DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Wallis, Nancy	DOIID	886370	NAIC NPN	2589071

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/11/2015	12/31/2021
Inactive	Non Resident	Agent	Property	8/11/2015	12/31/2021
* 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 Insurance Company	301586	Agent - Casualty	9/14/2015	7/23/2019
Inactive	Great American Insurance Company	301586	Agent - Property	9/14/2015	7/23/2019
Inactive	Rural Community Insurance Company	301891	Agent - Casualty	8/14/2015	3/9/2016
Inactive	Rural Community Insurance Company	301891	Agent - Property	8/14/2015	3/9/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	USI Insurance Services National, Inc	509421	Agent - Property	8/17/2015	7/23/2019
Inactive	USI Insurance Services National, Inc	509421	Agent - Casualty	8/17/2015	7/23/2019
Inactive	Usi Insurance Services LLC	669260	Agent - Property	1/8/2019	7/23/2019
Inactive	Usi Insurance Services LLC	669260	Agent - Casualty	1/8/2019	7/23/2019