DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Madison, Chad Thomas	DOIID	554093	NAIC NPN	7366055

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Denied	Resident	Agent	Health
Inactive	Resident	Agent	Life	8/7/2006	7/31/2008
* 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
Denied	Allianz Life Insurance Company of North America	301791	Agent - Health
Denied	Allianz Life Insurance Company of North America	301791	Agent - Life
Inactive	Indianapolis Life Insurance Company	301381	Agent - Life	2/7/2007	7/31/2008

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	P.T. Bloyd & Associates Inc.	511496	Agent - Life	2/7/2007	7/31/2008