DEPARTMENT OF INSURANCE
Affiliations
NameIns Assoc Of America L L CDOIID786782NAIC NPN8014587
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentCasualty1/31/2018 3/31/2026
ActiveNon ResidentAgentProperty1/31/2018 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
ActiveACE Fire Underwriters Insurance Company301679Agent - Casualty3/1/2023 
ActiveACE Fire Underwriters Insurance Company301679Agent - Property3/1/2023 
ActiveACE Property and Casualty Insurance Company300520Agent - Casualty10/15/2020 
ActiveACE Property and Casualty Insurance Company300520Agent - Property10/15/2020 
ActiveAMCO Insurance Company300204Agent - Casualty5/11/2018 
ActiveAMCO Insurance Company300204Agent - Property5/11/2018 
ActiveAllied Insurance Company of America793586Agent - Casualty5/11/2018 
ActiveAllied Insurance Company of America793586Agent - Property5/11/2018 
ActiveAllied Property and Casualty Insurance Company300279Agent - Casualty5/11/2018 
ActiveAllied Property and Casualty Insurance Company300279Agent - Property5/11/2018 
ActiveAllstate Indemnity Company300778Agent - Casualty6/29/2020 
ActiveAllstate Indemnity Company300778Agent - Property6/29/2020 
ActiveAllstate Insurance Company300773Agent - Casualty6/29/2020 
ActiveAllstate Insurance Company300773Agent - Property6/29/2020 
ActiveAllstate Property and Casualty Insurance Company300593Agent - Casualty6/29/2020 
ActiveAllstate Property and Casualty Insurance Company300593Agent - Property6/29/2020 
ActiveAllstate Vehicle & Property Insurance Company301429Agent - Casualty6/29/2020 
ActiveAllstate Vehicle & Property Insurance Company301429Agent - Property6/29/2020 
ActiveAmGUARD Insurance Company500010Agent - Casualty6/16/2020 
ActiveAmGUARD Insurance Company500010Agent - Property6/16/2020 
ActiveAmTrust Insurance Company300179Agent - Casualty1/22/2019 
ActiveAmTrust Insurance Company300179Agent - Property1/22/2019 
ActiveAmerican Family Home Insurance Company301817Agent - Casualty2/9/2021 
ActiveAmerican Family Home Insurance Company301817Agent - Property2/9/2021 
ActiveAuto-Owners Insurance Company301480Agent - Casualty2/17/2020 
ActiveAuto-Owners Insurance Company301480Agent - Property2/17/2020 
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty2/22/2022 
ActiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property2/22/2022 
ActiveBankers Standard Insurance Company301620Agent - Casualty6/15/2021 
ActiveBankers Standard Insurance Company301620Agent - Property6/15/2021 
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Casualty4/13/202010/5/2021
InactiveCharter Oak Fire Insurance Company (The)301501Agent - Property4/13/202010/5/2021
ActiveDepositors Insurance Company301634Agent - Casualty5/11/2018 
ActiveDepositors Insurance Company301634Agent - Property5/11/2018 
InactiveEconomy Fire & Casualty Company300944Agent - Casualty3/5/202112/29/2021
InactiveEconomy Fire & Casualty Company300944Agent - Property3/5/202112/29/2021
InactiveEmployers Assurance Company300120Agent - Casualty5/31/20191/3/2024
InactiveEmployers Compensation Insurance Company797885Agent - Casualty8/6/20181/3/2024
InactiveEmployers Preferred Insurance Company520656Agent - Casualty5/31/20191/3/2024
InactiveFarmers Casualty Insurance Company301616Agent - Casualty3/5/202112/29/2021
InactiveFarmers Casualty Insurance Company301616Agent - Property3/5/202112/29/2021
ActiveFarmers Direct Property and Casualty Insurance Company300957Agent - Casualty3/5/2021 
ActiveFarmers Direct Property and Casualty Insurance Company300957Agent - Property3/5/2021 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Casualty12/3/2020 
ActiveFarmers Property and Casualty Insurance Company301237Agent - Property12/3/2020 
ActiveFarmington Casualty Company301137Agent - Casualty4/13/2020 
ActiveFarmington Casualty Company301137Agent - Property4/13/2020 
ActiveFidelity and Guaranty Insurance Company301009Agent - Casualty10/5/2023 
ActiveFidelity and Guaranty Insurance Company301009Agent - Property10/5/2023 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty3/12/2021 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property3/12/2021 
ActiveGrange Indemnity Insurance Company300793Agent - Casualty9/6/2019 
ActiveGrange Indemnity Insurance Company300793Agent - Property9/6/2019 
ActiveGrange Insurance Company300234Agent - Casualty9/6/2019 
ActiveGrange Insurance Company300234Agent - Property9/6/2019 
ActiveGrange Property & Casualty Insurance Company601680Agent - Casualty9/6/2019 
ActiveGrange Property & Casualty Insurance Company601680Agent - Property9/6/2019 
