DEPARTMENT OF INSURANCE
Affiliations
NameMountain State Agy Alliance LLCDOIID739740NAIC NPN7705291
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentProperty2/3/2021 3/31/2026
ActiveNon ResidentAgentCasualty2/3/2021 3/31/2026
DeniedNon ResidentAgentPersonal Lines   
* 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
ActiveAMCO Insurance Company300204Agent - Casualty3/14/2023 
ActiveAMCO Insurance Company300204Agent - Property3/14/2023 
InactiveAegis Security Insurance Company300492Agent - Casualty6/23/201610/1/2020
InactiveAegis Security Insurance Company300492Agent - Property6/23/201610/1/2020
ActiveAllied Insurance Company of America793586Agent - Casualty3/14/2023 
ActiveAllied Insurance Company of America793586Agent - Property3/14/2023 
ActiveAllied Property and Casualty Insurance Company300279Agent - Casualty3/14/2023 
ActiveAllied Property and Casualty Insurance Company300279Agent - Property3/14/2023 
ActiveAllstate Indemnity Company300778Agent - Casualty5/6/2021 
ActiveAllstate Indemnity Company300778Agent - Property5/6/2021 
ActiveAllstate Insurance Company300773Agent - Casualty5/6/2021 
ActiveAllstate Insurance Company300773Agent - Property5/6/2021 
ActiveAllstate Property and Casualty Insurance Company300593Agent - Casualty5/6/2021 
ActiveAllstate Property and Casualty Insurance Company300593Agent - Property5/6/2021 
ActiveAllstate Vehicle & Property Insurance Company301429Agent - Casualty5/6/2021 
ActiveAllstate Vehicle & Property Insurance Company301429Agent - Property5/6/2021 
InactiveAmTrust Insurance Company300179Agent - Casualty6/19/201710/1/2020
InactiveAmTrust Insurance Company300179Agent - Property6/19/201710/1/2020
InactiveAmerican Economy Insurance Company300315Agent - Casualty10/28/201010/1/2020
InactiveAmerican Economy Insurance Company300315Agent - Property10/28/201010/1/2020
InactiveAmerican Fire and Casualty Company300567Agent - Casualty10/28/201010/1/2020
InactiveAmerican Fire and Casualty Company300567Agent - Property10/28/201010/1/2020
InactiveAmerican Modern Home Insurance Company300791Agent - Casualty9/6/201710/1/2020
InactiveAmerican Modern Home Insurance Company300791Agent - Property9/6/201710/1/2020
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty2/24/2025 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property2/24/2025 
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty9/6/201710/1/2020
InactiveAmerican Modern Select Insurance Company581481Agent - Property9/6/201710/1/2020
ActiveAmerican Select Insurance Company301229Agent - Casualty3/18/2021 
ActiveAmerican Select Insurance Company301229Agent - Property3/18/2021 
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty9/6/201710/1/2020
InactiveAmerican Southern Home Insurance Company626276Agent - Property9/6/201710/1/2020
InactiveAmerican States Insurance Company301230Agent - Casualty10/28/201010/1/2020
InactiveAmerican States Insurance Company301230Agent - Property10/28/201010/1/2020
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty12/26/201212/9/2013
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property12/26/201212/9/2013
InactiveBristol West Insurance Company301655Agent - Casualty3/29/202312/20/2024
InactiveBristol West Insurance Company301655Agent - Property3/29/202312/20/2024
ActiveCSAA Fire & Casualty Insurance Company606666Agent - Casualty4/5/2023 
ActiveCSAA Fire & Casualty Insurance Company606666Agent - Property4/5/2023 
ActiveCSAA General Insurance Company606675Agent - Casualty4/5/2023 
ActiveCSAA General Insurance Company606675Agent - Property4/5/2023 
ActiveCelina Mutual Insurance Company (The)301908Agent - Casualty1/11/2022 
ActiveCelina Mutual Insurance Company (The)301908Agent - Property1/11/2022 
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty12/26/201212/9/2013
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property12/26/201212/9/2013
InactiveConsolidated Insurance Company300943Agent - Casualty10/28/201010/1/2020
InactiveConsolidated Insurance Company300943Agent - Property10/28/201010/1/2020
ActiveDepositors Insurance Company301634Agent - Casualty3/14/2023 
ActiveDepositors Insurance Company301634Agent - Property3/14/2023 
InactiveEmployers Assurance Company300120Agent - Casualty8/1/20221/3/2024
InactiveEmployers Compensation Insurance Company797885Agent - Casualty8/1/20221/3/2024
InactiveEmployers Preferred Insurance Company520656Agent - Casualty8/1/20221/3/2024
InactiveEncompass Indemnity Company546376Agent - Casualty6/30/202210/3/2024
InactiveEncompass Indemnity Company546376Agent - Property6/30/202210/3/2024
InactiveEncompass Insurance Company of America556578Agent - Casualty9/17/201212/13/2018
InactiveEncompass Insurance Company of America556578Agent - Property9/17/201212/13/2018
