DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Church, Antonio Lamar	DOIID	990003	NAIC NPN	18744856

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Personal Lines	4/5/2018	10/31/2020
* 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	Government Employees Insurance Company	300376	Agent - Personal Lines	4/6/2018	4/22/2019
Inactive	Homesite Insurance Company	301139	Agent - Personal Lines	4/12/2018	5/8/2019
Inactive	Jewelers Mutual Insurance Company, SI	301935	Agent - Personal Lines	8/15/2018	4/23/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Geico Insurance Agency, LLC	558517	Agent - Personal Lines	4/6/2018	4/22/2019