DEPARTMENT OF INSURANCE

Name	Bennett, Sequoyia Jashaun	DOIID	1009600	NAIC NPN	18125890

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	9/14/2018	7/31/2023
Inactive	Non Resident	Agent	Casualty	10/4/2021	7/31/2023
Inactive	Non Resident	Agent	Life	9/14/2018	7/31/2023
Inactive	Non Resident	Agent	Property	10/4/2021	7/31/2023

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date. Licensees subject to CE must complete CE requirements before Next Compliance Date in order to successfully complete the License Renewal Process.

Address Information

Type	Address
Business / Home Office	3492 Highway 5 Douglasville, GA 301356917
Residence	Not Public Information

Phone Information

Type	Phone
Business / Home Office	(770) 438-1624