DEPARTMENT OF INSURANCE

Affiliations

Name	Talley Jr, Donald Gene	DOIID	390909	NAIC NPN	7209229

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	5/22/1978	8/15/2000
Inactive	Resident	Agent	Life	5/22/1978	10/31/2020
Inactive	Resident	Agent	Variable Life and Variable Annuities	5/31/2001	10/31/2020
Inactive	Resident	Agent	Casualty	8/15/2000	10/31/2020
Inactive	Resident	Agent	Health	5/22/1978	10/31/2020
Inactive	Resident	Agent	Property	8/15/2000	10/31/2020
* 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	American Fire and Casualty Company	300567	Agent - Casualty	8/2/2016	12/19/2019
Inactive	American Fire and Casualty Company	300567	Agent - Property	8/2/2016	12/19/2019
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	10/11/2016	7/1/2019
Inactive	American Modern Home Insurance Company	300791	Agent - Property	10/11/2016	7/1/2019
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	9/27/2018	7/1/2019
Inactive	American Modern Property and Casualty Insurance Company	301954	Agent - Property	9/27/2018	7/1/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/14/2016	7/1/2019
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/14/2016	7/1/2019
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	8/7/2006	10/31/2020
Inactive	American Reliable Insurance Company	301889	Agent - Property	8/7/2006	10/31/2020
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	8/13/2018	7/1/2019
Inactive	American Southern Home Insurance Company	626276	Agent - Property	8/13/2018	7/1/2019
Inactive	Assurity Life Insurance Company	301099	Agent - Health	5/11/2004	11/9/2010
Inactive	Assurity Life Insurance Company	301099	Agent - Life	5/11/2004	11/9/2010
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/21/2017	6/27/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/21/2017	6/27/2019
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	8/2/2016	12/19/2019
Inactive	Consolidated Insurance Company	300943	Agent - Property	8/2/2016	12/19/2019
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	4/4/2017	10/31/2020
Inactive	Dairyland Insurance Company	301370	Agent - Property	4/4/2017	10/31/2020
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/5/2008	6/27/2019
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/5/2008	6/27/2019
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Casualty	5/27/2016	5/11/2018
Inactive	Foremost Property and Casualty Insurance Company	300871	Agent - Property	5/27/2016	5/11/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Casualty	5/27/2016	5/11/2018
Inactive	Foremost Signature Insurance Company	300140	Agent - Property	5/27/2016	5/11/2018
Inactive	Indiana Insurance Company	301909	Agent - Casualty	8/2/2016	12/19/2019
Inactive	Indiana Insurance Company	301909	Agent - Property	8/2/2016	12/19/2019
Inactive	Nationwide Agribusiness Insurance Company	301008	Agent - Casualty	10/29/2014	6/3/2019
Inactive	Nationwide Agribusiness Insurance Company	301008	Agent - Property	10/29/2014	6/3/2019
Inactive	Nationwide Assurance Company	300166	Agent - Casualty	8/15/2000	6/3/2019
Inactive	Nationwide Assurance Company	300166	Agent - General Lines	12/20/1982	8/15/2000
Inactive	Nationwide General Insurance Company	300603	Agent - Casualty	5/24/2005	6/3/2019
Inactive	Nationwide General Insurance Company	300603	Agent - Property	5/24/2005	6/3/2019
Inactive	Nationwide Insurance Company of America	300333	Agent - Casualty	4/19/2011	6/3/2019
Inactive	Nationwide Insurance Company of America	300333	Agent - Property	4/19/2011	6/3/2019
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	5/22/1978	6/3/2019
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	5/22/1978	6/3/2019
Inactive	Nationwide Life Insurance Company	300495	Agent - Variable Life and Variable Annuities	5/31/2001	6/3/2019
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	9/18/2006	6/3/2019
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Casualty	8/15/2000	6/3/2019
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - General Lines	5/22/1978	8/15/2000
Inactive	Nationwide Mutual Fire Insurance Company	301722	Agent - Property	8/15/2000	6/3/2019
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Casualty	8/15/2000	6/3/2019
Inactive	Nationwide Mutual Insurance Company	301749	Agent - General Lines	5/22/1978	8/15/2000
Inactive	Nationwide Mutual Insurance Company	301749	Agent - Property	8/15/2000	6/3/2019
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Casualty	8/15/2000	6/3/2019
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - General Lines	12/9/1982	8/15/2000
Inactive	Nationwide Property and Casualty Insurance Company	300599	Agent - Property	8/15/2000	6/3/2019
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	8/2/2016	12/19/2019
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	8/2/2016	12/19/2019
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	8/2/2016	12/19/2019
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	8/2/2016	12/19/2019
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	8/2/2016	12/19/2019
Inactive	Ohio Security Insurance Company	300622	Agent - Property	8/2/2016	12/19/2019
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	8/2/2016	12/19/2019
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	8/2/2016	12/19/2019
Inactive	Peerless Insurance Company	301910	Agent - Casualty	8/2/2016	12/19/2019
Inactive	Peerless Insurance Company	301910	Agent - Property	8/2/2016	12/19/2019
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	4/2/2014	8/19/2019
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	4/2/2014	8/19/2019
Inactive	United Financial Casualty Company	301886	Agent - Casualty	4/12/2018	8/19/2019
Inactive	United Financial Casualty Company	301886	Agent - Property	4/12/2018	8/19/2019
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	11/16/2006	8/22/2018
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	11/16/2006	8/22/2018
Inactive	West American Insurance Company	301112	Agent - Casualty	8/2/2016	12/19/2019
Inactive	West American Insurance Company	301112	Agent - Property	8/2/2016	12/19/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Don Talley Insurance Agency Inc	979224	Agent - Property	12/13/2017	10/31/2020
Inactive	Don Talley Insurance Agency Inc	979224	Agent - Casualty	12/13/2017	10/31/2020
Inactive	NBS Insurance Agency Inc	515576	Agent - Property	4/2/2014	10/31/2020
Inactive	NBS Insurance Agency Inc	515576	Agent - Casualty	4/2/2014	10/31/2020