DEPARTMENT OF INSURANCE
Affiliations
NameBlack Diamond Insurance Group, LLC
DBA : Maynard Insurance, Welch First Choice Insurance
DOIID862146NAIC NPN17437587
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentHealth3/2/2015 3/31/2026
ActiveResidentAgentCasualty11/26/2014 3/31/2026
ActiveResidentAgentProperty11/26/2014 3/31/2026
ActiveResidentAgentLife3/2/2015 3/31/2026
DeniedResidentAgentPersonal 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
ActiveAMCO Insurance Company300204Agent - Casualty1/15/2023 
ActiveAMCO Insurance Company300204Agent - Property1/15/2023 
ActiveAllied Property and Casualty Insurance Company300279Agent - Casualty1/15/2023 
ActiveAllied Property and Casualty Insurance Company300279Agent - Property1/15/2023 
ActiveAmerican Bankers Insurance Company of Florida300360Agent - Casualty7/10/2019 
ActiveAmerican Bankers Insurance Company of Florida300360Agent - Property7/10/2019 
ActiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Casualty5/14/2024 
ActiveAmerican Casualty Company of Reading, Pennsylvania300956Agent - Property5/14/2024 
ActiveAmerican Economy Insurance Company300315Agent - Casualty7/22/2024 
ActiveAmerican Economy Insurance Company300315Agent - Property7/22/2024 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Health4/15/2015 
ActiveAmerican Family Life Assurance Company of Columbus (AFLAC)301781Agent - Life4/15/2015 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty3/11/2020 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property3/11/2020 
InactiveAmerican Reliable Insurance Company301889Agent - Casualty6/25/202111/22/2024
InactiveAmerican Reliable Insurance Company301889Agent - Property6/25/202111/22/2024
InactiveAmerican Southern Home Insurance Company626276Agent - Casualty5/15/201811/14/2021
InactiveAmerican Southern Home Insurance Company626276Agent - Property5/15/201811/14/2021
ActiveAmerican Strategic Insurance Corp883540Agent - Casualty3/27/2023 
ActiveAmerican Strategic Insurance Corp883540Agent - Property3/27/2023 
ActiveAnthem Health Plans of Kentucky, Inc.300999Agent - Health5/2/2023 
InactiveAnthem Insurance Companies, Inc.300941Agent - Health4/5/202212/20/2022
InactiveAnthem Life Insurance Company301209Agent - Health5/2/20234/15/2025
InactiveAnthem Life Insurance Company301209Agent - Life5/2/20234/15/2025
ActiveArcadian Health Plan, Inc.728196Agent - Health12/7/2021 
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Casualty5/6/202410/23/2024
InactiveAutomobile Insurance Company of Hartford, Connecticut300630Agent - Property5/6/202410/23/2024
ActiveBranch Insurance Exchange1143306Agent - Casualty2/3/2023 
ActiveBranch Insurance Exchange1143306Agent - Property2/3/2023 
InactiveBristol West Insurance Company301655Agent - Casualty1/18/201812/20/2024
InactiveBristol West Insurance Company301655Agent - Property1/18/201812/20/2024
ActiveCincinnati Life Insurance Company (The)300601Agent - Health8/25/2016 
ActiveCincinnati Life Insurance Company (The)300601Agent - Life8/25/2016 
InactiveClearPath Insurance Company979815Agent - Casualty4/12/201912/30/2024
ActiveColonial Life and Accident Insurance Company300846Agent - Health3/15/2016 
ActiveColonial Life and Accident Insurance Company300846Agent - Life3/15/2016 
ActiveCompBenefits Insurance Company301864Agent - Health12/3/2020 
ActiveContinental American Insurance Company301700Agent - Health8/15/2024 
ActiveContinental American Insurance Company301700Agent - Life8/15/2024 
ActiveContinental Casualty Company301019Agent - Casualty5/5/2016 
ActiveContinental Casualty Company301019Agent - Property5/5/2016 
ActiveContinental Insurance Company (The)301242Agent - Casualty5/6/2024 
ActiveContinental Insurance Company (The)301242Agent - Property5/6/2024 
