DEPARTMENT OF INSURANCE

Affiliations

Name	Racich, Joseph Michael	DOIID	555191	NAIC NPN	525079

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/14/2002	3/31/2012
* 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	American General Life Insurance Company	301585	Agent - Life	2/13/2004	3/31/2012
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	10/19/2006	12/14/2007
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	6/29/2006	3/31/2012
Inactive	Athene Annuity & Life Assurance Company of New York	300724	Agent - Life	6/27/2005	3/23/2012
Inactive	Banner Life Insurance Company	301696	Agent - Life	5/19/2009	3/31/2012
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	8/14/2002	4/1/2007
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	11/29/2011	3/31/2012
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	4/30/2010	3/31/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	5/22/2006	10/6/2009
Inactive	Independent Order of Foresters	300743	Agent - Life	8/13/2007	1/1/2008
Inactive	Jefferson National Life Insurance Company	300258	Agent - Life	3/25/2004	6/8/2006
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	1/30/2006	6/7/2008
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	1/30/2006	6/8/2011
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	1/30/2006	12/12/2006
Inactive	Liberty Life Insurance Company	301542	Agent - Life	7/29/2004	6/30/2006
Inactive	Mutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company	300585	Agent - Life	2/3/2003	12/23/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	12/29/2009
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	12/14/2006	3/31/2012
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	4/2/2007	3/31/2012
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	5/24/2006	3/4/2010
Inactive	The Savings Bank Mutual Life Insurance Company of Massachusetts	690290	Agent - Life	1/21/2011	3/31/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2008	3/31/2012
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	3/7/2008	10/1/2008
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	3/4/2003	10/19/2007
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/25/2006	3/31/2012
Inactive	West Coast Life Insurance Company	301607	Agent - Life	6/29/2004	11/16/2011
Inactive	Wilton Reassurance Life Company of New York	300163	Agent - Life	8/3/2004	6/8/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Brokers Alliance	709745	Agent - Life	7/21/2009	5/4/2012