DEPARTMENT OF INSURANCE

Affiliations

Name	Bellamy, Ellis Ray	DOIID	329478	NAIC NPN	7176059

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	6/21/1982	3/24/2016
Inactive	Resident	Agent	Casualty	8/15/2000	3/24/2016
Inactive	Resident	Agent	General Lines	7/12/1982	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	3/24/2016
Inactive	Resident	Agent	Health	6/21/1982	3/24/2016
* 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	American Continental Insurance Company	643130	Agent - Health	11/10/2010	6/28/2013
Inactive	American Continental Insurance Company	643130	Agent - Life	11/10/2010	6/28/2013
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	8/15/2000	3/24/2016
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	6/23/1993	8/15/2000
Inactive	American Family Home Insurance Company	301817	Agent - Property	8/15/2000	3/24/2016
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	8/15/2000	3/24/2016
Inactive	American Modern Home Insurance Company	300791	Agent - General Lines	12/23/1997	8/15/2000
Inactive	American Modern Home Insurance Company	300791	Agent - Property	8/15/2000	3/24/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	9/24/2015	3/24/2016
Inactive	American Modern Select Insurance Company	581481	Agent - Property	9/24/2015	3/24/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	9/24/2015	3/24/2016
Inactive	American Southern Home Insurance Company	626276	Agent - Property	9/24/2015	3/24/2016
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	11/6/2008	3/24/2016
Inactive	Bristol West Insurance Company	301655	Agent - Property	11/6/2008	3/24/2016
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Health	1/18/1996	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	1/18/1996	3/31/1997
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	7/7/2009	6/28/2013
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Life	7/7/2009	6/28/2013
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	11/5/2009	3/24/2016
Inactive	Dairyland Insurance Company	301370	Agent - Property	11/5/2009	3/24/2016
Inactive	EMC National Life Company	300388	Agent - Life	6/13/2001	12/12/2002
Inactive	EMCASCO Insurance Company	842790	Agent - Casualty	2/12/2015	3/24/2016
Inactive	EMCASCO Insurance Company	842790	Agent - Property	2/12/2015	3/24/2016
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	9/10/2009	3/24/2016
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	9/10/2009	3/24/2016
Inactive	Encova Life Insurance Company	301818	Agent - Health	8/6/1982	3/24/2016
Inactive	Encova Life Insurance Company	301818	Agent - Life	8/6/1982	3/24/2016
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	8/9/2004	8/17/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	8/9/2004	8/17/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/19/2004	3/24/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/19/2004	3/24/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	9/5/2014	3/24/2016
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	9/5/2014	3/24/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	9/5/2014	3/24/2016
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	9/5/2014	3/24/2016
Inactive	Freedom Life Insurance Company of America	300074	Agent - Health	2/7/1995	3/13/1996
Inactive	Freedom Life Insurance Company of America	300074	Agent - Life	2/7/1995	3/13/1996
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Health	12/10/2010	12/26/2012
Inactive	Government Personnel Mutual Life Insurance Company	301862	Agent - Life	12/10/2010	12/26/2012
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	9/10/2009	3/24/2016
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	9/10/2009	3/24/2016
Inactive	Infinity Standard Insurance Company	301643	Agent - General Lines	4/26/1993	5/30/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	8/15/2000	3/24/2016
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	10/1/1982	8/15/2000
Inactive	Kentucky National Insurance Company	301625	Agent - Property	8/15/2000	3/24/2016
Inactive	MICO Insurance Company	301664	Agent - Casualty	8/15/2000	10/31/2010
Inactive	MICO Insurance Company	301664	Agent - General Lines	8/16/1989	8/15/2000
Inactive	MICO Insurance Company	301664	Agent - Property	8/15/2000	10/31/2010
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	8/15/2000	10/31/2010
Inactive	Motorists Mutual Insurance Company	300963	Agent - General Lines	7/12/1982	8/15/2000
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	8/15/2000	10/31/2010
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	3/24/1997	10/15/2007
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	8/9/2004	12/16/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	8/9/2004	12/16/2014
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	9/24/2009	7/25/2011
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	9/24/2009	7/25/2011
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	9/24/2009	7/25/2011
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	9/24/2009	7/25/2011
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	4/19/1995	1/3/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	4/19/1995	1/3/2003
Inactive	SilverScript Insurance Company	663526	Agent - Health	12/3/2010	3/24/2016
Inactive	Time Insurance Company	300683	Agent - Health	6/21/1982	3/31/1997
Inactive	Time Insurance Company	300683	Agent - Life	6/21/1982	3/31/1997
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/29/2007	8/17/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/29/2007	8/17/2012
Inactive	Union Insurance Company of Providence	842791	Agent - Casualty	2/12/2015	3/24/2016
Inactive	Union Insurance Company of Providence	842791	Agent - Property	2/12/2015	3/24/2016
Inactive	United American Insurance Company	300910	Agent - Health	5/2/1984	12/15/2008
Inactive	United American Insurance Company	300910	Agent - Life	5/2/1984	12/15/2008
Inactive	United Financial Casualty Company	301886	Agent - Casualty	9/24/2009	7/25/2011
Inactive	United Financial Casualty Company	301886	Agent - Property	9/24/2009	7/25/2011
Inactive	United Home Life Insurance Company	300421	Agent - Life	3/24/2006	12/23/2009
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	4/22/1997	11/1/1999
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	4/22/1997	11/1/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Baize Insurance Agency LLC	757638	Agent - Life	7/5/2011	3/24/2016
Inactive	Baize Insurance Agency LLC	757638	Agent - Health	7/5/2011	3/24/2016
Inactive	Baize Insurance Agency LLC	757638	Agent - Property	7/5/2011	3/24/2016
Inactive	Baize Insurance Agency LLC	757638	Agent - Casualty	7/5/2011	3/24/2016
Inactive	Bellamy's Insurance Agency	399809	Agent - General Lines	12/7/1987	8/15/2000
Inactive	Bellamy's Insurance Agency	399809	Agent - Property	8/15/2000	6/19/2003
Inactive	Bellamy's Insurance Agency	399809	Agent - Casualty	8/15/2000	6/19/2003
Inactive	Bellamy's Insurance Agency Inc.	398987	Agent - General Lines	9/9/1998	8/15/2000
Inactive	Bellamy's Insurance Agency Inc.	398987	Agent - Property	8/15/2000	3/31/2010
Inactive	Bellamy's Insurance Agency Inc.	398987	Agent - Casualty	8/15/2000	3/31/2010