DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Royster, Vanzil Clinton	DOIID	310473	NAIC NPN	1890662

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	9/10/1993	8/7/1998
Inactive	Resident	Agent	Life	9/10/1993	8/7/1998
* 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	Northwestern Mutual Life Insurance Company	300931	Agent - Health	9/10/1993	8/7/1998
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	9/10/1993	8/7/1998
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	8/7/1996	7/1/1998
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	8/7/1996	7/1/1998
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	10/27/1997	7/1/1998
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	10/27/1997	7/1/1998

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	3/31/1997