DEPARTMENT OF INSURANCE

Affiliations

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

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Casualty	8/28/2007	4/9/2012
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - Property	8/28/2007	4/9/2012
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Casualty	8/28/2007	4/9/2012
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - Property	8/28/2007	4/9/2012
Inactive	American Alternative Insurance Corporation	301697	Agent - Casualty	10/13/2014	4/21/2017
Inactive	American Alternative Insurance Corporation	301697	Agent - Property	10/13/2014	4/21/2017
Inactive	American Family Home Insurance Company	301817	Agent - Casualty	10/13/2014	5/10/2017
Inactive	American Family Home Insurance Company	301817	Agent - Property	10/13/2014	5/10/2017
Active	American Interstate Insurance Company	301092	Agent - Casualty	3/27/2024
Active	American Interstate Insurance Company	301092	Agent - Property	3/27/2024
Active	American Interstate Insurance Company of Texas	1166360	Agent - Casualty	3/27/2024
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	10/13/2014	5/10/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Property	10/13/2014	5/10/2017
Inactive	Bankers Standard Insurance Company	301620	Agent - Casualty	8/28/2007	4/9/2012
Inactive	Bankers Standard Insurance Company	301620	Agent - Property	8/28/2007	4/9/2012
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	10/16/2013	3/22/2016
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	10/16/2013	3/22/2016
Inactive	Great American Assurance Company	300327	Agent - Casualty	10/16/2013	3/22/2016
Inactive	Great American Assurance Company	300327	Agent - Property	10/16/2013	3/22/2016
Inactive	Great American Insurance Company	301586	Agent - Casualty	10/16/2013	3/22/2016
Inactive	Great American Insurance Company	301586	Agent - Property	10/16/2013	3/22/2016
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	10/16/2013	3/22/2016
Inactive	Great American Insurance Company of New York	301897	Agent - Property	10/16/2013	3/22/2016
Inactive	Guarantee Insurance Company	300611	Agent - Casualty	3/28/2013	12/18/2017
Inactive	Guarantee Insurance Company	300611	Agent - Property	3/28/2013	12/18/2017
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	3/15/2007	11/7/2008
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	3/15/2007	11/7/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	3/15/2007	11/7/2008
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	3/15/2007	11/7/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	3/15/2007	11/7/2008
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	3/15/2007	11/7/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	3/15/2007	11/7/2008
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	3/15/2007	11/7/2008
Inactive	Pacific Employers Insurance Company	301753	Agent - Casualty	8/28/2007	4/9/2012
Inactive	Pacific Employers Insurance Company	301753	Agent - Property	8/28/2007	4/9/2012
Active	Progressive Casualty Insurance Company	300696	Agent - Casualty	3/24/2004
Active	Progressive Casualty Insurance Company	300696	Agent - Property	3/24/2004
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	8/15/2000	12/9/2013
Inactive	Progressive Northern Insurance Company	301378	Agent - General Lines	12/9/1999	8/15/2000
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	8/15/2000	12/9/2013
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Casualty	3/15/2007	11/7/2008
Inactive	Property and Casualty Insurance Company of Hartford	301409	Agent - Property	3/15/2007	11/7/2008
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	3/15/2007	11/7/2008
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	3/15/2007	11/7/2008
Active	Silver Oak Casualty, Inc.	517101	Agent - Casualty	3/27/2024
Active	Silver Oak Casualty, Inc.	517101	Agent - Property	3/27/2024
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	3/15/2007	11/7/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	3/15/2007	11/7/2008
Active	United Financial Casualty Company	301886	Agent - Casualty	12/2/2005
Active	United Financial Casualty Company	301886	Agent - Property	12/2/2005

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alston, Wanda Louise	389053	Agent - Casualty	8/15/2000	12/3/2004
Inactive	Alston, Wanda Louise	389053	Agent - General Lines	12/9/1999	8/15/2000
Inactive	Alston, Wanda Louise	389053	Agent - Property	8/15/2000	12/3/2004
Inactive	Bullard, Darrell Lee	312427	Agent - Casualty	3/17/2003	8/7/2008
Inactive	Bullard, Darrell Lee	312427	Agent - Property	2/7/2007	8/7/2008
Active	Gagliano, Vincent John	861018	Agent - Casualty	3/9/2015
Active	Gagliano, Vincent John	861018	Agent - Property	3/9/2015
Inactive	Gagliano, Vincent John	861018	Managing General Agent - Not Applicable	2/15/2016	5/31/2017
Inactive	Hertel, Jeffrey Paul	545057	Agent - Casualty	1/31/2005	1/23/2006
Denied	Hertel, Jeffrey Paul	545057	Agent - Property
Inactive	Hubbard, Terry L	727128	Agent - Casualty	9/14/2010	9/30/2019
Inactive	Hubbard, Terry L	727128	Agent - Property	9/14/2010	9/30/2019
Inactive	Leach, Craig	379000	Agent - Casualty	9/14/2010	11/30/2015
Inactive	Leach, Craig	379000	Agent - General Lines	12/9/1999	8/15/2000
Inactive	Leach, Craig	379000	Agent - Property	9/14/2010	4/9/2012
Inactive	Leach, Craig	379000	Managing General Agent - Not Applicable	4/15/2008	11/30/2015
Inactive	Reavis, Brandon L	517532	Agent - Casualty	3/15/2006	5/7/2009
Inactive	Reavis, Brandon L	517532	Agent - Property	2/7/2007	5/7/2009
Inactive	Schnurbusch, Brian Wade	374937	Agent - Casualty	1/31/2005	12/17/2007
Inactive	Schnurbusch, Brian Wade	374937	Agent - Property	1/31/2005	12/10/2007
Inactive	Smathers, Vance A	534427	Agent - Casualty	1/31/2005	5/9/2011
Inactive	Smathers, Vance A	534427	Agent - Property	2/7/2007	5/9/2011
Inactive	Tims, Ernest M	727122	Agent - Casualty	9/14/2010	3/21/2019
Inactive	Tims, Ernest M	727122	Agent - Property	9/14/2010	3/21/2019
Inactive	Underwood, Robert Greene	391697	Agent - Casualty	3/18/2009	9/11/2009
Inactive	Underwood, Robert Greene	391697	Agent - Property	3/18/2009	9/11/2009
Inactive	Walker, Joshua Samuel	516323	Agent - Casualty	1/31/2005	4/30/2010
Inactive	Walker, Joshua Samuel	516323	Agent - Property	2/7/2007	4/30/2010