DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Inzura Ins Services Inc	DOIID	618790	NAIC NPN	8613530

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	10/31/2005	4/9/2009
Inactive	Non Resident	Agent	Property	10/31/2005	4/9/2009
Inactive	Non Resident	Agent	Life	9/18/2006	6/10/2008
Inactive	Non Resident	Agent	Health	9/18/2006	6/10/2008
* 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 Life Assurance Company of Florida	300171	Agent - Health	10/4/2006	6/9/2008
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	10/4/2006	6/9/2008
Inactive	American Security Insurance Company	300901	Agent - Casualty	1/4/2006	4/9/2009
Inactive	American Security Insurance Company	300901	Agent - Property	1/4/2006	4/9/2009
Inactive	Standard Guaranty Insurance Company	300902	Agent - Casualty	1/4/2006	4/9/2009
Inactive	Standard Guaranty Insurance Company	300902	Agent - Property	1/4/2006	4/9/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Potter, James Walter	505107	Agent - Casualty	10/31/2005	4/9/2009
Inactive	Potter, James Walter	505107	Agent - Health	9/18/2006	6/9/2008
Inactive	Potter, James Walter	505107	Agent - Life	9/18/2006	6/9/2008
Inactive	Potter, James Walter	505107	Agent - Property	10/31/2005	4/9/2009