DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mansfield Chevrolet-Buick, Inc	DOIID	398307	NAIC NPN	7220812

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	4/23/1998	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	6/14/2010	3/31/2014
* 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	6/25/2010	4/8/2014
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	4/23/1998	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	3/1/2007
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	2/27/2006	3/1/2007
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	3/31/2000	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	3/1/2007
Inactive	Universal Underwriters Life Insurance Company	301200	Agent - Limited Line Credit	6/28/2005	1/26/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Eaves, Lee Scott	360409	Agent - Credit Life & Health	3/31/2000	8/7/2000
Inactive	Eaves, Lee Scott	360409	Agent - Limited Line Credit	8/7/2000	1/31/2005
Inactive	Mansfield, Thomas E	315087	Agent - Credit Life & Health	4/23/1998	9/20/1999
Inactive	Mansfield, Thomas E	315087	Agent - Limited Line Credit	6/14/2010	3/31/2014
Inactive	Thomas, Michelle R	376974	Agent - Limited Line Credit	6/14/2010	4/8/2014