DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	The J.H. Churchill Funeral Home	DOIID	842327	NAIC NPN	17285340

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Active	Resident	Agent	Life	6/6/2024		3/31/2026
Denied	Resident	Agent	Preneed Funeral
* 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	01/15/2026	03/31/2026

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Columbian Life Insurance Company	300810	Agent - Life	6/28/2023	4/1/2024
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	6/23/2022	3/31/2024

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Garland, Michael Dan	913701	Agent - Life	6/6/2024
Inactive	Willoughby, James Dallas	380140	Agent - Life	6/5/2014	6/17/2016