DEPARTMENT OF INSURANCE

Affiliations

Name	Hall, James Larry	DOIID	338226	NAIC NPN	109821

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	11/1/2002	10/28/2008
Active	Non Resident	Agent	Casualty	7/16/2013		11/30/2024
Active	Non Resident	Agent	Life	5/24/2010		11/30/2024
Active	Non Resident	Agent	Property	7/16/2013		11/30/2024
Active	Non Resident	Agent	Health	5/24/2010		11/30/2024
Active	Non Resident	Surplus Lines Broker	Not Applicable	10/6/2023		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
Surplus Lines Broker	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aetna Health Inc. (PA)	660717	Agent - Health	2/15/2008	10/28/2008
Inactive	Aetna Life Insurance Company	301140	Agent - Health	1/15/2008	10/28/2008
Inactive	Aetna Life Insurance Company	301140	Agent - Life	1/15/2008	10/28/2008
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/19/2003	1/9/2004
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/19/2003	1/9/2004
Inactive	Baltimore Life Insurance Company	300286	Agent - Health	7/17/2000	2/25/2002
Inactive	Baltimore Life Insurance Company	300286	Agent - Life	7/17/2000	2/25/2002
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	1/20/2021	10/10/2022
Inactive	Bristol West Insurance Company	301655	Agent - Property	1/20/2021	10/10/2022
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	2/10/2022	9/2/2022
Inactive	Dairyland Insurance Company	301370	Agent - Property	2/10/2022	9/2/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/20/2021	10/10/2022
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/20/2021	10/10/2022
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	8/4/2004	10/28/2008
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	8/4/2004	10/28/2008
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	5/14/2002	10/28/2008
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	5/14/2002	10/28/2008
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	7/7/2005	10/28/2008
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	7/7/2005	10/28/2008
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Health	7/7/2005	6/25/2008
Inactive	ReliaStar Life Insurance Company of New York	301018	Agent - Life	7/7/2005	6/25/2008
Inactive	Security Financial Life Insurance Company	300208	Agent - Health	7/17/2000	12/20/2006
Inactive	Security Financial Life Insurance Company	300208	Agent - Life	7/17/2000	12/20/2006
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	12/10/2002	10/28/2008
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	12/10/2002	10/28/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Auto Sure Insurance Agency, LLC	1060951	Agent - Property	10/16/2019	2/18/2020
Inactive	Auto Sure Insurance Agency, LLC	1060951	Agent - Casualty	10/16/2019	2/18/2020
Inactive	Aviaa Ins Services LLC	983394	Agent - Life	2/6/2018	3/31/2022
Inactive	Aviaa Ins Services LLC	983394	Agent - Health	2/6/2018	3/31/2022
Inactive	Aviaa Ins Services LLC	983394	Agent - Property	2/6/2018	3/31/2022
Inactive	Aviaa Ins Services LLC	983394	Agent - Casualty	2/6/2018	3/31/2022
Active	Carbon Insurance Agency LLC	1288181	Agent - Property	7/27/2023
Active	Carbon Insurance Agency LLC	1288181	Agent - Casualty	7/27/2023
Active	Carbon Insurance Agency LLC	1288181	Surplus Lines Broker - Not Applicable	10/13/2023
Inactive	E Benefits Insurance Agency, LLC	615086	Agent - Life	5/22/2006	3/31/2007
Inactive	E Benefits Insurance Agency, LLC	615086	Agent - Health	5/22/2006	3/31/2007
Inactive	E Benefits Insurance Agency, LLC	615086	Administrator - Not Applicable	7/5/2006	10/28/2008
Active	Embedded Insurance Agency LLC	1189603	Agent - Life	2/23/2022
Active	Embedded Insurance Agency LLC	1189603	Agent - Health	2/23/2022
Active	Embedded Insurance Agency LLC	1189603	Agent - Property	2/23/2022
Active	Embedded Insurance Agency LLC	1189603	Agent - Casualty	2/23/2022
Denied	Ins Point LLC	710132	Agent - Life
Denied	Ins Point LLC	710132	Agent - Health
Denied	Ins Point LLC	710132	Agent - Property
Denied	Ins Point LLC	710132	Agent - Casualty
Inactive	National Benefits Partner Insurance Agency LLC	549454	Agent - Life	6/26/2002	10/28/2008
Inactive	National Benefits Partner Insurance Agency LLC	549454	Agent - Health	6/26/2002	10/28/2008
Inactive	National Benefits Partner Insurance Agency LLC	549454	Administrator - Not Applicable	11/1/2002	10/8/2008
Inactive	Salty Dot Insurance Agency LLC	1070191	Agent - Life	1/9/2020	3/31/2024
Inactive	Salty Dot Insurance Agency LLC	1070191	Agent - Health	1/9/2020	3/31/2024
Inactive	Salty Dot Insurance Agency LLC	1070191	Agent - Property	1/9/2020	10/10/2022
Inactive	Salty Dot Insurance Agency LLC	1070191	Agent - Casualty	1/9/2020	10/10/2022