DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Davidson, Beverly Ann	DOIID	384647	NAIC NPN	7206634

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	4/24/1998	11/18/1999
Inactive	Resident	Agent	Health	4/24/1998	11/19/1998
Inactive	Resident	Agent	Life	4/24/1998	11/19/1998
* 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	Fireman's Fund Insurance Company	301423	Agent - General Lines	9/21/1998	11/18/1999
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - General Lines	6/30/1998	11/18/1999
Inactive	Foremost Signature Insurance Company	300140	Agent - General Lines	6/30/1998	11/18/1999
Inactive	Grange Indemnity Insurance Company	300793	Agent - General Lines	5/22/1998	11/19/1998
Inactive	Grange Insurance Company	300234	Agent - General Lines	4/24/1998	11/19/1998
Inactive	Grange Life Insurance Company	300128	Agent - Health	4/24/1998	11/19/1998
Inactive	Grange Life Insurance Company	300128	Agent - Life	4/24/1998	11/19/1998
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	5/12/1998	11/18/1999
Inactive	South Carolina Insurance Company	300080	Agent - General Lines	8/19/1998	11/18/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Terry L Ford Insurance Agency Inc.	400352	Agent - General Lines	5/6/1998	11/9/1998
Inactive	Terry L Ford Insurance Agency Inc.	400352	Agent - Life	5/6/1998	11/9/1998
Inactive	Terry L Ford Insurance Agency Inc.	400352	Agent - Health	5/6/1998	11/9/1998