DEPARTMENT OF INSURANCE
Affiliations
NameStyles III, Stailey JDOIID823379NAIC NPN644959
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
InactiveNon ResidentAgentHealth10/5/20133/31/2015 
InactiveNon ResidentAgentLife10/5/20133/31/2015 
Pending ReplacementNon ResidentIndependent AdjusterProperty & Casualty8/4/2015 3/31/2025
* 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
Independent Adjuster01/15/202503/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveProvident Life and Accident Insurance Company301525Agent - Health10/9/20133/31/2015
InactiveProvident Life and Accident Insurance Company301525Agent - Life10/9/20133/31/2015
InactiveUNUM Life Insurance Company of America300817Agent - Health10/9/20133/31/2015
InactiveUNUM Life Insurance Company of America300817Agent - Life10/9/20133/31/2015
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveCrawford & Company401229Independent Adjuster - Property & Casualty9/3/201512/8/2022

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