DEPARTMENT OF INSURANCE

Affiliations

Name	Martin, Velma	DOIID	322290	NAIC NPN	7168782

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	General Lines	12/29/1988	8/15/2000
Inactive	Resident	Agent	Property	8/15/2000	6/1/2012
Inactive	Resident	Agent	Health	12/22/1999	6/1/2012
Inactive	Resident	Agent	Life	12/22/1999	6/1/2012
Inactive	Resident	Agent	Casualty	8/15/2000	6/1/2012
* 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	ACE American Insurance Company	300625	Agent - General Lines	11/10/1992	3/31/1998
Inactive	ACE Fire Underwriters Insurance Company	301679	Agent - General Lines	11/10/1992	3/31/1998
Inactive	ACE Property and Casualty Insurance Company	300520	Agent - General Lines	8/30/1999	8/15/2000
Inactive	AIG Assurance Company	300897	Agent - Casualty	11/21/2002	3/3/2010
Inactive	AIG Assurance Company	300897	Agent - Property	11/21/2002	3/3/2010
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	10/9/2002	11/19/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	10/9/2002	11/19/2007
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Casualty	3/10/2004	2/28/2008
Inactive	Allstate Vehicle & Property Insurance Company	301429	Agent - Property	3/10/2004	2/28/2008
Inactive	AmTrust Insurance Company	300179	Agent - Casualty	6/10/2002	10/14/2009
Inactive	AmTrust Insurance Company	300179	Agent - Property	6/10/2002	10/14/2009
Inactive	American Alternative Insurance Corporation	301697	Agent - General Lines	5/30/1996	8/28/1997
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Casualty	12/19/2002	11/12/2003
Inactive	American Bankers Insurance Company of Florida	300360	Agent - Property	12/19/2002	11/12/2003
Inactive	American Economy Insurance Company	300315	Agent - Casualty	11/1/2007	10/20/2011
Inactive	American Economy Insurance Company	300315	Agent - Property	11/1/2007	10/20/2011
Inactive	American Equity Investment Life Insurance Company	300389	Agent - Life	2/24/2003	8/10/2009
Inactive	American Equity Specialty Insurance Company	517546	Agent - Casualty	2/5/2001	3/23/2001
Inactive	American Equity Specialty Insurance Company	517546	Agent - Property	2/5/2001	3/23/2001
Inactive	American Family Home Insurance Company	301817	Agent - General Lines	4/26/1996	11/13/1996
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	7/31/2001	3/3/2003
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	7/31/2001	3/3/2003
Inactive	American Fire and Casualty Company	300567	Agent - Casualty	10/7/2008	6/1/2012
Inactive	American Fire and Casualty Company	300567	Agent - Property	10/7/2008	6/1/2012
Inactive	American Manufacturers Mutual Insurance Company	301807	Agent - Casualty	7/26/2002	5/31/2003
Inactive	American Manufacturers Mutual Insurance Company	301807	Agent - Property	7/26/2002	5/31/2003
Inactive	American Motorists Insurance Company	301212	Agent - Casualty	7/26/2002	5/31/2003
Inactive	American Motorists Insurance Company	301212	Agent - Property	7/26/2002	5/31/2003
Inactive	American Reliable Insurance Company	301889	Agent - Casualty	12/19/2002	11/12/2003
Inactive	American Reliable Insurance Company	301889	Agent - Property	12/19/2002	11/12/2003
Inactive	American States Insurance Company	301230	Agent - Casualty	11/1/2007	10/20/2011
Inactive	American States Insurance Company	301230	Agent - Property	11/1/2007	10/20/2011
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	11/9/2007	6/10/2011
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	11/9/2007	6/10/2011
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	4/27/2007	12/30/2008
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	4/27/2007	12/30/2008
Inactive	Bankers Standard Insurance Company	301620	Agent - General Lines	11/10/1992	3/31/1998
Inactive	Banner Life Insurance Company	301696	Agent - Life	9/12/2003	8/5/2011
Inactive	Bedivere Insurance Company	300710	Agent - Casualty	6/11/2008	1/5/2010
Inactive	Bedivere Insurance Company	300710	Agent - Property	6/11/2008	1/5/2010
Inactive	Bristol West Insurance Company	301655	Agent - Casualty	5/3/2007	6/1/2012
Inactive	Bristol West Insurance Company	301655	Agent - Property	5/3/2007	6/1/2012
Inactive	Catawba Insurance Company	581090	Agent - Casualty	3/18/2005	12/9/2011
Inactive	Catawba Insurance Company	581090	Agent - Property	3/18/2005	12/9/2011
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Casualty	10/27/2005	12/19/2011
Inactive	Celina Mutual Insurance Company (The)	301908	Agent - Property	10/27/2005	12/19/2011
