DEPARTMENT OF INSURANCE

Affiliations

Name	Dozier, Ersie M	DOIID	352976	NAIC NPN	7192778

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	8/15/2002	12/8/2014
Inactive	Resident	Agent	Property	8/15/2002	12/8/2014
Inactive	Resident	Agent	Life	8/15/2002	12/8/2014
Inactive	Resident	Agent	Casualty	8/15/2002	12/8/2014
Inactive	Resident	Agent	General Lines	8/27/1999	8/15/2000
* 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	Bristol West Insurance Company	301655	Agent - Casualty	2/11/2008	8/23/2012
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/11/2008	8/23/2012
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	10/4/2002	12/30/2010
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	12/13/2010	1/8/2014
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	8/27/1999	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - Health	12/13/2010	1/8/2014
Inactive	FB Insurance Company (The)	301763	Agent - Property	12/13/2010	1/8/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/16/2004	12/16/2010
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/16/2004	12/16/2010
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	11/10/2005	6/7/2008
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	11/10/2005	6/7/2008
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	12/13/2010	1/8/2014
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	8/27/1999	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Health	12/13/2010	1/8/2014
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	12/13/2010	1/8/2014
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	3/2/2007	7/14/2014
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	3/2/2007	7/14/2014
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	8/15/2002	12/1/2010
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	8/15/2002	12/1/2010
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/2/2011	12/8/2014
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/2/2011	12/8/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	10/19/2006	11/8/2013
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/28/2002	11/24/2010
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/28/2002	11/24/2010
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/28/2002	11/24/2010
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	8/28/2002	11/24/2010
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Health	9/7/2004	3/31/2007
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Life	9/7/2004	3/31/2007