DEPARTMENT OF INSURANCE

Affiliations

Name	Southern III, Charles Baxter	DOIID	393349	NAIC NPN	951164

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/15/2000		2/28/2027
Active	Non Resident	Agent	Casualty	8/15/2000		2/28/2027
Inactive	Non Resident	Agent	General Lines	3/5/1999	8/15/2000
Active	Non Resident	Property & Casualty Consultant	Not Applicable	12/27/2005		2/28/2027
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	12/15/2024	02/28/2025	02/07/2025	02/07/2025	Yes
Property & Casualty Consultant	12/15/2024	02/28/2025	02/07/2025	02/07/2025	Yes

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	21st Century North America Insurance Company	300884	Agent - Casualty	8/10/2005	10/4/2011
Inactive	21st Century North America Insurance Company	300884	Agent - Property	8/10/2005	10/4/2011
Active	ACE American Insurance Company	300625	Agent - Casualty	2/25/2016
Active	ACE American Insurance Company	300625	Agent - Property	2/25/2016
Active	AGCS Marine Insurance Company	300403	Agent - Casualty	6/5/2017
Active	AGCS Marine Insurance Company	300403	Agent - Property	6/5/2017
Active	AIG Property Casualty Company	300621	Agent - Casualty	3/24/2016
Active	AIG Property Casualty Company	300621	Agent - Property	3/24/2016
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Casualty	8/26/2022
Active	Allmerica Financial Benefit Insurance Company	301223	Agent - Property	8/26/2022
Active	American Automobile Insurance Company	300953	Agent - Casualty	10/13/2014
Active	American Automobile Insurance Company	300953	Agent - Property	10/13/2014
Active	American Home Assurance Company	300246	Agent - Casualty	8/10/2005
Active	American Home Assurance Company	300246	Agent - Property	8/10/2005
Active	Arch Insurance Company	300688	Agent - Casualty	10/8/2008
Active	Arch Insurance Company	300688	Agent - Property	10/8/2008
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Casualty	10/18/2011	10/3/2013
Inactive	Atlantic Specialty Insurance Company	518595	Agent - Property	10/18/2011	10/3/2013
Active	Bankers Standard Insurance Company	301620	Agent - Casualty	2/25/2016
Active	Bankers Standard Insurance Company	301620	Agent - Property	2/25/2016
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	9/7/2004	12/9/2013
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	9/7/2004	12/9/2013
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/19/2016	10/13/2022
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/19/2016	10/13/2022
Active	Employers Insurance Company of Wausau	301813	Agent - Casualty	11/18/2014
Active	Employers Insurance Company of Wausau	301813	Agent - Property	11/18/2014
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Casualty	4/17/2009	10/4/2012
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Property	4/17/2009	10/4/2012
Inactive	Farmington Casualty Company	301137	Agent - Casualty	5/9/2006	12/9/2013
Inactive	Farmington Casualty Company	301137	Agent - Property	5/9/2006	12/9/2013
Active	Fireman's Fund Insurance Company	301423	Agent - Casualty	5/14/2009
Active	Fireman's Fund Insurance Company	301423	Agent - Property	5/14/2009
Active	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	11/18/2014
Active	First Liberty Insurance Corporation (The)	301060	Agent - Property	11/18/2014
Inactive	Great American Insurance Company	301586	Agent - Casualty	4/11/2005	8/1/2019
Inactive	Great American Insurance Company	301586	Agent - Property	4/11/2005	8/1/2019
Active	Hanover American Insurance Company (The)	300447	Agent - Casualty	8/26/2022
Active	Hanover American Insurance Company (The)	300447	Agent - Property	8/26/2022
Active	Hanover Insurance Company (The)	300508	Agent - Casualty	8/26/2022
Active	Hanover Insurance Company (The)	300508	Agent - Property	8/26/2022
Active	Hartford Fire Insurance Company	300628	Agent - Casualty	2/13/2012
Active	Hartford Fire Insurance Company	300628	Agent - Property	2/13/2012
Active	Illinois National Insurance Company	301367	Agent - Casualty	7/5/2005
Active	Illinois National Insurance Company	301367	Agent - Property	7/5/2005
Active	Indemnity Insurance Company of North America	301760	Agent - Casualty	2/25/2016
Active	Indemnity Insurance Company of North America	301760	Agent - Property	2/25/2016
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/19/2016	2/3/2023
Inactive	Indiana Insurance Company	301909	Agent - Property	10/19/2016	2/3/2023
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	7/5/2005
Active	Insurance Company of the State of Pennsylvania	300807	Agent - Property	7/5/2005
Active	LM Insurance Corporation	301061	Agent - Casualty	11/18/2014
Active	LM Insurance Corporation	301061	Agent - Property	11/18/2014
Active	Liberty Insurance Corporation	300444	Agent - Casualty	11/18/2014
Active	Liberty Insurance Corporation	300444	Agent - Property	11/18/2014
