DEPARTMENT OF INSURANCE

Affiliations

Name	Chan, Chong P	DOIID	314006	NAIC NPN	1437068

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Administrator	Not Applicable	6/25/2002	6/25/2002
Inactive	Non Resident	Agent	General Lines	1/27/1998	8/15/2000
Inactive	Non Resident	Agent	Health	12/19/1997	12/31/2005
Inactive	Non Resident	Agent	Life	12/19/1997	12/31/2005
Inactive	Non Resident	Agent	Casualty	8/15/2000	12/31/2005
Inactive	Non Resident	Agent	Property	8/15/2000	12/31/2005
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	3/14/2000	12/31/2005
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	3/14/2000	12/31/2005
Inactive	American National Insurance Company	301861	Agent - Health	12/19/1997	12/31/2005
Inactive	American National Insurance Company	301861	Agent - Life	12/19/1997	12/31/2005
Inactive	American States Life Insurance Company	301884	Agent - Health	7/15/2003	12/6/2004
Inactive	American States Life Insurance Company	301884	Agent - Life	7/15/2003	12/6/2004
Inactive	Assurance Company of America	300432	Agent - Casualty	9/28/2003	12/31/2005
Inactive	Assurance Company of America	300432	Agent - Property	9/28/2003	12/31/2005
Inactive	Centre Insurance Company	301599	Agent - Casualty	5/5/2004	1/27/2005
Inactive	Centre Insurance Company	301599	Agent - Property	5/5/2004	1/27/2005
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	7/12/1999	12/31/2005
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	7/12/1999	12/31/2005
Inactive	Electric Insurance Company	301758	Agent - Casualty	2/25/2004	10/6/2004
Inactive	Electric Insurance Company	301758	Agent - Property	2/25/2004	10/6/2004
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Casualty	5/5/2004	1/27/2005
Inactive	Empire Fire and Marine Insurance Company	300666	Agent - Property	5/5/2004	1/27/2005
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	7/12/1999	12/31/2005
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	7/12/1999	12/31/2005
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Casualty	6/17/2004	2/7/2005
Inactive	Fidelity and Deposit Company of Maryland	300976	Agent - Property	6/17/2004	2/7/2005
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	3/30/1998	12/31/2005
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	3/30/1998	12/31/2005
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	8/17/2004	12/31/2005
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	8/17/2004	12/31/2005
Inactive	Genworth Life Insurance Company	300623	Agent - Health	8/17/2000	12/31/2005
Inactive	Genworth Life Insurance Company	300623	Agent - Life	8/17/2000	12/31/2005
Inactive	Glatfelter Insurance Company	301640	Agent - Casualty	9/28/2003	12/31/2005
Inactive	Glatfelter Insurance Company	301640	Agent - Property	9/28/2003	12/31/2005
Inactive	Golden Rule Insurance Company	301943	Agent - Health	4/11/2003	11/8/2004
Inactive	Golden Rule Insurance Company	301943	Agent - Life	4/11/2003	11/8/2004
Inactive	Great American Insurance Company	301586	Agent - Casualty	6/18/2001	2/3/2004
Inactive	Great American Insurance Company	301586	Agent - Property	6/18/2001	2/3/2004
Inactive	Great American Insurance Company of New York	301897	Agent - Casualty	6/18/2001	2/3/2004
Inactive	Great American Insurance Company of New York	301897	Agent - Property	6/18/2001	2/3/2004
Inactive	Great American Security Insurance Company	301228	Agent - Casualty	6/18/2001	2/3/2004
Inactive	Great American Security Insurance Company	301228	Agent - Property	6/18/2001	2/3/2004
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	8/15/2000	4/13/2005
Inactive	Hartford Accident and Indemnity Company	301917	Agent - General Lines	8/17/1998	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	8/15/2000	4/13/2005
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	8/15/2000	4/13/2005
Inactive	Hartford Casualty Insurance Company	301332	Agent - General Lines	8/17/1998	8/15/2000
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	8/15/2000	4/13/2005
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	8/15/2000	4/13/2005
Inactive	Hartford Fire Insurance Company	300628	Agent - General Lines	8/17/1998	8/15/2000
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	8/15/2000	4/13/2005
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	8/15/2000	4/13/2005
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - General Lines	8/17/1998	8/15/2000
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	8/15/2000	4/13/2005
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	8/15/2000	4/13/2005
Inactive	Hartford Underwriters Insurance Company	301064	Agent - General Lines	8/17/1998	8/15/2000
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	8/15/2000	4/13/2005
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	11/12/2002	2/3/2006
Inactive	Humana Insurance Company	301104	Agent - Health	12/30/2002	2/3/2006
Inactive	Humana Insurance Company	301104	Agent - Life	12/30/2002	2/3/2006
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	7/20/2004	12/31/2005
