DEPARTMENT OF INSURANCE

Affiliations

Name	Assurant Dealer Services, Inc	DOIID	399660	NAIC NPN	8191700

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	9/22/2003		3/31/2025
Active	Non Resident	Agent	Casualty	9/22/2003		3/31/2025
Active	Non Resident	Agent	Health	9/22/2003		3/31/2025
Inactive	Non Resident	Agent	Life	9/22/2003	7/27/2022
* 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	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Bankers Insurance Company of Florida	300360	Agent - Casualty	4/11/2024
Active	American Bankers Insurance Company of Florida	300360	Agent - Property	4/11/2024
Inactive	Resource Life Insurance Company	300284	Agent - Health	11/23/2009	11/23/2016
Inactive	Resource Life Insurance Company	300284	Agent - Life	11/23/2009	11/23/2016
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Health	10/2/1995	11/4/1998
Inactive	Union Fidelity Life Insurance Company	301136	Agent - Life	10/2/1995	11/4/1998
Active	Virginia Surety Company, Inc.	301022	Agent - Casualty	10/30/2014
Active	Virginia Surety Company, Inc.	301022	Agent - Property	10/30/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Alexander, Dennis Keith	325381	Agent - Casualty	10/21/2022
Active	Alexander, Dennis Keith	325381	Agent - Health	10/21/2022
Active	Alexander, Dennis Keith	325381	Agent - Property	10/21/2022
Inactive	Barrett, Stephen W	788082	Agent - Casualty	2/20/2013	2/8/2022
Inactive	Barrett, Stephen W	788082	Agent - Health	2/20/2013	11/10/2016
Inactive	Barrett, Stephen W	788082	Agent - Life	2/20/2013	4/28/2022
Inactive	Barrett, Stephen W	788082	Agent - Property	2/20/2013	2/8/2022
Active	Bauer, Ashley	635468	Agent - Casualty	3/26/2015
Active	Bauer, Ashley	635468	Agent - Health	3/26/2015
Inactive	Bauer, Ashley	635468	Agent - Life	3/26/2015	11/11/2016
Active	Bauer, Ashley	635468	Agent - Property	3/26/2015
Inactive	England, John E	622843	Agent - Casualty	1/29/2007	11/7/2014
Inactive	England, John E	622843	Agent - Health	1/29/2007	11/7/2014
Inactive	England, John E	622843	Agent - Life	1/29/2007	11/7/2014
Inactive	England, John E	622843	Agent - Property	1/29/2007	11/7/2014
Inactive	Lewis, Timothy J	573859	Agent - Casualty	8/27/2004	3/26/2015
Inactive	Lewis, Timothy J	573859	Agent - Health	8/27/2004	3/26/2015
Inactive	Lewis, Timothy J	573859	Agent - Life	8/27/2004	3/26/2015
Inactive	Lewis, Timothy J	573859	Agent - Property	8/27/2004	3/26/2015
Inactive	Lowery, Robert Sam	586340	Agent - Casualty	1/25/2005	2/15/2010
Inactive	Lowery, Robert Sam	586340	Agent - Health	1/25/2005	2/18/2010
Inactive	Lowery, Robert Sam	586340	Agent - Life	1/25/2005	2/18/2010
Inactive	Lowery, Robert Sam	586340	Agent - Property	1/25/2005	2/15/2010
Inactive	Moir, Kevin D.	326689	Agent - Health	10/2/1995	11/4/1998
Inactive	Moir, Kevin D.	326689	Agent - Life	10/2/1995	11/4/1998
Inactive	Pacholski, Richard J	355024	Agent - Health	8/27/2004	1/29/2007
Inactive	Pacholski, Richard J	355024	Agent - Life	8/27/2004	1/29/2007
Inactive	Phillips, Douglas A	552718	Agent - Casualty	8/27/2004	9/6/2007
Inactive	Phillips, Douglas A	552718	Agent - Health	8/27/2004	9/6/2007
Inactive	Phillips, Douglas A	552718	Agent - Life	8/27/2004	9/6/2007
Inactive	Phillips, Douglas A	552718	Agent - Property	8/27/2004	9/6/2007
Inactive	Robinson, Charles Alexander	392518	Agent - Casualty	9/22/2003	8/27/2004
Inactive	Robinson, Charles Alexander	392518	Agent - Health	9/22/2003	8/27/2004
Inactive	Robinson, Charles Alexander	392518	Agent - Life	9/22/2003	8/27/2004
Inactive	Robinson, Charles Alexander	392518	Agent - Property	9/22/2003	8/27/2004
Inactive	Schober, Donald Duane	394359	Agent - Health	9/22/2003	3/26/2015
Inactive	Schober, Donald Duane	394359	Agent - Life	9/22/2003	3/26/2015
Inactive	Thomas, Justin Carter	774682	Agent - Casualty	2/8/2013	3/26/2015
Inactive	Thomas, Justin Carter	774682	Agent - Health	4/22/2013	3/26/2015
Inactive	Thomas, Justin Carter	774682	Agent - Life	4/22/2013	3/26/2015
Inactive	Thomas, Justin Carter	774682	Agent - Property	2/8/2013	3/26/2015
Inactive	Ware, Nicholas James	578692	Agent - Casualty	8/27/2004	8/31/2006
Inactive	Ware, Nicholas James	578692	Agent - Health	8/27/2004	6/15/2005
Inactive	Ware, Nicholas James	578692	Agent - Life	8/27/2004	6/15/2005
Inactive	Ware, Nicholas James	578692	Agent - Property	8/27/2004	8/31/2006