DEPARTMENT OF INSURANCE

Name	Holt, Daryl Ray	DOIID	383837	NAIC NPN	550260

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	5/9/2017		8/31/2024
Active	Non Resident	Agent	Casualty	11/20/2016		8/31/2024
Active	Non Resident	Agent	Life	5/9/2017		8/31/2024
Active	Non Resident	Agent	Property	11/20/2016		8/31/2024
Inactive	Non Resident	Agent	General Lines	4/14/1998	8/15/2000
Active	Non Resident	Surplus Lines Broker	Not Applicable	7/13/2018		8/31/2024

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

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	06/15/2024	08/31/2024
Surplus Lines Broker	06/15/2024	08/31/2024

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
Residence	Not Public Information
Business / Home Office	Capital Risk Management Group Llc 518 W Main StGallatin, TN 370663122

Phone Information

Type	Phone
Business / Home Office	(615) 230-7704