DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Interlock Corporation	DOIID	512541	NAIC NPN	3347004

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	11/17/2000	3/31/2010
Inactive	Non Resident	Agent	Life	11/17/2000	3/31/2010
* 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	Standard Life and Accident Insurance Company	301534	Agent - Health	11/17/2000	3/31/2010
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	11/17/2000	3/31/2010
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	5/27/2009	1/6/2010
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	5/27/2009	1/6/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Wood, Scott Michael	512715	Agent - Health	11/17/2000	3/31/2010
Inactive	Wood, Scott Michael	512715	Agent - Life	11/17/2000	3/31/2010