DEPARTMENT OF INSURANCE

Affiliations

Name	Survant, William Thomas	DOIID	376524	NAIC NPN	1890220

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	8/15/2000	1/30/2008
Inactive	Resident	Agent	General Lines	7/8/1982	8/15/2000
Inactive	Resident	Agent	Life	8/18/1982	10/1/2009
Inactive	Resident	Agent	Property	8/15/2000	1/30/2008
Inactive	Resident	Agent	Health Maintenance Organization	2/16/1998	3/1/2001
Inactive	Resident	Agent	Health	8/18/1982	10/1/2009
* 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 Economy Insurance Company	300315	Agent - Casualty	8/15/2000	1/30/2008
Inactive	American Economy Insurance Company	300315	Agent - General Lines	2/18/1999	8/15/2000
Inactive	American Economy Insurance Company	300315	Agent - Property	8/15/2000	1/30/2008
Inactive	American States Insurance Company	301230	Agent - Casualty	8/15/2000	1/30/2008
Inactive	American States Insurance Company	301230	Agent - General Lines	2/18/1999	8/15/2000
Inactive	American States Insurance Company	301230	Agent - Property	8/15/2000	1/30/2008
Inactive	American States Life Insurance Company	301884	Agent - Health	8/18/1982	3/11/1997
Inactive	American States Life Insurance Company	301884	Agent - Life	8/18/1982	3/11/1997
Inactive	American States Preferred Insurance Company	300609	Agent - General Lines	7/8/1982	3/11/1997
Inactive	Banner Life Insurance Company	301696	Agent - Life	5/11/2000	10/14/2003
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	3/1/2001	10/1/2009
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health Maintenance Organization	2/16/1998	3/1/2001
Inactive	Brotherhood Mutual Insurance Company	300940	Agent - Casualty	8/15/2000	8/7/2001
Inactive	Brotherhood Mutual Insurance Company	300940	Agent - General Lines	5/16/1984	8/15/2000
Inactive	Brotherhood Mutual Insurance Company	300940	Agent - Property	8/15/2000	8/7/2001
Inactive	Continental Casualty Company	301019	Agent - Health	7/25/1990	12/19/2002
Inactive	Encova Life Insurance Company	301818	Agent - Health	2/12/1998	10/1/2009
Inactive	Encova Life Insurance Company	301818	Agent - Life	2/12/1998	10/1/2009
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/15/2000	1/30/2008
Inactive	First National Insurance Company of America	301690	Agent - General Lines	2/18/1999	8/15/2000
Inactive	First National Insurance Company of America	301690	Agent - Property	8/15/2000	1/30/2008
Inactive	General Insurance Company of America	300261	Agent - Casualty	8/15/2000	1/30/2008
Inactive	General Insurance Company of America	300261	Agent - General Lines	2/18/1999	8/15/2000
Inactive	General Insurance Company of America	300261	Agent - Property	8/15/2000	1/30/2008
Inactive	Globe American Casualty Company	301033	Agent - General Lines	3/23/1995	11/18/1996
Inactive	Golden Rule Insurance Company	301943	Agent - Health	7/9/1985	11/12/1998
Inactive	Golden Rule Insurance Company	301943	Agent - Life	7/9/1985	11/12/1998
Inactive	Grange Indemnity Insurance Company	300793	Agent - Casualty	12/6/2001	1/30/2008
Inactive	Grange Indemnity Insurance Company	300793	Agent - General Lines	8/27/1999	8/15/2000
Inactive	Grange Indemnity Insurance Company	300793	Agent - Property	12/6/2001	1/30/2008
Inactive	Grange Insurance Company	300234	Agent - Casualty	12/6/2001	1/30/2008
Inactive	Grange Insurance Company	300234	Agent - General Lines	2/24/1997	8/15/2000
Inactive	Grange Insurance Company	300234	Agent - Health	12/6/2001	10/1/2009
Inactive	Grange Insurance Company	300234	Agent - Property	12/6/2001	1/30/2008
Inactive	Grange Life Insurance Company	300128	Agent - Health	8/19/2002	8/27/2009
Inactive	Grange Life Insurance Company	300128	Agent - Life	8/19/2002	8/27/2009
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Casualty	11/26/2007	1/30/2008
Inactive	Grange Property & Casualty Insurance Company	601680	Agent - Property	11/26/2007	1/30/2008
