DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Fields, Douglas	DOIID	769145	NAIC NPN	257224

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/17/2011	5/31/2019
Inactive	Non Resident	Agent	Casualty	11/17/2011	5/31/2019
* 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	Farmington Casualty Company	301137	Agent - Casualty	5/20/2013	3/15/2019
Inactive	Farmington Casualty Company	301137	Agent - Property	5/20/2013	3/15/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	5/20/2013	3/7/2019
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	5/20/2013	3/7/2019
Inactive	Usi Insurance Services LLC	669260	Agent - Property	12/27/2018	3/7/2019
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	12/27/2018	3/7/2019