DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bullard, Beverly Kay	DOIID	1111541	NAIC NPN	562679

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	11/20/2020		6/30/2025
Active	Non Resident	Agent	Casualty	11/20/2020		6/30/2025
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	CAMICO Mutual Insurance Company	517952	Agent - Casualty	12/8/2020
Active	Trumbull Insurance Company	300242	Agent - Casualty	6/9/2024
Active	Trumbull Insurance Company	300242	Agent - Property	6/9/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Camico Services, Inc.	510811	Agent - Casualty	8/3/2022
Denied	Camico Services, Inc.	510811	Agent - Property