DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Madison Service Corporation	DOIID	399144	NAIC NPN	7221433

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	5/29/1991	5/31/2003
Inactive	Resident	Agent	Life	5/31/2001	5/31/2003
* 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	Conseco Insurance Company	301202	Agent - Health	12/4/1989	2/23/1996
Inactive	Conseco Insurance Company	301202	Agent - Life	12/4/1989	2/23/1996
Inactive	Liberty Life Insurance Company	301542	Agent - Health	3/27/1992	5/31/2003
Inactive	Liberty Life Insurance Company	301542	Agent - Life	3/27/1992	5/31/2003
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	3/15/1994	1/21/1999
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	3/15/1994	1/21/1999

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Earnest, William Preston	335563	Agent - Health	8/24/1988	5/31/2003
Inactive	Earnest, William Preston	335563	Agent - Life	8/24/1988	5/31/2003