DEPARTMENT OF INSURANCE

Affiliations

Name	Mayfield, John Phillip	DOIID	356492	NAIC NPN	5930777

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	6/3/1981	4/1/2012
Inactive	Resident	Agent	Health	6/3/1981	4/1/2012
Inactive	Resident	Agent	General Lines	4/29/1983	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	Allianz Life Insurance Company of North America	301791	Agent - Health	10/2/2000	11/21/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	10/2/2000	11/21/2007
Inactive	Celtic Insurance Company	300877	Agent - Health	10/16/1991	3/31/1997
Inactive	Celtic Insurance Company	300877	Agent - Life	10/16/1991	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Health	9/28/1984	4/1/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/28/1984	4/1/2012
Inactive	Jackson National Life Insurance Company	300486	Agent - Health	3/23/1994	4/20/2006
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	4/8/2008	5/11/2009
Inactive	LM General Insurance Company	300133	Agent - General Lines	7/26/1983	8/15/2000
Inactive	LM Property and Casualty Insurance Company	301658	Agent - General Lines	4/29/1983	8/15/2000
Inactive	LifeSecure Insurance Company	301629	Agent - Health	11/20/2000	7/20/2001
Inactive	LifeSecure Insurance Company	301629	Agent - Life	11/20/2000	7/20/2001
Inactive	LifeUSA Insurance Company	300386	Agent - Health	10/2/2000	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	10/2/2000	8/2/2002
Inactive	Pruco Life Insurance Company	300954	Agent - Health	8/22/1984	1/18/2001
Inactive	Pruco Life Insurance Company	300954	Agent - Life	8/22/1984	1/18/2001
Inactive	Prudential Insurance Company of America	300784	Agent - Health	6/3/1981	1/18/2001
Inactive	Prudential Insurance Company of America	300784	Agent - Life	6/3/1981	1/18/2001
Inactive	Settlers Life Insurance Company	300189	Agent - Health	3/7/1995	3/31/1997
Inactive	Settlers Life Insurance Company	300189	Agent - Life	3/7/1995	3/31/1997
Inactive	Time Insurance Company	300683	Agent - Health	3/12/2001	1/28/2005
Inactive	Time Insurance Company	300683	Agent - Life	3/12/2001	1/28/2005

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	6/25/1996	6/2/1999
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	6/2/1999