DEPARTMENT OF INSURANCE
Affiliations
NameCumberland Security BankDOIID399075NAIC NPN7221370
License - Line of Authority Information
StatusResidencyClassLine of AuthorityActive DateInactive DateLicense Expiration Date
ActiveResidentAgentLimited Line Credit6/6/2022 3/31/2026
InactiveResidentAgentHealth12/30/19989/5/2006 
InactiveResidentAgentCredit Life & Health3/31/19828/7/2000 
InactiveResidentAgentMortgage Redemption3/31/19828/7/2000 
InactiveResidentAgentVariable Life and Variable Annuities4/26/20049/5/2006 
InactiveResidentAgentLife12/30/19989/5/2006 
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.
Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveFranklin Life Insurance Company (The)300779Agent - Credit Life & Health11/9/19943/25/1996
InactiveInvestors Heritage Life Insurance Company300363Agent - Credit Life & Health3/31/19828/7/2000
InactiveInvestors Heritage Life Insurance Company300363Agent - Health12/30/19987/1/2002
InactiveInvestors Heritage Life Insurance Company300363Agent - Life12/30/19987/1/2002
InactiveInvestors Heritage Life Insurance Company300363Agent - Limited Line Credit8/7/20003/31/2022
InactiveInvestors Heritage Life Insurance Company300363Agent - Mortgage Redemption3/31/19828/7/2000
InactivePaul Revere Life Insurance Company300971Agent - Health9/5/20007/1/2002
InactivePaul Revere Life Insurance Company300971Agent - Life9/5/20007/1/2002
InactiveProvident Life and Accident Insurance Company301525Agent - Health9/5/20007/1/2002
InactiveProvident Life and Accident Insurance Company301525Agent - Life9/5/20007/1/2002
ActiveSouthern Financial Life Insurance Company300664Agent - Limited Line Credit6/8/2022 
InactiveUNUM Life Insurance Company of America300817Agent - Health9/5/20007/1/2002
InactiveUNUM Life Insurance Company of America300817Agent - Life9/5/20007/1/2002
Designated Individuals
StatusAffiliation NameDOI NumberLine of AuthorityActive DateInactive Date
InactiveAnderson, Joshua Andrew 632681Agent - Limited Line Credit7/20/20067/31/2009
InactiveBurch, Barry Wayne 335264Agent - Credit Life & Health5/17/19958/7/2000
InactiveBurch, Barry Wayne 335264Agent - Limited Line Credit8/7/20001/14/2004
InactiveBurgess, Robert J 358831Agent - Limited Line Credit1/14/20047/20/2006
InactiveGibson, Judy Ann 309727Agent - Credit Life & Health11/9/19943/25/1996
InactiveGodby, Melvin Mcclellan 346739Agent - Credit Life & Health3/12/19868/7/2000
InactiveGodby, Melvin Mcclellan 346739Agent - Health12/30/19987/1/2002
InactiveGodby, Melvin Mcclellan 346739Agent - Life12/30/19987/1/2002
InactiveGodby, Melvin Mcclellan 346739Agent - Limited Line Credit8/7/20007/31/2003
InactiveGover, Michael S 568969Agent - Limited Line Credit1/14/20045/31/2020
InactiveKeith, Clarissa Sharon 362852Agent - Limited Line Credit1/14/20047/20/2006
InactiveLaign, David Morgan 583950Agent - Health3/8/20047/1/2006
InactiveLaign, David Morgan 583950Agent - Life3/8/20047/1/2006
InactiveLaign, David Morgan 583950Agent - Variable Life and Variable Annuities4/26/20047/1/2006
InactiveMarcum, Tonya L 554050Agent - Limited Line Credit7/20/20062/3/2010
InactiveMize, John 675496Agent - Limited Line Credit2/3/20101/31/2015
InactiveMounce, Susan R 387569Agent - Limited Line Credit1/25/20073/24/2016
InactivePrice, George Thomas 355591Agent - Credit Life & Health5/17/19968/7/2000
InactivePrice, George Thomas 355591Agent - Limited Line Credit8/7/20008/31/2003
ActiveRoss, Mark Alan 350217Agent - Limited Line Credit11/15/2022 
InactiveSimpson, Gary Michael 349846Agent - Credit Life & Health11/9/19943/25/1996
InactiveSimpson, Gary Michael 349846Agent - Limited Line Credit1/14/20048/31/2008
InactiveWatson, Howard S 380585Agent - Credit Life & Health5/17/19968/7/2000
InactiveWatson, Howard S 380585Agent - Limited Line Credit8/7/200011/30/2003
InactiveWheeldon, Sharon K 322509Agent - Limited Line Credit1/14/20041/31/2019
InactiveWilburn, William Benjamin 587146Agent - Limited Line Credit1/24/20056/30/2020
InactiveYoung, Angela Sue 635245Agent - Limited Line Credit7/20/200611/30/2008

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