DEPARTMENT OF INSURANCE

Affiliations

Name	South Coast Assurance Company	DOIID	720425	NAIC NPN	8769943

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Variable Life and Variable Annuities	6/8/2023		3/31/2025
Active	Non Resident	Agent	Life	6/8/2023		3/31/2025
Inactive	Non Resident	Agent	Health	10/9/2019	3/31/2023
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2025	03/31/2025

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 - Health	12/1/2011	3/31/2013
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	12/1/2011	3/31/2013
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Variable Life and Variable Annuities	12/1/2011	3/31/2013
Inactive	American General Life Insurance Company	301585	Agent - Life	5/16/2022	3/31/2023
Inactive	American General Life Insurance Company	301585	Agent - Variable Life and Variable Annuities	5/16/2022	3/31/2023
Active	Jackson National Life Insurance Company	300486	Agent - Life	6/8/2023
Active	Jackson National Life Insurance Company	300486	Agent - Variable Life and Variable Annuities	6/8/2023
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	10/15/2019	3/31/2023
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	6/27/2023
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Variable Life and Variable Annuities	6/27/2023
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Life	2/1/2010	12/31/2012
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Variable Life and Variable Annuities	2/1/2010	12/31/2012
Inactive	SunAmerica Life Insurance Company	300096	Agent - Life	12/31/2012	12/31/2012
Inactive	SunAmerica Life Insurance Company	300096	Agent - Variable Life and Variable Annuities	12/31/2012	12/31/2012

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ferguson, Chandis Dale	390929	Agent - Health	1/4/2010	3/31/2013
Inactive	Ferguson, Chandis Dale	390929	Agent - Life	1/4/2010	3/31/2013
Inactive	Ferguson, Chandis Dale	390929	Agent - Variable Life and Variable Annuities	1/12/2010	3/31/2013
Inactive	Williamson, Gregory Lane	337051	Agent - Health	10/9/2019	3/31/2023
Active	Williamson, Gregory Lane	337051	Agent - Life	6/1/2023
Active	Williamson, Gregory Lane	337051	Agent - Variable Life and Variable Annuities	6/8/2023