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.

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