DEPARTMENT OF INSURANCE

Affiliations

Name	Employers Risk Services	DOIID	401298	NAIC NPN	2877799

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Adjuster	Independent	7/27/1994	3/31/2008
Inactive	Resident	Administrator	Not Applicable	7/23/1997	3/31/2008
Inactive	Resident	Agent	Life	10/29/1998	9/6/2006
Inactive	Resident	Agent	Health	10/29/1998	9/6/2006
Inactive	Resident	Agent	Casualty	8/15/2000	9/6/2006
Inactive	Resident	Agent	General Lines	9/29/1998	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	9/6/2006
Inactive	Resident	Managing General Agent	Not Applicable	9/29/1998	3/31/2000
* 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 Alternative Insurance Corporation	301697	Agent - Casualty	8/15/2000	1/30/2006
Inactive	American Alternative Insurance Corporation	301697	Agent - General Lines	9/29/1998	8/15/2000
Inactive	American Alternative Insurance Corporation	301697	Agent - Property	8/15/2000	1/30/2006
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/29/1998	3/1/2005
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/29/1998	3/1/2005
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	8/26/2004	12/2/2005
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	8/26/2004	12/2/2005

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Berman, Louis Mayer	341775	Administrator - Not Applicable	7/23/1997	1/1/2000
Inactive	Berman, Louis Mayer	341775	Managing General Agent - Not Applicable	9/29/1998	1/1/2000
Inactive	Clack, Rebecca Jean Frew	361328	Adjuster - Independent	7/14/1994	3/31/1998
Inactive	Ford, Jeffrey E	371338	Adjuster - Independent	7/7/1997	2/26/2001
Inactive	Fugate, Tiffany Lynn	506008	Independent Adjuster - Property & Casualty	7/30/2001	3/31/2008
Inactive	Greer, Cathy Ann	349911	Adjuster - Independent	1/16/1997	3/31/1998
Inactive	Hammons, Karen Rae	329428	Adjuster - Independent	5/5/2000	2/26/2001
Inactive	Hardin, Melissa Diane	515871	Adjuster - Independent	11/13/2001	7/2/2005
Denied	Heming, Gerald	314411	Administrator - Not Applicable
Inactive	Heming, Gerald	314411	Agent - Casualty	1/8/2004	1/30/2006
Inactive	Heming, Gerald	314411	Agent - Property	1/8/2004	1/30/2006
Inactive	Henning, Amanda Leigh	502658	Adjuster - Independent	7/30/2001	3/22/2002
Inactive	Hightower, Lee Crawford	375504	Adjuster - Independent	4/27/2000	2/26/2001
Denied	Jordan, Steve	523945	Adjuster - Independent
Inactive	Joslin, Rebecca Lynn	378764	Adjuster - Independent	3/31/1996	12/24/1998
Inactive	Madison, Karen Michelle	515867	Adjuster - Independent	7/30/2001	7/30/2001
Inactive	Massey, Leigh Anne	303039	Independent Adjuster - Property & Casualty	7/30/2001	3/31/2008
Inactive	McAlister, Kimberly Nunn	363873	Independent Adjuster - Property & Casualty	9/26/1997	7/31/2005
Inactive	Mcclure, Gary Lynn	310917	Agent - Health	6/7/2004	12/2/2005
Inactive	Mcclure, Gary Lynn	310917	Agent - Life	6/7/2004	12/2/2005
Inactive	Nichols, Barbara Lynn	503686	Adjuster - Independent	7/30/2001	1/31/2005
Inactive	Renfro, Tim A	369874	Administrator - Not Applicable	7/23/1997	3/31/2001
Inactive	Renfro, Tim A	369874	Agent - Casualty	8/15/2000	1/8/2004
Inactive	Renfro, Tim A	369874	Agent - General Lines	9/29/1998	8/15/2000
Inactive	Renfro, Tim A	369874	Agent - Property	8/15/2000	1/8/2004
Inactive	Renfro, Tim A	369874	Managing General Agent - Not Applicable	9/29/1998	3/31/2000
Inactive	Stinson, Linda Sue	359492	Adjuster - Independent	6/2/1997	2/27/2004
Denied	Taylor, William Howard	523704	Administrator - Not Applicable
Inactive	Terhune, Reed Lee	502364	Adjuster - Independent	7/30/2001	3/31/2008
Inactive	Turner, Donald Silas	374893	Adjuster - Independent	9/27/1994	2/26/2001
Inactive	Turner, Donald Silas	374893	Administrator - Not Applicable	7/23/1997	3/31/2001
Inactive	Turner, Russell Robert	341036	Adjuster - Independent	4/16/1997	3/14/2002
Inactive	Turner, Russell Robert	341036	Administrator - Not Applicable	3/27/2001	9/30/2006
Inactive	Van Meter, William Baggett	306513	Administrator - Not Applicable	7/23/1997	3/31/2001
Inactive	Van Meter, William Baggett	306513	Agent - General Lines	9/29/1998	8/15/2000
Inactive	Van Meter, William Baggett	306513	Managing General Agent - Not Applicable	9/29/1998	3/31/2000