DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Madison, Tanisha	DOIID	948643	NAIC NPN	18340959

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Life	3/22/2017		1/31/2026
Active	Non Resident	Agent	Health	3/22/2017		1/31/2026
* 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
Active	Continental American Insurance Company	301700	Agent - Health	4/17/2017
Active	Continental American Insurance Company	301700	Agent - Life	4/17/2017
Active	Provident Life and Accident Insurance Company	301525	Agent - Health	10/10/2017
Active	Provident Life and Accident Insurance Company	301525	Agent - Life	10/10/2017
Active	Starmount Life Insurance Company	628031	Agent - Health	10/10/2017
Active	Trustmark Insurance Company	300317	Agent - Health	9/26/2023
Active	Trustmark Insurance Company	300317	Agent - Life	9/26/2023
Active	UNUM Life Insurance Company of America	300817	Agent - Health	10/10/2017
Active	UNUM Life Insurance Company of America	300817	Agent - Life	10/10/2017
Active	Unum Insurance Company	301499	Agent - Health	2/28/2019
Active	Unum Insurance Company	301499	Agent - Life	2/28/2019

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Mercer Health & Benefits Administration Llc	656414	Agent - Health	2/1/2019
Active	Mercer Health & Benefits Administration Llc	656414	Agent - Life	2/1/2019