DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Parker, Jerry Lee	DOIID	309181	NAIC NPN	7159705

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	4/9/2002	2/28/2005
Inactive	Resident	Agent	Casualty	6/28/2002	2/28/2005
Inactive	Resident	Agent	Property	6/19/2002	2/28/2005
Inactive	Resident	Agent	Life	4/9/2002	2/28/2005
* 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	AF&L Insurance Company	301582	Agent - Health	4/19/2004	2/28/2005
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	5/23/2002	2/28/2005
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	5/23/2002	2/28/2005
Inactive	Grange Insurance Company	300234	Agent - Casualty	6/28/2002	1/27/2004
Inactive	Grange Insurance Company	300234	Agent - Property	6/19/2002	1/27/2004
Inactive	Grange Life Insurance Company	300128	Agent - Health	4/9/2002	1/27/2004
Inactive	Grange Life Insurance Company	300128	Agent - Life	4/9/2002	1/27/2004
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	10/17/1990	4/16/1999
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	4/27/2004	2/28/2005
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	4/27/2004	2/28/2005
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	9/18/2002	2/28/2005
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	9/18/2002	2/28/2005
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/14/2004	2/28/2005
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	6/14/2004	2/28/2005
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	6/14/2004	2/28/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	L & H Inc.	518487	Agent - Life	6/6/2002	2/26/2003
Inactive	L & H Inc.	518487	Agent - Health	6/6/2002	2/26/2003
Inactive	Medlink Inc	400721	Agent - Life	9/9/2002	2/28/2005
Inactive	Medlink Inc	400721	Agent - Health	9/9/2002	2/28/2005
Inactive	Smith-Altman Insurance Inc.	398218	Agent - Life	1/20/2005	2/28/2005
Inactive	Smith-Altman Insurance Inc.	398218	Agent - Health	1/20/2005	2/28/2005