DEPARTMENT OF INSURANCE

Affiliations

Name	Mayne Insurance Agency LLC	DOIID	906396	NAIC NPN	17852118

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	11/14/2023		3/31/2026
Active	Resident	Agent	Casualty	2/15/2016		3/31/2026
Active	Resident	Agent	Property	2/15/2016		3/31/2026
Inactive	Resident	Agent	Health	11/14/2023	7/24/2024
* 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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	ACE American Insurance Company	300625	Agent - Casualty	8/2/2017
Active	ACE American Insurance Company	300625	Agent - Property	8/2/2017
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	8/2/2017
Active	ACE Fire Underwriters Insurance Company	301679	Agent - Property	8/2/2017
Active	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	8/2/2017
Active	ACE Property and Casualty Insurance Company	300520	Agent - Property	8/2/2017
Active	AMCO Insurance Company	300204	Agent - Casualty	6/24/2019
Active	AMCO Insurance Company	300204	Agent - Property	6/24/2019
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	3/15/2024	7/24/2024
Inactive	Aetna Health of Ohio Inc.	1065035	Agent - Health	3/15/2024	7/24/2024
Inactive	Aetna Life Insurance Company	301140	Agent - Health	3/15/2024	7/24/2024
Active	Allied Insurance Company of America	793586	Agent - Casualty	6/24/2019
Active	Allied Insurance Company of America	793586	Agent - Property	6/24/2019
Active	Allied Property and Casualty Insurance Company	300279	Agent - Casualty	6/24/2019
Active	Allied Property and Casualty Insurance Company	300279	Agent - Property	6/24/2019
Inactive	American Commerce Insurance Company	301665	Agent - Casualty	2/24/2016	3/31/2018
Inactive	American Commerce Insurance Company	301665	Agent - Property	2/24/2016	3/31/2018
Active	American Economy Insurance Company	300315	Agent - Casualty	4/25/2024
Active	American Economy Insurance Company	300315	Agent - Property	4/25/2024
Inactive	Assurity Life Insurance Company	301099	Agent - Health	11/22/2023	7/24/2024
Inactive	Assurity Life Insurance Company	301099	Agent - Life	11/22/2023	12/9/2024
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	6/8/2018
Active	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	6/8/2018
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	8/2/2017
Active	Bankers Standard Insurance Company	301620	Agent - Property	8/2/2017
Active	Branch Insurance Exchange	1143306	Agent - Casualty	11/21/2024
Active	Branch Insurance Exchange	1143306	Agent - Property	12/9/2024
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	4/8/2020	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	4/8/2020	12/20/2024
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	6/8/2018	12/9/2019
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	6/8/2018	12/9/2019
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	12/4/2023	7/24/2024
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	12/4/2023	1/6/2025
Active	Chubb Indemnity Insurance Company	300438	Agent - Casualty	8/2/2017
Active	Chubb Indemnity Insurance Company	300438	Agent - Property	8/2/2017
Active	Chubb National Insurance Company	301392	Agent - Casualty	8/2/2017
Active	Chubb National Insurance Company	301392	Agent - Property	8/2/2017
Inactive	ClearPath Insurance Company	979815	Agent - Casualty	1/23/2019	1/9/2025
Active	Clearcover Insurance Company	1118667	Agent - Casualty	3/1/2022
Active	Clearcover Insurance Company	1118667	Agent - Property	3/1/2022
Active	Depositors Insurance Company	301634	Agent - Casualty	6/24/2019
Active	Depositors Insurance Company	301634	Agent - Property	6/24/2019
Inactive	Economy Preferred Insurance Company	300480	Agent - Casualty	3/12/2018	12/25/2020
Inactive	Economy Preferred Insurance Company	300480	Agent - Property	3/12/2018	12/25/2020
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	3/15/2019	10/3/2024
Inactive	Encompass Indemnity Company	546376	Agent - Property	3/15/2019	10/3/2024
