DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	McIntosh, Kevin Mark	DOIID	307032	NAIC NPN	7158774

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	3/27/1995	7/1/1996
Inactive	Resident	Agent	Life	3/27/1995	7/1/1996
* 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	Grange Life Insurance Company	300128	Agent - Health	4/11/1995	7/1/1996
Inactive	Grange Life Insurance Company	300128	Agent - Life	4/11/1995	7/1/1996
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	3/27/1995	5/6/1996
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	3/27/1995	5/6/1996
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	8/28/1995	7/1/1996
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	8/28/1995	7/1/1996
Inactive	Principal Life Insurance Company	300129	Agent - Health	10/3/1995	7/1/1996
Inactive	Principal Life Insurance Company	300129	Agent - Life	10/3/1995	7/1/1996

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