DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Reavis, Brandon L	DOIID	517532	NAIC NPN	4250626

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	11/20/2019	7/31/2022
Inactive	Non Resident	Agent	Casualty	11/20/2019	7/31/2022
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	3/15/2006	5/7/2009
* 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 Interstate Insurance Company	301092	Agent - Casualty	3/15/2006	5/13/2009
Inactive	American Interstate Insurance Company	301092	Agent - Property	2/7/2007	5/13/2009
Inactive	Legion Insurance Company	301490	Agent - Casualty	11/1/2001	7/1/2003
Inactive	Legion Insurance Company	301490	Agent - Property	1/23/2002	7/1/2003
Inactive	Silver Oak Casualty, Inc.	517101	Agent - Casualty	7/12/2006	5/13/2009
Inactive	Silver Oak Casualty, Inc.	517101	Agent - Property	2/7/2007	5/13/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Amerisafe General Agency Inc	400210	Agent - Casualty	3/15/2006	5/7/2009
Inactive	Amerisafe General Agency Inc	400210	Agent - Property	2/7/2007	5/7/2009