DEPARTMENT OF INSURANCE

Affiliations

Name	PICA Group Services Inc.	DOIID	401323	NAIC NPN	1642610

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Administrator	Not Applicable	3/7/1997	3/6/2012
Denied	Non Resident	Agent	Personal Lines
Inactive	Resident	Agent	General Lines	12/16/1997	8/15/2000
Inactive	Non Resident	Agent	Life	4/19/2006	3/27/2012
Inactive	Non Resident	Agent	Property	4/21/2006	3/27/2012
Inactive	Non Resident	Agent	Health	4/19/2006	3/27/2012
Inactive	Non Resident	Agent	Casualty	4/19/2006	3/27/2012
* 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 General Assurance Company	300586	Agent - Health	9/21/2006	7/28/2011
Inactive	American General Assurance Company	300586	Agent - Life	9/21/2006	7/28/2011
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	4/30/2009	3/27/2012
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	4/30/2009	3/27/2012
Denied	American Guarantee and Liability Insurance Company	301216	Agent - Casualty
Inactive	American Guarantee and Liability Insurance Company	301216	Agent - General Lines	12/16/1997	8/15/2000
Denied	American Guarantee and Liability Insurance Company	301216	Agent - Property
Denied	American Zurich Insurance Company	300592	Agent - Casualty
Inactive	American Zurich Insurance Company	300592	Agent - General Lines	12/16/1997	8/15/2000
Denied	American Zurich Insurance Company	300592	Agent - Property
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	12/1/2008	3/27/2012
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	12/1/2008	3/27/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/1/2008	3/27/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/1/2008	3/27/2012
Denied	Assurance Company of America	300432	Agent - Casualty
Denied	Assurance Company of America	300432	Agent - Property
Denied	CAMICO Mutual Insurance Company	517952	Agent - Casualty
Inactive	CAMICO Mutual Insurance Company	517952	Agent - Property	11/20/2008	3/27/2012
Inactive	Carolina Casualty Insurance Company	300271	Agent - Casualty	10/20/2009	3/27/2012
Inactive	Carolina Casualty Insurance Company	300271	Agent - Property	10/20/2009	3/27/2012
Denied	Glatfelter Insurance Company	301640	Agent - Casualty
Denied	Glatfelter Insurance Company	301640	Agent - Property
Inactive	Greenwich Insurance Company	301754	Agent - Casualty	2/12/2008	3/27/2012
Inactive	Greenwich Insurance Company	301754	Agent - Property	2/12/2008	3/27/2012
Denied	Gulf Insurance Company	300761	Agent - Casualty
Denied	Gulf Insurance Company	300761	Agent - Property
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	6/19/2009	3/27/2012
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	6/19/2009	3/27/2012
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	6/19/2009	3/27/2012
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	6/19/2009	3/27/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	1/14/2010	3/27/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	1/14/2010	3/27/2012
Inactive	MEDMARC Casualty Insurance Company	301619	Agent - Casualty	10/22/2001	7/1/2002
Denied	Maryland Casualty Company	301719	Agent - Casualty
Denied	Maryland Casualty Company	301719	Agent - Property
Inactive	New York Life Insurance Company	300431	Agent - Health	10/11/2006	12/2/2011
Inactive	New York Life Insurance Company	300431	Agent - Life	10/11/2006	12/2/2011
Denied	Northern Insurance Company of New York	301317	Agent - Casualty
Denied	Northern Insurance Company of New York	301317	Agent - Property
Inactive	PACO Assurance Company, Inc.	547622	Agent - Casualty	1/25/2007	12/31/2011
Inactive	ProAssurance Insurance Company of America	300016	Agent - Casualty	3/13/2009	12/31/2011
Inactive	Pruco Life Insurance Company	300954	Agent - Health	10/20/2009	3/27/2012
Inactive	Pruco Life Insurance Company	300954	Agent - Life	10/20/2009	3/27/2012
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	7/13/2010	3/27/2012
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	7/13/2010	3/27/2012
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	1/22/2010	3/27/2012
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	1/22/2010	3/27/2012
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	9/18/2006	7/28/2011
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	9/18/2006	7/28/2011
Denied	Zurich American Insurance Company	301121	Agent - Casualty
Inactive	Zurich American Insurance Company	301121	Agent - General Lines	12/16/1997	8/15/2000
Denied	Zurich American Insurance Company	301121	Agent - Property
Denied	Zurich American Insurance Company of Illinois	301805	Agent - Casualty
Inactive	Zurich American Insurance Company of Illinois	301805	Agent - General Lines	12/16/1997	8/15/2000
Denied	Zurich American Insurance Company of Illinois	301805	Agent - Property

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brown, Amberry L	361072	Administrator - Not Applicable	3/7/1997	12/31/2012
Inactive	Brown, Amberry L	361072	Agent - Casualty	4/19/2006	3/27/2012
Inactive	Brown, Amberry L	361072	Agent - Health	4/19/2006	3/27/2012
Inactive	Brown, Amberry L	361072	Agent - Life	4/19/2006	3/27/2012
Inactive	Brown, Amberry L	361072	Agent - Property	4/19/2006	3/27/2012
Inactive	Lafferre, Bruce Allen	327706	Administrator - Not Applicable	3/7/1997	3/6/2012
Inactive	Lafferre, Bruce Allen	327706	Agent - Casualty	8/15/2000	7/1/2002
Inactive	Lafferre, Bruce Allen	327706	Agent - General Lines	12/16/1997	8/15/2000
Inactive	Lafferre, Bruce Allen	327706	Agent - Property	8/15/2000	7/1/2002