DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Southern Risk Insurance Group	DOIID	822414	NAIC NPN	17072670

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Casualty	9/27/2013		3/31/2025
Active	Non Resident	Agent	Life	1/28/2014		3/31/2025
Active	Non Resident	Agent	Property	9/27/2013		3/31/2025
Active	Non Resident	Agent	Health	1/28/2014		3/31/2025
* 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 Agri-Business Insurance Company	634731	Agent - Casualty	12/28/2020	11/17/2022
Inactive	American Agri-Business Insurance Company	634731	Agent - Property	12/28/2020	11/17/2022
Inactive	CGB Insurance Company	559048	Agent - Casualty	10/11/2017	12/28/2020
Inactive	CGB Insurance Company	559048	Agent - Property	10/11/2017	12/28/2020
Active	Great American Alliance Insurance Company	301247	Agent - Casualty	1/2/2024
Active	Great American Alliance Insurance Company	301247	Agent - Property	1/2/2024
Active	Great American Insurance Company	301586	Agent - Casualty	1/2/2024
Active	Great American Insurance Company	301586	Agent - Property	1/2/2024
Active	Palomar Specialty Insurance Company	841441	Agent - Casualty	3/9/2023
Active	Palomar Specialty Insurance Company	841441	Agent - Health	3/9/2023
Active	Producers Agriculture Insurance Company	595288	Agent - Property	9/3/2021
Active	Rural Community Insurance Company	301891	Agent - Casualty	10/12/2017
Active	Rural Community Insurance Company	301891	Agent - Property	10/12/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Banks, Aleshia G	819077	Agent - Casualty	11/27/2013	1/7/2014
Inactive	Banks, Aleshia G	819077	Agent - Property	11/27/2013	1/7/2014
Inactive	Campbell, Terry Lynn	661790	Agent - Casualty	10/1/2013	6/6/2022
Denied	Campbell, Terry Lynn	661790	Agent - Health
Denied	Campbell, Terry Lynn	661790	Agent - Life
Active	Campbell, Terry Lynn	661790	Agent - Property	10/1/2013
Active	Lewis, Leslie Jill	630666	Agent - Casualty	9/24/2014
Active	Lewis, Leslie Jill	630666	Agent - Health	1/28/2014
Active	Lewis, Leslie Jill	630666	Agent - Life	1/28/2014
Active	Lewis, Leslie Jill	630666	Agent - Property	9/24/2014