DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Mandeville, Joseph A	DOIID	694612	NAIC NPN	3114275

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	12/1/2008	5/31/2015
Inactive	Non Resident	Agent	Health	12/1/2008	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	Provident Life and Accident Insurance Company	301525	Agent - Health	1/9/2009	5/31/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/9/2009	5/31/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/9/2009	5/31/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/9/2009	5/31/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Early Cassidy & Schilling Inc	544641	Agent - Life	3/2/2009	5/31/2015
Inactive	Early Cassidy & Schilling Inc	544641	Agent - Health	3/2/2009	5/31/2015