ActiveDepositors Insurance Company301634Agent - Casualty1/15/2023 
ActiveDepositors Insurance Company301634Agent - Property1/15/2023 
ActiveFirst Benefits Insurance Mutual, Inc.1090183Agent - Casualty3/6/2024 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty1/18/2018 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property1/18/2018 
InactiveForemost Property and Casualty Insurance Company300871Agent - Casualty1/18/20185/3/2018
InactiveForemost Property and Casualty Insurance Company300871Agent - Property1/18/20185/3/2018
InactiveForemost Signature Insurance Company300140Agent - Casualty1/18/20185/3/2018
InactiveForemost Signature Insurance Company300140Agent - Property1/18/20185/3/2018
ActiveGeneral Insurance Company of America300261Agent - Casualty1/24/2025 
ActiveGeneral Insurance Company of America300261Agent - Property1/24/2025 
ActiveGreat Midwest Insurance Company301418Agent - Casualty10/5/2016 
ActiveGreat Midwest Insurance Company301418Agent - Property10/5/2016 
ActiveGuardian Life Insurance Company of America301316Agent - Health5/6/2015 
ActiveGuardian Life Insurance Company of America301316Agent - Life5/6/2015 
ActiveHartford Accident and Indemnity Company301917Agent - Casualty11/4/2018 
ActiveHartford Accident and Indemnity Company301917Agent - Property11/4/2018 
ActiveHartford Casualty Insurance Company301332Agent - Casualty10/28/2018 
ActiveHartford Casualty Insurance Company301332Agent - Property10/28/2018 
ActiveHartford Fire Insurance Company300628Agent - Casualty5/16/2024 
ActiveHartford Fire Insurance Company300628Agent - Property5/16/2024 
ActiveHartford Insurance Company of the Midwest301918Agent - Casualty4/15/2024 
ActiveHartford Insurance Company of the Midwest301918Agent - Property4/15/2024 
ActiveHartford Insurance Company of the Southeast1014204Agent - Casualty12/4/2023 
ActiveHartford Insurance Company of the Southeast1014204Agent - Property12/4/2023 
ActiveHartford Life and Accident Insurance Company300878Agent - Health8/14/2024 
ActiveHartford Life and Accident Insurance Company300878Agent - Life8/14/2024 
ActiveHartford Underwriters Insurance Company301064Agent - Casualty8/15/2023 
ActiveHartford Underwriters Insurance Company301064Agent - Property8/15/2023 
ActiveHumana Insurance Company301104Agent - Health2/12/2020 
InactiveImperium Insurance Company300804Agent - Casualty10/5/20167/25/2023
InactiveImperium Insurance Company300804Agent - Property10/5/20167/25/2023
ActiveIndemnity National Insurance Company301267Agent - Casualty5/21/2024 
ActiveIndemnity National Insurance Company301267Agent - Property5/21/2024 
ActiveIntegon Indemnity Corporation300674Agent - Casualty9/7/2022 
ActiveIntegon Indemnity Corporation300674Agent - Property9/7/2022 
InactiveKentucky Home Life Insurance Company300477Agent - Health10/17/20185/10/2022
InactiveKentucky Home Life Insurance Company300477Agent - Life10/17/20185/10/2022
ActiveMeridian Security Insurance Company300423Agent - Casualty12/7/2017 
ActiveMeridian Security Insurance Company300423Agent - Property12/7/2017 
ActiveMilbank Insurance Company925185Agent - Casualty12/7/2017 
ActiveMilbank Insurance Company925185Agent - Property12/7/2017 
ActiveMutual of Omaha Insurance Company301012Agent - Health4/18/2023 
ActiveNational Fire Insurance Company of Hartford301063Agent - Casualty2/14/2025 
ActiveNational Fire Insurance Company of Hartford301063Agent - Property2/14/2025 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Casualty8/18/2015 
ActiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Property8/18/2015 
ActiveNationwide Agribusiness Insurance Company301008Agent - Casualty1/15/2023 
ActiveNationwide Agribusiness Insurance Company301008Agent - Property1/15/2023 
