DEPARTMENT OF INSURANCE

Affiliations

Name	Gilliam, Cody	DOIID	955381	NAIC NPN	18420299

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Resident	Agent	Health	5/30/2017	2/28/2027
Active	Resident	Agent	Casualty	6/27/2017	2/28/2027
Active	Resident	Agent	Life	6/1/2017	2/28/2027
Active	Resident	Agent	Property	6/15/2017	2/28/2027
* 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	12/15/2026	02/28/2027

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American Economy Insurance Company	300315	Agent - Casualty	11/9/2019
Active	American Economy Insurance Company	300315	Agent - Property	11/9/2019
Inactive	Anthem Life Insurance Company	301209	Agent - Health	8/11/2017	12/11/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	8/11/2017	12/11/2017
Inactive	Augustar Life Assurance Corporation	301113	Agent - Health	10/20/2017	9/14/2020
Inactive	Augustar Life Assurance Corporation	301113	Agent - Life	10/20/2017	9/14/2020
Inactive	Augustar Life Insurance Company	301816	Agent - Health	10/20/2017	9/14/2020
Inactive	Augustar Life Insurance Company	301816	Agent - Life	10/20/2017	9/14/2020
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Casualty	8/24/2017	11/30/2017
Inactive	Automobile Insurance Company of Hartford, Connecticut	300630	Agent - Property	8/24/2017	11/30/2017
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	2/9/2021	12/20/2024
Inactive	Bristol West Insurance Company	301655	Agent - Property	2/9/2021	12/20/2024
Active	Combined Insurance Company of America	301472	Agent - Health	6/29/2023
Active	Combined Insurance Company of America	301472	Agent - Life	6/29/2023
Active	Countryway Insurance Company	300809	Agent - Casualty	10/12/2017
Active	Countryway Insurance Company	300809	Agent - Property	10/12/2017
Inactive	Erie Family Life Insurance Company	301400	Agent - Health	7/19/2019	3/31/2025
Inactive	Erie Family Life Insurance Company	301400	Agent - Life	7/14/2017	3/31/2025
Inactive	Erie Insurance Company	300230	Agent - Casualty	7/14/2017	3/31/2025
Inactive	Erie Insurance Company	300230	Agent - Property	7/14/2017	3/31/2025
Inactive	Erie Insurance Company of New York	789916	Agent - Casualty	7/14/2017	3/31/2025
Inactive	Erie Insurance Company of New York	789916	Agent - Property	7/14/2017	3/31/2025
Inactive	Erie Insurance Exchange	300789	Agent - Casualty	7/14/2017	3/31/2025
Inactive	Erie Insurance Exchange	300789	Agent - Property	7/14/2017	3/31/2025
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Casualty	7/14/2017	3/31/2025
Inactive	Erie Insurance Property & Casualty Company	789942	Agent - Property	7/14/2017	3/31/2025
Inactive	Flagship City Insurance Company	789965	Agent - Casualty	7/14/2017	3/31/2025
Inactive	Flagship City Insurance Company	789965	Agent - Property	7/14/2017	3/31/2025
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/30/2017
Active	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/30/2017
Inactive	Integon Indemnity Corporation	300674	Agent - Casualty	10/12/2023	3/17/2025
Inactive	Integon Indemnity Corporation	300674	Agent - Property	10/12/2023	3/17/2025
Inactive	Milbank Insurance Company	925185	Agent - Casualty	2/20/2019	1/18/2021
Inactive	Milbank Insurance Company	925185	Agent - Property	2/20/2019	1/18/2021
Inactive	Old Guard Insurance Company	533854	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Old Guard Insurance Company	533854	Agent - Property	6/2/2021	6/11/2021
Active	SAFECO Insurance Company of America	300159	Agent - Casualty	8/1/2017
Active	SAFECO Insurance Company of America	300159	Agent - Property	8/1/2017
Active	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/1/2017
Active	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/1/2017
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/24/2017	9/6/2019
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/24/2017	9/6/2019
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Casualty	12/27/2017	1/18/2021
Inactive	State Automobile Mutual Insurance Company	301824	Agent - Property	12/27/2017	1/18/2021
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/24/2017	11/30/2017
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/24/2017	11/30/2017
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	8/24/2017	9/6/2019
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	8/24/2017	9/6/2019
Inactive	Westfield Champion Insurance Company	1054839	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Champion Insurance Company	1054839	Agent - Property	6/2/2021	6/11/2021
Active	Westfield Insurance Company	301950	Agent - Casualty	5/21/2020
Active	Westfield Insurance Company	301950	Agent - Property	5/21/2020
Inactive	Westfield Premier Insurance Company	1055055	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Premier Insurance Company	1055055	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Superior Insurance Company	1054978	Agent - Property	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Casualty	6/2/2021	6/11/2021
Inactive	Westfield Touchstone Insurance Company	1055057	Agent - Property	6/2/2021	6/11/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Carosella Insurance Agency, LLC	878337	Agent - Health	12/20/2017
Active	Carosella Insurance Agency, LLC	878337	Agent - Life	12/20/2017
Active	Carosella Insurance Agency, LLC	878337	Agent - Casualty	12/20/2017
Active	Carosella Insurance Agency, LLC	878337	Agent - Property	12/20/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	8/11/2017	12/10/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Life	8/11/2017	12/10/2017
Inactive	GKI, LLC	1103775	Agent - Health	10/8/2020	9/17/2025
Inactive	GKI, LLC	1103775	Agent - Life	10/8/2020	9/17/2025
Inactive	GKI, LLC	1103775	Agent - Casualty	10/8/2020	9/17/2025
Inactive	GKI, LLC	1103775	Agent - Property	10/8/2020	9/17/2025