DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ross, Adelaide	DOIID	307541	NAIC NPN	7159022

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	12/29/1994	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	2/28/2009
* 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 Modern Life Insurance Company	301606	Agent - Limited Line Credit	10/14/2003	2/28/2009
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	12/29/1994	4/13/1998
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	5/25/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	2/28/2009
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	2/2/1998	12/23/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Star Bank-N.A.	399936	Agent - Credit Life & Health	6/18/1996	12/23/1998