ActiveHartford Accident and Indemnity Company301917Agent - Casualty11/2/2021 
ActiveHartford Accident and Indemnity Company301917Agent - Property11/2/2021 
ActiveHartford Fire Insurance Company300628Agent - Casualty6/7/2020 
ActiveHartford Fire Insurance Company300628Agent - Property6/7/2020 
InactiveHartford Insurance Company of the Midwest301918Agent - Casualty4/22/20207/18/2023
InactiveHartford Insurance Company of the Midwest301918Agent - Property4/22/20207/18/2023
ActiveHartford Underwriters Insurance Company301064Agent - Casualty5/18/2020 
ActiveHartford Underwriters Insurance Company301064Agent - Property5/18/2020 
ActiveMarkel Insurance Company301475Agent - Casualty7/10/2020 
ActiveMarkel Insurance Company301475Agent - Property7/10/2020 
ActiveMilbank Insurance Company925185Agent - Casualty5/26/2020 
ActiveMilbank Insurance Company925185Agent - Property5/26/2020 
ActiveMilford Casualty Insurance Company301460Agent - Casualty1/22/2019 
ActiveMilford Casualty Insurance Company301460Agent - Property1/22/2019 
ActiveNational Specialty Insurance Company300993Agent - Casualty9/14/2023 
ActiveNational Specialty Insurance Company300993Agent - Property9/14/2023 
ActiveNationwide Agribusiness Insurance Company301008Agent - Casualty5/11/2018 
ActiveNationwide Agribusiness Insurance Company301008Agent - Property5/11/2018 
ActiveNationwide Assurance Company300166Agent - Casualty3/4/2020 
ActiveNationwide Assurance Company300166Agent - Property3/30/2022 
ActiveNationwide General Insurance Company300603Agent - Casualty8/28/2019 
ActiveNationwide General Insurance Company300603Agent - Property8/28/2019 
ActiveNationwide Insurance Company of America300333Agent - Casualty8/28/2019 
ActiveNationwide Insurance Company of America300333Agent - Property8/28/2019 
ActiveNationwide Mutual Insurance Company301749Agent - Casualty5/11/2018 
ActiveNationwide Mutual Insurance Company301749Agent - Property5/11/2018 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Casualty2/2/2022 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Property2/2/2022 
ActiveNext Insurance US Company1083825Agent - Casualty6/26/2024 
ActiveNext Insurance US Company1083825Agent - Property6/26/2024 
ActiveNorGUARD Insurance Company500015Agent - Casualty6/16/2020 
ActiveOhio Casualty Insurance Company301492Agent - Casualty4/11/2025 
ActiveOhio Casualty Insurance Company301492Agent - Property4/11/2025 
ActiveOhio Security Insurance Company300622Agent - Casualty10/31/2024 
ActiveOhio Security Insurance Company300622Agent - Property10/31/2024 
ActiveOwners Insurance Company300796Agent - Casualty2/17/2020 
ActiveOwners Insurance Company300796Agent - Property2/17/2020 
ActivePacific Employers Insurance Company301753Agent - Casualty3/1/2023 
ActivePacific Employers Insurance Company301753Agent - Property3/1/2023 
InactivePark National Insurance Company692514Agent - Casualty1/22/20193/8/2025
InactivePark National Insurance Company692514Agent - Property1/22/20193/8/2025
ActivePlaza Insurance Company300748Agent - Casualty4/29/2022 
ActivePlaza Insurance Company300748Agent - Property4/29/2022 
ActiveProgressive Casualty Insurance Company300696Agent - Casualty2/26/2020 
ActiveProgressive Casualty Insurance Company300696Agent - Property2/26/2020 
ActiveProperty and Casualty Insurance Company of Hartford301409Agent - Casualty10/17/2024 
ActiveProperty and Casualty Insurance Company of Hartford301409Agent - Property10/17/2024 
InactiveSAFECO Insurance Company of America300159Agent - Casualty8/8/20125/10/2017
InactiveSAFECO Insurance Company of America300159Agent - Property8/8/20125/10/2017
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty8/8/20125/10/2017
InactiveSAFECO Insurance Company of Illinois301350Agent - Property8/8/20125/10/2017
InactiveSECURA Insurance Company301656Agent - Casualty2/10/20145/10/2017
InactiveSECURA Insurance Company301656Agent - Property2/10/20145/10/2017
InactiveSECURA Supreme Insurance Company645533Agent - Casualty2/10/20145/10/2017
InactiveSECURA Supreme Insurance Company645533Agent - Property2/10/20145/10/2017
ActiveSecurity National Insurance Company301151Agent - Casualty1/22/2019 
ActiveSecurity National Insurance Company301151Agent - Property1/22/2019 
ActiveSentinel Insurance Company, Limited501696Agent - Casualty7/16/2020 
ActiveSentinel Insurance Company, Limited501696Agent - Property7/16/2020 
ActiveSequoia Insurance Company628046Agent - Casualty5/5/2020 
ActiveSequoia Insurance Company628046Agent - Property5/5/2020 
