DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Payton, Phyllis Joan	DOIID	370618	NAIC NPN	7200454

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	5/22/2014	2/1/2017
Inactive	Resident	Apprentice Adjuster	Not Applicable	5/23/1995	5/23/1996
Inactive	Resident	Independent Adjuster	Property & Casualty	2/5/2002	2/1/2015
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	5/22/2014	2/6/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brentwood Serv Administrators Inc	397924	Independent Adjuster - Property & Casualty	6/24/2003	1/4/2010
Inactive	Charles Taylor Tpa, LLC	401233	Independent Adjuster - Property & Casualty	2/5/2002	5/29/2007
Inactive	Cunningham Lindsey U. S. Inc.	401331	Independent Adjuster - Property & Casualty	5/23/1996	5/24/2001

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Warren, Frances Marion	392973	Apprentice Adjuster - Not Applicable	5/23/1995	5/23/1996