DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Black, Angelia Carol	DOIID	338366	NAIC NPN	7186374

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Limited Line Credit	1/11/2019		6/30/2026
Active	Resident	Agent	Health	4/11/2017		6/30/2026
Active	Resident	Agent	Life	4/4/2017		6/30/2026
Inactive	Resident	Agent	Credit Personal Property & Unemployment	6/7/1994	8/1/1996
Inactive	Resident	Agent	Credit Life & Health	11/10/1992	4/19/1999
* 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	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	9/19/2019	4/10/2024
Active	Lyndon Southern Insurance Company	609602	Agent - Limited Line Credit	1/16/2019
Inactive	Minnesota Life Insurance Company	300488	Agent - Limited Line Credit	7/5/2012	6/30/2016
Inactive	Omaha Health Insurance Company	301296	Agent - Credit Life & Health	9/11/1996	4/19/1999
Inactive	Protective Property & Casualty Insurance Company	300393	Agent - Credit Personal Property & Unemployment	6/26/1995	8/1/1996
Inactive	Puritan Life Insurance Company of America	301892	Agent - Credit Life & Health	11/10/1992	8/1/1996
Active	Securian Casualty Company	642441	Agent - Limited Line Credit	9/4/2019
Active	Southern Financial Life Insurance Company	300664	Agent - Health	4/12/2018
Active	Southern Financial Life Insurance Company	300664	Agent - Life	4/12/2018
Active	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	1/16/2019
Inactive	Tesla Insurance Company	300337	Agent - Credit Personal Property & Unemployment	6/7/1994	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
Inactive	Eagle Financial Services Inc	401081	Agent - Health	4/12/2018	3/31/2022
Inactive	Eagle Financial Services Inc	401081	Agent - Life	4/12/2018	3/31/2022