DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Independence Bank	DOIID	398205	NAIC NPN	7220725

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	6/29/1994	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	2/17/2004
* 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	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	6/29/1994	9/13/1996
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	9/16/1998	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	9/17/2003
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	7/3/1996	9/16/1998

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Reid, Charles Albert	335272	Agent - Credit Life & Health	10/19/1981	8/7/2000
Inactive	Reid, Charles Albert	335272	Agent - Limited Line Credit	8/7/2000	9/17/2003
Inactive	Reid, Christopher Charles	373063	Agent - Credit Life & Health	6/29/1994	9/13/1996