ActiveFarmers Property and Casualty Insurance Company301237Agent - Casualty3/29/2023 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Property3/29/2023 
InactiveFarmington Casualty Company301137Agent - Casualty12/26/201212/9/2013
InactiveFarmington Casualty Company301137Agent - Property12/26/201212/9/2013
InactiveFirst National Insurance Company of America301690Agent - Casualty10/28/201010/1/2020
InactiveFirst National Insurance Company of America301690Agent - Property10/28/201010/1/2020
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty3/29/2023 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property3/29/2023 
InactiveGeneral Insurance Company of America300261Agent - Casualty10/28/201010/1/2020
InactiveGeneral Insurance Company of America300261Agent - Property10/28/201010/1/2020
InactiveGlatfelter Insurance Company301640Agent - Casualty10/13/20164/30/2019
InactiveGlatfelter Insurance Company301640Agent - Property10/13/20164/30/2019
InactiveHallmark National Insurance Company300494Agent - Casualty10/19/201011/21/2017
InactiveHallmark National Insurance Company300494Agent - Property10/19/201011/21/2017
ActiveHartford Accident and Indemnity Company301917Agent - Casualty12/5/2023 
ActiveHartford Accident and Indemnity Company301917Agent - Property12/5/2023 
InactiveIndiana Insurance Company301909Agent - Casualty10/28/201010/1/2020
InactiveIndiana Insurance Company301909Agent - Property10/28/201010/1/2020
ActiveMICO Insurance Company301664Agent - Casualty6/10/2024 
ActiveMICO Insurance Company301664Agent - Property6/10/2024 
InactiveMeridian Security Insurance Company300423Agent - Casualty10/19/201010/1/2020
InactiveMeridian Security Insurance Company300423Agent - Property10/19/201010/1/2020
InactiveMilbank Insurance Company925185Agent - Casualty11/8/201710/1/2020
InactiveMilbank Insurance Company925185Agent - Property11/8/201710/1/2020
InactiveMilford Casualty Insurance Company301460Agent - Casualty6/19/201710/1/2020
InactiveMilford Casualty Insurance Company301460Agent - Property6/19/201710/1/2020
ActiveNationwide Agribusiness Insurance Company301008Agent - Casualty3/14/2023 
ActiveNationwide Agribusiness Insurance Company301008Agent - Property3/14/2023 
ActiveNationwide Assurance Company300166Agent - Casualty3/14/2023 
ActiveNationwide Assurance Company300166Agent - Property3/14/2023 
ActiveNationwide General Insurance Company300603Agent - Casualty3/14/2023 
ActiveNationwide General Insurance Company300603Agent - Property3/14/2023 
ActiveNationwide Insurance Company of America300333Agent - Casualty3/14/2023 
ActiveNationwide Insurance Company of America300333Agent - Property3/14/2023 
ActiveNationwide Mutual Insurance Company301749Agent - Casualty3/14/2023 
ActiveNationwide Mutual Insurance Company301749Agent - Property3/14/2023 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Casualty3/14/2023 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Property3/14/2023 
InactiveNetherlands Insurance Company (The)300339Agent - Casualty10/28/201010/1/2020
InactiveNetherlands Insurance Company (The)300339Agent - Property10/28/201010/1/2020
InactiveOhio Casualty Insurance Company301492Agent - Casualty5/9/20223/29/2024
InactiveOhio Casualty Insurance Company301492Agent - Property5/9/20223/29/2024
ActiveOhio Farmers Insurance Company301667Agent - Casualty3/18/2021 
ActiveOhio Farmers Insurance Company301667Agent - Property3/18/2021 
InactiveOhio Security Insurance Company300622Agent - Casualty5/9/20223/29/2024
InactiveOhio Security Insurance Company300622Agent - Property5/9/20223/29/2024
InactivePark National Insurance Company692514Agent - Casualty6/19/201710/1/2020
InactivePark National Insurance Company692514Agent - Property6/19/201710/1/2020
InactivePeerless Indemnity Insurance Company571682Agent - Casualty10/28/201010/1/2020
InactivePeerless Indemnity Insurance Company571682Agent - Property10/28/201010/1/2020
InactivePeerless Insurance Company301910Agent - Casualty10/28/201010/1/2020
InactivePeerless Insurance Company301910Agent - Property10/28/201010/1/2020
InactiveRLI Insurance Company301217Agent - Casualty1/11/201710/1/2020
InactiveRLI Insurance Company301217Agent - Property1/11/201710/1/2020
InactiveSAFECO Insurance Company of America300159Agent - Casualty5/17/20233/29/2024
InactiveSAFECO Insurance Company of America300159Agent - Property5/17/20233/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty10/28/201010/1/2020
InactiveSAFECO Insurance Company of Illinois301350Agent - Property10/28/201010/1/2020
InactiveSecurity National Insurance Company301151Agent - Casualty6/19/201710/1/2020
InactiveSecurity National Insurance Company301151Agent - Property6/19/201710/1/2020
InactiveSequoia Insurance Company628046Agent - Casualty5/5/202010/1/2020
