DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Williams, Dustiena Canien	DOIID	1054132	NAIC NPN	1931120

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	8/30/2019		12/31/2024
Active	Non Resident	Agent	Casualty	8/30/2019		12/31/2024
Active	Non Resident	Agent	Life	8/30/2019		12/31/2024
Active	Non Resident	Agent	Property	8/30/2019		12/31/2024
* 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	10/15/2024	12/31/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Guarantee and Liability Insurance Company	301216	Agent - Casualty	4/9/2020
Active	American Guarantee and Liability Insurance Company	301216	Agent - Property	4/9/2020
Active	American Zurich Insurance Company	300592	Agent - Casualty	4/9/2020
Active	American Zurich Insurance Company	300592	Agent - Property	4/9/2020
Active	CorePointe Insurance Company	300406	Agent - Casualty	9/24/2021
Active	CorePointe Insurance Company	300406	Agent - Property	9/24/2021
Active	Milford Casualty Insurance Company	301460	Agent - Casualty	10/28/2021
Active	Milford Casualty Insurance Company	301460	Agent - Property	10/28/2021
Active	Pan-American Life Insurance Company	301530	Agent - Health	4/8/2020
Active	Pan-American Life Insurance Company	301530	Agent - Life	4/8/2020
Active	Southern Insurance Company	301630	Agent - Casualty	10/28/2021
Active	Southern Insurance Company	301630	Agent - Property	10/28/2021
Active	Technology Insurance Company	613278	Agent - Casualty	10/4/2021
Active	Technology Insurance Company	613278	Agent - Property	10/4/2021
Active	Wesco Insurance Company	300534	Agent - Health	9/24/2021
Active	Zurich American Insurance Company	301121	Agent - Casualty	4/9/2020
Active	Zurich American Insurance Company	301121	Agent - Property	4/9/2020
Active	Zurich American Insurance Company of Illinois	301805	Agent - Casualty	4/9/2020
Active	Zurich American Insurance Company of Illinois	301805	Agent - Property	4/9/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Avant Brokerage LLC	841770	Agent - Casualty	4/17/2020
Active	Avant Brokerage LLC	841770	Agent - Life	4/17/2020
Active	Avant Brokerage LLC	841770	Agent - Health	4/17/2020
Active	Avant Brokerage LLC	841770	Agent - Property	4/17/2020
Inactive	Specialty Program Group LLC	937234	Agent - Casualty	10/12/2022	12/2/2022
Inactive	Specialty Program Group LLC	937234	Agent - Life	10/12/2022	12/2/2022
Inactive	Specialty Program Group LLC	937234	Agent - Health	10/12/2022	12/2/2022
Inactive	Specialty Program Group LLC	937234	Agent - Property	10/12/2022	12/2/2022