Inactive	Century Indemnity Company	301310	Agent - General Lines	11/10/1992	3/31/1998
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	3/23/2000	4/1/2007
Inactive	CompBenefits Dental, Inc.	591692	Agent - Health	8/21/2008	12/19/2009
Inactive	CompBenefits Insurance Company	301864	Agent - Health	8/21/2008	12/19/2009
Inactive	CompBenefits Insurance Company	301864	Agent - Life	8/21/2008	12/19/2009
Inactive	Consolidated Insurance Company	300943	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Consolidated Insurance Company	300943	Agent - Property	10/7/2008	10/20/2011
Inactive	Continental Casualty Company	301019	Agent - Casualty	8/15/2000	10/11/2001
Inactive	Continental Casualty Company	301019	Agent - General Lines	10/22/1997	8/15/2000
Inactive	Continental Casualty Company	301019	Agent - Property	8/15/2000	10/11/2001
Inactive	Continental General Insurance Company	300691	Agent - Health	12/22/1999	12/10/2001
Inactive	Continental General Insurance Company	300691	Agent - Life	12/22/1999	12/10/2001
Inactive	Cotton States Life Insurance Company	300268	Agent - General Lines	2/25/2000	8/15/2000
Inactive	Cotton States Mutual Insurance Company	300269	Agent - Casualty	8/15/2000	3/31/2004
Inactive	Cotton States Mutual Insurance Company	300269	Agent - General Lines	2/25/2000	8/15/2000
Inactive	Cotton States Mutual Insurance Company	300269	Agent - Property	8/15/2000	3/31/2004
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	2/27/2008	6/1/2012
Inactive	Dairyland Insurance Company	301370	Agent - Property	2/27/2008	6/1/2012
Inactive	Dental Concern Inc. (The)	301641	Agent - Health	3/21/2009	12/19/2009
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Casualty	6/11/2008	1/5/2010
Inactive	Employers' Fire Insurance Company (The)	301255	Agent - Property	6/11/2008	1/5/2010
Inactive	Encompass Indemnity Company	546376	Agent - Casualty	10/31/2008	6/1/2012
Inactive	Encompass Indemnity Company	546376	Agent - Property	10/31/2008	6/1/2012
Inactive	Encompass Insurance Company of America	556578	Agent - Casualty	5/19/2011	6/1/2012
Inactive	Encompass Insurance Company of America	556578	Agent - Property	5/19/2011	6/1/2012
Inactive	Falls Lake National Insurance Company	301796	Agent - Casualty	8/15/2000	12/15/2003
Inactive	Falls Lake National Insurance Company	301796	Agent - General Lines	5/1/2000	8/15/2000
Inactive	Farmers Insurance Exchange	300336	Agent - Casualty	3/23/2005	6/1/2012
Inactive	Farmers Insurance Exchange	300336	Agent - Property	3/23/2005	6/1/2012
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	12/15/2003	5/21/2010
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	12/15/2003	5/21/2010
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	6/16/2006	6/1/2012
Inactive	First Colony Life Insurance Company	301179	Agent - Health	8/26/2003	12/20/2006
Inactive	First Colony Life Insurance Company	301179	Agent - Life	8/26/2003	12/20/2006
Inactive	First National Insurance Company of America	301690	Agent - Casualty	5/27/2003	10/20/2011
Inactive	First National Insurance Company of America	301690	Agent - Property	5/27/2003	10/20/2011
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	9/24/2003	12/26/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	9/24/2003	12/26/2008
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Casualty	7/7/2004	6/1/2012
Inactive	Foremost Insurance Company Grand Rapids, Michigan	301027	Agent - Property	7/7/2004	6/1/2012
Inactive	General Insurance Company of America	300261	Agent - Casualty	11/1/2007	10/20/2011
Inactive	General Insurance Company of America	300261	Agent - Property	11/1/2007	10/20/2011
Inactive	Genworth Life Insurance Company	300623	Agent - Health	3/5/2008	10/4/2009
Inactive	Genworth Life Insurance Company	300623	Agent - Life	3/5/2008	10/4/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	6/23/2009	6/1/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	6/23/2009	6/1/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/14/2005	11/10/2008
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/14/2005	11/10/2008
Inactive	Granite State Insurance Company	300818	Agent - Casualty	11/21/2002	3/3/2010
Inactive	Granite State Insurance Company	300818	Agent - Property	11/21/2002	3/3/2010
Inactive	GuideOne Elite Insurance Company	300490	Agent - General Lines	12/29/1988	8/15/2000
Inactive	GuideOne Insurance Company	301794	Agent - General Lines	12/29/1988	8/15/2000
