DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Simmons, Adrian Lee Jerome	DOIID	891428	NAIC NPN	17692949

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	9/16/2015	7/31/2018
Inactive	Non Resident	Agent	Health	9/16/2015	7/31/2018
Inactive	Non Resident	Agent	Casualty	9/16/2015	7/31/2018
* 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	AMEX Assurance Company	301728	Agent - Casualty	9/18/2015	1/19/2016
Inactive	AMEX Assurance Company	301728	Agent - Health	9/18/2015	1/19/2016
Inactive	AMEX Assurance Company	301728	Agent - Property	9/18/2015	1/19/2016

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alorica Customer Care, Inc.	800938	Agent - Casualty	9/29/2015	1/19/2016
Inactive	Alorica Customer Care, Inc.	800938	Agent - Property	9/29/2015	1/19/2016
Inactive	Alorica Customer Care, Inc.	800938	Agent - Health	9/29/2015	1/19/2016