DEPARTMENT OF INSURANCE

Affiliations

Name	Branham Insurance Services Inc.	DOIID	398580	NAIC NPN	7221017

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	12/26/1996	3/31/2008
Inactive	Resident	Agent	General Lines	10/29/1996	8/15/2000
Inactive	Resident	Agent	Life	12/26/1996	3/31/2008
Inactive	Resident	Agent	Property	8/15/2000	3/31/2008
Inactive	Resident	Agent	Casualty	8/15/2000	3/31/2008
* 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 Home Assurance Company	300246	Agent - Casualty	8/15/2000	6/23/2004
Inactive	American Home Assurance Company	300246	Agent - General Lines	1/19/2000	8/15/2000
Inactive	American Home Assurance Company	300246	Agent - Property	8/15/2000	6/23/2004
Inactive	American Interstate Insurance Company	301092	Agent - Casualty	8/15/2000	1/22/2004
Inactive	American Interstate Insurance Company	301092	Agent - General Lines	6/23/1999	8/15/2000
Inactive	Cumberland Surety Insurance Company Inc.	300112	Agent - General Lines	12/1/1999	8/15/2000
Inactive	Guaranty National Insurance Company	301419	Agent - Casualty	8/15/2000	12/28/2006
Inactive	Guaranty National Insurance Company	301419	Agent - General Lines	10/29/1996	8/15/2000
Inactive	Guaranty National Insurance Company	301419	Agent - Property	8/15/2000	12/28/2006
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	4/13/2000	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	3/31/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	4/13/2000	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	3/31/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	4/13/2000	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	3/31/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	4/13/2000	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	3/31/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	4/13/2000	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	3/31/2008
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Casualty	8/15/2000	6/23/2004
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - General Lines	1/19/2000	8/15/2000
Inactive	Insurance Company of the State of Pennsylvania	300807	Agent - Property	8/15/2000	6/23/2004
Inactive	Kentucky National Insurance Company	301625	Agent - General Lines	2/1/2000	8/15/2000
Inactive	National Summit Insurance Company	300348	Agent - Casualty	8/15/2000	1/26/2004
Inactive	National Summit Insurance Company	300348	Agent - General Lines	2/21/2000	8/15/2000
Inactive	National Summit Insurance Company	300348	Agent - Property	8/15/2000	1/26/2004
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	8/15/2000	6/23/2004
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - General Lines	4/27/1998	8/15/2000
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	8/15/2000	6/23/2004
Inactive	Old Republic Insurance Company	301225	Agent - General Lines	12/23/1996	11/23/1998
Inactive	Omni Indemnity Company	301456	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Omni Indemnity Company	301456	Agent - General Lines	4/21/2000	8/15/2000
Inactive	Omni Indemnity Company	301456	Agent - Property	8/15/2000	3/31/2008
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	8/30/1999	8/15/2000
Inactive	Progressive Northern Insurance Company	301378	Agent - General Lines	8/30/1999	8/15/2000
Inactive	Progressive Northwestern Insurance Company	300441	Agent - General Lines	8/30/1999	8/15/2000
Inactive	Protective Property & Casualty Insurance Company	300393	Agent - Casualty	11/13/2000	1/24/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/27/1997	10/24/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/27/1997	10/24/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	12/26/1996	1/2/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	12/26/1996	1/2/2003
Inactive	Security Insurance Company of Hartford	300973	Agent - Casualty	12/28/2006	9/15/2007
Inactive	Security Insurance Company of Hartford	300973	Agent - Property	12/28/2006	9/15/2007
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Trumbull Insurance Company	300242	Agent - General Lines	4/21/2000	8/15/2000
Inactive	Trumbull Insurance Company	300242	Agent - Property	8/15/2000	3/31/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	4/13/2000	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	3/31/2008
Inactive	Western Surety Company	300283	Agent - General Lines	12/13/1996	8/15/2000

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bishop, Pamela E	519885	Agent - Casualty	1/12/2005	3/31/2008
Inactive	Bishop, Pamela E	519885	Agent - Property	1/12/2005	3/31/2008
Inactive	Branham, Robert Allen	377583	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Branham, Robert Allen	377583	Agent - General Lines	12/26/1996	8/15/2000
Inactive	Branham, Robert Allen	377583	Agent - Health	12/26/1996	10/24/2003
Inactive	Branham, Robert Allen	377583	Agent - Life	12/26/1996	10/24/2003
Inactive	Branham, Robert Allen	377583	Agent - Property	8/15/2000	3/31/2008
Inactive	Clark, Guy D	352527	Agent - Casualty	1/12/2005	3/31/2007
Inactive	Clark, Guy D	352527	Agent - Property	1/12/2005	3/31/2007
Inactive	Cooley-Ratliff, Ina Mae	370479	Agent - Casualty	1/12/2005	3/31/2008
Inactive	Cooley-Ratliff, Ina Mae	370479	Agent - Property	1/12/2005	3/31/2008
Inactive	Daugherty, Mark Edward	342356	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Daugherty, Mark Edward	342356	Agent - General Lines	5/19/2000	8/15/2000
Inactive	Daugherty, Mark Edward	342356	Agent - Health	3/3/2004	3/31/2008
Inactive	Daugherty, Mark Edward	342356	Agent - Life	3/3/2004	3/31/2008
Inactive	Daugherty, Mark Edward	342356	Agent - Property	8/15/2000	3/31/2008
Inactive	Epling-Wheeler, Crystal Lynn	313680	Agent - Casualty	1/12/2005	3/31/2008
Inactive	Epling-Wheeler, Crystal Lynn	313680	Agent - Property	1/12/2005	3/31/2008
Inactive	Porter, John Richard	307557	Agent - Casualty	1/12/2005	3/31/2008
Inactive	Porter, John Richard	307557	Agent - Property	1/12/2005	3/31/2008
Inactive	Shepherd, Darcus	304437	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Shepherd, Darcus	304437	Agent - General Lines	5/19/2000	8/15/2000
Inactive	Shepherd, Darcus	304437	Agent - Property	8/15/2000	3/31/2008
Inactive	Sturgill, Mitchell Dean	305276	Agent - Casualty	8/15/2000	3/31/2008
Inactive	Sturgill, Mitchell Dean	305276	Agent - General Lines	5/19/2000	8/15/2000
Inactive	Sturgill, Mitchell Dean	305276	Agent - Health	5/19/2000	10/24/2003
Inactive	Sturgill, Mitchell Dean	305276	Agent - Life	5/19/2000	10/24/2003
Inactive	Sturgill, Mitchell Dean	305276	Agent - Property	8/15/2000	3/31/2008