DEPARTMENT OF INSURANCE

Affiliations

Name	Hansen, David N	DOIID	519387	NAIC NPN	3242279

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	12/15/2000	3/31/2007
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	5/31/2001	3/31/2007
Inactive	Non Resident	Agent	Health	12/15/2000	3/31/2007
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	General American Life Insurance Company	300280	Agent - Health	12/15/2000	3/31/2007
Inactive	General American Life Insurance Company	300280	Agent - Life	12/15/2000	3/31/2007
Inactive	General American Life Insurance Company	300280	Agent - Variable Life and Variable Annuities	5/31/2001	12/28/2006
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Life	9/27/2001	5/14/2007
Inactive	Guardian Insurance & Annuity Company Inc. (The)	301920	Agent - Variable Life and Variable Annuities	9/27/2001	5/14/2007
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	3/26/2001	3/31/2007
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	3/26/2001	3/31/2007
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Variable Life and Variable Annuities	1/5/2004	12/28/2006
Inactive	Standard Insurance Company	300185	Agent - Health	4/23/2004	3/31/2007
Inactive	Standard Insurance Company	300185	Agent - Life	4/23/2004	3/31/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Vantage Financial Group Inc	518007	Agent - Life	1/16/2004	3/31/2007
Inactive	Vantage Financial Group Inc	518007	Agent - Health	1/16/2004	3/31/2007
Inactive	Vantage Financial Group Inc	518007	Agent - Variable Life and Variable Annuities	1/16/2004	3/31/2007