DEPARTMENT OF INSURANCE

Affiliations

Name	Mayo Sr., David Leon	DOIID	324145	NAIC NPN	7169793

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	8/15/2000	11/15/2017
Inactive	Resident	Agent	Life	6/25/1984	11/15/2017
Inactive	Resident	Agent	Health	6/25/1984	11/15/2017
Inactive	Resident	Agent	Casualty	8/15/2000	11/15/2017
Inactive	Resident	Agent	General Lines	6/25/1984	8/15/2000
* 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	American Heritage Life Insurance Company	300272	Agent - Health	9/21/2001	11/15/2017
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	9/21/2001	11/15/2017
Inactive	American Modern Home Insurance Company	300791	Agent - Casualty	4/13/2016	11/15/2017
Inactive	American Modern Home Insurance Company	300791	Agent - Property	4/13/2016	11/15/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Casualty	7/21/2015	11/15/2017
Inactive	American Modern Select Insurance Company	581481	Agent - Property	7/21/2015	11/15/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Casualty	7/21/2015	11/15/2017
Inactive	American Southern Home Insurance Company	626276	Agent - Property	7/21/2015	11/15/2017
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/25/1984	3/31/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Health	12/6/2012	5/19/2017
Inactive	Anthem Life Insurance Company	301209	Agent - Life	12/6/2012	5/19/2017
Inactive	Assurity Life Insurance Company	301099	Agent - Health	9/2/2004	1/26/2009
Inactive	Assurity Life Insurance Company	301099	Agent - Life	9/2/2004	1/26/2009
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	2/23/2015	11/15/2017
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	2/23/2015	11/15/2017
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	12/17/2012	11/15/2017
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	12/17/2012	11/15/2017
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	1/30/2008	11/15/2017
Inactive	Bristol West Insurance Company	301655	Agent - Property	1/30/2008	11/15/2017
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	4/26/2002	11/15/2017
Inactive	FB Insurance Company (The)	301763	Agent - Casualty	8/15/2000	11/15/2017
Inactive	FB Insurance Company (The)	301763	Agent - General Lines	6/25/1984	8/15/2000
Inactive	FB Insurance Company (The)	301763	Agent - Property	8/15/2000	11/15/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/6/2004	11/15/2017
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/6/2004	11/15/2017
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/17/2012	11/15/2017
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/17/2012	11/15/2017
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	12/10/2012	11/15/2017
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	12/10/2012	11/15/2017
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	3/7/2007	12/30/2009
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	3/7/2007	12/30/2009
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	9/19/2008	11/19/2016
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	9/19/2008	11/19/2016
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Casualty	8/15/2000	11/15/2017
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - General Lines	6/25/1984	8/15/2000
Inactive	Kentucky Farm Bureau Mutual Insurance Company	300570	Agent - Property	8/15/2000	11/15/2017
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	11/19/2007	3/31/2009
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	11/19/2007	3/31/2009
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Health	6/25/1984	11/15/2017
Inactive	Southern Farm Bureau Life Insurance Company	300909	Agent - Life	6/25/1984	11/15/2017
Inactive	Unity Financial Life Insurance Company	301054	Agent - Life	10/19/2005	1/29/2008
Inactive	Victoria Fire & Casualty Company	300313	Agent - Casualty	5/4/2011	6/26/2017
Inactive	Victoria Fire & Casualty Company	300313	Agent - Property	5/4/2011	6/26/2017

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	8/4/2011	1/9/2014
Inactive	Designated Agent Company Inc.	681257	Agent - Life	12/6/2012	11/15/2017
Inactive	Designated Agent Company Inc.	681257	Agent - Health	12/6/2012	11/15/2017
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - General Lines	8/15/1988	8/15/2000
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Life	8/15/1988	11/13/2017
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Health	8/15/1988	11/13/2017
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Property	8/15/2000	11/13/2017
Inactive	Kentucky Farm Bureau Insurance Agency LLC	399619	Agent - Casualty	8/15/2000	11/13/2017
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Life	1/20/2005	3/31/2007
Inactive	Southern Capital Brokerage Co LLC	577403	Agent - Health	1/20/2005	3/31/2007