DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Cosby Jr, David	DOIID	877484	NAIC NPN	17313148

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	4/11/2022	12/31/2023
Inactive	Non Resident	Agent	Property	4/11/2022	12/31/2023
* 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	State Farm Fire and Casualty Company	301809	Agent - Casualty	5/19/2015	1/14/2020
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	5/19/2015	1/14/2020
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	5/19/2015	1/14/2020

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Branch Financial Inc	1120010	Agent - Property
Denied	Branch Financial Inc	1120010	Agent - Casualty