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	7/20/2004	12/31/2005
Inactive	Infinity Select Insurance Company	300169	Agent - Casualty	8/15/2000	3/31/2002
Inactive	Infinity Select Insurance Company	300169	Agent - General Lines	10/30/1998	8/15/2000
Inactive	Insurance Company of the West	301520	Agent - Casualty	8/15/2000	12/31/2005
Inactive	Insurance Company of the West	301520	Agent - General Lines	1/27/1998	8/15/2000
Inactive	Insurance Company of the West	301520	Agent - Property	8/15/2000	12/31/2005
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	10/17/2002	2/14/2003
Inactive	John Alden Life Insurance Company	300573	Agent - Health	1/16/2001	11/7/2002
Inactive	John Alden Life Insurance Company	300573	Agent - Life	1/16/2001	11/7/2002
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	7/27/1999	12/31/2005
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	7/27/1999	12/31/2005
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	7/27/1999	12/31/2005
Inactive	Liberty Life Insurance Company	301542	Agent - Health	6/20/2003	12/31/2005
Inactive	Liberty Life Insurance Company	301542	Agent - Life	6/20/2003	12/31/2005
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/24/2003	12/31/2005
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/24/2003	12/31/2005
Inactive	Maryland Casualty Company	301719	Agent - Casualty	8/15/2000	12/31/2005
Inactive	Maryland Casualty Company	301719	Agent - General Lines	6/4/1998	8/15/2000
Inactive	Maryland Casualty Company	301719	Agent - Property	8/15/2000	12/31/2005
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	4/20/1998	3/1/1999
Inactive	National Western Life Insurance Company	301515	Agent - Health	4/13/1998	12/24/2003
Inactive	National Western Life Insurance Company	301515	Agent - Life	4/13/1998	12/24/2003
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	6/17/2003	12/31/2005
Inactive	Northern Insurance Company of New York	301317	Agent - Casualty	9/28/2003	12/31/2005
Inactive	Northern Insurance Company of New York	301317	Agent - Property	9/28/2003	12/31/2005
Inactive	Omni Indemnity Company	301456	Agent - Casualty	4/12/2003	4/13/2005
Inactive	Omni Indemnity Company	301456	Agent - Property	4/12/2003	4/13/2005
Inactive	Protective Life Insurance Company	300638	Agent - Health	4/14/1998	12/31/2005
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/14/1998	12/31/2005
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	3/19/2002	12/21/2004
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	3/19/2002	12/21/2004
Inactive	Security Life Insurance Company of America	300936	Agent - Health	1/13/2003	10/14/2004
Inactive	Security Life Insurance Company of America	300936	Agent - Life	1/13/2003	10/14/2004
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	3/3/2005	4/13/2005
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	3/3/2005	4/13/2005
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	8/28/2000	2/11/2002
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	8/28/2000	2/11/2002
Inactive	Symetra Life Insurance Company	301691	Agent - Health	7/15/2003	12/31/2005
Inactive	Symetra Life Insurance Company	301691	Agent - Life	7/15/2003	12/31/2005
Inactive	Time Insurance Company	300683	Agent - Health	3/13/2000	10/30/2004
Inactive	Time Insurance Company	300683	Agent - Life	3/13/2000	10/30/2004
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	4/12/2003	4/13/2005
Inactive	Trumbull Insurance Company	300242	Agent - Property	4/12/2003	4/13/2005
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	8/15/2000	4/13/2005
Inactive	Twin City Fire Insurance Company	300721	Agent - General Lines	8/17/1998	8/15/2000
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	8/15/2000	4/13/2005
Inactive	Universal Underwriters Insurance Company	301558	Agent - Casualty	8/15/2000	1/3/2003
Inactive	Universal Underwriters Insurance Company	301558	Agent - General Lines	11/10/1998	8/15/2000
Inactive	Universal Underwriters Insurance Company	301558	Agent - Property	8/15/2000	1/3/2003
Inactive	Western National Life Insurance Company	300461	Agent - Life	4/2/1998	11/24/2000
Inactive	Wilton Reassurance Life Company of New York	300163	Agent - Life	12/4/2002	12/31/2005
Inactive	Zurich American Insurance Company	301121	Agent - Casualty	4/4/2005	12/31/2005
Inactive	Zurich American Insurance Company	301121	Agent - Property	4/4/2005	12/31/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Insurance Answer Center LLC	401337	Agent - General Lines	2/15/1999	8/15/2000
Inactive	Insurance Answer Center LLC	401337	Administrator - Not Applicable	10/14/1999	6/25/2002
Inactive	Insurance Answer Center LLC	401337	Agent - Life	7/10/1999	10/15/2004
Inactive	Insurance Answer Center LLC	401337	Agent - Health	7/10/1999	10/15/2004
Inactive	Insurance Answer Center LLC	401337	Agent - Property	8/15/2000	10/15/2004
Inactive	Insurance Answer Center LLC	401337	Agent - Casualty	8/15/2000	10/15/2004