DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Small, Dennis Raymond	DOIID	676018	NAIC NPN	7946913

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	3/11/2008	4/30/2010
Inactive	Non Resident	Agent	Property	3/11/2008	4/30/2010
Active	Non Resident	Staff Adjuster	Property & Casualty	8/7/2023		4/30/2026
* 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 Family Home Insurance Company	301817	Agent - Casualty	12/11/2009	4/30/2010
Inactive	American Family Home Insurance Company	301817	Agent - Property	12/11/2009	4/30/2010
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	12/11/2009	4/30/2010
Inactive	American Modern Home Insurance Company	300791	Agent - Property	12/11/2009	4/30/2010
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	12/11/2009	4/30/2010
Inactive	American Modern Select Insurance Company	581481	Agent - Property	12/11/2009	4/30/2010
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	4/10/2009	5/8/2009
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	4/10/2009	5/8/2009
Inactive	Tesla Insurance Company	300337	Agent - Casualty	2/4/2009	4/30/2009
Inactive	Tesla Insurance Company	300337	Agent - Property	2/4/2009	4/30/2009
Inactive	Tesla Property & Casualty, Inc.	301611	Agent - Casualty	2/4/2009	4/30/2009
Inactive	Tesla Property & Casualty, Inc.	301611	Agent - Property	2/4/2009	4/30/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Balboa Insurance Services Inc.	516610	Agent - Casualty	2/6/2009	4/30/2009
Inactive	Balboa Insurance Services Inc.	516610	Agent - Property	2/6/2009	4/30/2009
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Casualty	3/25/2009	5/4/2009
Inactive	Banc of America Insurance Services, Inc.	400875	Agent - Property	3/25/2009	5/4/2009
Denied	Directnet Insurance Agency, Inc.	523020	Agent - Casualty
Denied	Directnet Insurance Agency, Inc.	523020	Agent - Property