DEPARTMENT OF INSURANCE

Affiliations

Name	Cottongim Agency	DOIID	544617	NAIC NPN	7223452

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Property	1/17/2002	3/31/2026
Active	Resident	Agent	Casualty	1/17/2002	3/31/2026
Active	Resident	Agent	Life	2/11/2002	3/31/2026
Active	Resident	Agent	Health	2/11/2002	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

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Allstate Indemnity Company	300778	Agent - Casualty	2/19/2002
Active	Allstate Indemnity Company	300778	Agent - Property	2/19/2002
Active	Allstate Insurance Company	300773	Agent - Casualty	1/17/2002
Active	Allstate Insurance Company	300773	Agent - Property	1/17/2002
Active	Allstate North America Insurance Company	1121481	Agent - Casualty	1/30/2025
Active	Allstate North America Insurance Company	1121481	Agent - Property	1/30/2025
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Casualty	8/12/2005
Active	Allstate Property and Casualty Insurance Company	300593	Agent - Property	8/12/2005
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	2/17/2014
Active	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	2/17/2014
Active	American Family Home Insurance Company	301817	Agent - Casualty	2/26/2024
Active	American Family Home Insurance Company	301817	Agent - Property	2/26/2024
Active	American Modern Home Insurance Company	300791	Agent - Casualty	6/14/2020
Active	American Modern Home Insurance Company	300791	Agent - Property	6/14/2020
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Casualty	9/26/2018
Active	American Modern Property and Casualty Insurance Company	301954	Agent - Property	9/26/2018
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/28/2016	11/14/2021
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/28/2016	11/14/2021
Inactive	Esurance Property and Casualty Insurance Company	613279	Agent - Casualty	7/16/2021	3/8/2023
Inactive	Esurance Property and Casualty Insurance Company	613279	Agent - Property	7/16/2021	3/8/2023
Active	Everlake Assurance Company	300203	Agent - Life	12/17/2014
Active	Everlake Life Insurance Company	300873	Agent - Health	2/11/2002
Active	Everlake Life Insurance Company	300873	Agent - Life	2/11/2002
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	9/28/2023
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	9/28/2023
Active	Lincoln Benefit Life Company	301110	Agent - Health	10/29/2008
Active	Lincoln Benefit Life Company	301110	Agent - Life	10/29/2008

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Bungenstock, Bettie Lee	308824	Agent - Casualty	1/17/2002
Active	Bungenstock, Bettie Lee	308824	Agent - Health	2/11/2002
Active	Bungenstock, Bettie Lee	308824	Agent - Life	2/11/2002
Active	Bungenstock, Bettie Lee	308824	Agent - Property	1/17/2002
Inactive	Frank, Sherri Lynn	522757	Agent - Casualty	2/9/2004	10/8/2015
Inactive	Frank, Sherri Lynn	522757	Agent - Property	2/9/2004	10/8/2015