DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	South, Douglas Edgar	DOIID	325420	NAIC NPN	7170818

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	12/18/1991	8/15/2000
Inactive	Resident	Agent	Credit Life & Health	8/8/1994	3/31/1999
Inactive	Resident	Agent	Health	12/18/1991	7/1/2006
Inactive	Resident	Agent	Life	12/18/1991	7/1/2006
* 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	AGCS Marine Insurance Company	300403	Agent - General Lines	5/10/1994	3/31/1996
Inactive	GuideOne Elite Insurance Company	300490	Agent - General Lines	12/18/1991	1/12/1998
Inactive	GuideOne Insurance Company	301794	Agent - General Lines	12/18/1991	1/12/1998
Inactive	GuideOne Life Insurance Company	300098	Agent - Health	12/18/1991	8/8/1997
Inactive	GuideOne Life Insurance Company	300098	Agent - Life	12/18/1991	8/8/1997
Inactive	GuideOne Specialty Insurance Company	300278	Agent - General Lines	12/18/1991	1/12/1998
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	9/9/1996	7/1/2006
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	9/9/1996	7/1/2006
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	3/17/1997	3/31/1999
Inactive	Tesla Insurance Company	300337	Agent - General Lines	10/7/1994	3/31/1998
Inactive	Union Security Life Insurance Company	300903	Agent - Credit Life & Health	8/8/1994	2/8/1996
Inactive	United American Insurance Company	300910	Agent - Health	3/5/2001	7/1/2006
Inactive	United American Insurance Company	300910	Agent - Life	3/5/2001	7/1/2006
Inactive	United States Fidelity and Guaranty Company	301449	Agent - General Lines	2/24/1992	3/31/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	C.F.W. Inc.	399808	Agent - Life
Denied	C.F.W. Inc.	399808	Agent - Health
Inactive	C.F.W. Inc.	399808	Agent - General Lines	6/1/1992	8/15/2000