DEPARTMENT OF INSURANCE

Affiliations

Name	Stapleton, Ellis	DOIID	779071	NAIC NPN	5829110

License - Line of Authority Information

Status	Residency	Class	Line of Authority
Denied	Non Resident	Agent	Casualty
Denied	Non Resident	Agent	Health
Denied	Non Resident	Agent	Property
Denied	Non Resident	Agent	Life
* 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	21st Century North America Insurance Company	300884	Agent - Casualty	10/2/2013	1/16/2015
Inactive	21st Century North America Insurance Company	300884	Agent - Property	10/2/2013	1/16/2015
Inactive	Aetna Health Insurance Company	301583	Agent - Health	10/11/2012	5/31/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Health	10/11/2012	5/31/2013
Inactive	Aetna Life Insurance Company	301140	Agent - Life	10/11/2012	5/31/2013
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	4/19/2012	7/20/2012
Inactive	American Family Home Insurance Company	301817	Agent - Property	4/19/2012	7/20/2012
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	4/20/2012	7/20/2012
Inactive	American Modern Home Insurance Company	300791	Agent - Property	4/20/2012	7/20/2012
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	4/20/2012	7/20/2012
Inactive	American Modern Select Insurance Company	581481	Agent - Property	4/20/2012	7/20/2012
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	9/27/2012	5/31/2013
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	4/22/2015	5/1/2015
Inactive	Dairyland Insurance Company	301370	Agent - Property	4/22/2015	5/1/2015
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	9/27/2012	5/31/2013
Inactive	Esurance Insurance Company	301072	Agent - Casualty	9/26/2013	1/8/2015
Inactive	Esurance Insurance Company	301072	Agent - Property	9/26/2013	1/8/2015
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	4/28/2012	3/4/2013
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	4/28/2012	3/4/2013
Inactive	Humana Health Plan of Ohio Inc.	301565	Agent - Health	10/12/2012	5/31/2013
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	9/27/2012	5/31/2013
Inactive	Humana Insurance Company	301104	Agent - Health	9/27/2012	5/31/2013
Inactive	Humana Insurance Company	301104	Agent - Life	9/27/2012	5/31/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	9/27/2012	5/31/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	9/27/2012	5/31/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	9/27/2012	5/31/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	9/27/2012	5/31/2013
Inactive	Medco Containment Life Insurance Company	301557	Agent - Health	9/12/2012	5/31/2013
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	10/15/2013	1/12/2015
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	10/15/2013	1/12/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	10/15/2013	1/12/2015
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	10/15/2013	1/12/2015
Inactive	Tesla Insurance Company	300337	Agent - Casualty	4/13/2012	7/9/2012
Inactive	Tesla Insurance Company	300337	Agent - Property	4/13/2012	7/9/2012
Inactive	Titan Indemnity Company	300556	Agent - Casualty	10/19/2013	1/13/2015
Inactive	Titan Indemnity Company	300556	Agent - Property	10/19/2013	1/13/2015
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	10/19/2013	1/13/2015
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	10/19/2013	1/13/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Quinstreet Insurance Agency, Inc.	633182	Agent - Property	9/26/2013	1/7/2015
Inactive	Quinstreet Insurance Agency, Inc.	633182	Agent - Casualty	9/26/2013	1/7/2015