DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cozart, Jerry Wayne	DOIID	872720	NAIC NPN	12130580

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	9/7/2017	3/31/2021
Active	Non Resident	Staff Adjuster	Property & Casualty	1/27/2020		3/31/2025
* 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
Staff Adjuster	01/15/2025	03/31/2025

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	LM General Insurance Company	300133	Agent - Personal Lines	2/6/2018	1/8/2020
Inactive	Liberty Insurance Corporation	300444	Agent - Personal Lines	10/13/2017	1/8/2020
Inactive	United Services Automobile Association	300158	Agent - Personal Lines	3/26/2015	7/8/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USAA Financial Planning Services Ins Agency Inc	579485	Agent - Personal Lines	3/26/2015	7/8/2015