DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Premier Insurance Services Inc.	DOIID	401096	NAIC NPN	7222916

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	8/15/2000	6/25/2001
Inactive	Resident	Agent	General Lines	12/21/1995	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	6/25/2001
* 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	Vanliner Insurance Company	301420	Agent - Casualty	8/15/2000	6/25/2001
Inactive	Vanliner Insurance Company	301420	Agent - General Lines	12/21/1995	8/15/2000
Inactive	Vanliner Insurance Company	301420	Agent - Property	8/15/2000	6/25/2001

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wallace, Mildred Layman	313645	Agent - Casualty	8/15/2000	6/25/2001
Inactive	Wallace, Mildred Layman	313645	Agent - General Lines	12/21/1995	8/15/2000
Inactive	Wallace, Mildred Layman	313645	Agent - Property	8/15/2000	6/25/2001