DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Madison, Crystal L	DOIID	504325	NAIC NPN	7211628

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	5/1/2000	8/7/2000
Inactive	Resident	Agent	Mortgage Redemption	8/2/2000	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	4/30/2005
* 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 General Assurance Company	300586	Agent - Limited Line Credit	2/24/2003	3/22/2004
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Limited Line Credit	2/7/2003	3/22/2004
Inactive	Liberty Life Insurance Company	301542	Agent - Limited Line Credit	8/7/2000	6/27/2002
Inactive	Liberty Life Insurance Company	301542	Agent - Mortgage Redemption	8/2/2000	8/2/2000
Inactive	Protective Life Insurance Company of Kentucky	300663	Agent - Limited Line Credit	12/2/2002	4/30/2005
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	5/1/2000	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	12/17/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	MidAmerica Investment Services, Inc.	400939	Agent - Credit Life & Health	5/8/2000	8/7/2000
Denied	MidAmerica Investment Services, Inc.	400939	Agent - Limited Line Credit