DEPARTMENT OF INSURANCE

Affiliations

Name	Cottongim Agency	DOIID	544617	NAIC NPN	7223452

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	1/17/2002	3/31/2026
Active	Resident	Agent	Casualty	1/17/2002	3/31/2026
Active	Resident	Agent	Life	2/11/2002	3/31/2026
Active	Resident	Agent	Health	2/11/2002	3/31/2026
* 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
Active	Allstate Indemnity Company	300778	Agent - Casualty	2/19/2002
Active	Allstate Indemnity Company	300778	Agent - Property	2/19/2002
Active	Allstate Insurance Company	300773	Agent - Casualty	1/17/2002
Active	Allstate Insurance Company	300773	Agent - Property	1/17/2002
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	2/17/2014
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	2/17/2014
Active	American Family Home Insurance Company	301817	Agent - Casualty	2/26/2024
Active	American Family Home Insurance Company	301817	Agent - Property	2/26/2024
Active	American Modern Home Insurance Company	300791	Agent - Casualty	6/14/2020
Active	American Modern Home Insurance Company	300791	Agent - Property	6/14/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	9/26/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	9/26/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/28/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/28/2016	11/14/2021
Inactive	Esurance Property and Casualty Insurance Company	613279	Agent - Casualty	7/16/2021	3/8/2023
Inactive	Esurance Property and Casualty Insurance Company	613279	Agent - Property	7/16/2021	3/8/2023
Active	Everlake Assurance Company	300203	Agent - Life	12/17/2014
Active	Everlake Life Insurance Company	300873	Agent - Health	2/11/2002
Active	Everlake Life Insurance Company	300873	Agent - Life	2/11/2002
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/28/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/28/2023
Active	Lincoln Benefit Life Company	301110	Agent - Health	10/29/2008
Active	Lincoln Benefit Life Company	301110	Agent - Life	10/29/2008

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bungenstock, Bettie Lee	308824	Agent - Casualty	1/17/2002
Active	Bungenstock, Bettie Lee	308824	Agent - Health	2/11/2002
Active	Bungenstock, Bettie Lee	308824	Agent - Life	2/11/2002
Active	Bungenstock, Bettie Lee	308824	Agent - Property	1/17/2002
Inactive	Frank, Sherri Lynn	522757	Agent - Casualty	2/9/2004	10/8/2015
Inactive	Frank, Sherri Lynn	522757	Agent - Property	2/9/2004	10/8/2015