DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Madison, Farris E	DOIID	678942	NAIC NPN	1659908

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Non Resident	Agent	Health	1/10/2024		4/30/2026
Active	Non Resident	Agent	Life	1/10/2024		4/30/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

License Renewal Information

Class	Invoice Date	Response Due / Expiration Date	Response Received Date	Payment Received Date	Renewal Complete
Agent	02/15/2026	04/30/2026

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	9/30/2010	6/17/2013
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	9/30/2010	6/17/2013
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	8/20/2014	4/30/2016
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	8/20/2014	4/30/2016
Inactive	Trustmark Insurance Company	300317	Agent - Health	10/5/2009	4/30/2014
Inactive	Trustmark Insurance Company	300317	Agent - Life	10/5/2009	4/30/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis Of Illinois Inc	398318	Agent - Life	8/20/2014	4/30/2016
Inactive	Willis Of Illinois Inc	398318	Agent - Health	8/20/2014	4/30/2016