DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Crossroads Ford Lincoln-Mercury	DOIID	400382	NAIC NPN	7222366

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Limited Line Credit	8/7/2000	3/31/2011
Inactive	Non Resident	Agent	Credit Life & Health	9/26/1995	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	Bankers Life Insurance Company	301784	Agent - Credit Life & Health	5/8/1996	3/31/1997
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	5/14/1997	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	3/31/2011
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	9/22/2003	7/8/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	9/26/1995	3/31/1996

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Aldridge, Betty Ann	380183	Agent - Limited Line Credit	3/3/2005	10/31/2005
Inactive	Andrews, Calvin Wesley	387248	Agent - Credit Life & Health	5/8/1996	3/31/1997
Inactive	Blankenship, Randall Blake	391008	Agent - Limited Line Credit	2/26/2003	12/31/2004
Inactive	Carney, Conrad Regis	390243	Agent - Credit Life & Health	5/14/1997	2/19/1998
Inactive	Elam, Angelia R	333032	Agent - Credit Life & Health	2/19/1998	8/7/2000
Inactive	Elam, Angelia R	333032	Agent - Limited Line Credit	8/7/2000	2/11/2003
Inactive	Hendren, Darrin Wayne	380150	Agent - Credit Life & Health	5/14/1997	8/7/2000
Inactive	Hendren, Darrin Wayne	380150	Agent - Limited Line Credit	8/7/2000	7/31/2005
Inactive	Ingler, Lori Carter	355166	Agent - Credit Life & Health	9/26/1995	2/26/1996
Inactive	Jeffreys, Patrick Shanley	656484	Agent - Limited Line Credit	5/29/2007	3/31/2010
Inactive	Reeder, Richard Lee	384168	Agent - Credit Life & Health	5/14/1997	8/24/1999
Inactive	Williams, Gary Lee	604973	Agent - Limited Line Credit	5/11/2007	3/31/2011
Inactive	Wingfield, William Larue	392298	Agent - Credit Life & Health	5/14/1997	8/7/2000
Inactive	Wingfield, William Larue	392298	Agent - Limited Line Credit	8/7/2000	3/31/2011
Inactive	Wingfield-Jeffreys, Marcie Lynn	605536	Agent - Limited Line Credit	4/12/2005	3/31/2011