DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Madison Bank	DOIID	398977	NAIC NPN	7221319

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	3/31/2014
Inactive	Resident	Agent	Credit Life & Health	2/4/1997	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	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	2/4/1997	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	3/31/2014

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Abney, Cameron Clay	313575	Agent - Limited Line Credit	5/17/2002	1/31/2011
Inactive	Denson, David Lee	383246	Agent - Limited Line Credit	5/17/2002	2/20/2004
Inactive	Hawkins, Irvine Thomas	392083	Agent - Limited Line Credit	5/17/2002	7/31/2013
Inactive	Keller, Charles Elden	311312	Agent - Limited Line Credit	1/18/2005	7/31/2011
Inactive	Pigg, David L	313601	Agent - Limited Line Credit	2/20/2004	3/31/2014
Inactive	Wilson, Kimberly J	588006	Agent - Limited Line Credit	1/18/2005	12/31/2006