DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Alvis, Jeremy Gray	DOIID	791047	NAIC NPN	16788740

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Casualty	11/30/2012	9/1/2015
Inactive	Resident	Agent	Health	10/2/2012	9/1/2015
Inactive	Resident	Agent	Life	10/5/2012	9/1/2015
Inactive	Resident	Agent	Property	12/3/2012	9/1/2015
* 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	State Farm Fire and Casualty Company	301809	Agent - Casualty	12/18/2012	9/23/2014
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	12/18/2012	9/23/2014
Inactive	State Farm Life Insurance Company	301810	Agent - Life	10/18/2012	9/23/2014
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	12/18/2012	9/23/2014
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Health	10/18/2012	9/23/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	R B Brown Insurance Agency Inc.	400773	Agent - Life	12/14/2012	7/15/2014
Inactive	R B Brown Insurance Agency Inc.	400773	Agent - Health	12/14/2012	7/15/2014
Inactive	R B Brown Insurance Agency Inc.	400773	Agent - Casualty	12/18/2012	7/15/2014
Inactive	R B Brown Insurance Agency Inc.	400773	Agent - Property	12/18/2012	7/15/2014