DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Atlanta Life General Agency Inc	DOIID	526742	NAIC NPN	4197165

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Non Resident	Agent	Life
Denied	Non Resident	Agent	Casualty
Denied	Non Resident	Agent	Property
Denied	Non Resident	Agent	Health
* 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	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/24/2001	10/31/2003
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/24/2001	10/31/2003
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	7/22/2002	10/31/2003
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	7/22/2002	10/31/2003
Inactive	American National Property and Casualty Company	300392	Agent - Casualty	7/12/2018	3/29/2019
Inactive	American National Property and Casualty Company	300392	Agent - Property	7/12/2018	3/29/2019
Inactive	Atlanta Life Insurance Company	300119	Agent - Health	5/31/2001	3/31/2003
Inactive	Atlanta Life Insurance Company	300119	Agent - Life	5/31/2001	3/31/2003
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	2/6/2018	12/1/2021
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	2/6/2018	12/1/2021
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	1/20/2016	3/31/2017
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	1/20/2016	3/31/2017
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	4/11/2016	3/31/2017
Inactive	Trumbull Insurance Company	300242	Agent - Property	4/11/2016	3/31/2017

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Grimes, Leonard P	761824	Agent - Life	9/15/2011	3/31/2015
Inactive	Miller, Maurice O'neal	366704	Agent - Health	5/31/2001	9/13/2002
Inactive	Miller, Maurice O'neal	366704	Agent - Life	5/31/2001	9/13/2002
Inactive	Souder, William Carl	545228	Agent - Health	9/13/2002	10/31/2003
Inactive	Souder, William Carl	545228	Agent - Life	9/13/2002	10/31/2003
Inactive	Stephenson, Howard	706030	Agent - Casualty	2/2/2018	9/30/2021
Inactive	Stephenson, Howard	706030	Agent - Property	2/2/2018	9/30/2021