DEPARTMENT OF INSURANCE
Affiliations
NameUnited Security Agency Usa IIIDOIID722768NAIC NPN9745054
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty2/12/2010 3/31/2026
ActiveNon ResidentAgentHealth2/12/2010 3/31/2026
ActiveNon ResidentAgentCasualty2/12/2010 3/31/2026
ActiveNon ResidentAgentLife2/12/2010 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
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
ActiveAmerican Select Insurance Company301229Agent - Casualty4/19/2018 
ActiveAmerican Select Insurance Company301229Agent - Property4/19/2018 
ActiveBrickStreet Mutual Insurance Company709251Agent - Casualty1/3/2014 
InactiveClearPath Insurance Company979815Agent - Casualty5/14/20182/20/2019
ActiveErie Family Life Insurance Company301400Agent - Life4/27/2016 
ActiveErie Insurance Company300230Agent - Casualty4/27/2016 
ActiveErie Insurance Company300230Agent - Property4/27/2016 
ActiveErie Insurance Company of New York789916Agent - Casualty4/27/2016 
ActiveErie Insurance Company of New York789916Agent - Property4/27/2016 
ActiveErie Insurance Exchange300789Agent - Casualty4/27/2016 
ActiveErie Insurance Exchange300789Agent - Property4/27/2016 
ActiveErie Insurance Property & Casualty Company789942Agent - Casualty4/27/2016 
ActiveErie Insurance Property & Casualty Company789942Agent - Property4/27/2016 
ActiveFlagship City Insurance Company789965Agent - Casualty4/27/2016 
ActiveFlagship City Insurance Company789965Agent - Property4/27/2016 
InactiveGuarantee Company of North America USA (The)300857Agent - Casualty3/28/20174/5/2021
InactiveGuarantee Company of North America USA (The)300857Agent - Property3/28/20174/5/2021
ActiveMICO Insurance Company301664Agent - Casualty6/16/2021 
ActiveMICO Insurance Company301664Agent - Property6/16/2021 
ActiveMeridian Security Insurance Company300423Agent - Casualty3/9/2011 
ActiveMeridian Security Insurance Company300423Agent - Property3/9/2011 
ActiveMilbank Insurance Company925185Agent - Casualty11/8/2017 
ActiveMilbank Insurance Company925185Agent - Property11/8/2017 
ActiveMotorists Commercial Mutual Insurance Company301941Agent - Casualty9/4/2019 
ActiveMotorists Commercial Mutual Insurance Company301941Agent - Property9/4/2019 
ActiveMotorists Mutual Insurance Company300963Agent - Casualty4/7/2010 
ActiveMotorists Mutual Insurance Company300963Agent - Property4/7/2010 
ActiveNorthStone Insurance Company818905Agent - Casualty5/16/2014 
ActivePinnaclePoint Insurance Company819085Agent - Casualty5/16/2014 
ActiveRLI Insurance Company301217Agent - Casualty9/23/2015 
ActiveRLI Insurance Company301217Agent - Property9/23/2015 
ActiveState Auto Property & Casualty Insurance Company301953Agent - Casualty3/9/2011 
ActiveState Auto Property & Casualty Insurance Company301953Agent - Property3/9/2011 
ActiveState Automobile Mutual Insurance Company301824Agent - Casualty3/9/2011 
ActiveState Automobile Mutual Insurance Company301824Agent - Property3/9/2011 
ActiveSummitPoint Insurance Company819084Agent - Casualty5/16/2014 
ActiveWestfield Insurance Company301950Agent - Casualty3/1/2010 
ActiveWestfield Insurance Company301950Agent - Property3/1/2010 
ActiveWestfield National Insurance Company301036Agent - Casualty3/5/2010 
ActiveWestfield National Insurance Company301036Agent - Property3/5/2010 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBunn, Vance Ethan 330083Agent - Casualty2/12/2010 
ActiveBunn, Vance Ethan 330083Agent - Health2/12/2010 
ActiveBunn, Vance Ethan 330083Agent - Life2/12/2010 
ActiveBunn, Vance Ethan 330083Agent - Property2/12/2010 
InactiveCriswell, Heather Dawn 1016204Agent - Casualty5/6/20193/1/2022
InactiveCriswell, Heather Dawn 1016204Agent - Property5/6/20193/1/2022

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