DEPARTMENT OF INSURANCE

Affiliations

Name	Evans, Monica K	DOIID	739980	NAIC NPN	4503374

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Personal Lines	10/15/2010		8/31/2024
Active	Non Resident	Agent	Casualty	10/15/2010		8/31/2024
Active	Non Resident	Agent	Property	10/15/2010		8/31/2024
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	12/9/2010	11/7/2012
* 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	06/15/2024	08/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/5/2018	10/16/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/5/2018	10/16/2019
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	11/28/2011
Active	Employers Insurance Company of Wausau	301813	Agent - Property	11/28/2011
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	11/28/2011
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	11/28/2011
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/5/2018	10/16/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/5/2018	10/16/2019
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	5/6/2013	7/28/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	5/6/2013	7/28/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	5/6/2013	7/28/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	5/6/2013	7/28/2016
Active	LM Insurance Corporation	301061	Agent - Casualty	11/28/2011
Active	LM Insurance Corporation	301061	Agent - Property	11/28/2011
Active	Liberty Insurance Corporation	300444	Agent - Casualty	11/28/2011
Active	Liberty Insurance Corporation	300444	Agent - Property	11/28/2011
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Casualty	11/23/2015
Active	Liberty Insurance Underwriters Inc.	301391	Agent - Property	11/23/2015
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	11/28/2011
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	11/28/2011
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	11/28/2011
Active	Liberty Mutual Insurance Company	301159	Agent - Property	11/28/2011
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	5/18/2011	12/18/2012
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	5/18/2011	12/18/2012
Inactive	Wausau Business Insurance Company	301476	Agent - Casualty	11/28/2011	3/31/2015
Inactive	Wausau Business Insurance Company	301476	Agent - Property	11/28/2011	3/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	11/28/2011	8/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	11/28/2011	8/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Alera Group, Inc.	941451	Agent - Property	6/28/2022
Active	Alera Group, Inc.	941451	Agent - Casualty	6/28/2022
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	7/15/2014	10/9/2019
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	7/15/2014	10/9/2019
Inactive	Usi Insurance Services LLC	669260	Agent - Property	12/27/2018	12/13/2019
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	12/27/2018	12/13/2019
Inactive	Willis Towers Watson Northeast Inc	537673	Agent - Property	5/18/2011	9/13/2012
Inactive	Willis Towers Watson Northeast Inc	537673	Agent - Casualty	5/18/2011	9/13/2012