DEPARTMENT OF INSURANCE

Name	FISI Madison Financial Corp. DBA : Long Term Preferred Care, Inc.	DOIID	401291	NAIC NPN	3268436

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Administrator	Not Applicable	10/15/1993	3/4/2002
Inactive	Resident	Agent	Health	3/24/2000	10/24/2004
Inactive	Resident	Agent	General Lines	11/5/1992	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	12/27/2001
Inactive	Resident	Agent	Casualty	8/15/2000	12/27/2001
Inactive	Resident	Agent	Life	2/11/1997	10/24/2004

*If a status is Pending, Pending Replacement,or the record displays Affidavit on File, click on them for more details.

No License Renewal Information

NOTE: Licensee may renew up to 6 months prior to Next Compliance Date.

Address Information

Type	Address
Business / Home Office	225 Plum Creek Court Taylorsville, KY 40071
Mailing	225 Plum Creek Court Taylorsville, KY 40071