Active	Executive Risk Indemnity Inc.	301510	Agent - Casualty	8/2/2017
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	3/14/2018	12/20/2024
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	3/14/2018	12/20/2024
Inactive	Farmington Casualty Company	301137	Agent - Casualty	4/9/2021	11/4/2022
Inactive	Farmington Casualty Company	301137	Agent - Property	4/9/2021	11/4/2022
Active	Federal Insurance Company	301144	Agent - Casualty	8/2/2017
Active	Federal Insurance Company	301144	Agent - Property	8/2/2017
Active	Fidelity and Guaranty Insurance Company	301009	Agent - Casualty	12/2/2021
Active	Fidelity and Guaranty Insurance Company	301009	Agent - Property	12/2/2021
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	3/18/2020
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	3/18/2020
Active	Great Northern Insurance Company	301107	Agent - Casualty	8/2/2017
Active	Great Northern Insurance Company	301107	Agent - Property	8/2/2017
Inactive	Great Western Insurance Company	501693	Agent - Life	12/28/2023	8/26/2024
Active	Kentucky Home Life Insurance Company	300477	Agent - Life	11/20/2023
Inactive	Lumico Life Insurance Company	300354	Agent - Life	12/20/2023	11/21/2024
Active	Meridian Security Insurance Company	300423	Agent - Casualty	4/8/2016
Active	Meridian Security Insurance Company	300423	Agent - Property	4/8/2016
Active	Milbank Insurance Company	925185	Agent - Casualty	11/8/2017
Active	Milbank Insurance Company	925185	Agent - Property	11/8/2017
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	6/24/2019
Active	Nationwide Agribusiness Insurance Company	301008	Agent - Property	6/24/2019
Active	Nationwide Assurance Company	300166	Agent - Casualty	3/4/2020
Active	Nationwide Assurance Company	300166	Agent - Property	6/5/2023
Active	Nationwide General Insurance Company	300603	Agent - Casualty	8/28/2019
Active	Nationwide General Insurance Company	300603	Agent - Property	8/28/2019
Active	Nationwide Insurance Company of America	300333	Agent - Casualty	8/28/2019
Active	Nationwide Insurance Company of America	300333	Agent - Property	8/28/2019
Active	Nationwide Mutual Insurance Company	301749	Agent - Casualty	6/24/2019
Active	Nationwide Mutual Insurance Company	301749	Agent - Property	6/24/2019
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	11/14/2019
Active	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	11/14/2019
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	8/2/2017
Active	Pacific Employers Insurance Company	301753	Agent - Property	8/2/2017
Active	Pacific Indemnity Company	301610	Agent - Casualty	8/2/2017
Active	Pacific Indemnity Company	301610	Agent - Property	8/2/2017
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Casualty	2/4/2020
Active	Philadelphia Indemnity Insurance Company	301221	Agent - Property	2/4/2020
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/14/2017
Active	Progressive Casualty Insurance Company	300696	Agent - Property	3/14/2017
Active	S.USA Life Insurance Company, Inc.	301774	Agent - Life	12/28/2023
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	4/30/2024
Active	SAFECO Insurance Company of America	300159	Agent - Property	4/30/2024
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	5/16/2024
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	5/16/2024
Inactive	SilverScript Insurance Company	663526	Agent - Health	3/15/2024	7/24/2024
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	12/8/2021	11/4/2022
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	12/8/2021	11/4/2022
Active	Standard Fire Insurance Company (The)	301068	Agent - Casualty	6/8/2018
Active	Standard Fire Insurance Company (The)	301068	Agent - Property	6/8/2018
Active	Standard Life and Casualty Insurance Company	301699	Agent - Life	1/4/2024
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Casualty	4/8/2016
Active	State Auto Property & Casualty Insurance Company	301953	Agent - Property	4/8/2016
