DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Broel, David John	DOIID	322250	NAIC NPN	1742273

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	4/3/1995	7/18/2000
Inactive	Non Resident	Agent	Health	2/7/1996	12/31/2004
* 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	Forethought Life Insurance Company	301407	Agent - Health	2/7/1996	2/25/2003
Inactive	Forethought Life Insurance Company	301407	Agent - Life	2/7/1996	7/18/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sentinel Security Plans Inc.	398097	Agent - Life	4/3/1995	1/5/1996