DEPARTMENT OF INSURANCE

Affiliations

Name	MHBT Inc	DOIID	751485	NAIC NPN	16157648

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Casualty	4/6/2011	6/14/2016
Inactive	Non Resident	Agent	Property	4/6/2011	6/14/2016
Inactive	Non Resident	Agent	Life	4/6/2011	6/14/2016
Inactive	Non Resident	Agent	Health	4/6/2011	6/14/2016
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	4/6/2011	6/14/2016
* 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	ACE American Insurance Company	300625	Agent - Casualty	3/17/2016	6/14/2016
Inactive	ACE American Insurance Company	300625	Agent - Property	3/17/2016	6/14/2016
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	3/17/2016	6/14/2016
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	3/17/2016	6/14/2016
Inactive	AMCO Insurance Company	300204	Agent - Casualty	5/10/2016	6/14/2016
Inactive	AMCO Insurance Company	300204	Agent - Property	5/10/2016	6/14/2016
Inactive	Accident Fund Insurance Company of America	518734	Agent - Casualty	2/15/2012	6/14/2016
Inactive	Allied Insurance Company of America	793586	Agent - Casualty	5/10/2016	6/14/2016
Inactive	Allied Insurance Company of America	793586	Agent - Property	5/10/2016	6/14/2016
Inactive	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	5/10/2016	6/14/2016
Inactive	Allied Property and Casualty Insurance Company	300279	Agent - Property	5/10/2016	6/14/2016
Inactive	Arch Insurance Company	300688	Agent - Casualty	5/2/2011	7/30/2015
Inactive	Arch Insurance Company	300688	Agent - Property	5/2/2011	7/30/2015
Inactive	BCS Insurance Company	300294	Agent - Casualty	7/9/2012	6/14/2016
Inactive	BCS Insurance Company	300294	Agent - Property	7/9/2012	6/14/2016
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	7/13/2012	9/23/2015
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	7/13/2012	9/23/2015
Inactive	Berkley Life and Health Insurance Company	301421	Agent - Health	1/12/2016	6/14/2016
Inactive	Chubb Indemnity Insurance Company	300438	Agent - Casualty	2/19/2013	3/10/2016
Inactive	Chubb Indemnity Insurance Company	300438	Agent - Property	2/19/2013	3/10/2016
Inactive	Chubb National Insurance Company	301392	Agent - Casualty	2/19/2013	3/10/2016
Inactive	Chubb National Insurance Company	301392	Agent - Property	2/19/2013	3/10/2016
Inactive	Continental Casualty Company	301019	Agent - Casualty	3/7/2016	4/14/2016
Inactive	Continental Casualty Company	301019	Agent - Property	3/7/2016	4/14/2016
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	3/22/2016	4/14/2016
Inactive	Continental Insurance Company (The)	301242	Agent - Property	3/22/2016	4/14/2016
Inactive	Crestbrook Insurance Company	805354	Agent - Casualty	6/15/2015	3/30/2016
Inactive	Crestbrook Insurance Company	805354	Agent - Property	6/15/2015	3/30/2016
Inactive	Depositors Insurance Company	301634	Agent - Casualty	5/10/2016	6/14/2016
Inactive	Depositors Insurance Company	301634	Agent - Property	5/10/2016	6/14/2016
Inactive	Executive Risk Indemnity Inc.	301510	Agent - Casualty	2/19/2013	3/10/2016
Inactive	Federal Insurance Company	301144	Agent - Casualty	2/19/2013	3/10/2016
Inactive	Federal Insurance Company	301144	Agent - Property	2/19/2013	3/10/2016
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	2/19/2013	3/10/2016
Inactive	Great Northern Insurance Company	301107	Agent - Property	2/19/2013	3/10/2016
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	3/17/2016	6/14/2016
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	3/17/2016	6/14/2016
Inactive	Jefferson Insurance Company	301127	Agent - Casualty	7/9/2012	6/14/2016
Inactive	Jefferson Insurance Company	301127	Agent - Property	7/9/2012	6/14/2016
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	4/22/2015	6/14/2016
Inactive	Liberty Insurance Underwriters Inc.	301391	Agent - Property	4/22/2015	6/14/2016
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	4/22/2015	6/14/2016
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	4/22/2015	6/14/2016
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	7/22/2014	6/14/2016
Inactive	Meridian Security Insurance Company	300423	Agent - Property	7/22/2014	6/14/2016
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	7/13/2012	9/23/2015
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	7/13/2012	9/23/2015
Inactive	Pacific Indemnity Company	301610	Agent - Casualty	2/19/2013	3/10/2016
Inactive	Pacific Indemnity Company	301610	Agent - Property	2/19/2013	3/10/2016
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	6/11/2015	6/14/2016
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	6/11/2015	6/14/2016
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	7/22/2014	6/14/2016
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	7/22/2014	6/14/2016
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	7/22/2014	6/14/2016
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	7/22/2014	6/14/2016
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	6/30/2014	6/14/2016
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	6/30/2014	6/14/2016
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	11/12/2014	6/14/2016
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	11/12/2014	6/14/2016
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	3/22/2016	4/14/2016
Inactive	Valley Forge Insurance Company	301052	Agent - Property	3/22/2016	4/14/2016
Inactive	Vigilant Insurance Company	301143	Agent - Casualty	2/19/2013	3/10/2016
Inactive	Vigilant Insurance Company	301143	Agent - Property	2/19/2013	3/10/2016
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	3/17/2016	6/14/2016
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	3/17/2016	6/14/2016

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bowles, Edward Ryan	891441	Agent - Casualty	3/7/2016	6/14/2016
Inactive	Bowles, Edward Ryan	891441	Agent - Property	3/7/2016	6/14/2016
Inactive	Bowles, Edward Ryan	891441	Surplus Lines Broker - Not Applicable	3/7/2016	6/14/2016
Inactive	Dowd, Dennis Carter	597438	Agent - Casualty	4/6/2011	3/7/2016
Inactive	Dowd, Dennis Carter	597438	Agent - Property	4/6/2011	3/7/2016
Inactive	Dowd, Dennis Carter	597438	Surplus Lines Broker - Not Applicable	4/6/2011	2/24/2016
Inactive	Johnson, Kirk Wyatt	510901	Agent - Health	4/6/2011	6/14/2016
Inactive	Johnson, Kirk Wyatt	510901	Agent - Life	4/6/2011	6/14/2016