DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Skrine, Edward Joseph	DOIID	304417	NAIC NPN	1221210

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	3/3/1988	7/24/1997
Inactive	Resident	Agent	Life	3/3/1988	7/24/1997
* 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 Heritage Life Insurance Company	300272	Agent - Health	3/18/1993	7/24/1997
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	3/18/1993	7/24/1997
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	6/3/1994	7/24/1997
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	6/3/1994	7/24/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	10/25/1994	7/24/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	10/25/1994	7/24/1997
Inactive	Nassau Life Insurance Company	301406	Agent - Health	2/8/1989	3/31/1997
Inactive	Nassau Life Insurance Company	301406	Agent - Life	2/8/1989	3/31/1997
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	3/3/1988	7/24/1997
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	3/3/1988	7/24/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Willis of Louisville, Inc.	401313	Agent - Life	7/6/1989	7/24/1997
Inactive	Willis of Louisville, Inc.	401313	Agent - Health	7/6/1989	7/24/1997