DEPARTMENT OF INSURANCE

Affiliations

Name	Mercedes-Benz Insurance Agency LLC	DOIID	660058	NAIC NPN	9465417

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	9/1/2026		3/31/2027
Active	Non Resident	Agent	Casualty	9/1/2026		3/31/2027
Inactive	Non Resident	Agent	Life	10/17/2008	4/1/2009
Inactive	Non Resident	Agent	Health	10/17/2008	4/1/2009
* 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	01/15/2027	03/31/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	11/3/2016	7/1/2026
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - Property	11/3/2016	7/1/2026
Inactive	American States Insurance Company	301230	Agent - Casualty	7/10/2008	2/4/2011
Inactive	American States Insurance Company	301230	Agent - Property	7/10/2008	2/4/2011
Inactive	American Zurich Insurance Company	300592	Agent - Casualty	11/3/2016	7/1/2026
Inactive	American Zurich Insurance Company	300592	Agent - Property	11/3/2016	7/1/2026
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	10/14/2016	7/1/2026
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	10/14/2016	7/1/2026
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	8/15/2011	7/1/2026
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	8/15/2011	7/1/2026
Inactive	First National Insurance Company of America	301690	Agent - Casualty	7/10/2008	2/4/2011
Inactive	First National Insurance Company of America	301690	Agent - Property	7/10/2008	2/4/2011
Inactive	General Insurance Company of America	300261	Agent - Casualty	7/10/2008	2/4/2011
Inactive	General Insurance Company of America	300261	Agent - Property	7/10/2008	2/4/2011
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	11/18/2008	1/6/2011
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	11/18/2008	1/6/2011
Inactive	Intrepid Insurance Company	567182	Agent - Casualty	3/20/2009	11/21/2024
Inactive	Intrepid Insurance Company	567182	Agent - Property	3/20/2009	11/21/2024
Inactive	LM General Insurance Company	300133	Agent - Casualty	8/15/2011	7/1/2026
Inactive	LM General Insurance Company	300133	Agent - Property	8/15/2011	7/1/2026
Inactive	LM Insurance Corporation	301061	Agent - Casualty	8/15/2011	7/1/2026
Inactive	LM Insurance Corporation	301061	Agent - Property	8/15/2011	7/1/2026
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	8/15/2011	7/1/2026
Inactive	Liberty Insurance Corporation	300444	Agent - Property	8/15/2011	7/1/2026
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	8/15/2011	7/1/2026
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	8/15/2011	7/1/2026
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	8/15/2011	7/1/2026
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	8/15/2011	7/1/2026
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	7/10/2008	2/4/2011
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	7/10/2008	2/4/2011
Inactive	Universal Underwriters Insurance Company	301558	Agent - Casualty	10/7/2016	7/1/2026
Inactive	Universal Underwriters Insurance Company	301558	Agent - Property	10/7/2016	7/1/2026
Inactive	Universal Underwriters of Texas Insurance Company	639543	Agent - Casualty	10/7/2016	7/1/2026
Inactive	Universal Underwriters of Texas Insurance Company	639543	Agent - Property	10/7/2016	7/1/2026
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	10/14/2016	7/1/2026
Inactive	Zurich American Insurance Company	301121	Agent - Property	10/14/2016	7/1/2026
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	10/14/2016	7/1/2026
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - Property	10/14/2016	7/1/2026

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Adams, Jon	698395	Agent - Casualty
Denied	Adams, Jon	698395	Agent - Property
Inactive	Clark, Derek William	984709	Agent - Casualty	3/7/2018	4/30/2022
Inactive	Clark, Derek William	984709	Agent - Property	3/7/2018	4/30/2022
Inactive	Comaianni-Martin, Dana Marise	676512	Agent - Casualty	7/31/2008	2/28/2015
Denied	Comaianni-Martin, Dana Marise	676512	Agent - Health
Denied	Comaianni-Martin, Dana Marise	676512	Agent - Life
Inactive	Comaianni-Martin, Dana Marise	676512	Agent - Property	7/31/2008	2/28/2015
Inactive	Condon, Vincent Patrick	569032	Agent - Casualty	10/17/2008	3/31/2009
Inactive	Condon, Vincent Patrick	569032	Agent - Health	10/17/2008	3/31/2009
Inactive	Condon, Vincent Patrick	569032	Agent - Life	10/17/2008	3/31/2009
Inactive	Condon, Vincent Patrick	569032	Agent - Property	10/17/2008	3/31/2009
Active	Reid, Anthony S	943752	Agent - Casualty	9/1/2026
Active	Reid, Anthony S	943752	Agent - Property	9/1/2026
Inactive	Richardson, Lisa Lynn	731407	Agent - Casualty	4/11/2014	4/30/2026
Inactive	Richardson, Lisa Lynn	731407	Agent - Property	4/11/2014	4/30/2026
Denied	Wuebben, Anthony James	698398	Agent - Casualty
Denied	Wuebben, Anthony James	698398	Agent - Property