ActiveNationwide Assurance Company300166Agent - Casualty1/15/2023 
ActiveNationwide Assurance Company300166Agent - Property1/15/2023 
ActiveNationwide General Insurance Company300603Agent - Casualty1/15/2023 
ActiveNationwide General Insurance Company300603Agent - Property1/15/2023 
ActiveNationwide Insurance Company of America300333Agent - Casualty1/15/2023 
ActiveNationwide Insurance Company of America300333Agent - Property1/15/2023 
ActiveNationwide Mutual Insurance Company301749Agent - Casualty1/15/2023 
ActiveNationwide Mutual Insurance Company301749Agent - Property1/15/2023 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Casualty1/15/2023 
ActiveNationwide Property and Casualty Insurance Company300599Agent - Property1/15/2023 
ActiveNippon Life Insurance Company of America300446Agent - Health4/10/2023 
ActiveNippon Life Insurance Company of America300446Agent - Life4/10/2023 
ActiveNutmeg Insurance Company751698Agent - Casualty1/10/2024 
ActiveNutmeg Insurance Company751698Agent - Property1/10/2024 
ActiveOhio Security Insurance Company300622Agent - Casualty1/24/2025 
ActiveOhio Security Insurance Company300622Agent - Property1/24/2025 
ActivePlaza Insurance Company300748Agent - Casualty2/11/2022 
ActivePlaza Insurance Company300748Agent - Property2/11/2022 
ActivePrincipal Life Insurance Company300129Agent - Health5/12/2021 
ActivePrincipal Life Insurance Company300129Agent - Life5/12/2021 
ActiveProgressive Casualty Insurance Company300696Agent - Casualty10/26/2015 
ActiveProgressive Casualty Insurance Company300696Agent - Property10/26/2015 
ActiveProperty and Casualty Insurance Company of Hartford301409Agent - Casualty6/2/2024 
ActiveProperty and Casualty Insurance Company of Hartford301409Agent - Property6/2/2024 
InactiveProvident Life and Accident Insurance Company301525Agent - Health3/19/201810/8/2021
InactiveProvident Life and Accident Insurance Company301525Agent - Life3/19/201810/8/2021
ActivePrudential Insurance Company of America300784Agent - Health7/17/2015 
ActivePrudential Insurance Company of America300784Agent - Life7/17/2015 
ActiveRenaissance Life & Health Insurance Company of America301447Agent - Health10/4/2019 
ActiveRenaissance Life & Health Insurance Company of America301447Agent - Life10/4/2019 
ActiveSAFECO Insurance Company of America300159Agent - Casualty6/6/2024 
ActiveSAFECO Insurance Company of America300159Agent - Property6/6/2024 
InactiveSAFECO Insurance Company of Illinois301350Agent - Casualty1/22/20213/29/2024
InactiveSAFECO Insurance Company of Illinois301350Agent - Property1/22/20213/29/2024
ActiveSelective Insurance Company of the Southeast300381Agent - Casualty6/14/2018 
ActiveSelective Insurance Company of the Southeast300381Agent - Property6/14/2018 
ActiveSentinel Insurance Company, Limited501696Agent - Casualty1/4/2024 
ActiveSentinel Insurance Company, Limited501696Agent - Property1/4/2024 
InactiveStandard Fire Insurance Company (The)301068Agent - Casualty5/6/202410/23/2024
InactiveStandard Fire Insurance Company (The)301068Agent - Property5/6/202410/23/2024
ActiveStandard Insurance Company300185Agent - Health12/31/2024 
ActiveStandard Insurance Company300185Agent - Life12/31/2024 
ActiveState Auto Property & Casualty Insurance Company301953Agent - Casualty12/7/2017 
ActiveState Auto Property & Casualty Insurance Company301953Agent - Property12/7/2017 
ActiveState Automobile Mutual Insurance Company301824Agent - Casualty12/7/2017 
ActiveState Automobile Mutual Insurance Company301824Agent - Property12/7/2017 
InactiveThe Phoenix Insurance Company301502Agent - Casualty5/6/202410/23/2024
InactiveThe Phoenix Insurance Company301502Agent - Property5/6/202410/23/2024
ActiveTransamerica Life Insurance Company300571Agent - Health7/16/2024 
