DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pre Need Solutions, Inc.	DOIID	595059	NAIC NPN	8218649

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	7/9/2009	4/1/2016
* 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	Allianz Life Insurance Company of North America	301791	Agent - Life	10/4/2005	5/28/2009
Inactive	Columbian Life Insurance Company	300810	Agent - Life	7/16/2009	2/25/2015
Inactive	Everly Life Insurance Company	561641	Agent - Life	7/18/2013	4/1/2016
Inactive	Homesteaders Life Company	300836	Agent - Life	7/25/2011	1/13/2015
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	7/15/2013	4/1/2016
Inactive	Southern Financial Life Insurance Company	300664	Agent - Life	1/22/2010	12/23/2011
Inactive	Southland National Insurance Corporation	517954	Agent - Life	9/14/2009	1/12/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Southerland, James Mitchell	317932	Agent - Life	7/9/2009	1/31/2016