DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Decinque, William Carmen	DOIID	304649	NAIC NPN	254736

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/8/1996	9/7/2010
Inactive	Non Resident	Agent	Health	6/11/1999	9/7/2010
* 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	Indianapolis Life Insurance Company	301381	Agent - Life	4/29/2002	12/15/2003
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	4/8/1996	8/3/1998
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	10/1/2007	9/7/2010
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	10/1/2007	9/7/2010
Inactive	Union Labor Life Insurance Company	301832	Agent - Health	6/11/1999	7/9/2009
Inactive	Union Labor Life Insurance Company	301832	Agent - Life	6/11/1999	7/9/2009

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ullico Select LLC	502043	Agent - Life	2/24/2000	7/24/2009
Inactive	Ullico Select LLC	502043	Agent - Health	2/24/2000	7/24/2009