DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mansfield Automotive Group, Inc.	DOIID	398912	NAIC NPN	7221262

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	6/2/2004	3/26/2013
Inactive	Resident	Agent	Credit Life & Health	3/17/1994	8/7/2000
* 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	1/5/2010	8/1/2012
Inactive	Federal Home Life Insurance Company	301302	Agent - Credit Life & Health	3/17/1994	7/1/1996
Inactive	Heritage Life Insurance Company	300081	Agent - Credit Life & Health	7/1/1996	8/7/2000
Inactive	Heritage Life Insurance Company	300081	Agent - Limited Line Credit	8/7/2000	2/14/2001
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	2/27/2006	3/26/2013
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	7/26/2000	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	6/2/2004	4/5/2007
Inactive	Universal Underwriters Life Insurance Company	301200	Agent - Limited Line Credit	12/15/2004	1/26/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arnett, Larry Adrian	351092	Agent - Credit Life & Health	12/22/1997	12/4/1998
Inactive	Laster, Doil Bennie	544815	Agent - Limited Line Credit	6/2/2004	12/31/2012
Inactive	Mansfield, David Alan	369135	Agent - Credit Life & Health	7/26/2000	8/7/2000
Inactive	Mansfield, David Alan	369135	Agent - Limited Line Credit	6/2/2004	11/30/2012
Inactive	Mansfield, Thomas E	315087	Agent - Credit Life & Health	7/1/1996	12/29/1997
Inactive	Parham, Freddie E	357237	Agent - Credit Life & Health	7/1/1996	12/4/1998
Inactive	Parham, Phillip W	323714	Agent - Credit Life & Health	12/3/1998	7/21/1999
Inactive	Rice, Kevin Lee	377468	Agent - Credit Life & Health	7/26/2000	8/7/2000