DEPARTMENT OF INSURANCE

Name	Haywood Insurance Agency Inc.	DOIID	398817	NAIC NPN	7221184

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date	Designated Home State
Inactive	Resident	Agent	Life	3/31/1982	10/31/2006
Inactive	Resident	Agent	Health	3/31/1982	10/31/2006

*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	11518 Main Street Louisville, KY 40243