DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mayes, David Wayne	DOIID	637368	NAIC NPN	8876904

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Health	8/22/2006		11/30/2024
Active	Resident	Agent	Life	8/29/2006		11/30/2024
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	09/15/2024	11/30/2024

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	3/22/2011	9/14/2012
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	3/22/2011	9/14/2012
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/13/2007	11/2/2016
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/13/2007	11/2/2016
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	2/3/2011	3/5/2013
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	2/3/2011	3/5/2013
Inactive	Modern Woodmen of America	301213	Agent - Life	1/27/2017	7/13/2017
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	1/18/2011	8/4/2011
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	1/18/2011	8/4/2011
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	8/22/2006	2/8/2011
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	8/29/2006	2/8/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/27/2007	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/27/2007	6/23/2008
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/24/2008	11/2/2016
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/24/2008	11/2/2016