DEPARTMENT OF INSURANCE

Affiliations

Name	Shouse, Margie Ellen	DOIID	371546	NAIC NPN	1495029

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Property	8/15/2000	9/27/2013
Inactive	Resident	Agent	General Lines	12/22/1987	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	9/27/2013
Inactive	Resident	Agent	Health	2/11/1992	9/27/2013
Inactive	Resident	Agent	Life	2/11/1992	9/27/2013
Inactive	Resident	Surplus Lines Broker	Not Applicable	9/27/1996	3/23/2001
* 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	1/25/2002	11/20/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	1/25/2002	11/20/2007
Inactive	American Benefit Life Insurance Company	301002	Agent - Life	10/22/1996	6/12/1998
Inactive	American Bonding Company	300467	Agent - General Lines	2/12/1993	3/31/1996
Inactive	American National Insurance Company	301861	Agent - Health	10/16/2000	4/25/2002
Inactive	American National Insurance Company	301861	Agent - Life	10/16/2000	4/25/2002
Inactive	Amerisure Insurance Company	300298	Agent - General Lines	6/21/1988	3/31/1996
Inactive	Amerisure Mutual Insurance Company	301576	Agent - General Lines	6/21/1988	3/31/1996
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	10/23/2000	12/28/2000
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	10/23/2000	12/28/2000
Inactive	Bankers Standard Insurance Company	301620	Agent - General Lines	3/28/1995	10/16/1998
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	11/15/1996	1/3/2001
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	11/15/1996	1/3/2001
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	6/10/1992	4/9/2003
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	6/10/1992	4/9/2003
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	9/29/2006	2/5/2010
Inactive	Clarendon National Insurance Company	300843	Agent - General Lines	5/10/1996	12/14/1999
Inactive	Continental Indemnity Company	301905	Agent - Casualty	3/5/2001	7/1/2002
Inactive	Continental Indemnity Company	301905	Agent - Property	3/5/2001	7/1/2002
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	3/4/2002	9/27/2013
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - General Lines	8/19/1999	11/29/1999
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	3/4/2002	9/27/2013
Inactive	Federal Insurance Company	301144	Agent - General Lines	8/3/1992	3/31/1996
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	3/16/1994	12/31/1998
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	3/16/1994	12/31/1998
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/2/2005	12/13/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/2/2005	12/13/2012
Inactive	Great Northern Insurance Company	301107	Agent - General Lines	8/3/1992	3/31/1996
Inactive	Great West Casualty Company	301015	Agent - Casualty	6/4/2002	9/22/2004
Inactive	Great West Casualty Company	301015	Agent - Property	6/4/2002	9/22/2004
Inactive	Hanover Insurance Company (The)	300508	Agent - General Lines	12/22/1987	3/31/1996
Inactive	Hartford Life Group Insurance Company	301708	Agent - Health	4/6/2004	12/31/2006
Inactive	Hartford Life Group Insurance Company	301708	Agent - Life	4/6/2004	12/31/2006
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	2/9/1994	12/8/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	2/9/1994	12/8/2009
Inactive	Heritage Life Insurance Company	300081	Agent - Health	7/26/1995	12/31/1998
Inactive	Heritage Life Insurance Company	300081	Agent - Life	7/26/1995	12/31/1998
Inactive	Indemnity Insurance Company of North America	301760	Agent - General Lines	3/28/1995	10/12/1998
Inactive	Insurance Company of North America	300226	Agent - General Lines	2/8/1988	10/12/1998
Inactive	John Alden Life Insurance Company	300573	Agent - Health	4/20/2004	12/29/2010
Inactive	John Alden Life Insurance Company	300573	Agent - Life	4/20/2004	12/29/2010
Inactive	Midland National Life Insurance Company	300923	Agent - Life	4/5/2004	3/28/2011
Inactive	Pacific Indemnity Company	301610	Agent - General Lines	8/3/1992	3/31/1996
Inactive	Security Life Insurance Company of America	300936	Agent - Health	2/28/2005	3/24/2009
Inactive	Security Life Insurance Company of America	300936	Agent - Life	2/28/2005	3/24/2009
Inactive	South Carolina Insurance Company	300080	Agent - General Lines	4/18/1998	8/5/1998
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	8/8/1994	3/31/1997
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	8/8/1994	3/31/1997
Inactive	SunAmerica Life Insurance Company	300096	Agent - Life	8/18/1997	3/31/2003
Inactive	Time Insurance Company	300683	Agent - Health	3/19/2001	12/15/2004
Inactive	Time Insurance Company	300683	Agent - Life	3/19/2001	12/15/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	7/26/1994	3/11/2002
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/26/1994	3/11/2002
Inactive	Underwriters at Lloyd's, London	300658	Agent - General Lines	11/20/1991	3/31/1996
Inactive	Union Bankers Insurance Company	301769	Agent - Health	4/16/1996	6/12/1998
Inactive	Union Bankers Insurance Company	301769	Agent - Life	4/16/1996	6/12/1998
Inactive	Vesta Fire Insurance Corporation	300828	Agent - Casualty	8/15/2000	7/8/2002
Inactive	Vesta Fire Insurance Corporation	300828	Agent - General Lines	4/12/1994	8/15/2000
Inactive	Vesta Fire Insurance Corporation	300828	Agent - Property	8/15/2000	7/8/2002
Inactive	Vesta Insurance Corporation	301338	Agent - Casualty	8/15/2000	7/8/2002
Inactive	Vesta Insurance Corporation	301338	Agent - General Lines	4/12/1994	8/15/2000
Inactive	Vesta Insurance Corporation	301338	Agent - Property	8/15/2000	7/8/2002
Inactive	Vigilant Insurance Company	301143	Agent - General Lines	8/3/1992	3/31/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	IHA Management Company, Inc.	400494	Agent - Life	5/27/2003	3/31/2008
Inactive	IHA Management Company, Inc.	400494	Agent - Health	5/27/2003	3/31/2008
Inactive	IHA Management Company, Inc.	400494	Agent - General Lines	1/8/1997	8/15/2000
Inactive	IHA Management Company, Inc.	400494	Agent - Property	8/15/2000	3/31/2008
Inactive	IHA Management Company, Inc.	400494	Agent - Casualty	8/15/2000	3/31/2008
Inactive	John Dillard Insurance Agency, Inc	515541	Agent - Life	3/2/2007	2/25/2010
Inactive	John Dillard Insurance Agency, Inc	515541	Agent - Health	3/2/2007	2/25/2010
Inactive	John Dillard Insurance Agency, Inc	515541	Agent - Property	3/2/2007	2/25/2010
Inactive	John Dillard Insurance Agency, Inc	515541	Agent - Casualty	3/2/2007	2/25/2010
Inactive	Transport Benefit Group Inc	583850	Agent - Life	2/2/2004	9/27/2013
Inactive	Transport Benefit Group Inc	583850	Agent - Health	2/2/2004	9/27/2013
Inactive	Transport Benefit Group Inc	583850	Agent - Property	2/2/2004	9/27/2013
Inactive	Transport Benefit Group Inc	583850	Agent - Casualty	2/2/2004	9/27/2013