DEPARTMENT OF INSURANCE

Affiliations

Name	Southern Insurance Group, Inc	DOIID	633603	NAIC NPN	8819566

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	6/5/2006	3/31/2016
Inactive	Resident	Agent	Property	8/21/2006	3/31/2016
Inactive	Resident	Agent	Casualty	8/21/2006	3/31/2016
Inactive	Resident	Agent	Life	6/5/2006	3/31/2016
* 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	AIG Assurance Company	300897	Agent - Casualty	2/12/2007	10/2/2010
Inactive	AIG Assurance Company	300897	Agent - Property	2/12/2007	10/2/2010
Inactive	Acacia Life Insurance Company	300375	Agent - Health	9/8/2006	11/1/2007
Inactive	Acacia Life Insurance Company	300375	Agent - Life	9/8/2006	11/1/2007
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	10/11/2006	1/12/2010
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	10/11/2006	1/12/2010
Inactive	American General Life Insurance Company	301585	Agent - Health	11/2/2006	11/11/2010
Inactive	American General Life Insurance Company	301585	Agent - Life	11/2/2006	11/11/2010
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	9/8/2006	11/1/2007
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	9/8/2006	11/1/2007
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	8/10/2006	8/1/2012
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	8/10/2006	8/1/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/10/2006	8/1/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/10/2006	8/1/2012
Inactive	Baptist Health Plan, Inc.	300157	Agent - Health	6/30/2006	3/31/2016
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	3/2/2007	5/12/2014
Inactive	Bristol West Insurance Company	301655	Agent - Property	3/2/2007	5/12/2014
Inactive	CHA HMO, Inc.	300662	Agent - Health	6/30/2006	10/10/2014
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	12/12/2006	3/31/2016
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	12/12/2006	3/31/2016
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	7/9/2010	4/14/2014
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	4/14/2014
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	1/24/2008	8/23/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	1/24/2008	8/23/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	9/19/2007	3/31/2016
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	9/19/2007	3/31/2016
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	1/4/2007	5/12/2014
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	1/4/2007	5/12/2014
Inactive	General American Life Insurance Company	300280	Agent - Health	11/10/2006	11/20/2009
Inactive	General American Life Insurance Company	300280	Agent - Life	11/10/2006	11/20/2009
Inactive	Granite State Insurance Company	300818	Agent - Casualty	2/12/2007	10/2/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	2/12/2007	10/2/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/3/2006	4/14/2014
Inactive	Humana Insurance Company	301104	Agent - Health	11/3/2006	4/14/2014
Inactive	Humana Insurance Company	301104	Agent - Life	11/3/2006	4/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	11/3/2006	4/14/2014
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	11/3/2006	4/14/2014
Inactive	HumanaDental Insurance Company	301457	Agent - Health	11/3/2006	2/23/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	11/3/2006	2/23/2012
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	2/12/2007	10/2/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	2/12/2007	10/2/2010
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	11/10/2006	11/20/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	11/10/2006	11/20/2009
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	9/19/2007	12/27/2013
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	9/19/2007	12/27/2013
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	1/25/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	1/25/2011
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	8/22/2006	6/25/2014
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	8/22/2006	6/25/2014
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	8/22/2006	6/25/2014
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	8/22/2006	6/25/2014
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	1/24/2008	8/23/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	1/24/2008	8/23/2012
Inactive	Union Central Life Insurance Company	300307	Agent - Health	9/14/2006	10/1/2007
Inactive	Union Central Life Insurance Company	300307	Agent - Life	9/14/2006	10/1/2007
Inactive	United Financial Casualty Company	301886	Agent - Casualty	8/22/2006	6/25/2014
Inactive	United Financial Casualty Company	301886	Agent - Property	8/22/2006	6/25/2014
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/14/2006	3/31/2016
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	8/14/2006	3/31/2016
Inactive	UnitedHealthcare of Kentucky, Ltd.	301337	Agent - Health	8/14/2006	3/31/2016
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/14/2006	3/31/2016
Inactive	Western Surety Company	300283	Agent - Casualty	3/1/2013	4/29/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Baker, Travis Langdon	559075	Agent - Casualty	9/18/2008	3/31/2016
Inactive	Baker, Travis Langdon	559075	Agent - Life	9/18/2008	3/31/2016
Inactive	Baker, Travis Langdon	559075	Agent - Property	9/18/2008	3/31/2016
Denied	Barrett, Edna Faye	565359	Agent - Casualty
Denied	Barrett, Edna Faye	565359	Agent - Property
Inactive	Hacker, Lonnie	328105	Agent - Health	6/5/2006	12/21/2010
Inactive	Hacker, Lonnie	328105	Agent - Life	6/5/2006	6/22/2015
Inactive	Nicholson, Joseph Keith	629619	Agent - Casualty	9/8/2006	8/1/2009
Inactive	Nicholson, Joseph Keith	629619	Agent - Health	9/11/2006	8/1/2009
Inactive	Nicholson, Joseph Keith	629619	Agent - Life	9/11/2006	8/1/2009
Inactive	Nicholson, Joseph Keith	629619	Agent - Property	9/8/2006	8/1/2009
Inactive	Reams, Frances Marlene	364336	Agent - Casualty	1/15/2009	3/31/2016
Inactive	Reams, Frances Marlene	364336	Agent - Health	1/15/2009	3/31/2016
Inactive	Reams, Frances Marlene	364336	Agent - Life	1/15/2009	3/31/2016
Inactive	Reams, Frances Marlene	364336	Agent - Property	1/15/2009	3/31/2016
Inactive	Sasser, John Todd	386309	Agent - Casualty	8/21/2006	10/9/2006
Inactive	Sasser, John Todd	386309	Agent - Health	6/20/2006	10/9/2006
Inactive	Sasser, John Todd	386309	Agent - Life	6/20/2006	10/9/2006
Inactive	Sasser, John Todd	386309	Agent - Property	8/21/2006	10/9/2006
Inactive	Smith, Amber Megan	636961	Agent - Casualty	1/31/2007	5/29/2007
Inactive	Smith, Amber Megan	636961	Agent - Health	1/31/2007	5/29/2007
Inactive	Smith, Amber Megan	636961	Agent - Life	1/31/2007	5/29/2007
Inactive	Smith, Amber Megan	636961	Agent - Property	1/31/2007	5/29/2007
Inactive	Tyree, Chrystal Smith	309259	Agent - Casualty	1/15/2009	3/31/2016
Inactive	Tyree, Chrystal Smith	309259	Agent - Property	1/15/2009	3/31/2016
Inactive	Vaughn, Nancy	379305	Agent - Casualty	1/15/2009	5/13/2010
Inactive	Vaughn, Nancy	379305	Agent - Property	1/15/2009	5/13/2010