DEPARTMENT OF INSURANCE

Affiliations

Name	Tatum, Christopher Shane	DOIID	820200	NAIC NPN	1280666

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/10/2013		8/31/2025
Active	Non Resident	Agent	Property	9/10/2013		8/31/2025
Inactive	Non Resident	Agent	Health	9/10/2013	6/17/2021
Inactive	Non Resident	Agent	Life	9/10/2013	6/17/2021
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2025	08/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	6/12/2014	11/21/2019
Inactive	Bristol West Insurance Company	301655	Agent - Property	6/12/2014	11/21/2019
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	4/24/2014	6/27/2018
Inactive	Encompass Indemnity Company	546376	Agent - Property	8/19/2015	6/27/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	4/24/2014	6/27/2018
Inactive	Encompass Insurance Company of America	556578	Agent - Property	8/19/2015	6/27/2018
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	6/12/2014
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	6/12/2014
Active	Jewelers Mutual Insurance Company, SI	301935	Agent - Casualty	4/1/2025
Active	Jewelers Mutual Insurance Company, SI	301935	Agent - Property	4/1/2025
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	5/16/2019	12/29/2020
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	5/16/2019	12/29/2020
Active	National Specialty Insurance Company	300993	Agent - Casualty	1/7/2025
Active	National Specialty Insurance Company	300993	Agent - Property	1/7/2025
Active	Next Insurance US Company	1083825	Agent - Casualty	12/20/2024
Active	Next Insurance US Company	1083825	Agent - Property	12/20/2024
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	4/24/2014
Active	Progressive Casualty Insurance Company	300696	Agent - Property	4/24/2014
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	9/5/2016	12/14/2017
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	9/5/2016	12/14/2017
Active	State National Insurance Company, Inc.	300888	Agent - Casualty	1/7/2025
Active	State National Insurance Company, Inc.	300888	Agent - Property	1/7/2025

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Integra Financial Group Ltd	820887	Agent - Health	9/17/2013	6/17/2021
Active	Integra Financial Group Ltd	820887	Agent - Property	9/17/2013
Inactive	Integra Financial Group Ltd	820887	Agent - Life	9/17/2013	6/17/2021
Active	Integra Financial Group Ltd	820887	Agent - Casualty	9/17/2013