InactiveSequoia Insurance Company628046Agent - Property5/5/202010/1/2020
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty7/3/2024 
ActiveStandard Fire Insurance Company (The)301068Agent - Property7/3/2024 
InactiveState Auto Property & Casualty Insurance Company301953Agent - Casualty10/19/201010/1/2020
InactiveState Auto Property & Casualty Insurance Company301953Agent - Property10/19/201010/1/2020
InactiveState Automobile Mutual Insurance Company301824Agent - Casualty10/19/201010/1/2020
InactiveState Automobile Mutual Insurance Company301824Agent - Property10/19/201010/1/2020
InactiveTechnology Insurance Company613278Agent - Casualty6/19/201710/1/2020
InactiveTechnology Insurance Company613278Agent - Property6/19/201710/1/2020
InactiveThe Phoenix Insurance Company301502Agent - Casualty6/26/201810/1/2020
InactiveThe Phoenix Insurance Company301502Agent - Property6/26/201810/1/2020
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty12/26/201212/21/2015
InactiveTravelers Casualty Insurance Company of America300522Agent - Property12/26/201212/21/2015
InactiveTravelers Casualty and Surety Company301067Agent - Casualty12/26/201212/9/2013
InactiveTravelers Casualty and Surety Company301067Agent - Property12/26/201212/9/2013
InactiveTravelers Casualty and Surety Company of America301334Agent - Casualty12/26/201212/9/2013
InactiveTravelers Casualty and Surety Company of America301334Agent - Property12/26/201212/9/2013
InactiveTravelers Commercial Insurance Company301506Agent - Casualty12/26/201212/9/2013
InactiveTravelers Commercial Insurance Company301506Agent - Property12/26/201212/9/2013
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty6/18/201810/1/2020
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property6/18/201810/1/2020
InactiveTravelers Indemnity Company (The)301855Agent - Casualty12/26/201212/9/2013
InactiveTravelers Indemnity Company (The)301855Agent - Property12/26/201212/9/2013
InactiveTravelers Indemnity Company of America (The)301093Agent - Casualty12/26/201212/9/2013
InactiveTravelers Indemnity Company of America (The)301093Agent - Property12/26/201212/9/2013
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty12/26/201212/9/2013
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property12/26/201212/9/2013
ActiveTravelers Personal Insurance Company705785Agent - Casualty4/4/2022 
ActiveTravelers Personal Insurance Company705785Agent - Property4/4/2022 
InactiveTravelers Property Casualty Company of America301649Agent - Casualty12/26/201212/9/2013
InactiveTravelers Property Casualty Company of America301649Agent - Property12/26/201212/9/2013
InactiveWesco Insurance Company300534Agent - Casualty6/19/201710/1/2020
InactiveWesco Insurance Company300534Agent - Property6/19/201710/1/2020
InactiveWest American Insurance Company301112Agent - Casualty10/28/201010/1/2020
InactiveWest American Insurance Company301112Agent - Property10/28/201010/1/2020
ActiveWestfield Insurance Company301950Agent - Casualty3/18/2021 
ActiveWestfield Insurance Company301950Agent - Property3/18/2021 
ActiveWestfield National Insurance Company301036Agent - Casualty3/18/2021 
ActiveWestfield National Insurance Company301036Agent - Property3/18/2021 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBlankenship, Colten J 1083671Agent - Casualty7/17/2023 
ActiveBlankenship, Colten J 1083671Agent - Property7/17/2023 
DeniedFacemyer, Amiee Maria 1285896Agent - Casualty  
DeniedFacemyer, Amiee Maria 1285896Agent - Property  
InactiveFlowers, Kristin L 1103419Agent - Casualty2/3/20219/5/2024
InactiveFlowers, Kristin L 1103419Agent - Property2/3/20219/5/2024
ActiveGarrison, Donyia Anita 1365244Agent - Casualty10/20/2024 
ActiveGarrison, Donyia Anita 1365244Agent - Property10/20/2024 
ActiveHage, Hannah E 864005Agent - Casualty7/17/2023 
ActiveHage, Hannah E 864005Agent - Property7/17/2023 
ActiveJude, David 1138761Agent - Casualty7/17/2023 
ActiveJude, David 1138761Agent - Property7/17/2023 
InactiveKerns, Mary P 325257Agent - Casualty10/14/20107/31/2020
InactiveKerns, Mary P 325257Agent - Property10/14/20107/31/2020
ActiveOsborne, Debra Laura 940135Agent - Casualty7/17/2023 
ActiveOsborne, Debra Laura 940135Agent - Property7/17/2023 
InactiveScarberry, Kelly Shay 846157Agent - Casualty7/17/202311/27/2024
InactiveScarberry, Kelly Shay 846157Agent - Property7/17/202311/27/2024
ActiveVallet, Calister Jeremy 1173761Agent - Casualty7/17/2023 
ActiveVallet, Calister Jeremy 1173761Agent - Property7/17/2023 
ActiveWardrip, Heather M 513620Agent - Casualty9/5/2024 
ActiveWardrip, Heather M 513620Agent - Property9/5/2024 
ActiveWhite, Tina Lynn 989947Agent - Casualty7/17/2023 
ActiveWhite, Tina Lynn 989947Agent - Property7/17/2023 

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