DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Johnson-Vaughn-Phelps Funeral Home Inc	DOIID	604833	NAIC NPN	8414392

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	3/10/2005	3/31/2021
* 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	Homesteaders Life Company	300836	Agent - Life	4/14/2005	5/12/2016
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	3/10/2005	3/31/2021

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ducharme, Dennis Allen	359932	Agent - Life	2/11/2013	3/31/2021
Inactive	Goens, David Matthew	608794	Agent - Life	2/5/2007	4/18/2017
Inactive	Wofford, Jack D.	391657	Agent - Life	3/10/2005	3/31/2021