DEPARTMENT OF INSURANCE

Affiliations

Name	Madison, Guy Lorenzo	DOIID	653545	NAIC NPN	1654849

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	9/22/2012	5/31/2015
Inactive	Non Resident	Agent	Casualty	9/22/2012	5/31/2015
Inactive	Non Resident	Agent	Life	9/22/2012	5/31/2015
Inactive	Non Resident	Agent	Health	9/22/2012	5/31/2015
* 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	ACE American Insurance Company	300625	Agent - Casualty	11/9/2007	3/11/2009
Inactive	ACE American Insurance Company	300625	Agent - Property	11/9/2007	3/11/2009
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Casualty	5/25/2007	2/28/2009
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	5/25/2007	2/28/2009
Inactive	American Health and Life Insurance Company	300844	Agent - Health	4/23/2007	2/12/2009
Inactive	American Health and Life Insurance Company	300844	Agent - Life	4/23/2007	2/12/2009
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	5/25/2007	2/28/2009
Inactive	American Reliable Insurance Company	301889	Agent - Property	5/25/2007	2/28/2009
Inactive	American Security Insurance Company	300901	Agent - Casualty	5/25/2007	2/28/2009
Inactive	American Security Insurance Company	300901	Agent - Property	5/25/2007	2/28/2009
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	8/17/2007	5/31/2009
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Casualty	1/7/2008	4/8/2009
Inactive	First Liberty Insurance Corporation (The)	301060	Agent - Property	1/7/2008	4/8/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	7/12/2007	5/31/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	7/12/2007	5/31/2009
Inactive	LM Insurance Corporation	301061	Agent - Casualty	1/7/2008	4/8/2009
Inactive	LM Insurance Corporation	301061	Agent - Property	1/7/2008	4/8/2009
Inactive	Liberty Insurance Corporation	300444	Agent - Casualty	1/7/2008	4/8/2009
Inactive	Liberty Insurance Corporation	300444	Agent - Property	1/7/2008	4/8/2009
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Casualty	1/7/2008	4/8/2009
Inactive	Liberty Mutual Fire Insurance Company	301913	Agent - Property	1/7/2008	4/8/2009
Inactive	Liberty Mutual Insurance Company	301159	Agent - Casualty	1/7/2008	4/8/2009
Inactive	Liberty Mutual Insurance Company	301159	Agent - Property	1/7/2008	4/8/2009
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	6/1/2007	1/20/2009
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	6/1/2007	1/20/2009
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Casualty	7/30/2007	3/20/2009
Inactive	RiverStone International Insurance, Inc.	301758	Agent - Property	7/30/2007	3/20/2009
Inactive	Sears Life Insurance Company	300218	Agent - Health	4/23/2007	2/12/2009
Inactive	Sears Life Insurance Company	300218	Agent - Life	4/23/2007	2/12/2009
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	4/4/2008	5/31/2009
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	4/4/2008	5/31/2009
Inactive	Standard Guaranty Insurance Company	300902	Agent - Casualty	5/25/2007	7/18/2008
Inactive	Standard Guaranty Insurance Company	300902	Agent - Property	5/25/2007	7/18/2008
Inactive	Triton Insurance Company	300654	Agent - Casualty	4/23/2007	2/12/2009
Inactive	Triton Insurance Company	300654	Agent - Property	4/23/2007	2/12/2009
Inactive	Union Security Insurance Company	301844	Agent - Health	12/22/2008	2/28/2009
Inactive	Union Security Insurance Company	301844	Agent - Life	12/22/2008	2/28/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Beltline Road Insurance Agency, Inc	688439	Agent - Casualty	2/28/2013	12/2/2013
Inactive	Beltline Road Insurance Agency, Inc	688439	Agent - Health	2/28/2013	12/2/2013
Inactive	Beltline Road Insurance Agency, Inc	688439	Agent - Life	2/28/2013	12/2/2013
Inactive	Beltline Road Insurance Agency, Inc	688439	Agent - Property	2/28/2013	12/2/2013
Inactive	Cal Fed Ins Agency Inc	615571	Agent - Casualty	6/7/2007	12/30/2008
Inactive	Cal Fed Ins Agency Inc	615571	Agent - Health	6/7/2007	12/30/2008
Inactive	Cal Fed Ins Agency Inc	615571	Agent - Life	6/7/2007	12/30/2008
Inactive	Cal Fed Ins Agency Inc	615571	Agent - Property	6/7/2007	12/30/2008
Inactive	Citi Assurance Services, Inc	569582	Agent - Casualty	5/16/2007	12/30/2008
Inactive	Citi Assurance Services, Inc	569582	Agent - Health	5/16/2007	12/30/2008
Inactive	Citi Assurance Services, Inc	569582	Agent - Life	5/16/2007	12/30/2008
Inactive	Citi Assurance Services, Inc	569582	Agent - Property	5/16/2007	12/30/2008