DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Beasley, Dane Thomas	DOIID	1113033	NAIC NPN	18866009

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	12/7/2020		11/30/2024
Active	Non Resident	Agent	Property	12/7/2020		11/30/2024
Active	Non Resident	Agent	Casualty	12/7/2020		11/30/2024
Active	Non Resident	Agent	Health	12/7/2020		11/30/2024
* 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
Agent	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Addison Insurance Company	874810	Agent - Casualty	7/9/2024
Active	Addison Insurance Company	874810	Agent - Property	7/9/2024
Active	United Fire & Casualty Company	301374	Agent - Casualty	7/9/2024
Active	United Fire & Casualty Company	301374	Agent - Property	7/9/2024

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Fisher Brown Bottrell Ins Inc	630638	Agent - Casualty
Denied	Fisher Brown Bottrell Ins Inc	630638	Agent - Life
Denied	Fisher Brown Bottrell Ins Inc	630638	Agent - Health
Denied	Fisher Brown Bottrell Ins Inc	630638	Agent - Property