DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	T J Adams Group, LLC	DOIID	563563	NAIC NPN	3475527

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	1/29/2003	12/3/2004
Inactive	Non Resident	Agent	Property	1/29/2003	12/3/2004
Inactive	Non Resident	Agent	Life	3/7/2003	4/1/2004
Inactive	Non Resident	Agent	Health	3/7/2003	4/1/2004
* 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	ACE American Insurance Company	300625	Agent - Casualty	10/6/2004	12/3/2004
Inactive	ACE American Insurance Company	300625	Agent - Property	10/6/2004	12/3/2004
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	11/18/2004	12/3/2004
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	11/18/2004	12/3/2004
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	1/29/2004	12/3/2004
Inactive	Encompass Insurance Company of America	556578	Agent - Property	1/29/2004	12/3/2004
Inactive	Everest National Insurance Company	301319	Agent - Casualty	2/18/2004	12/3/2004
Inactive	Everest National Insurance Company	301319	Agent - Property	2/18/2004	12/3/2004
Inactive	Federal Insurance Company	301144	Agent - Casualty	8/28/2003	12/3/2004
Inactive	Federal Insurance Company	301144	Agent - Property	8/28/2003	12/3/2004
Inactive	Great Northern Insurance Company	301107	Agent - Casualty	8/29/2003	12/3/2004
Inactive	Great Northern Insurance Company	301107	Agent - Property	8/29/2003	12/3/2004
Inactive	Indemnity Insurance Company of North America	301760	Agent - Casualty	10/6/2004	12/3/2004
Inactive	Indemnity Insurance Company of North America	301760	Agent - Property	10/6/2004	12/3/2004
Inactive	Pacific Indemnity Company	301610	Agent - Casualty	8/29/2003	12/3/2004
Inactive	Pacific Indemnity Company	301610	Agent - Property	8/29/2003	12/3/2004
Inactive	Westchester Fire Insurance Company	301414	Agent - Casualty	10/6/2004	12/3/2004
Inactive	Westchester Fire Insurance Company	301414	Agent - Property	10/6/2004	12/3/2004

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Adams, John	308246	Agent - Casualty	1/29/2003	12/3/2004
Denied	Adams, John	308246	Agent - Health
Denied	Adams, John	308246	Agent - Life
Inactive	Adams, John	308246	Agent - Property	1/29/2003	12/3/2004