DEPARTMENT OF INSURANCE

Affiliations

Name	Mader Jr, David Thomas	DOIID	325565	NAIC NPN	1893094

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	8/5/2016	7/1/2018
Inactive	Resident	Agent	Health	8/5/2016	7/1/2018
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	4/17/2007	2/13/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/17/2007	2/13/2010
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	5/5/2007	4/27/2010
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	8/10/1994	7/1/1996
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	8/10/1994	7/1/1996
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	6/27/2008	9/30/2009
Inactive	American Memorial Life Insurance Company	301445	Agent - Life	9/3/2009	6/25/2012
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Health	4/17/2007	10/6/2009
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	4/17/2007	10/6/2009
Inactive	Annuity Investors Life Insurance Company	300715	Agent - Life	5/31/2007	12/22/2008
Inactive	Anthem Life Insurance Company	301209	Agent - Health	4/17/2007	12/31/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Life	4/17/2007	12/31/2009
Inactive	Athene Annuity and Life Company	301893	Agent - Life	9/25/2009	4/1/2010
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	4/18/2011	12/20/2012
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	4/18/2011	12/20/2012
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	10/25/2005	3/31/2007
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	10/25/2005	3/31/2007
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	12/12/2006	3/31/2007
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	12/12/2006	3/31/2007
Inactive	Columbian Life Insurance Company	300810	Agent - Health	4/17/2007	1/22/2010
Inactive	Columbian Life Insurance Company	300810	Agent - Life	4/17/2007	1/22/2010
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	4/15/2011	7/10/2013
Inactive	Conseco Health Insurance Company	301725	Agent - Health	4/16/2007	11/4/2009
Inactive	Conseco Health Insurance Company	301725	Agent - Life	4/16/2007	11/4/2009
Inactive	Conseco Insurance Company	301202	Agent - Health	4/16/2007	10/21/2009
Inactive	Conseco Insurance Company	301202	Agent - Life	4/16/2007	10/21/2009
Inactive	Coventry Health and Life Insurance Company	301771	Agent - Health	3/1/2008	10/8/2009
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	10/5/2010	7/10/2013
Inactive	Essence Healthcare, Inc.	657425	Agent - Health	11/6/2009	10/15/2010
Inactive	First Health Life & Health Insurance Company	301735	Agent - Health	10/30/2008	10/8/2009
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	7/18/2007	10/15/2010
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	7/18/2007	10/15/2010
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	10/5/2010	7/10/2013
Inactive	Humana Insurance Company	301104	Agent - Health	9/10/2010	7/10/2013
Inactive	Humana Insurance Company	301104	Agent - Life	9/10/2010	7/10/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	10/5/2010	7/10/2013
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	10/5/2010	7/10/2013
Inactive	HumanaDental Insurance Company	301457	Agent - Health	4/11/2011	2/22/2012
Inactive	HumanaDental Insurance Company	301457	Agent - Life	4/11/2011	2/22/2012
Inactive	Independent Order of Foresters	300743	Agent - Life	8/14/2009	12/23/2013
Inactive	Kanawha Insurance Company	300127	Agent - Health	4/11/2011	4/25/2013
Inactive	Kanawha Insurance Company	300127	Agent - Life	4/11/2011	4/25/2013
Inactive	Liberty National Life Insurance Company	300827	Agent - Health	3/12/2007	4/16/2007
Inactive	Liberty National Life Insurance Company	300827	Agent - Life	3/12/2007	4/16/2007
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	8/5/2016	7/1/2018
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	8/5/2016	7/1/2018
Inactive	Loyal American Life Insurance Company	301172	Agent - Life	5/31/2007	12/22/2008
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	5/31/2007	12/22/2008
Inactive	MedAmerica Insurance Company	301568	Agent - Health	5/21/2007	6/23/2010
Inactive	Medico Insurance Company	301559	Agent - Health	7/24/2007	9/22/2008
Inactive	Medico Insurance Company	301559	Agent - Life	7/24/2007	9/22/2008
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	11/6/2012	9/23/2013
Inactive	PacifiCare Life and Health Insurance Company	301304	Agent - Health	8/26/2010	10/15/2010
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	7/2/2007	11/27/2008
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	7/2/2007	11/27/2008
Inactive	Sterling Life Insurance Company	301947	Agent - Health	9/17/2010	4/8/2011
Inactive	Sterling Life Insurance Company	301947	Agent - Life	9/17/2010	4/8/2011
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	6/4/2007	12/19/2008
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	6/4/2007	12/19/2008
Inactive	United World Life Insurance Company	300532	Agent - Health	4/19/2007	10/15/2010
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	11/6/2012	9/23/2013
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	11/6/2012	9/23/2013
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	8/26/2010	6/22/2012
Inactive	UnitedHealthcare of Ohio, Inc.	300493	Agent - Health	8/2/2011	6/22/2012

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	4/6/2007	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	4/6/2007	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Life	7/3/2008	12/30/2009
Inactive	Designated Agent Company Inc.	681257	Agent - Health	7/3/2008	12/30/2009