DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Tims, Ernest M	DOIID	727122	NAIC NPN	1636723

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	4/26/2010	1/31/2022
Inactive	Non Resident	Agent	Property	4/26/2010	1/31/2022
* 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 Interstate Insurance Company	301092	Agent - Casualty	5/3/2010	3/21/2019
Inactive	American Interstate Insurance Company	301092	Agent - Property	5/3/2010	3/21/2019
Inactive	Guarantee Insurance Company	300611	Agent - Casualty	4/3/2013	12/18/2017
Inactive	Guarantee Insurance Company	300611	Agent - Property	4/3/2013	12/18/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Amerisafe General Agency Inc	400210	Agent - Property	9/14/2010	3/21/2019
Inactive	Amerisafe General Agency Inc	400210	Agent - Casualty	9/14/2010	3/21/2019