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	11/18/2014
Active	Liberty Mutual Fire Insurance Company	301913	Agent - Property	11/18/2014
Active	Liberty Mutual Insurance Company	301159	Agent - Casualty	11/5/2010
Active	Liberty Mutual Insurance Company	301159	Agent - Property	11/5/2010
Active	Massachusetts Bay Insurance Company	300898	Agent - Casualty	8/26/2022
Active	Massachusetts Bay Insurance Company	300898	Agent - Property	8/26/2022
Active	Midwest Employers Casualty Company	300124	Agent - Casualty	7/15/2005
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Casualty	2/9/2012	8/3/2015
Inactive	Mount Vernon Fire Insurance Company	301397	Agent - Property	2/9/2012	8/3/2015
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	7/5/2005
Active	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	7/5/2005
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/19/2016	4/26/2024
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/19/2016	4/26/2024
Inactive	Northern Assurance Company of America The	301331	Agent - Casualty	10/16/2008	10/17/2012
Inactive	Northern Assurance Company of America The	301331	Agent - Property	10/16/2008	10/17/2012
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	1/30/2006	12/17/2014
Inactive	Northern Insurance Company of New York	301317	Agent - Property	1/30/2006	12/17/2014
Active	Ohio Security Insurance Company	300622	Agent - Casualty	9/26/2017
Active	Ohio Security Insurance Company	300622	Agent - Property	9/26/2017
Active	Pacific Employers Insurance Company	301753	Agent - Casualty	2/25/2016
Active	Pacific Employers Insurance Company	301753	Agent - Property	2/25/2016
Active	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/19/2016
Active	Peerless Indemnity Insurance Company	571682	Agent - Property	10/19/2016
Active	Peerless Insurance Company	301910	Agent - Casualty	10/19/2016
Active	Peerless Insurance Company	301910	Agent - Property	10/19/2016
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	8/15/2000	12/3/2014
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - General Lines	3/5/1999	8/15/2000
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	8/15/2000	12/3/2014
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	5/9/2006	12/9/2013
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	5/9/2006	12/9/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	9/7/2004	12/9/2013
Inactive	The Phoenix Insurance Company	301502	Agent - Property	9/7/2004	12/9/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	5/9/2006	12/9/2013
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	5/9/2006	12/9/2013
Active	Travelers Casualty and Surety Company	301067	Agent - Casualty	9/7/2004
Active	Travelers Casualty and Surety Company	301067	Agent - Property	9/7/2004
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	5/9/2006	8/2/2013
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	5/9/2006	8/2/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	9/7/2004	12/9/2013
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	9/7/2004	12/9/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	9/7/2004	12/9/2013
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	9/7/2004	12/9/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	9/7/2004	12/9/2013
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	9/7/2004	12/9/2013
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	9/7/2004	12/9/2013
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	9/7/2004	12/9/2013
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Casualty	11/18/2014	8/31/2015
Inactive	Wausau Underwriters Insurance Company	301105	Agent - Property	11/18/2014	8/31/2015
Active	West American Insurance Company	301112	Agent - Casualty	3/9/2021
Active	West American Insurance Company	301112	Agent - Property	3/9/2021
Active	XL Specialty Insurance Company	301605	Agent - Casualty	10/31/2017
Active	XL Specialty Insurance Company	301605	Agent - Property	10/31/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Marsh & Mclennan Agency LLC	716460	Agent - Property	2/11/2025
Active	Marsh & Mclennan Agency LLC	716460	Agent - Casualty	2/11/2025
Inactive	McGriff Seibels & Williams Of Missouri Inc	605292	Agent - Property	3/18/2005	7/12/2017
Inactive	McGriff Seibels & Williams Of Missouri Inc	605292	Agent - Casualty	3/18/2005	7/12/2017
Active	Mcgriff Insurance Services, LLC	400877	Agent - Property	12/28/2020
Active	Mcgriff Insurance Services, LLC	400877	Agent - Casualty	12/28/2020
Active	Mcgriff Insurance Services, LLC	400877	Property & Casualty Consultant - Not Applicable	12/28/2020
Inactive	Mcgriff Seibels & Williams Inc	593804	Agent - Property	3/17/2017	3/31/2022
Inactive	Mcgriff Seibels & Williams Inc	593804	Agent - Casualty	3/17/2017	3/31/2022