ActiveTransamerica Life Insurance Company300571Agent - Life7/16/2024 
InactiveTransamerica Premier Life Insurance Company300558Agent - Health3/14/201810/1/2020
InactiveTransamerica Premier Life Insurance Company300558Agent - Life3/14/201810/1/2020
ActiveTransportation Insurance Company301575Agent - Casualty11/22/2021 
ActiveTransportation Insurance Company301575Agent - Property11/22/2021 
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Casualty5/6/202410/23/2024
InactiveTravelers Home and Marine Insurance Company (The)301802Agent - Property5/6/202410/23/2024
InactiveTravelers Personal Insurance Company705785Agent - Casualty5/6/202410/23/2024
InactiveTravelers Personal Insurance Company705785Agent - Property5/6/202410/23/2024
ActiveTwin City Fire Insurance Company300721Agent - Casualty8/9/2023 
ActiveTwin City Fire Insurance Company300721Agent - Property8/9/2023 
InactiveUNUM Life Insurance Company of America300817Agent - Health3/19/201810/8/2021
InactiveUNUM Life Insurance Company of America300817Agent - Life3/19/201810/8/2021
ActiveUnited Financial Casualty Company301886Agent - Casualty10/26/2015 
ActiveUnited Financial Casualty Company301886Agent - Property10/26/2015 
ActiveUnited World Life Insurance Company300532Agent - Health4/18/2023 
ActiveUnited of Omaha Life Insurance Company300156Agent - Health8/4/2016 
ActiveUnited of Omaha Life Insurance Company300156Agent - Life8/4/2016 
ActiveUnitedHealthcare Insurance Company300946Agent - Health8/5/2016 
ActiveUnitedHealthcare Insurance Company300946Agent - Life8/5/2016 
ActiveUnitedHealthcare of Kentucky, Ltd.301337Agent - Health8/5/2016 
InactiveUnitedHealthcare of Ohio, Inc.300493Agent - Health4/18/202212/17/2024
ActiveValley Forge Insurance Company301052Agent - Casualty10/12/2020 
ActiveValley Forge Insurance Company301052Agent - Property10/12/2020 
ActiveWestern Surety Company300283Agent - Casualty5/12/2017 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
DeniedAsh, Amanda 1255209Agent - Casualty  
DeniedAsh, Amanda 1255209Agent - Property  
ActiveBegley, Winnie C 317557Agent - Casualty4/2/2019 
ActiveBegley, Winnie C 317557Agent - Property4/2/2019 
ActiveBlankenship, Lonzie Devon 558602Agent - Casualty9/27/2018 
ActiveBlankenship, Lonzie Devon 558602Agent - Health10/17/2018 
ActiveBlankenship, Lonzie Devon 558602Agent - Life10/17/2018 
ActiveBlankenship, Lonzie Devon 558602Agent - Property9/27/2018 
ActiveCrum, Jennifer Renee 789730Agent - Health10/17/2018 
ActiveCrum, Jennifer Renee 789730Agent - Life10/17/2018 
ActiveHammond, Heather 766970Agent - Casualty11/26/2014 
ActiveHammond, Heather 766970Agent - Health5/18/2015 
ActiveHammond, Heather 766970Agent - Life11/8/2016 
ActiveHammond, Heather 766970Agent - Property11/26/2014 
ActiveJacobs, Joseph 681218Agent - Casualty11/10/2020 
ActiveJacobs, Joseph 681218Agent - Property11/10/2020 
InactiveJacobs, Steven Kyle 674816Agent - Health3/2/20159/1/2016
InactiveJacobs, Steven Kyle 674816Agent - Life3/2/20159/1/2016
ActiveLooney, James Thomas 534033Agent - Health9/27/2018 
ActiveLooney, James Thomas 534033Agent - Life9/27/2018 
DeniedLooney, James Thomas 534033Agent - Property  
ActivePrater, Danny Kyle 547932Agent - Casualty9/27/2018 
ActivePrater, Danny Kyle 547932Agent - Health9/27/2018 
ActivePrater, Danny Kyle 547932Agent - Life9/27/2018 
ActivePrater, Danny Kyle 547932Agent - Property9/27/2018 
ActiveTapio, Lacy 805805Agent - Casualty4/2/2019 
ActiveTapio, Lacy 805805Agent - Property4/2/2019 
DeniedWallen, Becky 905151Agent - Casualty  
ActiveWallen, Becky 905151Agent - Health9/27/2018 
ActiveWallen, Becky 905151Agent - Life9/27/2018 
DeniedWallen, Becky 905151Agent - Property  

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