DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Adams, Mark J	DOIID	323124	NAIC NPN	3077210

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	11/30/1998	5/9/2000
Inactive	Resident	Agent	Limited Line Credit	10/15/2001	8/23/2002
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	10/15/2001	8/23/2002
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	11/30/1998	5/9/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hatfield Chrysler Products	398284	Agent - Limited Line Credit	10/29/2001	8/23/2002