DEPARTMENT OF INSURANCE
Affiliations
NameCIADS Agency IncDOIID510335NAIC NPN2516503
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentHealth6/29/2017 3/31/2027
ActiveNon ResidentAgentLife6/29/2017 3/31/2027
InactiveNon ResidentAgentCasualty6/21/200712/1/2016 
InactiveNon ResidentAgentProperty6/21/200712/1/2016 
* 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
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveACE American Insurance Company300625Agent - Casualty4/6/20049/1/2006
InactiveACE American Insurance Company300625Agent - Property4/6/20049/1/2006
InactiveAmerican Security Insurance Company300901Agent - Casualty7/5/20079/12/2012
InactiveAmerican Security Insurance Company300901Agent - Property7/5/20079/12/2012
ActiveFidelity & Guaranty Life Insurance Company301359Agent - Life9/1/2022 
ActiveIntegrity Life Insurance Company301687Agent - Life7/18/2023 
InactiveMinnesota Life Insurance Company300488Agent - Health8/20/200711/17/2015
InactiveMinnesota Life Insurance Company300488Agent - Life8/20/200711/17/2015
InactiveNational Union Fire Insurance Company of Pittsburgh, Pennsylvania300959Agent - Health9/8/201112/1/2016
InactiveProvident Life and Accident Insurance Company301525Agent - Health8/29/200311/10/2004
InactiveProvident Life and Accident Insurance Company301525Agent - Life8/29/200311/10/2004
InactiveSentinel Insurance Company, Limited501696Agent - Casualty6/26/200912/1/2016
InactiveSentinel Insurance Company, Limited501696Agent - Property6/26/200912/1/2016
InactiveStandard Guaranty Insurance Company300902Agent - Casualty7/5/20077/9/2008
InactiveStandard Guaranty Insurance Company300902Agent - Property7/5/20077/9/2008
InactiveUNUM Life Insurance Company of America300817Agent - Health8/29/200311/10/2004
InactiveUNUM Life Insurance Company of America300817Agent - Life8/29/200311/10/2004
ActiveWestern-Southern Life Assurance Company301590Agent - Health7/18/2023 
ActiveWestern-Southern Life Assurance Company301590Agent - Life7/18/2023 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCarroll, Johnnie 547372Agent - Casualty6/16/20081/23/2009
DeniedCarroll, Johnnie 547372Agent - Health  
DeniedCarroll, Johnnie 547372Agent - Life  
InactiveCarroll, Johnnie 547372Agent - Property6/16/20081/23/2009
ActiveDunlap, Peter Austin 537652Agent - Health6/29/2017 
ActiveDunlap, Peter Austin 537652Agent - Life6/29/2017 
InactiveKaye, Ramonda Michelle 559362Agent - Casualty6/21/20079/30/2016
InactiveKaye, Ramonda Michelle 559362Agent - Health6/21/20079/30/2016
InactiveKaye, Ramonda Michelle 559362Agent - Life6/21/20079/30/2016
InactiveKaye, Ramonda Michelle 559362Agent - Property6/21/20079/30/2016
InactiveStarks, J Rockne 559363Agent - Casualty2/25/20036/30/2006
InactiveStarks, J Rockne 559363Agent - Health2/25/20036/30/2006
InactiveStarks, J Rockne 559363Agent - Life2/25/20036/30/2006
InactiveStarks, J Rockne 559363Agent - Property2/25/20036/30/2006

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