DEPARTMENT OF INSURANCE
Affiliations
NameFord, Dallas EDOIID862055NAIC NPN17230112
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveNon ResidentAgentPersonal Lines11/25/2014 7/31/2025
* 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
Agent05/15/202507/31/2025   
Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveGovernment Employees Insurance Company300376Agent - Personal Lines12/10/201410/10/2023
InactiveHartford Accident and Indemnity Company301917Agent - Personal Lines11/1/20185/5/2021
ActiveHomesite Insurance Company301139Agent - Personal Lines3/22/2015 
ActiveHomesite Insurance Company of the Midwest874850Agent - Personal Lines7/12/2017 
InactiveJewelers Mutual Insurance Company, SI301935Agent - Personal Lines3/15/20171/9/2020
InactiveLM Insurance Corporation301061Agent - Personal Lines3/25/201510/1/2018
InactiveLiberty Insurance Corporation300444Agent - Personal Lines5/25/201711/11/2022
InactiveLiberty Mutual Fire Insurance Company301913Agent - Personal Lines3/25/201510/14/2016
InactiveLiberty Mutual Insurance Company301159Agent - Personal Lines3/25/201510/14/2016
InactiveLiberty Mutual Personal Insurance Company959584Agent - Personal Lines6/19/202010/18/2023
InactivePeerless Indemnity Insurance Company571682Agent - Personal Lines7/27/202310/18/2023
Designated to act on behalf of the following Business Entities
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveGeico Insurance Agency, LLC558517Agent - Personal Lines12/12/201410/10/2023

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