DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fossett, Lennie Wayne	DOIID	712405	NAIC NPN	14741544

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/28/2009	10/31/2011
Inactive	Non Resident	Agent	Casualty	8/28/2009	10/31/2011
* 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	Bristol West Insurance Company	301655	Agent - Casualty	10/30/2009	10/31/2011
Inactive	Bristol West Insurance Company	301655	Agent - Property	10/30/2009	10/31/2011
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	9/15/2009	12/13/2010
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	9/15/2009	12/13/2010
Inactive	Hallmark National Insurance Company	300494	Agent - Casualty	9/15/2009	10/31/2011
Inactive	Hallmark National Insurance Company	300494	Agent - Property	9/15/2009	10/31/2011
Inactive	Meridian Citizens Mutual Insurance Company	300935	Agent - Casualty	9/15/2009	10/31/2011
Inactive	Meridian Citizens Mutual Insurance Company	300935	Agent - Property	9/15/2009	10/31/2011
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	9/15/2009	10/31/2011
Inactive	Meridian Security Insurance Company	300423	Agent - Property	9/15/2009	10/31/2011
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	9/15/2009	10/31/2011
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	9/15/2009	10/31/2011
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	9/15/2009	10/31/2011
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	9/15/2009	10/31/2011
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	5/6/2010	5/14/2010

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance Solutions of the Midwest, Inc.	592519	Agent - Property	9/15/2009	10/31/2011
Inactive	Insurance Solutions of the Midwest, Inc.	592519	Agent - Casualty	9/15/2009	10/31/2011