DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Benavidez Jr, Talley Edward	DOIID	735057	NAIC NPN	1417585

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/20/2010	3/8/2017
Inactive	Non Resident	Agent	Casualty	8/20/2010	3/8/2017
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	12/30/2014	3/8/2017
* 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 National Property and Casualty Company	300392	Agent - Casualty	7/14/2016	1/30/2017
Inactive	American National Property and Casualty Company	300392	Agent - Property	7/14/2016	1/30/2017
Inactive	American Security Insurance Company	300901	Agent - Casualty	8/20/2010	12/22/2011
Inactive	American Security Insurance Company	300901	Agent - Property	8/20/2010	12/22/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Striior Insurance Solutions LLC	741764	Agent - Casualty	11/5/2010	12/8/2016
Inactive	Striior Insurance Solutions LLC	741764	Agent - Property	11/5/2010	12/8/2016