DEPARTMENT OF INSURANCE

Affiliations

Name	Epremium Insurance Agency LLC DBA : ePremium Insurance Agency LLC	DOIID	684937	NAIC NPN	9925625

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	2/13/2024	3/31/2026
Active	Non Resident	Agent	Property	9/11/2008	3/31/2026
Active	Non Resident	Agent	Casualty	9/11/2008	3/31/2026
Active	Non Resident	Agent	Health	2/13/2024	3/31/2026
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/3/2018	3/31/2026
* 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
Surplus Lines Broker	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American Economy Insurance Company	300315	Agent - Casualty	1/26/2009	4/15/2022
Inactive	American Economy Insurance Company	300315	Agent - Property	1/26/2009	4/15/2022
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	1/30/2009	12/20/2021
Inactive	American Family Home Insurance Company	301817	Agent - Property	1/30/2009	12/20/2021
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	1/26/2009	4/15/2022
Inactive	American Fire and Casualty Company	300567	Agent - Property	1/26/2009	4/15/2022
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	1/30/2009	12/20/2021
Inactive	American Modern Home Insurance Company	300791	Agent - Property	1/30/2009	12/20/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	8/6/2009	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	8/6/2009	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	12/17/2012	11/14/2021
Inactive	American Southern Home Insurance Company	626276	Agent - Property	12/17/2012	11/14/2021
Inactive	American States Insurance Company	301230	Agent - Casualty	1/26/2009	4/15/2022
Inactive	American States Insurance Company	301230	Agent - Property	1/26/2009	4/15/2022
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	6/5/2014	12/21/2015
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	6/5/2014	12/21/2015
Active	Century-National Insurance Company	300540	Agent - Casualty	6/29/2015
Active	Century-National Insurance Company	300540	Agent - Property	6/29/2015
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	1/26/2009	4/15/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	1/26/2009	4/15/2022
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	5/14/2010	12/16/2015
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	5/14/2010	12/16/2015
Inactive	First National Insurance Company of America	301690	Agent - Casualty	1/26/2009	4/15/2022
Inactive	First National Insurance Company of America	301690	Agent - Property	1/26/2009	4/15/2022
Inactive	General Insurance Company of America	300261	Agent - Casualty	1/26/2009	4/15/2022
Inactive	General Insurance Company of America	300261	Agent - Property	1/26/2009	4/15/2022
Active	Grange Indemnity Insurance Company	300793	Agent - Casualty	11/1/2013
Active	Grange Indemnity Insurance Company	300793	Agent - Property	11/1/2013
Active	Grange Insurance Company	300234	Agent - Casualty	11/1/2013
Active	Grange Insurance Company	300234	Agent - Property	11/1/2013
Active	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	11/1/2013
Active	Grange Property & Casualty Insurance Company	601680	Agent - Property	11/1/2013
Inactive	Great American Assurance Company	300327	Agent - Casualty	1/19/2011	8/29/2023
Inactive	Great American Assurance Company	300327	Agent - Property	1/19/2011	8/29/2023
Inactive	Great American Insurance Company	301586	Agent - Casualty	1/19/2011	8/29/2023
Inactive	Great American Insurance Company	301586	Agent - Property	1/19/2011	8/29/2023
Inactive	Indiana Insurance Company	301909	Agent - Casualty	1/26/2009	4/15/2022
Inactive	Indiana Insurance Company	301909	Agent - Property	1/26/2009	4/15/2022
Active	Jewelers Mutual Insurance Company, SI	301935	Agent - Casualty	5/27/2024
Active	Jewelers Mutual Insurance Company, SI	301935	Agent - Property	5/27/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	1/26/2009	4/15/2022
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	1/26/2009	4/15/2022
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	1/26/2009	4/15/2022
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	1/26/2009	4/15/2022
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	1/26/2009	4/15/2022
Inactive	Ohio Security Insurance Company	300622	Agent - Property	1/26/2009	4/15/2022
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	1/26/2009	4/15/2022
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	1/26/2009	4/15/2022
Inactive	Peerless Insurance Company	301910	Agent - Casualty	1/26/2009	4/15/2022
Inactive	Peerless Insurance Company	301910	Agent - Property	1/26/2009	4/15/2022
Active	Praetorian Insurance Company	301021	Agent - Casualty	5/6/2010
Active	Praetorian Insurance Company	301021	Agent - Property	5/6/2010
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	4/12/2013
Active	Progressive Casualty Insurance Company	300696	Agent - Property	4/12/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	1/26/2009	4/15/2022
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	1/26/2009	4/15/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	1/26/2009	4/15/2022
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	1/26/2009	4/15/2022
Active	Spinnaker Insurance Company	300099	Agent - Casualty	1/31/2022
Active	Spinnaker Insurance Company	300099	Agent - Property	5/4/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	6/5/2014	4/24/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	6/5/2014	4/24/2017
Active	Technology Insurance Company	613278	Agent - Casualty	6/18/2025
Active	Technology Insurance Company	613278	Agent - Property	6/18/2025
Inactive	Tesla Insurance Company	300337	Agent - Casualty	9/11/2008	11/4/2013
Inactive	Tesla Insurance Company	300337	Agent - Property	9/11/2008	11/4/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	6/5/2014	12/21/2015
Inactive	The Phoenix Insurance Company	301502	Agent - Property	6/5/2014	12/21/2015
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	6/5/2014	12/21/2015
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	6/5/2014	12/21/2015
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	6/5/2014	12/21/2015
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	6/5/2014	12/21/2015
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	12/30/2008	12/8/2009
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	12/30/2008	12/8/2009
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	6/5/2014	12/21/2015
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	6/5/2014	12/21/2015
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	6/17/2014	7/7/2015
Inactive	Trexis One Insurance Corporation	684197	Agent - Casualty	6/20/2014	7/7/2015
Active	Trisura Insurance Company	1077019	Agent - Casualty	5/11/2022
Active	Trisura Insurance Company	1077019	Agent - Property	5/11/2022
Active	Trustgard Insurance Company	300104	Agent - Casualty	11/1/2013
Active	Trustgard Insurance Company	300104	Agent - Property	11/1/2013
Active	United Financial Casualty Company	301886	Agent - Casualty	4/12/2013
Active	United Financial Casualty Company	301886	Agent - Property	4/12/2013
Inactive	West American Insurance Company	301112	Agent - Casualty	1/26/2009	4/15/2022
Inactive	West American Insurance Company	301112	Agent - Property	1/26/2009	4/15/2022

