DEPARTMENT OF INSURANCE

Affiliations

Name	Southerland, James Mitchell	DOIID	317932	NAIC NPN	3650384

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	4/22/2016		1/31/2026
Inactive	Resident	Agent	Health	11/17/1995	1/13/1997
* 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
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	10/4/2005	4/27/2008
Inactive	American Memorial Life Insurance Company	301445	Agent - Life	8/26/1999	12/13/2001
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	4/22/2004	8/21/2004
Active	Cincinnati Equitable Life Insurance Company	641870	Agent - Life	1/13/2023
Denied	Citizens Security Life Insurance Company	301257	Agent - Health
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	5/31/2001	4/21/2006
Inactive	Columbian Life Insurance Company	300810	Agent - Life	7/5/2009	2/25/2015
Inactive	EMC National Life Company	300388	Agent - Life	8/28/2003	5/9/2007
Inactive	Everly Life Insurance Company	561641	Agent - Life	4/25/2016	11/14/2018
Inactive	Forethought Life Insurance Company	301407	Agent - Health	4/26/1996	1/13/1997
Inactive	Forethought Life Insurance Company	301407	Agent - Life	4/26/1996	1/13/1997
Inactive	Homesteaders Life Company	300836	Agent - Life	7/25/2011	1/16/2013
Inactive	LifeSecure Insurance Company	301629	Agent - Health	3/4/1996	1/13/1997
Inactive	LifeSecure Insurance Company	301629	Agent - Life	3/4/1996	1/13/1997
Inactive	Lumico Life Insurance Company	300354	Agent - Health	4/22/1996	6/14/1996
Inactive	Lumico Life Insurance Company	300354	Agent - Life	4/22/1996	6/14/1996
Inactive	Mission Life Insurance Company of America	300863	Agent - Life	1/14/2003	4/19/2004
Active	National Guardian Life Insurance Company	300596	Agent - Life	10/9/2018
Inactive	National Travelers Life Company	300304	Agent - Life	9/20/2002	6/30/2003
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Life	6/3/2022	8/10/2022
Inactive	Southern Financial Life Insurance Company	300664	Agent - Life	2/9/2010	12/23/2011
Inactive	Southland National Insurance Corporation	517954	Agent - Life	9/11/2009	1/12/2011
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	11/17/1995	12/26/1996
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	11/17/1995	12/26/1996
Inactive	Time Insurance Company	300683	Agent - Health	1/10/1996	1/13/1997
Inactive	Time Insurance Company	300683	Agent - Life	1/10/1996	1/13/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	12/28/1995	1/13/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	12/28/1995	1/13/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	A.F. Crow & Son Funeral Home, Inc.	764944	Agent - Life	9/27/2011	3/31/2015
Inactive	Barlow Funeral Home LLC	711259	Agent - Life	8/13/2009	1/31/2016
Inactive	Brell & Son Funeral Home, Inc.	779211	Agent - Life	4/11/2012	3/31/2014
Inactive	Harrod Brothers Funeral Home, LLC	711217	Agent - Life	8/26/2009	3/31/2011
Inactive	MHMC, Inc	574772	Agent - Life	1/14/2005	4/27/2008
Inactive	Pre Need Solutions, Inc.	595059	Agent - Life	7/9/2009	1/31/2016
Denied	Pre-Need Solutions of KY, LLC	564461	Agent - Life
Inactive	Stringer Holding Co Inc	399853	Agent - Life	1/19/2005	4/27/2008
Inactive	Strunk Funeral Home, Inc.	400474	Agent - Life	9/3/2009	3/31/2011
Denied	Todd County Funeral Home	714859	Agent - Life
Inactive	Tributes, LLC	711569	Agent - Life	8/19/2009	3/31/2013