ActiveSt. Paul Fire and Marine Insurance Company300782Agent - Casualty3/7/2025 
ActiveSt. Paul Fire and Marine Insurance Company300782Agent - Property3/7/2025 
ActiveStandard Fire Insurance Company (The)301068Agent - Casualty4/13/2020 
ActiveStandard Fire Insurance Company (The)301068Agent - Property4/13/2020 
ActiveState Automobile Mutual Insurance Company301824Agent - Casualty5/29/2020 
ActiveState Automobile Mutual Insurance Company301824Agent - Property5/29/2020 
ActiveState National Insurance Company, Inc.300888Agent - Casualty9/14/2023 
ActiveState National Insurance Company, Inc.300888Agent - Property9/14/2023 
ActiveTechnology Insurance Company613278Agent - Casualty1/22/2019 
ActiveTechnology Insurance Company613278Agent - Property1/22/2019 
InactiveThe Phoenix Insurance Company301502Agent - Casualty4/13/202010/5/2021
InactiveThe Phoenix Insurance Company301502Agent - Property4/13/202010/5/2021
InactiveTravelers Casualty Insurance Company of America300522Agent - Casualty4/13/202011/16/2023
InactiveTravelers Casualty Insurance Company of America300522Agent - Property4/13/202011/16/2023
ActiveTravelers Casualty and Surety Company301067Agent - Casualty4/13/2020 
ActiveTravelers Casualty and Surety Company301067Agent - Property4/13/2020 
ActiveTravelers Casualty and Surety Company of America301334Agent - Casualty4/13/2020 
ActiveTravelers Casualty and Surety Company of America301334Agent - Property4/13/2020 
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty4/13/202010/5/2021
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property4/13/202010/5/2021
ActiveTravelers Indemnity Company (The)301855Agent - Casualty4/13/2020 
ActiveTravelers Indemnity Company (The)301855Agent - Property4/13/2020 
ActiveTravelers Indemnity Company of America (The)301093Agent - Casualty4/13/2020 
ActiveTravelers Indemnity Company of America (The)301093Agent - Property4/13/2020 
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Casualty4/13/202011/26/2024
InactiveTravelers Indemnity Company of Connecticut (The)301591Agent - Property4/13/202011/26/2024
ActiveTravelers Personal Insurance Company705785Agent - Casualty2/3/2020 
ActiveTravelers Personal Insurance Company705785Agent - Property2/3/2020 
ActiveTravelers Property Casualty Company of America301649Agent - Casualty4/13/2020 
ActiveTravelers Property Casualty Company of America301649Agent - Property4/13/2020 
ActiveTrumbull Insurance Company300242Agent - Casualty11/3/2020 
ActiveTrumbull Insurance Company300242Agent - Property11/3/2020 
ActiveTrustgard Insurance Company300104Agent - Casualty9/6/2019 
ActiveTrustgard Insurance Company300104Agent - Property9/6/2019 
ActiveTwin City Fire Insurance Company300721Agent - Casualty5/18/2020 
ActiveTwin City Fire Insurance Company300721Agent - Property5/18/2020 
ActiveUnited Financial Casualty Company301886Agent - Casualty2/26/2020 
ActiveUnited Financial Casualty Company301886Agent - Property2/26/2020 
ActiveWesco Insurance Company300534Agent - Casualty1/22/2019 
ActiveWesco Insurance Company300534Agent - Property1/22/2019 
ActiveWestern Surety Company300283Agent - Casualty7/11/2022 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAlzayed, Samer F 972517Agent - Casualty6/28/2024 
ActiveAlzayed, Samer F 972517Agent - Property6/28/2024 
ActiveAnderson, Steven David 504711Agent - Casualty1/31/2018 
ActiveAnderson, Steven David 504711Agent - Property1/31/2018 
ActiveBiven, Kevin D 373918Agent - Casualty12/8/2020 
ActiveBiven, Kevin D 373918Agent - Property12/8/2020 
ActiveBurns, Julie Ann 385935Agent - Casualty12/8/2020 
ActiveBurns, Julie Ann 385935Agent - Property12/8/2020 
Pending ReplacementBurns, Mark Alan 385934Agent - Casualty12/2/2020 
Pending ReplacementBurns, Mark Alan 385934Agent - Property12/2/2020 
InactiveBurns, Mary Kelly 965319Agent - Casualty12/8/202011/1/2023
InactiveBurns, Mary Kelly 965319Agent - Property12/8/202011/1/2023
InactiveCook, Donald Cerwin 370031Agent - Casualty12/8/202012/14/2023
InactiveCook, Donald Cerwin 370031Agent - Property12/8/202012/14/2023
InactiveDick, Andrew 1078200Agent - Casualty2/7/20229/30/2022
InactiveDick, Andrew 1078200Agent - Property2/7/20229/30/2022
DeniedEntwistle, Dara Christine 1113896Agent - Casualty  
DeniedEntwistle, Dara Christine 1113896Agent - Property  
InactivePatycka, Anna M 1113630Agent - Casualty12/23/20205/31/2023
InactivePatycka, Anna M 1113630Agent - Property12/23/20205/31/2023
DeniedSutton, Drew 1188684Agent - Casualty  
DeniedSutton, Drew 1188684Agent - Property  

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