DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Vongbounemy, James Viraphonh	DOIID	1033233	NAIC NPN	18484406

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	3/19/2019	9/30/2020
Inactive	Non Resident	Agent	Casualty	3/19/2019	9/30/2020
Active	Non Resident	Staff Adjuster	Property & Casualty	5/19/2022		9/30/2024
* 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
Staff Adjuster	07/15/2024	09/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	4/3/2019	9/30/2020
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	4/3/2019	9/30/2020
Inactive	LM General Insurance Company	300133	Agent - Casualty	5/20/2019	10/18/2019
Inactive	LM General Insurance Company	300133	Agent - Property	5/20/2019	10/18/2019
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	3/28/2019	10/18/2019
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	3/28/2019	10/18/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	3/28/2019	10/18/2019
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	3/28/2019	10/18/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Awl Insurance Agency Inc	945504	Agent - Casualty	4/25/2019	9/30/2020
Inactive	Awl Insurance Agency Inc	945504	Agent - Property	4/25/2019	9/30/2020