DEPARTMENT OF INSURANCE

Affiliations

Name	City Securities Ins LLC	DOIID	767851	NAIC NPN	16251527

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	12/1/2011	3/31/2027
Active	Non Resident	Agent	Life	12/1/2011	3/31/2027
Active	Non Resident	Agent	Health	12/1/2011	3/31/2027
Active	Non Resident	Agent	Casualty	12/1/2011	3/31/2027
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/26/2014	3/31/2027
* 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	3/4/2016	4/4/2017
Inactive	ACE American Insurance Company	300625	Agent - Property	3/4/2016	4/4/2017
Active	AIG Property Casualty Company	300621	Agent - Casualty	1/31/2014
Active	AIG Property Casualty Company	300621	Agent - Property	1/31/2014
Inactive	AMCO Insurance Company	300204	Agent - Casualty	6/12/2014	11/21/2017
Inactive	AMCO Insurance Company	300204	Agent - Property	6/12/2014	11/21/2017
Inactive	Allied Insurance Company of America	793586	Agent - Casualty	12/23/2014	11/21/2017
Inactive	Allied Insurance Company of America	793586	Agent - Property	12/23/2014	11/21/2017
Inactive	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	6/12/2014	11/21/2017
Inactive	Allied Property and Casualty Insurance Company	300279	Agent - Property	6/12/2014	11/21/2017
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Casualty	4/4/2017	8/14/2017
Inactive	American Casualty Company of Reading, Pennsylvania	300956	Agent - Property	4/4/2017	8/14/2017
Active	American United Life Insurance Company	300498	Agent - Health	6/11/2015
Active	American United Life Insurance Company	300498	Agent - Life	6/11/2015
Inactive	Auto-Owners Insurance Company	301480	Agent - Casualty	9/20/2013	5/11/2023
Inactive	Auto-Owners Insurance Company	301480	Agent - Property	9/20/2013	5/11/2023
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	3/4/2016	4/4/2017
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	3/4/2016	4/4/2017
Inactive	Chubb Indemnity Insurance Company	300438	Agent - Casualty	8/23/2012	4/4/2017
Inactive	Chubb Indemnity Insurance Company	300438	Agent - Property	8/23/2012	4/4/2017
Inactive	Chubb National Insurance Company	301392	Agent - Casualty	8/23/2012	4/4/2017
Inactive	Chubb National Insurance Company	301392	Agent - Property	8/23/2012	4/4/2017
Inactive	Cincinnati Insurance Company	301298	Agent - Casualty	1/28/2014	9/18/2017
Inactive	Cincinnati Insurance Company	301298	Agent - Property	1/28/2014	9/18/2017
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	8/24/2015	9/18/2017
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Life	8/24/2015	9/18/2017
Inactive	Continental Casualty Company	301019	Agent - Casualty	9/13/2016	8/14/2017
Inactive	Continental Casualty Company	301019	Agent - Property	9/13/2016	8/14/2017
Inactive	Continental Insurance Company (The)	301242	Agent - Casualty	12/5/2016	8/14/2017
Inactive	Continental Insurance Company (The)	301242	Agent - Property	12/5/2016	8/14/2017
Active	Crestbrook Insurance Company	805354	Agent - Casualty	3/21/2016
Active	Crestbrook Insurance Company	805354	Agent - Property	3/21/2016
Inactive	Depositors Insurance Company	301634	Agent - Casualty	6/12/2014	11/21/2017
Inactive	Depositors Insurance Company	301634	Agent - Property	6/12/2014	11/21/2017
Inactive	Executive Risk Indemnity Inc.	301510	Agent - Casualty	8/23/2012	4/4/2017
Inactive	FCCI Insurance Company	557454	Agent - Casualty	6/12/2013	1/17/2018
Inactive	FCCI Insurance Company	557454	Agent - Property	6/12/2013	1/17/2018
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	8/2/2013	11/30/2017
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	8/2/2013	11/30/2017
Inactive	Federal Insurance Company	301144	Agent - Casualty	8/23/2012	4/4/2017
Inactive	Federal Insurance Company	301144	Agent - Property	8/23/2012	4/4/2017
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	12/30/2013	10/20/2017
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	12/30/2013	10/20/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/28/2012	2/16/2018
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/28/2012	2/16/2018
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	8/23/2012	4/4/2017
Inactive	Great Northern Insurance Company	301107	Agent - Property	8/23/2012	4/4/2017
Inactive	Guarantee Insurance Company	300611	Agent - Casualty	12/27/2012	12/18/2017
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	1/22/2015	8/22/2017
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	1/22/2015	8/22/2017
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	4/28/2016	9/19/2017
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	4/28/2016	9/19/2017
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	6/12/2015
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	6/12/2015
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	7/3/2013	12/5/2014
Inactive	Humana Insurance Company	301104	Agent - Health	7/3/2013	5/4/2015
Inactive	Humana Insurance Company	301104	Agent - Life	7/3/2013	5/4/2015
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	3/4/2016	4/4/2017
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	3/4/2016	4/4/2017
