DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hayes, Dustin Dwayne	DOIID	828817	NAIC NPN	17129454

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	12/18/2013	3/1/2015
Inactive	Resident	Agent	Limited Line Credit	1/11/2019	2/28/2021
* 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	Primerica Life Insurance Company	300970	Agent - Life	12/20/2013	3/1/2015
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	1/16/2019	2/28/2021

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Magnolia Bank	399064	Agent - Limited Line Credit	1/16/2019	2/28/2021