DEPARTMENT OF INSURANCE

Affiliations

Name	Southerland, James Mitchell	DOIID	317932	NAIC NPN	3650384

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	4/22/2016		1/31/2026
Inactive	Resident	Agent	Health	11/17/1995	1/13/1997
* 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	11/15/2025	01/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	10/4/2005	4/27/2008
Inactive	American Memorial Life Insurance Company	301445	Agent - Life	8/26/1999	12/13/2001
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	4/22/2004	8/21/2004
Active	Cincinnati Equitable Life Insurance Company	641870	Agent - Life	1/13/2023
Denied	Citizens Security Life Insurance Company	301257	Agent - Health
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	5/31/2001	4/21/2006
Inactive	Columbian Life Insurance Company	300810	Agent - Life	7/5/2009	2/25/2015
Inactive	EMC National Life Company	300388	Agent - Life	8/28/2003	5/9/2007
Inactive	Everly Life Insurance Company	561641	Agent - Life	4/25/2016	11/14/2018
Inactive	Forethought Life Insurance Company	301407	Agent - Health	4/26/1996	1/13/1997
Inactive	Forethought Life Insurance Company	301407	Agent - Life	4/26/1996	1/13/1997
Inactive	Homesteaders Life Company	300836	Agent - Life	7/25/2011	1/16/2013
Inactive	LifeSecure Insurance Company	301629	Agent - Health	3/4/1996	1/13/1997
Inactive	LifeSecure Insurance Company	301629	Agent - Life	3/4/1996	1/13/1997
Inactive	Lumico Life Insurance Company	300354	Agent - Health	4/22/1996	6/14/1996
Inactive	Lumico Life Insurance Company	300354	Agent - Life	4/22/1996	6/14/1996
Inactive	Mission Life Insurance Company of America	300863	Agent - Life	1/14/2003	4/19/2004
Active	National Guardian Life Insurance Company	300596	Agent - Life	10/9/2018
Inactive	National Travelers Life Company	300304	Agent - Life	9/20/2002	6/30/2003
Inactive	S.USA Life Insurance Company, Inc.	301774	Agent - Life	6/3/2022	8/10/2022
Inactive	Southern Financial Life Insurance Company	300664	Agent - Life	2/9/2010	12/23/2011
Inactive	Southland National Insurance Corporation	517954	Agent - Life	9/11/2009	1/12/2011
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	11/17/1995	12/26/1996
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	11/17/1995	12/26/1996
Inactive	Time Insurance Company	300683	Agent - Health	1/10/1996	1/13/1997
Inactive	Time Insurance Company	300683	Agent - Life	1/10/1996	1/13/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	12/28/1995	1/13/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	12/28/1995	1/13/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	A.F. Crow & Son Funeral Home, Inc.	764944	Agent - Life	9/27/2011	3/31/2015
Inactive	Barlow Funeral Home LLC	711259	Agent - Life	8/13/2009	1/31/2016
Inactive	Brell & Son Funeral Home, Inc.	779211	Agent - Life	4/11/2012	3/31/2014
Inactive	Harrod Brothers Funeral Home, LLC	711217	Agent - Life	8/26/2009	3/31/2011
Inactive	MHMC, Inc	574772	Agent - Life	1/14/2005	4/27/2008
Inactive	Pre Need Solutions, Inc.	595059	Agent - Life	7/9/2009	1/31/2016
Denied	Pre-Need Solutions of KY, LLC	564461	Agent - Life
Inactive	Stringer Holding Co Inc	399853	Agent - Life	1/19/2005	4/27/2008
Inactive	Strunk Funeral Home, Inc.	400474	Agent - Life	9/3/2009	3/31/2011
Denied	Todd County Funeral Home	714859	Agent - Life
Inactive	Tributes, LLC	711569	Agent - Life	8/19/2009	3/31/2013