DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Madison, Farris E	DOIID	678942	NAIC NPN	1659908

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/10/2024		4/30/2026
Active	Non Resident	Agent	Life	1/10/2024		4/30/2026
* 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
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	9/30/2010	6/17/2013
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	9/30/2010	6/17/2013
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	8/20/2014	4/30/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	8/20/2014	4/30/2016
Inactive	Trustmark Insurance Company	300317	Agent - Health	10/5/2009	4/30/2014
Inactive	Trustmark Insurance Company	300317	Agent - Life	10/5/2009	4/30/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Illinois Inc	398318	Agent - Life	8/20/2014	4/30/2016
Inactive	Willis Of Illinois Inc	398318	Agent - Health	8/20/2014	4/30/2016