Active	State Automobile Mutual Insurance Company	301824	Agent - Casualty	4/8/2016
Active	State Automobile Mutual Insurance Company	301824	Agent - Property	4/8/2016
Denied	Symetra Life Insurance Company	301691	Agent - Health
Active	Symetra Life Insurance Company	301691	Agent - Life	7/30/2024
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	1/13/2020	11/26/2024
Inactive	The Phoenix Insurance Company	301502	Agent - Property	1/13/2020	11/26/2024
Active	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	6/8/2018
Active	Travelers Casualty Insurance Company of America	300522	Agent - Property	6/8/2018
Active	Travelers Casualty and Surety Company of America	301334	Agent - Casualty	6/8/2018
Active	Travelers Casualty and Surety Company of America	301334	Agent - Property	6/8/2018
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	6/8/2018
Active	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	6/8/2018
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	6/8/2018	12/15/2020
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	6/8/2018	12/15/2020
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	12/8/2021	11/4/2022
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	12/8/2021	11/4/2022
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	6/8/2018	12/9/2019
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	6/8/2018	12/9/2019
Active	Travelers Personal Insurance Company	705785	Agent - Casualty	4/17/2019
Active	Travelers Personal Insurance Company	705785	Agent - Property	4/17/2019
Active	Travelers Property Casualty Company of America	301649	Agent - Casualty	4/13/2021
Active	Travelers Property Casualty Company of America	301649	Agent - Property	4/13/2021
Active	Twin City Fire Insurance Company	300721	Agent - Casualty	5/27/2019
Active	Twin City Fire Insurance Company	300721	Agent - Property	5/27/2019
Active	United Financial Casualty Company	301886	Agent - Casualty	3/14/2017
Active	United Financial Casualty Company	301886	Agent - Property	3/14/2017
Active	Vigilant Insurance Company	301143	Agent - Casualty	8/2/2017
Active	Vigilant Insurance Company	301143	Agent - Property	8/2/2017
Inactive	West Bend Insurance Company	672974	Agent - Casualty	3/22/2017	7/23/2020
Inactive	West Bend Insurance Company	672974	Agent - Property	3/22/2017	7/23/2020
Active	Westchester Fire Insurance Company	300990	Agent - Casualty	8/2/2017
Active	Westchester Fire Insurance Company	300990	Agent - Property	8/2/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bethel, Michael Glen	521705	Agent - Casualty	11/20/2017	2/1/2019
Inactive	Bethel, Michael Glen	521705	Agent - Life	11/20/2017	2/1/2018
Inactive	Bethel, Michael Glen	521705	Agent - Property	11/20/2017	2/1/2019
Active	Blair, Kyle	1343792	Agent - Casualty	6/22/2024
Active	Blair, Kyle	1343792	Agent - Life	7/30/2024
Active	Blair, Kyle	1343792	Agent - Property	6/22/2024
Active	Gramig, David Andrew	911076	Agent - Casualty	8/15/2017
Active	Gramig, David Andrew	911076	Agent - Property	8/15/2017
Pending Replacement	Gramig, Steven Bruce	687505	Agent - Casualty	11/15/2023
Pending Replacement	Gramig, Steven Bruce	687505	Agent - Property	11/15/2023
Active	McKenzie, Jim	1053385	Agent - Casualty	1/7/2020
Active	McKenzie, Jim	1053385	Agent - Property	1/7/2020
Inactive	McVeigh, Deborah Rae	335137	Agent - Casualty	4/13/2016	8/1/2022
Inactive	McVeigh, Deborah Rae	335137	Agent - Life	2/15/2016	8/1/2022
Inactive	McVeigh, Deborah Rae	335137	Agent - Property	4/13/2016	8/1/2022
Inactive	Ryan, Chad Aaron	965588	Agent - Health	11/14/2023	7/24/2024
Inactive	Ryan, Chad Aaron	965588	Agent - Life	11/14/2023	7/24/2024
Inactive	Sharp, Jason G	1135483	Agent - Casualty	9/17/2024	12/31/2024
Inactive	Sharp, Jason G	1135483	Agent - Property	9/17/2024	12/31/2024
Inactive	Tate, Jason Lee	1047497	Agent - Casualty	8/20/2019	6/30/2022
Inactive	Tate, Jason Lee	1047497	Agent - Property	8/20/2019	6/30/2022