Marine Insurance Company (The)301802Agent - Property5/21/2007 
InactiveTravelers Indemnity Company (The)301855Agent - Casualty5/21/200712/9/2019
InactiveTravelers Indemnity Company (The)301855Agent - Property5/21/200712/9/2019
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty5/21/200711/30/2017
InactiveTravelers Indemnity Company of America (The)301093Agent - Property5/21/200711/30/2017
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty10/22/200811/30/2017
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property10/22/200811/30/2017
ActiveTravelers Personal Insurance Company705785Agent - Casualty3/4/2019 
ActiveTravelers Personal Insurance Company705785Agent - Property3/4/2019 
InactiveTravelers Property Casualty Company of America301649Agent - Casualty1/21/201611/30/2017
InactiveTravelers Property Casualty Company of America301649Agent - Property1/21/201611/30/2017
InactiveTravelers Property Casualty Insurance Company301508Agent - Casualty5/21/200712/9/2013
InactiveTravelers Property Casualty Insurance Company301508Agent - Property5/21/200712/9/2013
InactiveTrexis Insurance Corporation599902Agent - Casualty5/11/20077/21/2008
InactiveTrumbull Insurance Company300242Agent - Casualty2/1/20128/18/2017
InactiveTrumbull Insurance Company300242Agent - Property2/1/20128/18/2017
ActiveTwin City Fire Insurance Company300721Agent - Casualty1/23/2015 
ActiveTwin City Fire Insurance Company300721Agent - Property1/23/2015 
ActiveUnited Financial Casualty Company301886Agent - Casualty4/20/2007 
ActiveUnited Financial Casualty Company301886Agent - Property4/20/2007 
InactiveUnitedHealthcare Insurance Company300946Agent - Health3/29/201212/1/2016
InactiveUnitedHealthcare Insurance Company300946Agent - Life3/29/201212/1/2016
InactiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health3/29/201212/1/2016
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health3/29/201212/1/2016
InactiveUnitrin Auto and Home Insurance Company301538Agent - Casualty4/11/200710/23/2024
InactiveUnitrin Auto and Home Insurance Company301538Agent - Property4/11/200710/23/2024
InactiveUnitrin Preferred Insurance Company502869Agent - Casualty4/11/200712/2/2013
InactiveUnitrin Preferred Insurance Company502869Agent - Property4/11/200712/2/2013
InactiveWest American Insurance Company301112Agent - Casualty10/16/20083/29/2024
InactiveWest American Insurance Company301112Agent - Property10/16/20083/29/2024
InactiveWest Bend Insurance Company672974Agent - Casualty1/24/20124/26/2023
InactiveWest Bend Insurance Company672974Agent - Property1/24/20124/26/2023
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBarnes, Brandon Michael 598885Agent - Casualty3/12/2007 
ActiveBarnes, Brandon Michael 598885Agent - Health4/30/2007 
ActiveBarnes, Brandon Michael 598885Agent - Life4/30/2007 
ActiveBarnes, Brandon Michael 598885Agent - Property3/12/2007 
DeniedBishop, Bonnie Lee 680910Agent - Casualty  
DeniedBishop, Bonnie Lee 680910Agent - Health  
DeniedBishop, Bonnie Lee 680910Agent - Life  
DeniedBishop, Bonnie Lee 680910Agent - Property  
InactiveChafins, Tiffany L 806130Agent - Casualty6/12/20135/1/2015
InactiveChafins, Tiffany L 806130Agent - Property6/12/20135/1/2015
InactiveCrupper, Matthew Scott 635582Agent - Casualty4/30/20074/1/2009
InactiveCrupper, Matthew Scott 635582Agent - Property4/30/20074/1/2009
ActiveGartman, Moritz Wendell 394051Agent - Casualty6/10/2013 
ActiveGartman, Moritz Wendell 394051Agent - Property6/10/2013 
ActiveGolsch, Britney 774630Agent - Casualty5/4/2012 
ActiveGolsch, Britney 774630Agent - Property5/4/2012 
InactiveMalott, Michael Patrick 674014Agent - Casualty5/8/201212/31/2015
DeniedMalott, Michael Patrick 674014Agent - Health  
DeniedMalott, Michael Patrick 674014Agent - Life  
InactiveMalott, Michael Patrick 674014Agent - Property5/8/201212/31/2015

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