Inactive	John Alden Life Insurance Company	300573	Agent - Health	1/31/2012	3/20/2013
Inactive	John Alden Life Insurance Company	300573	Agent - Life	1/31/2012	3/20/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	7/3/2013	12/5/2014
Inactive	Kanawha Insurance Company	300127	Agent - Life	7/3/2013	12/5/2014
Active	Merchants Bonding Company (Mutual)	300170	Agent - Casualty	2/8/2013
Active	Merchants National Bonding Inc.	787525	Agent - Casualty	2/8/2013
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	10/19/2016	1/19/2018
Inactive	Meridian Security Insurance Company	300423	Agent - Property	10/19/2016	1/19/2018
Inactive	Milbank Insurance Company	925185	Agent - Casualty	11/8/2017	1/19/2018
Inactive	Milbank Insurance Company	925185	Agent - Property	11/8/2017	1/19/2018
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Casualty	6/12/2013	1/17/2018
Inactive	Monroe Guaranty Insurance Company	300771	Agent - Property	6/12/2013	1/17/2018
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Casualty	8/29/2016	8/14/2017
Inactive	National Fire Insurance Company of Hartford	301063	Agent - Property	8/29/2016	8/14/2017
Inactive	National Trust Insurance Company	300367	Agent - Casualty	6/12/2013	1/17/2018
Inactive	National Trust Insurance Company	300367	Agent - Property	6/12/2013	1/17/2018
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	8/25/2016	11/21/2017
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	8/25/2016	11/21/2017
Inactive	Owners Insurance Company	300796	Agent - Casualty	9/20/2013	5/11/2023
Inactive	Owners Insurance Company	300796	Agent - Property	9/20/2013	5/11/2023
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	3/4/2016	4/4/2017
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	3/4/2016	4/4/2017
Inactive	Pacific Indemnity Company	301610	Agent - Casualty	8/23/2012	4/4/2017
Inactive	Pacific Indemnity Company	301610	Agent - Property	8/23/2012	4/4/2017
Inactive	Selective Insurance Company of America	500018	Agent - Casualty	5/10/2012	11/6/2017
Inactive	Selective Insurance Company of America	500018	Agent - Property	5/10/2012	11/6/2017
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Casualty	5/10/2012	11/6/2017
Inactive	Selective Insurance Company of South Carolina	500012	Agent - Property	5/10/2012	11/6/2017
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Casualty	5/10/2012	11/6/2017
Inactive	Selective Insurance Company of the Southeast	300381	Agent - Property	5/10/2012	11/6/2017
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	10/19/2016	1/19/2018
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - Property	10/19/2016	1/19/2018
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	10/19/2016	1/19/2018
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	10/19/2016	1/19/2018
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	2/24/2012	12/14/2016
Inactive	The Phoenix Insurance Company	301502	Agent - Property	2/24/2012	12/14/2016
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	2/24/2012	11/20/2017
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	2/24/2012	11/20/2017
Inactive	Valley Forge Insurance Company	301052	Agent - Casualty	3/14/2017	8/14/2017
Inactive	Valley Forge Insurance Company	301052	Agent - Property	3/14/2017	8/14/2017
Inactive	Vigilant Insurance Company	301143	Agent - Casualty	8/23/2012	4/4/2017
Inactive	Vigilant Insurance Company	301143	Agent - Property	8/23/2012	4/4/2017
Inactive	Westfield Insurance Company	301950	Agent - Casualty	8/1/2012	10/2/2013
Inactive	Westfield Insurance Company	301950	Agent - Property	8/1/2012	10/2/2013
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	12/30/2013	10/20/2017
Inactive	Zurich American Insurance Company	301121	Agent - Property	12/30/2013	10/20/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bill, Jude	521429	Agent - Health	6/11/2015	5/2/2017
Inactive	Bill, Jude	521429	Agent - Life	6/11/2015	5/2/2017
Denied	Cardamon, Paul Michael	986280	Agent - Casualty
Denied	Cardamon, Paul Michael	986280	Agent - Property
Active	Dillon, John J	980705	Agent - Casualty	10/1/2019
Active	Dillon, John J	980705	Agent - Property	10/1/2019
Denied	Hall, Laura	1217943	Agent - Casualty
Denied	Hall, Laura	1217943	Agent - Property
Active	Lanning, Clint	639600	Surplus Lines Broker - Not Applicable	6/26/2014
Denied	Laughlin, Susan M	941919	Agent - Casualty
Denied	Laughlin, Susan M	941919	Agent - Property
Active	Laughlin, Susan M	941919	Surplus Lines Broker - Not Applicable	1/18/2017
Active	Mcclarnon, Kelly	1110766	Agent - Health	11/19/2020
Active	Mcclarnon, Kelly	1110766	Agent - Life	11/19/2020
Inactive	Schmidt, Kevin W	678497	Agent - Health	12/1/2011	6/10/2013
Inactive	Schmidt, Kevin W	678497	Agent - Life	12/1/2011	6/10/2013
Denied	Warner, Derick Lee	981480	Agent - Casualty
Denied	Warner, Derick Lee	981480	Agent - Property
Inactive	White, Michael H	326649	Agent - Casualty	12/1/2011	8/31/2020
Inactive	White, Michael H	326649	Agent - Health	12/1/2011	8/31/2020
Inactive	White, Michael H	326649	Agent - Life	12/1/2011	8/31/2020
Inactive	White, Michael H	326649	Agent - Property	12/1/2011	8/31/2020