DEPARTMENT OF INSURANCE

Affiliations

Name	Gilliam, Cody	DOIID	955381	NAIC NPN	18420299

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	5/30/2017	2/28/2027
Active	Resident	Agent	Casualty	6/27/2017	2/28/2027
Active	Resident	Agent	Life	6/1/2017	2/28/2027
Active	Resident	Agent	Property	6/15/2017	2/28/2027
* 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
Active	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/9/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/11/2017	12/11/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/11/2017	12/11/2017
Inactive	Augustar Life Assurance Corporation	301113	Agent - Health	10/20/2017	9/14/2020
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	10/20/2017	9/14/2020
Inactive	Augustar Life Insurance Company	301816	Agent - Health	10/20/2017	9/14/2020
Inactive	Augustar Life Insurance Company	301816	Agent - Life	10/20/2017	9/14/2020
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	8/24/2017	11/30/2017
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	8/24/2017	11/30/2017
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/9/2021	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/9/2021	12/20/2024
Active	Combined Insurance Company of America	301472	Agent - Health	6/29/2023
Active	Combined Insurance Company of America	301472	Agent - Life	6/29/2023
Active	Countryway Insurance Company	300809	Agent - Casualty	10/12/2017
Active	Countryway Insurance Company	300809	Agent - Property	10/12/2017
Inactive	Erie Family Life Insurance Company	301400	Agent - Health	7/19/2019	3/31/2025
Inactive	Erie Family Life Insurance Company	301400	Agent - Life	7/14/2017	3/31/2025
Inactive	Erie Insurance Company	300230	Agent - Casualty	7/14/2017	3/31/2025
Inactive	Erie Insurance Company	300230	Agent - Property	7/14/2017	3/31/2025
Inactive	Erie Insurance Company of New York	789916	Agent - Casualty	7/14/2017	3/31/2025
Inactive	Erie Insurance Company of New York	789916	Agent - Property	7/14/2017	3/31/2025
Inactive	Erie Insurance Exchange	300789	Agent - Casualty	7/14/2017	3/31/2025
Inactive	Erie Insurance Exchange	300789	Agent - Property	7/14/2017	3/31/2025
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	7/14/2017	3/31/2025
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Property	7/14/2017	3/31/2025
Inactive	Flagship City Insurance Company	789965	Agent - Casualty	7/14/2017	3/31/2025
Inactive	Flagship City Insurance Company	789965	Agent - Property	7/14/2017	3/31/2025
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/30/2017
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/30/2017
Inactive	Integon Indemnity Corporation	300674	Agent - Casualty	10/12/2023	3/17/2025
Inactive	Integon Indemnity Corporation	300674	Agent - Property	10/12/2023	3/17/2025
Inactive	Milbank Insurance Company	925185	Agent - Casualty	2/20/2019	1/18/2021
Inactive	Milbank Insurance Company	925185	Agent - Property	2/20/2019	1/18/2021
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/2/2021	6/11/2021
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	8/1/2017
Active	SAFECO Insurance Company of America	300159	Agent - Property	8/1/2017
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/1/2017
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/1/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/24/2017	9/6/2019
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/24/2017	9/6/2019
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	12/27/2017	1/18/2021
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	12/27/2017	1/18/2021
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/24/2017	11/30/2017
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/24/2017	11/30/2017
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	8/24/2017	9/6/2019
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	8/24/2017	9/6/2019
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/2/2021	6/11/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	5/21/2020
Active	Westfield Insurance Company	301950	Agent - Property	5/21/2020
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/2/2021	6/11/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Carosella Insurance Agency, LLC	878337	Agent - Health	12/20/2017
Active	Carosella Insurance Agency, LLC	878337	Agent - Life	12/20/2017
Active	Carosella Insurance Agency, LLC	878337	Agent - Casualty	12/20/2017
Active	Carosella Insurance Agency, LLC	878337	Agent - Property	12/20/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/11/2017	12/10/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Life	8/11/2017	12/10/2017
Active	GKI, LLC	1103775	Agent - Health	10/8/2020
Active	GKI, LLC	1103775	Agent - Life	10/8/2020
Active	GKI, LLC	1103775	Agent - Casualty	10/8/2020
Active	GKI, LLC	1103775	Agent - Property	10/8/2020