DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	The J.H. Churchill Funeral Home	DOIID	842327	NAIC NPN	17285340

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	6/6/2024		3/31/2026
Pending	Resident	Agent	Preneed Funeral
* 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	Columbian Life Insurance Company	300810	Agent - Life	6/28/2023	4/1/2024
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	6/23/2022	3/31/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Garland, Michael Dan	913701	Agent - Life	6/6/2024
Inactive	Willoughby, James Dallas	380140	Agent - Life	6/5/2014	6/17/2016