DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Church, John M	DOIID	874184	NAIC NPN	4700247

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	4/6/2015	2/8/2017
Inactive	Non Resident	Agent	Casualty	4/6/2015	2/8/2017
Inactive	Non Resident	Surplus Lines Broker	Not Applicable	4/17/2015	2/8/2017
* 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	ACE American Insurance Company	300625	Agent - Casualty	4/28/2015	2/8/2017
Inactive	ACE American Insurance Company	300625	Agent - Property	4/28/2015	2/8/2017
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	4/28/2015	2/8/2017
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	4/28/2015	2/8/2017
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	4/28/2015	2/8/2017
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	4/28/2015	2/8/2017
Inactive	Westchester Fire Insurance Company	300990	Agent - Casualty	4/28/2015	2/8/2017
Inactive	Westchester Fire Insurance Company	300990	Agent - Property	4/28/2015	2/8/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Louisiana Inc	598418	Agent - Property	4/28/2015	2/8/2017
Inactive	Willis Of Louisiana Inc	598418	Agent - Casualty	4/28/2015	2/8/2017
Inactive	Willis Of Louisiana Inc	598418	Surplus Lines Broker - Not Applicable	4/20/2015	2/8/2017