DEPARTMENT OF INSURANCE

Affiliations

Name	C.M.G. Agency, Inc.	DOIID	554100	NAIC NPN	655004

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	8/26/2002	3/31/2026
Active	Non Resident	Agent	Health	8/26/2002	3/31/2026
Active	Non Resident	Agent	Property	8/12/2002	3/31/2026
Active	Non Resident	Agent	Casualty	8/12/2002	3/31/2026
* 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
Active	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	6/29/2005
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	6/29/2005	10/16/2012
Active	Anthem Life Insurance Company	301209	Agent - Health	6/29/2005
Active	Anthem Life Insurance Company	301209	Agent - Life	6/29/2005
Active	Church Mutual Insurance Company, S.I.	301554	Agent - Casualty	11/2/2017
Active	Church Mutual Insurance Company, S.I.	301554	Agent - Property	11/2/2017
Inactive	ClearPath Insurance Company	979815	Agent - Casualty	1/1/2018	2/7/2019
Active	Colonial American Casualty & Surety Company	300769	Agent - Casualty	2/3/2011
Active	Colonial American Casualty & Surety Company	300769	Agent - Property	2/3/2011
Active	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	2/3/2011
Active	Fidelity and Deposit Company of Maryland	300976	Agent - Property	2/3/2011
Active	Hartford Fire Insurance Company	300628	Agent - Health	6/2/2020
Active	Hartford Life and Accident Insurance Company	300878	Agent - Health	2/19/2009
Active	Hartford Life and Accident Insurance Company	300878	Agent - Life	2/19/2009
Active	Life Insurance Company of North America	300711	Agent - Health	8/26/2002
Active	Life Insurance Company of North America	300711	Agent - Life	8/26/2002
Active	Mutual of Omaha Insurance Company	301012	Agent - Health	5/29/2024
Inactive	Preferred Professional Insurance Company	300209	Agent - Casualty	11/13/2006	12/21/2016
Inactive	Preferred Professional Insurance Company	300209	Agent - Property	11/13/2006	12/21/2016
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	7/20/2016
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	7/20/2016
Active	UNUM Life Insurance Company of America	300817	Agent - Health	7/20/2016
Active	UNUM Life Insurance Company of America	300817	Agent - Life	7/20/2016
Active	United of Omaha Life Insurance Company	300156	Agent - Health	5/29/2024
Active	United of Omaha Life Insurance Company	300156	Agent - Life	5/29/2024
Inactive	Virginia Surety Company, Inc.	301022	Agent - Casualty	8/12/2002	4/22/2009
Inactive	Virginia Surety Company, Inc.	301022	Agent - Property	8/12/2002	4/22/2009
Active	Western Surety Company	300283	Agent - Casualty	4/2/2004

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Beveridge, Joseph Thomas	368787	Agent - Casualty	2/27/2003	1/9/2009
Inactive	Beveridge, Joseph Thomas	368787	Agent - Property	8/12/2002	1/9/2009
Inactive	Ferguson, Lucille Rolande	548480	Agent - Health	8/26/2002	7/31/2004
Active	Hartz, Mathew Todd	728558	Agent - Health	2/14/2012
Active	Hartz, Mathew Todd	728558	Agent - Life	3/5/2012
Inactive	McFayden, Robert Alan	550197	Agent - Casualty	8/12/2002	8/15/2016
Active	McFayden, Robert Alan	550197	Agent - Health	8/26/2002
Active	McFayden, Robert Alan	550197	Agent - Life	8/26/2002
Inactive	McFayden, Robert Alan	550197	Agent - Property	2/27/2003	8/15/2016
Active	Musil, Dana Sue	746942	Agent - Casualty	1/31/2012
Active	Musil, Dana Sue	746942	Agent - Property	1/31/2012
Active	Peterson, Paul A	567067	Agent - Health	1/20/2004
Inactive	Sauser, Thomas Anthony	546494	Agent - Health	8/26/2002	5/31/2007
Denied	Sauser, Thomas Anthony	546494	Agent - Life
Inactive	Standish, Gregory Layne	546953	Agent - Health	8/26/2002	8/31/2005
Denied	Standish, Gregory Layne	546953	Agent - Life
Active	Weideman, Gregory Alan	547001	Agent - Health	1/29/2010
Active	Weideman, Gregory Alan	547001	Agent - Life	1/29/2010
Inactive	Yost, William Joe	608771	Agent - Health	7/5/2005	10/31/2011
Inactive	Yost, William Joe	608771	Agent - Life	7/5/2005	10/31/2011