DEPARTMENT OF INSURANCE

Affiliations

Name	Maddox, Sandra J	DOIID	362539	NAIC NPN	3312240

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	7/20/1987	1/27/2009
Inactive	Resident	Agent	Property	8/15/2000	1/27/2009
Inactive	Resident	Agent	Health Maintenance Organization	11/1/1996	3/1/2001
Inactive	Resident	Agent	Life	7/20/1987	1/27/2009
Inactive	Resident	Agent	Casualty	8/15/2000	1/27/2009
Inactive	Resident	Agent	General Lines	12/30/1987	8/15/2000
* 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	All American Life Insurance Company	300702	Agent - Health	7/1/1998	4/13/1999
Inactive	All American Life Insurance Company	300702	Agent - Life	7/1/1998	4/13/1999
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	4/30/2003	1/27/2009
Inactive	American Fire and Casualty Company	300567	Agent - Property	4/30/2003	1/27/2009
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	7/5/2000	1/27/2009
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	7/5/2000	1/27/2009
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	8/8/2006	1/27/2009
Inactive	American Reliable Insurance Company	301889	Agent - Property	8/8/2006	1/27/2009
Inactive	American Select Insurance Company	301229	Agent - Casualty	10/4/2007	1/27/2009
Inactive	American Select Insurance Company	301229	Agent - Property	10/4/2007	1/27/2009
Inactive	Amerisure Insurance Company	300298	Agent - General Lines	2/19/1988	3/31/1996
Inactive	Amerisure Mutual Insurance Company	301576	Agent - General Lines	1/18/1988	3/31/1996
Inactive	Anthem Life Insurance Company	301209	Agent - Health	9/16/1996	1/27/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Life	9/16/1996	1/27/2009
Inactive	Bedivere Insurance Company	300710	Agent - General Lines	5/21/1993	3/31/1996
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	12/7/2007	10/14/2008
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	12/7/2007	10/14/2008
Inactive	C.M. Life Insurance Company	301335	Agent - Health	10/8/1997	7/12/2006
Inactive	C.M. Life Insurance Company	301335	Agent - Life	10/8/1997	7/12/2006
Inactive	CastlePoint National Insurance Company	300082	Agent - General Lines	5/21/1993	3/31/1996
Inactive	Chase Life and Annuity Company	300145	Agent - Health	7/11/1995	12/11/1996
Inactive	Chase Life and Annuity Company	300145	Agent - Life	7/11/1995	12/11/1996
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	7/27/2007	1/27/2009
Inactive	Consolidated Insurance Company	300943	Agent - Property	7/27/2007	1/27/2009
Inactive	Employers Mutual Casualty Company	300202	Agent - Casualty	1/26/2009	1/27/2009
Inactive	Employers Mutual Casualty Company	300202	Agent - Property	1/26/2009	1/27/2009
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	6/15/2005	1/5/2007
Inactive	Encompass Indemnity Company	546376	Agent - Property	6/15/2005	1/5/2007
Inactive	Encova Life Insurance Company	301818	Agent - Life	9/19/2002	1/27/2009
Inactive	Federal Insurance Company	301144	Agent - General Lines	10/9/1992	3/31/1996
Inactive	Genworth Life Insurance Company	300623	Agent - Health	10/18/2006	1/27/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Life	10/18/2006	1/27/2009
Inactive	Great American Alliance Insurance Company	301247	Agent - Casualty	10/15/2004	5/3/2007
Inactive	Great American Alliance Insurance Company	301247	Agent - Property	10/15/2004	5/3/2007
Inactive	Great American Assurance Company	300327	Agent - Casualty	10/15/2004	5/3/2007
Inactive	Great American Assurance Company	300327	Agent - Property	10/15/2004	5/3/2007
Inactive	Great American Insurance Company	301586	Agent - Casualty	10/15/2004	5/3/2007
Inactive	Great American Insurance Company	301586	Agent - Property	10/15/2004	5/3/2007
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	10/15/2004	5/3/2007
Inactive	Great American Insurance Company of New York	301897	Agent - Property	10/15/2004	5/3/2007
Inactive	Great Northern Insurance Company	301107	Agent - General Lines	10/9/1992	3/31/1996
