DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Scott, Madison Edward	DOIID	360924	NAIC NPN	685750

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	2/16/1999	7/31/2009
Inactive	Non Resident	Agent	Life	2/16/1999	7/31/2009
* 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	Union Security Insurance Company	301844	Agent - Health	2/16/1999	12/15/2006
Inactive	Union Security Insurance Company	301844	Agent - Life	2/16/1999	12/15/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Gallagher Benefit Services Inc	525782	Agent - Life
Denied	Gallagher Benefit Services Inc	525782	Agent - Health