DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Maddox Iii, John D	DOIID	790900	NAIC NPN	1068452

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/22/2014	9/30/2015
Inactive	Non Resident	Agent	Life	9/10/2012	9/30/2013
Inactive	Non Resident	Agent	Health	9/10/2012	9/30/2013
Inactive	Non Resident	Agent	Casualty	8/22/2014	9/30/2015
* 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	Anthem Life Insurance Company	301209	Agent - Health	9/21/2012	9/30/2013
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/21/2012	9/30/2013
Inactive	State Farm Fire and Casualty Company	301809	Agent - Casualty	8/27/2014	3/23/2015
Inactive	State Farm Fire and Casualty Company	301809	Agent - Property	8/27/2014	3/23/2015
Inactive	State Farm Mutual Automobile Insurance Company	301732	Agent - Casualty	8/27/2014	3/23/2015

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Designated Agent Company Inc.	681257	Agent - Life	9/21/2012	9/30/2013
Inactive	Designated Agent Company Inc.	681257	Agent - Health	9/21/2012	9/30/2013