DEPARTMENT OF INSURANCE

Affiliations

Name	Bullock, Costello Dudley	DOIID	312694	NAIC NPN	7161448

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	8/14/1992	9/30/2012
Inactive	Resident	Agent	General Lines	8/18/1992	8/15/2000
Inactive	Resident	Agent	Casualty	8/15/2000	9/30/2012
Inactive	Resident	Agent	Life	8/14/1992	9/30/2012
Inactive	Resident	Agent	Property	8/15/2000	9/30/2012
* 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	AIG Assurance Company	300897	Agent - Casualty	3/23/2004	10/2/2010
Inactive	AIG Assurance Company	300897	Agent - Property	3/23/2004	10/2/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	8/13/2003	9/8/2011
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	8/13/2003	9/8/2011
Inactive	Allstate Indemnity Company	300778	Agent - Casualty	8/15/2000	9/9/2004
Inactive	Allstate Indemnity Company	300778	Agent - General Lines	8/18/1992	8/15/2000
Inactive	Allstate Indemnity Company	300778	Agent - Property	8/15/2000	9/9/2004
Inactive	Allstate Insurance Company	300773	Agent - Casualty	8/15/2000	9/9/2004
Inactive	Allstate Insurance Company	300773	Agent - General Lines	8/18/1992	8/15/2000
Inactive	Allstate Insurance Company	300773	Agent - Property	8/15/2000	9/9/2004
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	8/5/2003	11/1/2005
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	8/5/2003	11/1/2005
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Casualty	3/16/2004	7/22/2009
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	3/16/2004	7/22/2009
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	9/23/2004	11/11/2009
Inactive	American General Life Insurance Company	301585	Agent - Health	10/24/2005	10/25/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	10/24/2005	10/25/2012
Inactive	Banner Life Insurance Company	301696	Agent - Life	1/23/2004	8/9/2008
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Health	11/30/2005	12/19/2006
Inactive	Chesapeake Life Insurance Company (The)	301017	Agent - Life	11/30/2005	8/7/2006
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	5/4/2005	12/19/2007
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	7/9/2008	6/4/2009
Inactive	Conseco Health Insurance Company	301725	Agent - Health	9/18/2003	8/7/2006
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/18/2003	8/7/2006
Inactive	Conseco Insurance Company	301202	Agent - Health	9/18/2003	12/29/2006
Inactive	Conseco Insurance Company	301202	Agent - Life	9/18/2003	12/29/2006
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	1/4/2005	9/29/2010
Inactive	Encova Life Insurance Company	301818	Agent - Life	5/5/2005	12/12/2007
Inactive	Everlake Life Insurance Company	300873	Agent - Health	8/14/1992	9/9/2004
Inactive	Everlake Life Insurance Company	300873	Agent - Life	8/14/1992	9/9/2004
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	8/18/2005	3/9/2009
Inactive	First National Insurance Company of America	301690	Agent - Casualty	8/15/2003	9/23/2010
Inactive	First National Insurance Company of America	301690	Agent - Property	8/15/2003	9/23/2010
Inactive	Genworth Life Insurance Company	300623	Agent - Health	8/16/2003	12/4/2007
Inactive	Genworth Life Insurance Company	300623	Agent - Life	8/16/2003	12/4/2007
Inactive	Granite State Insurance Company	300818	Agent - Casualty	6/29/2005	10/2/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	6/29/2005	10/2/2010
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/7/2003	11/7/2007
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/7/2003	11/7/2007
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/7/2003	11/9/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/7/2003	11/9/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/7/2003	11/9/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/7/2003	11/9/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/7/2003	11/9/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/7/2003	11/9/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/7/2003	11/9/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/7/2003	11/9/2009
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	1/10/2007	10/2/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	1/10/2007	10/2/2010
Inactive	Independent Order of Foresters	300743	Agent - Life	6/19/2012	9/30/2012
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	8/14/2003	5/14/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	8/14/2003	5/14/2004
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	3/1/2004	11/20/2007
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	3/1/2004	11/20/2007
Inactive	Lincoln General Insurance Company	301580	Agent - Casualty	9/5/2003	4/18/2006
Inactive	Lincoln General Insurance Company	301580	Agent - Property	9/5/2003	4/18/2006
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	8/20/2003	4/4/2005
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	8/8/2003	4/21/2005
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	8/8/2003	4/21/2005
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	2/1/2011
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	2/1/2011
Inactive	Pruco Life Insurance Company	300954	Agent - Health	8/20/2003	12/22/2008
Inactive	Pruco Life Insurance Company	300954	Agent - Life	8/20/2003	12/22/2008
Inactive	Prudential Insurance Company of America	300784	Agent - Health	8/20/2003	9/30/2012
Inactive	Prudential Insurance Company of America	300784	Agent - Life	8/20/2003	9/30/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	8/15/2003	9/23/2010
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	8/15/2003	9/23/2010
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	8/15/2003	9/23/2010
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	8/15/2003	9/23/2010
Inactive	Senior Life Insurance Company	558267	Agent - Life	8/22/2005	4/24/2006
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	1/17/2005	9/30/2012
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	1/17/2005	9/30/2012
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	11/12/2004	9/30/2012
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	11/12/2004	9/30/2012
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	1/10/2005	9/30/2012
Inactive	Trexis One Insurance Corporation	684197	Agent - Casualty	10/20/2008	9/30/2012
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/7/2003	11/9/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/7/2003	11/9/2009
Inactive	United Home Life Insurance Company	300421	Agent - Life	4/21/2006	6/18/2008
Inactive	United Investors Life Insurance Company	301873	Agent - Life	6/28/2005	12/21/2006
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	9/15/2003	12/6/2006
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	9/15/2003	12/6/2006
Inactive	West Coast Life Insurance Company	301607	Agent - Life	9/9/2003	12/27/2005
Inactive	Wilco Life Insurance Company	300122	Agent - Health	9/18/2003	4/4/2005
Inactive	Wilco Life Insurance Company	300122	Agent - Life	9/18/2003	4/4/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Life	3/6/2009	9/30/2012
Inactive	Medlink Inc	400721	Agent - Health	3/6/2009	9/30/2012
Inactive	WFG Property & Casualty Insurance Agency, Inc.	399378	Agent - Property	10/28/2003	2/14/2005
Inactive	WFG Property & Casualty Insurance Agency, Inc.	399378	Agent - Casualty	10/28/2003	2/14/2005
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Life	4/25/2003	9/30/2012
Inactive	World Financial Group Insurance Agency, LLC	400520	Agent - Health	4/25/2003	9/30/2012