DEPARTMENT OF INSURANCE

Affiliations

Name	Mann, Andrew T	DOIID	305398	NAIC NPN	2182435

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health Maintenance Organization	11/20/1995	3/1/2001
Inactive	Resident	Agent	Health	10/22/2003	5/31/2004
Inactive	Resident	Agent	Life	10/22/2003	5/31/2004
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	2/12/2004	5/31/2004
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/12/2004	5/31/2004
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	5/13/1996	7/1/1996
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	5/13/1996	7/1/1996
Inactive	American National Life Insurance Company of Texas	300912	Agent - Health	12/10/2001	6/23/2003
Inactive	American National Life Insurance Company of Texas	300912	Agent - Life	12/10/2001	6/23/2003
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	1/29/2003	6/23/2003
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	1/29/2003	6/23/2003
Inactive	Avemco Insurance Company	300669	Agent - Health	12/11/2002	6/23/2003
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Health	8/20/2001	6/23/2003
Inactive	Berkshire Life Insurance Company of America	300983	Agent - Life	8/20/2001	6/23/2003
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	11/20/1995	7/1/1996
Inactive	Canada Life Assurance Company	301192	Agent - Health	7/8/1996	7/1/1996
Inactive	Canada Life Assurance Company	301192	Agent - Life	7/8/1996	7/1/1996
Inactive	Clarendon National Insurance Company	300843	Agent - Health	7/31/2001	2/11/2002
Inactive	Companion Life Insurance Company	300191	Agent - Health	4/9/1999	6/23/2003
Inactive	Companion Life Insurance Company	300191	Agent - Life	4/9/1999	6/23/2003
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	6/21/2002	6/23/2003
Inactive	First Allmerica Financial Life Insurance Company	301853	Agent - Health	6/15/1999	6/23/2003
Inactive	First Allmerica Financial Life Insurance Company	301853	Agent - Life	6/15/1999	6/23/2003
Inactive	General American Life Insurance Company	300280	Agent - Health	12/10/1996	6/23/2003
Inactive	General American Life Insurance Company	300280	Agent - Life	12/10/1996	6/23/2003
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	8/20/2001	6/23/2003
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	8/20/2001	6/23/2003
Inactive	HCC Life Insurance Company	301827	Agent - Health	12/11/2002	6/23/2003
Inactive	HCC Life Insurance Company	301827	Agent - Life	12/11/2002	6/23/2003
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	5/16/2001	6/23/2003
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	5/16/2001	6/23/2003
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	6/23/2003
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	6/20/1997	3/1/2001
Inactive	Humana Insurance Company	300118	Agent - Health	2/21/1997	12/31/1998
Inactive	Humana Insurance Company	301104	Agent - Health	6/22/1998	6/23/2003
Inactive	Humana Insurance Company	300118	Agent - Life	2/21/1997	12/31/1998
Inactive	Humana Insurance Company	301104	Agent - Life	6/22/1998	6/23/2003
Inactive	HumanaDental Insurance Company	301457	Agent - Health	10/18/2001	6/23/2003
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	9/7/1999	6/23/2003
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	9/7/1999	6/23/2003
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	1/12/1996	7/1/1996
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	1/12/1996	7/1/1996
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	4/1/1998	6/23/2003
Inactive	Principal Life Insurance Company	300129	Agent - Health	3/19/2001	6/23/2003
Inactive	Principal Life Insurance Company	300129	Agent - Life	3/19/2001	6/23/2003
Inactive	Protective Life Insurance Company	300638	Agent - Health	12/30/1996	6/23/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	12/30/1996	6/23/2003
Inactive	Prudential Insurance Company of America	300784	Agent - Health	10/13/2000	6/23/2003
Inactive	Prudential Insurance Company of America	300784	Agent - Life	10/13/2000	6/23/2003
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	2/13/1997	12/15/2002
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	2/13/1997	12/15/2002
Inactive	Union Security Insurance Company	301844	Agent - Health	12/30/1997	6/23/2003
Inactive	Union Security Insurance Company	301844	Agent - Life	12/30/1997	6/23/2003
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	4/1/1998	6/23/2003
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	4/1/1998	6/23/2003
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	3/19/1997	6/23/2003
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	3/19/1997	6/23/2003
Inactive	Wilco Life Insurance Company	300122	Agent - Health	10/28/1997	4/2/2001
Inactive	Wilco Life Insurance Company	300122	Agent - Life	10/28/1997	4/2/2001

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	7/1/1996
Inactive	Van Meter Insurance Agency Inc.	398810	Agent - Life	2/7/1995	7/1/1996
Inactive	Van Meter Insurance Agency Inc.	398810	Agent - Health	2/7/1995	7/1/1996
Inactive	Van Meter Insurance Inc.	514979	Agent - Life	10/25/2000	6/23/2003
Inactive	Van Meter Insurance Inc.	514979	Agent - Health	10/25/2000	6/23/2003