DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Balkcom, Ursula W	DOIID	571148	NAIC NPN	7707881

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	6/13/2003	9/30/2004
Inactive	Non Resident	Independent Adjuster	Property & Casualty	8/29/2013	7/31/2016
* 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

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	GEICO Casualty Company	301178	Agent - Personal Lines	7/1/2003	6/30/2004
Inactive	GEICO General Insurance Company	301684	Agent - Personal Lines	7/1/2003	6/30/2004
Inactive	GEICO Indemnity Company	301720	Agent - Personal Lines	7/1/2003	6/30/2004
Inactive	Government Employees Insurance Company	300376	Agent - Personal Lines	7/1/2003	6/30/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sedgwick Claims Management Service Inc	401194	Independent Adjuster - Property & Casualty	10/22/2013	7/31/2016