DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hayes, Pershing Charles Richard	DOIID	320073	NAIC NPN	7167792

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	6/14/1965	1/16/2002
Inactive	Resident	Agent	Life	6/14/1965	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	Everlake Life Insurance Company	300873	Agent - Life	8/9/1996	1/26/2005
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	6/14/1965	12/7/2000
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	6/14/1965	12/7/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	K T T Insurance Agency Inc.	399488	Agent - Life	11/2/1989	2/28/2005
Inactive	K T T Insurance Agency Inc.	399488	Agent - Health	11/2/1989	1/16/2002