Inactive	Great Southern Life Insurance Company	301443	Agent - Health	1/11/1996	2/9/1998
Inactive	Great Southern Life Insurance Company	301443	Agent - Life	1/11/1996	2/9/1998
Inactive	Greenwich Insurance Company	301754	Agent - Casualty	12/29/2006	1/27/2009
Inactive	Greenwich Insurance Company	301754	Agent - Property	12/29/2006	1/27/2009
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Casualty	1/26/2009	1/27/2009
Inactive	Hamilton Mutual Insurance Company	301111	Agent - Property	1/26/2009	1/27/2009
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	7/20/1987	10/1/2007
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	7/20/1987	10/1/2007
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	9/12/2003
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	11/1/1996	3/1/2001
Inactive	Indiana Insurance Company	301909	Agent - Casualty	7/27/2007	1/27/2009
Inactive	Indiana Insurance Company	301909	Agent - Property	7/27/2007	1/27/2009
Inactive	MICO Insurance Company	301664	Agent - Casualty	9/1/2006	8/31/2008
Inactive	MICO Insurance Company	301664	Agent - Property	9/1/2006	8/31/2008
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	10/8/1997	7/12/2006
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	10/8/1997	7/12/2006
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	3/14/2006	1/27/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	3/14/2006	1/27/2009
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Health	6/11/1997	12/7/2007
Inactive	MetLife Life and Annuity Company of Connecticut	301593	Agent - Life	6/11/1997	12/7/2007
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	8/3/2006	1/27/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	8/3/2006	1/27/2009
Inactive	Motorists Mutual Insurance Company	300963	Agent - Casualty	7/1/2003	8/31/2008
Inactive	Motorists Mutual Insurance Company	300963	Agent - Property	7/1/2003	8/31/2008
Inactive	National States Insurance Company	300579	Agent - Health	7/27/2005	12/28/2006
Inactive	National States Insurance Company	300579	Agent - Life	7/27/2005	12/28/2006
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	7/27/2007	1/27/2009
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	7/27/2007	1/27/2009
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	4/30/2003	1/27/2009
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	4/30/2003	1/27/2009
Inactive	Ohio Farmers Insurance Company	301667	Agent - Casualty	10/4/2007	1/27/2009
Inactive	Ohio Farmers Insurance Company	301667	Agent - Property	10/4/2007	1/27/2009
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	4/30/2003	1/27/2009
Inactive	Ohio Security Insurance Company	300622	Agent - Property	4/30/2003	1/27/2009
Inactive	Pacific Indemnity Company	301610	Agent - General Lines	10/9/1992	3/31/1996
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	7/10/1998	8/24/2000
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	7/10/1998	8/24/2000
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	7/27/2007	1/27/2009
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	7/27/2007	1/27/2009
Inactive	Peerless Insurance Company	301910	Agent - Casualty	7/27/2007	1/27/2009
Inactive	Peerless Insurance Company	301910	Agent - Property	7/27/2007	1/27/2009
Inactive	Pennsylvania Insurance Company	301219	Agent - General Lines	5/21/1993	3/31/1996
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	7/9/1998	8/24/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	7/9/1998	8/24/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Casualty	8/15/2000	1/27/2009
Inactive	Standard Fire Insurance Company (The)	301068	Agent - General Lines	3/13/2000	8/15/2000
Inactive	Standard Fire Insurance Company (The)	301068	Agent - Property	8/15/2000	1/27/2009
Inactive	The Phoenix Insurance Company	301502	Agent - Casualty	8/15/2000	1/27/2009
Inactive	The Phoenix Insurance Company	301502	Agent - General Lines	3/13/2000	8/15/2000
Inactive	The Phoenix Insurance Company	301502	Agent - Property	8/15/2000	1/27/2009
