DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Golden Eagle Ins Inc	DOIID	863988	NAIC NPN	8108062

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	12/18/2014	1/1/2022
Inactive	Non Resident	Agent	Property	12/18/2014	1/1/2022
Denied	Non Resident	Surplus Lines Broker	Not Applicable
* 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	Great American Assurance Company	300327	Agent - Casualty	2/25/2015	6/17/2021
Inactive	Great American Assurance Company	300327	Agent - Property	2/25/2015	6/17/2021
Inactive	Great American Insurance Company	301586	Agent - Casualty	1/2/2015	6/17/2021
Inactive	Great American Insurance Company	301586	Agent - Property	1/2/2015	6/17/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Jones, William E	505989	Agent - Casualty	12/18/2014	10/31/2021
Inactive	Jones, William E	505989	Agent - Property	12/18/2014	10/31/2021