DEPARTMENT OF INSURANCE
Affiliations
NameCottongim AgencyDOIID544617NAIC NPN7223452
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentProperty1/17/2002 3/31/2026
ActiveResidentAgentCasualty1/17/2002 3/31/2026
ActiveResidentAgentLife2/11/2002 3/31/2026
ActiveResidentAgentHealth2/11/2002 3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
License Renewal Information
ClassInvoice DateResponse Due / Expiration DateResponse Received DatePayment Received DateRenewal Complete
Agent01/15/202603/31/2026   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveAllstate Indemnity Company300778Agent - Casualty2/19/2002 
ActiveAllstate Indemnity Company300778Agent - Property2/19/2002 
ActiveAllstate Insurance Company300773Agent - Casualty1/17/2002 
ActiveAllstate Insurance Company300773Agent - Property1/17/2002 
ActiveAllstate North America Insurance Company1121481Agent - Casualty1/30/2025 
ActiveAllstate North America Insurance Company1121481Agent - Property1/30/2025 
ActiveAllstate Property and Casualty Insurance Company300593Agent - Casualty8/12/2005 
ActiveAllstate Property and Casualty Insurance Company300593Agent - Property8/12/2005 
ActiveAllstate Vehicle & Property Insurance Company301429Agent - Casualty2/17/2014 
ActiveAllstate Vehicle & Property Insurance Company301429Agent - Property2/17/2014 
ActiveAmerican Family Home Insurance Company301817Agent - Casualty2/26/2024 
ActiveAmerican Family Home Insurance Company301817Agent - Property2/26/2024 
ActiveAmerican Modern Home Insurance Company300791Agent - Casualty6/14/2020 
ActiveAmerican Modern Home Insurance Company300791Agent - Property6/14/2020 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Casualty9/26/2018 
ActiveAmerican Modern Property and Casualty Insurance Company301954Agent - Property9/26/2018 
InactiveAmerican Modern Select Insurance Company581481Agent - Casualty7/28/201611/14/2021
InactiveAmerican Modern Select Insurance Company581481Agent - Property7/28/201611/14/2021
InactiveEsurance Property and Casualty Insurance Company613279Agent - Casualty7/16/20213/8/2023
InactiveEsurance Property and Casualty Insurance Company613279Agent - Property7/16/20213/8/2023
ActiveEverlake Assurance Company300203Agent - Life12/17/2014 
ActiveEverlake Life Insurance Company300873Agent - Health2/11/2002 
ActiveEverlake Life Insurance Company300873Agent - Life2/11/2002 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Casualty9/28/2023 
ActiveForemost Insurance Company Grand Rapids, Michigan301027Agent - Property9/28/2023 
ActiveLincoln Benefit Life Company301110Agent - Health10/29/2008 
ActiveLincoln Benefit Life Company301110Agent - Life10/29/2008 
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
ActiveBungenstock, Bettie Lee 308824Agent - Casualty1/17/2002 
ActiveBungenstock, Bettie Lee 308824Agent - Health2/11/2002 
ActiveBungenstock, Bettie Lee 308824Agent - Life2/11/2002 
ActiveBungenstock, Bettie Lee 308824Agent - Property1/17/2002 
InactiveFrank, Sherri Lynn 522757Agent - Casualty2/9/200410/8/2015
InactiveFrank, Sherri Lynn 522757Agent - Property2/9/200410/8/2015

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