DEPARTMENT OF INSURANCE

Affiliations

Name	Lobb, Dean William	DOIID	317586	NAIC NPN	7165235

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	10/30/2001	2/29/2020
Inactive	Resident	Agent	Health	10/30/2001	2/29/2020
AFFIDAVIT ON FILE
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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	6/17/2003	9/8/2003
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	6/17/2003	9/8/2003
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	6/3/2004	5/24/2006
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	6/3/2004	5/24/2006
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Health	6/17/2004	5/24/2006
Inactive	Colonial Penn Life Insurance Company	300491	Agent - Life	6/17/2004	5/24/2006
Inactive	First Alliance Insurance Company	301000	Agent - Life	2/8/1996	12/11/1997
Inactive	Forethought Life Insurance Company	301407	Agent - Life	1/31/1998	12/1/2000
Inactive	Genworth Life Insurance Company	300623	Agent - Health	10/30/2001	12/4/2007
Inactive	Genworth Life Insurance Company	300623	Agent - Life	10/30/2001	12/4/2007
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	6/19/2003	5/14/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	6/19/2003	5/14/2004
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	10/30/2001	12/30/2004
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	9/13/2001	12/31/2003
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	12/9/2003	6/28/2005
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	12/9/2003	6/28/2005
Inactive	MedAmerica Insurance Company	301568	Agent - Health	1/14/2002	5/17/2005
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	7/9/2003	12/1/2005
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	8/18/2003	2/4/2005
Inactive	Pan-American Assurance Company	301533	Agent - Health	6/22/2003	7/12/2004
Inactive	Pan-American Assurance Company	301533	Agent - Life	6/22/2003	7/12/2004
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	6/22/2003	7/12/2004
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	6/22/2003	7/12/2004
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	6/20/2003	4/21/2005
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	6/20/2003	4/21/2005
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Health	1/19/2004	8/1/2004
Inactive	Pennsylvania Life Insurance Company	301321	Agent - Life	1/19/2004	8/1/2004
Inactive	Physicians Life Insurance Company	300924	Agent - Health	5/19/2006	11/8/2010
Inactive	Physicians Life Insurance Company	300924	Agent - Life	5/19/2006	11/30/2018
Inactive	Physicians Mutual Insurance Company	301084	Agent - Health	5/19/2006	11/30/2018
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	9/20/2001	7/18/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	9/20/2001	7/18/2003
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	6/27/2003	9/3/2004
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	6/27/2003	9/3/2004
Inactive	United American Insurance Company	300910	Agent - Health	6/10/2003	12/23/2004
Inactive	United American Insurance Company	300910	Agent - Life	6/10/2003	12/23/2004
Inactive	United Teacher Associates Insurance Company	300747	Agent - Health	6/25/2003	12/7/2006
Inactive	United Teacher Associates Insurance Company	300747	Agent - Life	6/25/2003	12/7/2006
Inactive	Wilton Reassurance Life Company of New York	300163	Agent - Life	5/16/2003	6/8/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Stratos Group Ltd Inc.	400746	Agent - Life	2/25/2003	1/22/2004
Inactive	Stratos Group Ltd Inc.	400746	Agent - Health	2/25/2003	1/22/2004