Inactive	Hallmark National Insurance Company	300494	Agent - General Lines	1/26/1999	5/10/1999
Inactive	Hartford Steam Boiler Inspection and Insurance Company	300799	Agent - General Lines	7/6/1983	3/31/1996
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	5/2/1995	6/29/2000
Inactive	Infinity Insurance Company	300416	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Infinity Insurance Company	300416	Agent - General Lines	4/11/1995	8/15/2000
Inactive	Infinity Select Insurance Company	300169	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Infinity Select Insurance Company	300169	Agent - General Lines	5/17/1996	8/15/2000
Inactive	Investors Life Insurance Company of Indiana	301657	Agent - Life	3/24/1994	3/31/1997
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	6/15/1998	7/29/1998
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	6/15/1998	7/29/1998
Inactive	MICO Insurance Company	301664	Agent - General Lines	8/30/1989	1/3/1997
Inactive	Meridian Mutual Insurance Company	301303	Agent - Casualty	8/15/2000	6/1/2001
Inactive	Meridian Mutual Insurance Company	301303	Agent - General Lines	4/30/1997	8/15/2000
Inactive	Meridian Mutual Insurance Company	301303	Agent - Property	8/15/2000	6/1/2001
Inactive	Meridian Security Insurance Company	300423	Agent - Casualty	8/15/2000	3/10/2004
Inactive	Meridian Security Insurance Company	300423	Agent - General Lines	7/7/2000	8/15/2000
Inactive	Meridian Security Insurance Company	300423	Agent - Property	8/15/2000	3/10/2004
Inactive	Motorists Mutual Insurance Company	300963	Agent - General Lines	8/30/1989	1/3/1997
Inactive	National Insurance Association	301386	Agent - General Lines	3/20/1995	3/31/1996
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	2/8/1999	1/3/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	2/8/1999	1/3/2003
Inactive	SAFECO Insurance Company of America	300159	Agent - General Lines	1/16/1996	11/18/1996
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - General Lines	1/16/1996	11/18/1996
Inactive	SAFECO National Insurance Company	300989	Agent - General Lines	1/16/1995	11/18/1996
Inactive	South Carolina Insurance Company	300080	Agent - General Lines	4/18/1998	6/7/2000
Inactive	State Auto Property & Casualty Insurance Company	301953	Agent - General Lines	1/26/1999	5/10/1999
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	6/1/2001	3/12/2004
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	3/24/1994	5/10/1999
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	6/1/2001	3/12/2004
Inactive	Time Insurance Company	300683	Agent - Health	3/5/1990	10/14/1997
Inactive	Time Insurance Company	300683	Agent - Life	3/5/1990	10/14/1997
Inactive	Trustgard Insurance Company	300104	Agent - Casualty	12/6/2001	1/30/2008
Inactive	Trustgard Insurance Company	300104	Agent - Property	12/6/2001	1/30/2008
Inactive	Western Surety Company	300283	Agent - General Lines	5/27/1983	5/12/1997
Inactive	Windhaven National Insurance Company	300094	Agent - General Lines	5/2/1995	6/26/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Keystone-Sills Insurance Agency Inc.	399782	Agent - General Lines	5/3/1984	11/13/1996
Inactive	Keystone-Sills Insurance Agency Inc.	399782	Agent - Life	5/3/1984	11/13/1996
Inactive	Keystone-Sills Insurance Agency Inc.	399782	Agent - Health	5/3/1984	11/13/1996
Inactive	Mountain Valley Ins Agy Inc.	399465	Agent - Property	3/26/2007	1/30/2008
Inactive	Mountain Valley Ins Agy Inc.	399465	Agent - Casualty	3/26/2007	1/30/2008
Inactive	Multi-Service Corporation	400132	Agent - Life	3/3/2003	10/1/2009
Inactive	Multi-Service Corporation	400132	Agent - Health	3/3/2003	10/1/2009
Inactive	Multi-Service Corporation	400132	Agent - Property	5/10/2001	1/30/2008
Inactive	Multi-Service Corporation	400132	Agent - Casualty	5/10/2001	1/30/2008