DEPARTMENT OF INSURANCE

Affiliations

Name	National Insurance Group, Inc.	DOIID	535697	NAIC NPN	2099719

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	2/4/2002	9/6/2006
Inactive	Non Resident	Agent	Life	2/4/2002	3/31/2007
Inactive	Non Resident	Agent	Property	9/21/2001	3/31/2007
Inactive	Non Resident	Agent	Casualty	9/21/2001	3/31/2007
* 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 Bankers Insurance Company of Florida	300360	Agent - Casualty	10/28/2002	11/19/2003
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	10/28/2002	11/19/2003
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/16/2001	6/4/2003
Inactive	American Economy Insurance Company	300315	Agent - Property	11/16/2001	6/4/2003
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	6/16/2003	6/30/2004
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	6/16/2003	6/30/2004
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	10/28/2002	11/19/2003
Inactive	American Reliable Insurance Company	301889	Agent - Property	10/28/2002	11/19/2003
Inactive	American States Insurance Company	301230	Agent - Casualty	9/21/2001	6/20/2003
Inactive	American States Insurance Company	301230	Agent - Property	9/21/2001	6/20/2003
Inactive	American States Preferred Insurance Company	300609	Agent - Casualty	11/16/2001	6/20/2003
Inactive	American States Preferred Insurance Company	300609	Agent - Property	11/16/2001	6/20/2003
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	12/21/2004	7/13/2006
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	12/21/2004	7/13/2006
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Casualty	12/21/2004	7/13/2006
Inactive	Charter Oak Fire Insurance Company (The)	301501	Agent - Property	12/21/2004	7/13/2006
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	3/15/2005	5/10/2007
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	3/15/2005	5/10/2007
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	3/15/2005	5/10/2007
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	3/15/2005	5/10/2007
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	3/15/2005	5/10/2007
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	3/15/2005	5/10/2007
Inactive	Farmington Casualty Company	301137	Agent - Casualty	5/9/2006	7/13/2006
Inactive	Farmington Casualty Company	301137	Agent - Property	5/9/2006	7/13/2006
Inactive	First National Insurance Company of America	301690	Agent - Casualty	11/16/2001	6/4/2003
Inactive	First National Insurance Company of America	301690	Agent - Property	11/16/2001	6/4/2003
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/19/2004	10/2/2006
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/19/2004	3/31/2007
Inactive	General Insurance Company of America	300261	Agent - Casualty	11/16/2001	6/4/2003
Inactive	General Insurance Company of America	300261	Agent - Property	11/16/2001	6/4/2003
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	3/15/2005	5/10/2007
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	3/15/2005	5/10/2007
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/24/2004	3/31/2007
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	3/24/2004	3/31/2007
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	11/12/2002	3/31/2007
Inactive	Progressive Max Insurance Company	301034	Agent - Property	11/12/2002	3/31/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	11/12/2002	3/31/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	11/12/2002	3/31/2007
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	11/12/2002	12/28/2005
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	11/12/2002	12/28/2005
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	11/16/2001	6/4/2003
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	11/16/2001	6/4/2003
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	11/16/2001	6/4/2003
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	11/16/2001	6/4/2003
Inactive	Sagamore Insurance Company	300942	Agent - Casualty	12/7/2005	3/31/2007
Inactive	Sagamore Insurance Company	300942	Agent - Property	12/7/2005	3/31/2007
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Casualty	12/22/2004	7/13/2006
Inactive	St. Paul Fire and Marine Insurance Company	300782	Agent - Property	12/22/2004	7/13/2006
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	12/21/2004	7/13/2006
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	12/21/2004	7/13/2006
Inactive	Symetra Life Insurance Company	301691	Agent - Health	2/4/2002	12/28/2004
Inactive	Symetra Life Insurance Company	301691	Agent - Life	2/4/2002	12/28/2004
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	12/21/2004	7/13/2006
Inactive	The Phoenix Insurance Company	301502	Agent - Property	12/21/2004	7/13/2006
Inactive	TravCo Insurance Company	301828	Agent - Casualty	12/21/2004	7/13/2006
Inactive	TravCo Insurance Company	301828	Agent - Property	12/21/2004	7/13/2006
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	12/21/2004	7/13/2006
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	12/21/2004	7/13/2006
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Casualty	5/9/2006	7/13/2006
Inactive	Travelers Casualty Insurance Company of America	300522	Agent - Property	5/9/2006	7/13/2006
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	12/21/2004	7/13/2006
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	12/21/2004	7/13/2006
Inactive	Travelers Commercial Casualty Company	301695	Agent - Casualty	5/9/2006	7/13/2006
Inactive	Travelers Commercial Casualty Company	301695	Agent - Property	5/9/2006	7/13/2006
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/19/2005	7/13/2006
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/19/2005	7/13/2006
Inactive	Travelers Indemnity Company (The)	301855	Agent - Casualty	12/21/2004	7/13/2006
Inactive	Travelers Indemnity Company (The)	301855	Agent - Property	12/21/2004	7/13/2006
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	12/21/2004	7/13/2006
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	12/21/2004	7/13/2006
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Casualty	12/21/2004	7/13/2006
Inactive	Travelers Indemnity Company of Connecticut (The)	301591	Agent - Property	12/21/2004	7/13/2006
Inactive	Travelers Property Casualty Company of America	301649	Agent - Casualty	12/21/2004	7/13/2006
Inactive	Travelers Property Casualty Company of America	301649	Agent - Property	12/21/2004	7/13/2006
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	12/21/2004	7/13/2006
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	12/21/2004	7/13/2006
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	1/10/2005	9/29/2005
Inactive	Western Surety Company	300283	Agent - Casualty	9/11/2002	10/23/2006

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cooper, Edward Culpepper	349298	Agent - Casualty	9/21/2001	2/13/2003
Inactive	Cooper, Edward Culpepper	349298	Agent - Health	2/4/2002	2/13/2003
Inactive	Cooper, Edward Culpepper	349298	Agent - Life	2/4/2002	2/13/2003
Inactive	Cooper, Edward Culpepper	349298	Agent - Property	9/21/2001	2/13/2003
Inactive	Norwood, Robert James	373307	Agent - Casualty	9/21/2001	3/31/2007
Denied	Norwood, Robert James	373307	Agent - Health
Inactive	Norwood, Robert James	373307	Agent - Life	9/6/2006	3/31/2007
Inactive	Norwood, Robert James	373307	Agent - Property	9/21/2001	3/31/2007