DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	CIADS Agency Inc	DOIID	510335	NAIC NPN	2516503

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	6/29/2017		3/31/2025
Active	Non Resident	Agent	Health	6/29/2017		3/31/2025
Inactive	Non Resident	Agent	Property	6/21/2007	12/1/2016
Inactive	Non Resident	Agent	Casualty	6/21/2007	12/1/2016
* 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
Inactive	ACE American Insurance Company	300625	Agent - Casualty	4/6/2004	9/1/2006
Inactive	ACE American Insurance Company	300625	Agent - Property	4/6/2004	9/1/2006
Inactive	American Security Insurance Company	300901	Agent - Casualty	7/5/2007	9/12/2012
Inactive	American Security Insurance Company	300901	Agent - Property	7/5/2007	9/12/2012
Active	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	9/1/2022
Active	Integrity Life Insurance Company	301687	Agent - Life	7/18/2023
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	8/20/2007	11/17/2015
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	8/20/2007	11/17/2015
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	9/8/2011	12/1/2016
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	8/29/2003	11/10/2004
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	8/29/2003	11/10/2004
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	6/26/2009	12/1/2016
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	6/26/2009	12/1/2016
Inactive	Standard Guaranty Insurance Company	300902	Agent - Casualty	7/5/2007	7/9/2008
Inactive	Standard Guaranty Insurance Company	300902	Agent - Property	7/5/2007	7/9/2008
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	8/29/2003	11/10/2004
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	8/29/2003	11/10/2004
Active	Western-Southern Life Assurance Company	301590	Agent - Health	7/18/2023
Active	Western-Southern Life Assurance Company	301590	Agent - Life	7/18/2023

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Carroll, Johnnie	547372	Agent - Casualty	6/16/2008	1/23/2009
Denied	Carroll, Johnnie	547372	Agent - Health
Denied	Carroll, Johnnie	547372	Agent - Life
Inactive	Carroll, Johnnie	547372	Agent - Property	6/16/2008	1/23/2009
Active	Dunlap, Peter Austin	537652	Agent - Health	6/29/2017
Active	Dunlap, Peter Austin	537652	Agent - Life	6/29/2017
Inactive	Kaye, Ramonda Michelle	559362	Agent - Casualty	6/21/2007	9/30/2016
Inactive	Kaye, Ramonda Michelle	559362	Agent - Health	6/21/2007	9/30/2016
Inactive	Kaye, Ramonda Michelle	559362	Agent - Life	6/21/2007	9/30/2016
Inactive	Kaye, Ramonda Michelle	559362	Agent - Property	6/21/2007	9/30/2016
Inactive	Starks, J Rockne	559363	Agent - Casualty	2/25/2003	6/30/2006
Inactive	Starks, J Rockne	559363	Agent - Health	2/25/2003	6/30/2006
Inactive	Starks, J Rockne	559363	Agent - Life	2/25/2003	6/30/2006
Inactive	Starks, J Rockne	559363	Agent - Property	2/25/2003	6/30/2006