DEPARTMENT OF INSURANCE

Affiliations

Name	Mid-South Insurance Agency	DOIID	398878	NAIC NPN	7221235

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	1/4/1990	8/23/1996
Inactive	Resident	Agent	Life	1/4/1990	8/23/1996
Inactive	Resident	Agent	General Lines	5/24/1991	8/23/1996
* 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	American Heritage Life Insurance Company	300272	Agent - Health	5/22/1991	8/23/1996
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	5/22/1991	8/23/1996
Inactive	American Resources Insurance Company, Inc.	300454	Agent - General Lines	4/12/1996	8/23/1996
Inactive	Assurance Company of America	300432	Agent - General Lines	5/28/1996	8/23/1996
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	10/18/1993	8/23/1996
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	10/18/1993	8/23/1996
Inactive	Falls Lake National Insurance Company	301796	Agent - General Lines	4/10/1996	8/23/1996
Inactive	Glatfelter Insurance Company	301640	Agent - General Lines	5/28/1996	8/23/1996
Inactive	GuideOne Elite Insurance Company	300490	Agent - General Lines	8/26/1992	7/15/1996
Inactive	GuideOne Insurance Company	301794	Agent - General Lines	8/26/1992	7/15/1996
Inactive	GuideOne Specialty Insurance Company	300278	Agent - General Lines	8/26/1992	7/15/1996
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	5/31/1995	8/23/1996
Inactive	Infinity Insurance Company	300416	Agent - General Lines	4/4/1996	8/23/1996
Inactive	Infinity Select Insurance Company	300169	Agent - General Lines	4/4/1996	8/23/1996
Inactive	Maryland Casualty Company	301719	Agent - General Lines	5/28/1996	8/23/1996
Inactive	PAFCO General Insurance Company	301645	Agent - General Lines	5/24/1991	8/23/1996
Inactive	Principal Life Insurance Company	300129	Agent - Health	1/4/1990	8/23/1996
Inactive	Principal Life Insurance Company	300129	Agent - Life	1/4/1990	8/23/1996
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	5/9/1995	8/23/1996
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	5/9/1995	8/23/1996
Inactive	Windhaven National Insurance Company	300094	Agent - General Lines	5/31/1995	8/23/1996

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brooks, Michael Everette	341522	Agent - General Lines	6/6/1996	8/23/1996
Inactive	Brooks, Michael Everette	341522	Agent - Health	6/6/1996	8/23/1996
Inactive	Brooks, Michael Everette	341522	Agent - Life	6/6/1996	8/23/1996
Inactive	Couvillon, Todd Anthony	333479	Agent - General Lines	10/18/1995	8/23/1996
Inactive	Couvillon, Todd Anthony	333479	Agent - Health	10/18/1995	8/23/1996
Inactive	Griffin, Ann Trusty	358135	Agent - Health	3/9/1994	8/23/1996
Inactive	Griffin, Ann Trusty	358135	Agent - Life	3/9/1994	8/23/1996
Inactive	Morgan, Jimmy Lee	373511	Agent - General Lines	2/7/1995	8/23/1996
Inactive	Stinnett, Bobby Joe	306161	Agent - General Lines	8/31/1988	8/23/1996
Inactive	Stinnett, Bobby Joe	306161	Agent - Health	8/31/1988	8/23/1996
Inactive	Stinnett, Bobby Joe	306161	Agent - Life	8/31/1988	8/23/1996
Inactive	Stinnett, Michael E	376483	Agent - General Lines	9/5/1995	8/23/1996
Inactive	Stinnett, Michael E	376483	Agent - Health	9/5/1995	8/23/1996
Inactive	Stinnett, Michael E	376483	Agent - Life	9/5/1995	8/23/1996
Inactive	Studle, Ronald Otis	303181	Agent - General Lines	2/7/1995	8/23/1996
Inactive	Studle, Ronald Otis	303181	Agent - Life	2/7/1995	8/23/1996