DEPARTMENT OF INSURANCE

Affiliations

Name	Assuredpartners Of Oregon LLC	DOIID	905764	NAIC NPN	17673239

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	2/4/2016		3/31/2026
Active	Non Resident	Agent	Property	2/4/2016		3/31/2026
Inactive	Non Resident	Agent	Life	2/4/2016	4/1/2022
Inactive	Non Resident	Agent	Health	2/4/2016	3/6/2022
Active	Non Resident	Surplus Lines Broker	Not Applicable	4/6/2016		3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026
Surplus Lines Broker	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allegheny Casualty Company	545740	Agent - Casualty	9/1/2016	12/22/2020
Active	American Family Home Insurance Company	301817	Agent - Casualty	11/27/2023
Active	American Family Home Insurance Company	301817	Agent - Property	11/27/2023
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	10/16/2017
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	10/16/2017
Active	American Home Assurance Company	300246	Agent - Casualty	1/17/2017
Active	American Home Assurance Company	300246	Agent - Property	1/17/2017
Active	American Zurich Insurance Company	300592	Agent - Casualty	10/16/2017
Active	American Zurich Insurance Company	300592	Agent - Property	10/16/2017
Active	Arch Indemnity Insurance Company	301459	Agent - Casualty	10/25/2021
Active	Arch Indemnity Insurance Company	301459	Agent - Property	10/25/2021
Active	Arch Insurance Company	300688	Agent - Casualty	7/5/2016
Active	Arch Insurance Company	300688	Agent - Property	7/5/2016
Active	Commerce and Industry Insurance Company	300881	Agent - Casualty	1/17/2017
Active	Commerce and Industry Insurance Company	300881	Agent - Property	1/17/2017
Active	Federal Insurance Company	301144	Agent - Casualty	2/27/2025
Active	Federal Insurance Company	301144	Agent - Property	2/27/2025
Active	Gray Insurance Company (The)	301532	Agent - Casualty	5/3/2023
Active	Gray Insurance Company (The)	301532	Agent - Property	5/1/2023
Active	Great American Insurance Company	301586	Agent - Casualty	8/9/2019
Active	Great American Insurance Company	301586	Agent - Property	8/9/2019
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	3/31/2018
Active	Hanover Insurance Company (The)	300508	Agent - Property	3/31/2018
Active	Harco National Insurance Company	300706	Agent - Casualty	3/13/2019
Active	Hudson Insurance Company	523144	Agent - Casualty	3/3/2021
Active	Hudson Insurance Company	523144	Agent - Property	3/3/2021
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	6/3/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	6/3/2016	12/13/2016
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	6/3/2016	12/13/2016
Inactive	International Fidelity Insurance Company	301131	Agent - Casualty	8/31/2016	12/18/2023
Active	Manufacturers Alliance Insurance Company	519940	Agent - Casualty	1/8/2025
Active	Manufacturers Alliance Insurance Company	519940	Agent - Property	1/8/2025
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	1/17/2017
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	1/17/2017
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	1/16/2024
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	1/16/2024
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Casualty	1/8/2025
Active	Pennsylvania Manufacturers Association Insurance Company	300228	Agent - Property	1/8/2025
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Casualty	1/8/2025
Active	Pennsylvania Manufacturers Indemnity Company	519939	Agent - Property	1/8/2025
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	5/6/2021
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	5/6/2021
Active	The Gray Casualty & Surety Company	661857	Agent - Casualty	5/3/2023
Active	The Gray Casualty & Surety Company	661857	Agent - Property	5/1/2023
Active	Travelers Casualty and Surety Company	301067	Agent - Casualty	7/13/2016
Active	Travelers Casualty and Surety Company	301067	Agent - Property	7/13/2016
Active	United Financial Casualty Company	301886	Agent - Casualty	7/24/2020
Active	United Financial Casualty Company	301886	Agent - Property	7/24/2020
Active	Western Surety Company	300283	Agent - Casualty	11/11/2016
Active	Zurich American Insurance Company	301121	Agent - Casualty	10/16/2017
Active	Zurich American Insurance Company	301121	Agent - Property	10/16/2017
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	10/16/2017
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	10/16/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Anderson, Eric Earl	311358	Agent - Casualty	2/4/2016	3/6/2022
Inactive	Anderson, Eric Earl	311358	Agent - Health	2/4/2016	3/6/2022
Inactive	Anderson, Eric Earl	311358	Agent - Life	2/4/2016	3/6/2022
Inactive	Anderson, Eric Earl	311358	Agent - Property	2/4/2016	3/6/2022
Inactive	Brayman Yearous, Eileen Jo	1311497	Agent - Casualty	12/11/2023	4/8/2025
Inactive	Brayman Yearous, Eileen Jo	1311497	Agent - Property	12/11/2023	4/8/2025
Inactive	Hustrulid, Cassondra M	1207971	Agent - Casualty	11/2/2022	2/13/2024
Inactive	Hustrulid, Cassondra M	1207971	Agent - Property	11/2/2022	2/13/2024
Active	Jorgensen, Michael Henry	1307925	Surplus Lines Broker - Not Applicable	6/10/2024
Denied	Leatherman, Kenneth Roy	1281159	Agent - Casualty
Denied	Leatherman, Kenneth Roy	1281159	Agent - Property
Inactive	Leatherman, Kenneth Roy	1281159	Surplus Lines Broker - Not Applicable	8/17/2023	12/17/2024
Denied	Mohr, Deborah Elizabeth	1089022	Agent - Casualty
Denied	Mohr, Deborah Elizabeth	1089022	Agent - Property
Inactive	Randall, Michael Alan	921277	Agent - Casualty	5/10/2022	2/13/2024
Inactive	Randall, Michael Alan	921277	Agent - Property	5/10/2022	2/13/2024
Inactive	Randall, Michael Alan	921277	Surplus Lines Broker - Not Applicable	5/10/2022	8/18/2023
Inactive	Reese, Glen Scott	688201	Agent - Casualty	2/8/2016	5/10/2022
Denied	Reese, Glen Scott	688201	Agent - Health
Denied	Reese, Glen Scott	688201	Agent - Life
Inactive	Reese, Glen Scott	688201	Agent - Property	2/8/2016	5/10/2022
Inactive	Reese, Glen Scott	688201	Surplus Lines Broker - Not Applicable	4/6/2016	5/10/2022
Active	Todd, Kayla Wallace	968442	Agent - Casualty	5/20/2024
Active	Todd, Kayla Wallace	968442	Agent - Property	5/20/2024