DEPARTMENT OF INSURANCE

Name	Amerisafe General Agency Inc	DOIID	400210	NAIC NPN	3224688

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Property	8/15/2000		3/31/2027
Active	Non Resident	Agent	Casualty	8/15/2000		3/31/2027
Inactive	Non Resident	Agent	General Lines	12/9/1999	8/15/2000
Inactive	Non Resident	Managing General Agent	Not Applicable	4/15/2008	3/31/2017

*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	01/15/2025	03/31/2025	02/10/2025	02/10/2025	Yes

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	2301 Highway 190 West Deridder, LA 70634

Internet Information

Type	Address
Business Email	TStout@amerisafe.com

Phone Information

Type	Phone
Business / Home Office	(337) 463-9052