DEPARTMENT OF INSURANCE

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.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	04/15/2024	06/30/2024	05/03/2024	05/03/2024	Yes

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