DEPARTMENT OF INSURANCE

Name	Commercial Ins Assoc LLC	DOIID	567826	NAIC NPN	7469089

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Property	5/1/2003	3/31/2025
Active	Non Resident	Agent	Casualty	5/1/2003	3/31/2025
Denied	Non Resident	Agent	Life
Denied	Non Resident	Agent	Personal Lines
Denied	Non Resident	Agent	Health
Active	Non Resident	Surplus Lines Broker	Not Applicable	6/7/2012	3/31/2025

*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
Surplus Lines Broker	01/15/2025	03/31/2025

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

Address Information

Type	Address
Business / Home Office	103 Powell Ct Ste 200 Brentwood, TN 370275079

Phone Information

Type	Phone
Business / Home Office	(615) 515-6017