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Abrego, Nancy Andrea	1183055	Agent - Casualty	1/21/2022	3/22/2023
Inactive	Abrego, Nancy Andrea	1183055	Agent - Property	1/21/2022	3/22/2023
Active	Buhmeyer, Gary Lee	1002028	Agent - Casualty	11/7/2024
Active	Buhmeyer, Gary Lee	1002028	Agent - Property	11/7/2024
Denied	Burton, Meredith	1258676	Agent - Casualty
Denied	Burton, Meredith	1258676	Agent - Property
Denied	Clouser, Robert Joseph	1252102	Agent - Casualty
Denied	Clouser, Robert Joseph	1252102	Agent - Property
Denied	Hartkopf, Noah H	1194752	Agent - Casualty
Denied	Hartkopf, Noah H	1194752	Agent - Property
Inactive	Hays, David E	876565	Agent - Casualty	10/13/2020	10/4/2024
Inactive	Hays, David E	876565	Agent - Property	10/13/2020	10/4/2024
Inactive	Hays, David E	876565	Surplus Lines Broker - Not Applicable	10/13/2020	10/4/2024
Denied	Matlock, Amy	1131659	Agent - Casualty
Denied	Matlock, Amy	1131659	Agent - Property
Inactive	Robbins, Kelly Rae	1183027	Agent - Casualty	1/25/2022	2/29/2024
Inactive	Robbins, Kelly Rae	1183027	Agent - Property	1/25/2022	2/29/2024
Denied	Robinson Race, Christina	1268484	Agent - Casualty
Denied	Robinson Race, Christina	1268484	Agent - Property
Denied	Scherer, Jason	762427	Agent - Casualty
Denied	Scherer, Jason	762427	Agent - Property
Inactive	Scott, Chad Tindall	550333	Agent - Casualty	9/11/2008	10/13/2020
Inactive	Scott, Chad Tindall	550333	Agent - Property	9/11/2008	10/13/2020
Inactive	Scott, Chad Tindall	550333	Surplus Lines Broker - Not Applicable	4/3/2018	10/13/2020
Denied	Shaw, Oronde	1226171	Agent - Casualty
Denied	Shaw, Oronde	1226171	Agent - Property
Inactive	Stoltz, Jonathan Patrick	883358	Agent - Casualty	2/25/2022	8/30/2022
Inactive	Stoltz, Jonathan Patrick	883358	Agent - Property	2/25/2022	8/30/2022
Active	Vendramin, Robert Anthony	898616	Agent - Casualty	4/12/2023
Active	Vendramin, Robert Anthony	898616	Agent - Health	2/13/2024
Active	Vendramin, Robert Anthony	898616	Agent - Life	2/13/2024
Active	Vendramin, Robert Anthony	898616	Agent - Property	4/12/2023
Active	Vendramin, Robert Anthony	898616	Surplus Lines Broker - Not Applicable	4/12/2023
Denied	Zahariades, Marc Nicholas	1268581	Agent - Casualty
Denied	Zahariades, Marc Nicholas	1268581	Agent - Property
Denied	Zola, Felicia	1180272	Agent - Casualty
Denied	Zola, Felicia	1180272	Agent - Property