DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mansfield, David Alan	DOIID	369135	NAIC NPN	7199838

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	12/7/1994	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	11/30/2012
* 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 National Insurance Company	301861	Agent - Limited Line Credit	1/25/2010	8/1/2012
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	4/3/2006	11/30/2012
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/10/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	5/14/2004	4/5/2007
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	12/7/1994	12/21/1998
Inactive	Universal Underwriters Life Insurance Company	301200	Agent - Limited Line Credit	12/15/2004	1/26/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mansfield Automotive Group, Inc.	398912	Agent - Credit Life & Health	7/26/2000	8/7/2000
Inactive	Mansfield Automotive Group, Inc.	398912	Agent - Limited Line Credit	6/2/2004	11/30/2012