DEPARTMENT OF INSURANCE

Affiliations

Name	Waller, Braden Joseph	DOIID	304700	NAIC NPN	719560

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	1/7/1994	9/30/2004
Inactive	Non Resident	Agent	Variable Life and Variable Annuities	5/31/2001	9/30/2004
Inactive	Non Resident	Agent	Health	1/7/1994	9/30/2004
* 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	American General Life Insurance Company	301585	Agent - Life	4/23/2001	10/9/2001
Inactive	Assurity Life Insurance Company	301099	Agent - Health	5/15/2002	4/18/2003
Inactive	Assurity Life Insurance Company	301099	Agent - Life	5/15/2002	4/18/2003
Inactive	Banner Life Insurance Company	301696	Agent - Life	3/15/2001	9/30/2004
Inactive	C.M. Life Insurance Company	301335	Agent - Health	9/21/2001	9/30/2004
Inactive	C.M. Life Insurance Company	301335	Agent - Life	9/21/2001	9/30/2004
Inactive	C.M. Life Insurance Company	301335	Agent - Variable Life and Variable Annuities	9/21/2001	9/30/2004
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	2/20/2001	9/30/2004
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	2/20/2001	9/30/2004
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	2/28/2001	9/30/2004
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	2/28/2001	9/30/2004
Inactive	First Colony Life Insurance Company	301179	Agent - Health	1/16/2001	7/1/2004
Inactive	First Colony Life Insurance Company	301179	Agent - Life	1/16/2001	7/1/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	4/20/2001	9/30/2004
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	4/20/2001	9/30/2004
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	10/8/2001	9/30/2004
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	10/8/2001	9/11/2002
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Variable Life and Variable Annuities	10/8/2001	9/11/2002
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	10/8/2001	9/30/2004
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	10/8/2001	9/11/2002
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Variable Life and Variable Annuities	10/8/2001	9/11/2002
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	8/9/2001	4/12/2002
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	8/9/2001	4/12/2002
Inactive	John Hancock Life Insurance Company	300821	Agent - Variable Life and Variable Annuities	8/9/2001	4/12/2002
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	2/22/2001	9/30/2004
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	2/22/2001	9/30/2004
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Health	8/9/2001	4/12/2002
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	8/9/2001	4/12/2002
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Variable Life and Variable Annuities	8/9/2001	4/12/2002
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	9/21/2001	9/30/2004
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	9/21/2001	9/30/2004
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Variable Life and Variable Annuities	9/21/2001	9/30/2004
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	8/20/2001	9/30/2004
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	8/20/2001	9/30/2004
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	7/28/1998	7/26/2002
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	7/28/1998	7/26/2002
Inactive	Minnesota Life Insurance Company	300488	Agent - Variable Life and Variable Annuities	2/26/2001	7/26/2002
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	4/23/2001	10/5/2001
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	4/23/2001	10/5/2001
Inactive	Principal Life Insurance Company	300129	Agent - Health	3/30/2001	9/30/2004
Inactive	Principal Life Insurance Company	300129	Agent - Life	3/30/2001	9/30/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/1/2003	9/30/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/1/2003	9/30/2004
Inactive	Securian Life Insurance Company	300757	Agent - Health	1/7/1994	3/31/1999
Inactive	Securian Life Insurance Company	300757	Agent - Life	1/7/1994	3/31/1999
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	9/10/2001	10/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	3/5/2001	10/1/2003
Inactive	Standard Insurance Company	300185	Agent - Health	1/8/2001	9/30/2004
Inactive	Standard Insurance Company	300185	Agent - Life	1/8/2001	9/30/2004
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Health	8/17/2001	9/30/2004
Inactive	Sun Life and Health Insurance Company (U.S.)	300801	Agent - Life	8/17/2001	9/30/2004
Inactive	Transamerica Assurance Company	300893	Agent - Health	12/1/1999	9/3/2003
Inactive	Transamerica Assurance Company	300893	Agent - Life	12/1/1999	9/3/2003
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	7/20/2001	9/30/2004
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	10/28/1999	8/25/2003
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	10/28/1999	8/25/2003
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	9/24/2001	9/15/2003
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	9/24/2001	9/15/2003
Inactive	West Coast Life Insurance Company	301607	Agent - Life	2/26/2001	11/12/2002
Inactive	Western National Life Insurance Company	300461	Agent - Life	4/16/2001	9/30/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Life	2/12/2004	9/30/2004
Inactive	Medlink Inc	400721	Agent - Health	2/12/2004	9/30/2004
Inactive	Waller Equity Management, Inc.	533601	Agent - Life	7/25/2001	5/31/2003
Inactive	Waller Equity Management, Inc.	533601	Agent - Health	7/25/2001	5/31/2003
Inactive	Waller Equity Management, Inc.	533601	Agent - Variable Life and Variable Annuities	7/25/2001	5/31/2003