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2008	1/27/2009
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	8/8/2008	1/27/2009
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	3/18/2002	8/18/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	7/1/1998	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	7/1/1998	10/1/2008
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Casualty	9/3/2002	1/27/2009
Inactive	Travelers Casualty Company of Connecticut	301505	Agent - Property	9/3/2002	1/27/2009
Inactive	Travelers Casualty and Surety Company	301067	Agent - Casualty	8/15/2000	1/27/2009
Inactive	Travelers Casualty and Surety Company	301067	Agent - General Lines	6/9/1999	8/15/2000
Inactive	Travelers Casualty and Surety Company	301067	Agent - Property	8/15/2000	1/27/2009
Inactive	Travelers Commercial Insurance Company	301506	Agent - Casualty	5/24/2007	1/27/2009
Inactive	Travelers Commercial Insurance Company	301506	Agent - Property	5/24/2007	1/27/2009
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Casualty	7/19/2005	1/27/2009
Inactive	Travelers Home and Marine Insurance Company (The)	301802	Agent - Property	7/19/2005	1/27/2009
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Casualty	8/15/2000	1/27/2009
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - General Lines	3/13/2000	8/15/2000
Inactive	Travelers Indemnity Company of America (The)	301093	Agent - Property	8/15/2000	1/27/2009
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Casualty	9/3/2002	1/27/2009
Inactive	Travelers Property Casualty Insurance Company	301508	Agent - Property	9/3/2002	1/27/2009
Inactive	Vigilant Insurance Company	301143	Agent - General Lines	10/9/1992	3/31/1996
Inactive	West American Insurance Company	301112	Agent - Casualty	4/30/2003	1/27/2009
Inactive	West American Insurance Company	301112	Agent - Property	4/30/2003	1/27/2009
Inactive	Westfield Insurance Company	301950	Agent - Casualty	10/4/2007	1/27/2009
Inactive	Westfield Insurance Company	301950	Agent - Property	10/4/2007	1/27/2009
Inactive	Westfield National Insurance Company	301036	Agent - Casualty	10/4/2007	1/27/2009
Inactive	Westfield National Insurance Company	301036	Agent - Property	10/4/2007	1/27/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/25/1999	6/23/2008
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/25/1999	6/23/2008
Inactive	Associated Insurance Service Inc.	400937	Agent - General Lines	12/30/1987	8/15/2000
Inactive	Associated Insurance Service Inc.	400937	Agent - Life	12/30/1987	2/14/2003
Inactive	Associated Insurance Service Inc.	400937	Agent - Health	12/30/1987	2/14/2003
Inactive	Associated Insurance Service Inc.	400937	Agent - Property	8/15/2000	10/24/2001
Inactive	Associated Insurance Service Inc.	400937	Agent - Casualty	8/15/2000	10/24/2001
Inactive	Designated Agent Company Inc.	681257	Agent - Life	6/30/2008	1/27/2009
Inactive	Designated Agent Company Inc.	681257	Agent - Health	6/30/2008	1/27/2009
Inactive	Garrett-Stotz Co	400616	Agent - Life	7/10/2007	1/27/2009
Inactive	Garrett-Stotz Co	400616	Agent - Health	7/10/2007	1/27/2009
Inactive	Garrett-Stotz Co	400616	Agent - Property	7/10/2007	1/27/2009
Inactive	Garrett-Stotz Co	400616	Agent - Casualty	7/10/2007	1/27/2009
Inactive	Gordon & Brown Insurance Agency, Inc.	400377	Agent - General Lines	1/7/1991	8/15/2000
Inactive	Gordon & Brown Insurance Agency, Inc.	400377	Agent - Life	1/7/1991	9/11/2000
Inactive	Gordon & Brown Insurance Agency, Inc.	400377	Agent - Health	1/7/1991	9/11/2000
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Maddox Insurance Services Inc	398399	Agent - General Lines	4/7/1995	8/15/2000
Inactive	Maddox Insurance Services Inc	398399	Agent - Life	4/7/1995	9/6/2007
Inactive	Maddox Insurance Services Inc	398399	Agent - Health	4/7/1995	9/6/2007
Inactive	Maddox Insurance Services Inc	398399	Agent - Property	8/15/2000	9/6/2007
Inactive	Maddox Insurance Services Inc	398399	Agent - Casualty	8/15/2000	9/6/2007