DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Consumer Select Ins Of America LLC	DOIID	624498	NAIC NPN	8697197

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	7/27/2009	3/31/2012
Inactive	Non Resident	Agent	Property	7/27/2009	3/31/2012
Inactive	Non Resident	Agent	Life	1/24/2006	3/31/2008
Inactive	Non Resident	Agent	Health	1/24/2006	3/31/2008
* 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	RLI Insurance Company	301217	Agent - Casualty	6/24/2010	3/31/2012
Inactive	RLI Insurance Company	301217	Agent - Property	6/24/2010	3/31/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hales, Stephanie Robin	709041	Agent - Casualty	7/27/2009	3/31/2012
Inactive	Hales, Stephanie Robin	709041	Agent - Property	7/27/2009	3/31/2012
Denied	Holloway, William Walter	619561	Agent - Casualty
Denied	Holloway, William Walter	619561	Agent - Property
Denied	Osteen, Lewis Duncan	618493	Agent - Casualty
Inactive	Osteen, Lewis Duncan	618493	Agent - Health	1/24/2006	3/31/2008
Inactive	Osteen, Lewis Duncan	618493	Agent - Life	1/24/2006	3/31/2008
Denied	Osteen, Lewis Duncan	618493	Agent - Property