DEPARTMENT OF INSURANCE

Affiliations

Name	Dossett, James D	DOIID	388984	NAIC NPN	7208516

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	11/20/2000	4/17/2005
Inactive	Resident	Agent	Life	11/9/1984	4/17/2005
Inactive	Resident	Agent	General Lines	11/9/1984	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	7/1/2006
Inactive	Resident	Agent	Property	8/15/2000	4/17/2005
Inactive	Resident	Agent	Variable Life and Variable Annuities	3/29/2001	4/17/2005
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	8/15/2000	1/31/2005
Inactive	State Farm Fire and Casualty Company	301809	Agent - General Lines	11/9/1984	8/15/2000
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	8/15/2000	1/31/2005
Inactive	State Farm General Insurance Company	301122	Agent - Casualty	8/15/2000	1/31/2005
Inactive	State Farm General Insurance Company	301122	Agent - General Lines	11/9/1984	8/15/2000
Inactive	State Farm General Insurance Company	301122	Agent - Property	8/15/2000	1/31/2005
Inactive	State Farm Life Insurance Company	301810	Agent - Life	11/9/1984	1/31/2005
Inactive	State Farm Life Insurance Company	301810	Agent - Variable Life and Variable Annuities	3/29/2001	1/31/2005
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	8/15/2000	7/1/2006
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - General Lines	11/9/1984	8/15/2000
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	11/20/2000	1/31/2005
Inactive	Time Insurance Company	300683	Agent - Health	1/5/2001	1/31/2005
Inactive	Time Insurance Company	300683	Agent - Life	1/5/2001	1/31/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance Placement Services Inc.	519096	Agent - Health	4/12/2001	2/25/2004