Inactive	GuideOne Specialty Insurance Company	300278	Agent - General Lines	12/29/1988	8/15/2000
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Casualty	5/13/2002	11/7/2007
Inactive	Hartford Accident and Indemnity Company	301917	Agent - Property	5/13/2002	11/7/2007
Inactive	Hartford Casualty Insurance Company	301332	Agent - Casualty	5/13/2002	11/6/2009
Inactive	Hartford Casualty Insurance Company	301332	Agent - Property	5/13/2002	11/6/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Casualty	5/13/2002	11/6/2009
Inactive	Hartford Fire Insurance Company	300628	Agent - Property	5/13/2002	11/6/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Casualty	5/13/2002	11/6/2009
Inactive	Hartford Insurance Company of the Midwest	301918	Agent - Property	5/13/2002	11/6/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Casualty	5/13/2002	11/6/2009
Inactive	Hartford Underwriters Insurance Company	301064	Agent - Property	5/13/2002	11/6/2009
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/31/2003	12/19/2009
Inactive	Humana Insurance Company	301104	Agent - Health	12/31/2003	12/19/2009
Inactive	Humana Insurance Company	301104	Agent - Life	12/31/2003	12/19/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Health	8/21/2008	12/19/2009
Inactive	Humana Insurance Company of Kentucky	300826	Agent - Life	8/21/2008	12/19/2009
Inactive	HumanaDental Insurance Company	301457	Agent - Health	8/21/2008	12/19/2009
Inactive	HumanaDental Insurance Company	301457	Agent - Life	8/21/2008	12/19/2009
Inactive	Illinois National Insurance Company	301367	Agent - Casualty	11/21/2002	3/3/2010
Inactive	Illinois National Insurance Company	301367	Agent - Property	11/21/2002	3/3/2010
Inactive	Indemnity Insurance Company of North America	301760	Agent - General Lines	11/10/1992	3/31/1998
Inactive	Indiana Insurance Company	301909	Agent - Casualty	10/7/2008	6/1/2012
Inactive	Indiana Insurance Company	301909	Agent - Property	10/7/2008	6/1/2012
Inactive	Indianapolis Life Insurance Company	301381	Agent - Life	3/14/2003	7/8/2008
Inactive	Infinity Casualty Insurance Company	301280	Agent - Casualty	8/15/2000	12/15/2003
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	5/1/2000	8/15/2000
Inactive	Insurance Company of North America	300226	Agent - General Lines	11/10/1992	3/31/1998
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	10/15/2003	6/1/2012
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	10/15/2003	6/1/2012
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	1/18/2005	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	1/18/2005	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	1/18/2005	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	1/18/2005	4/2/2007
Inactive	Kanawha Insurance Company	300127	Agent - Health	8/21/2008	12/19/2009
Inactive	Kanawha Insurance Company	300127	Agent - Life	8/21/2008	12/19/2009
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Health	6/7/2010	6/1/2012
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Life	6/7/2010	6/1/2012
Inactive	Kentucky National Insurance Company	301625	Agent - Casualty	4/9/2009	6/1/2012
Inactive	Kentucky National Insurance Company	301625	Agent - Property	4/9/2009	6/1/2012
Inactive	Lamorak Insurance Company	301231	Agent - Casualty	6/11/2008	1/5/2010
Inactive	Lamorak Insurance Company	301231	Agent - Property	6/11/2008	1/5/2010
Inactive	Life Insurance Company of Alabama	301439	Agent - Health	4/3/2002	6/1/2012
Inactive	Life Insurance Company of Alabama	301439	Agent - Life	4/3/2002	6/1/2012
Inactive	Lincoln General Insurance Company	301580	Agent - Casualty	6/10/2002	4/17/2006
Inactive	Lincoln General Insurance Company	301580	Agent - Property	6/10/2002	4/17/2006
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	9/24/2003	7/26/2010
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	9/24/2003	7/26/2010
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - Casualty	7/26/2002	5/31/2003
Inactive	Lumbermens Mutual Casualty Company	301119	Agent - Property	7/26/2002	5/31/2003
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	12/15/2003	5/21/2010
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	12/15/2003	5/21/2010
Inactive	Midland National Life Insurance Company	300923	Agent - Health	5/13/2002	12/7/2004
Inactive	Midland National Life Insurance Company	300923	Agent - Life	5/13/2002	12/7/2004
Inactive	Netherlands Insurance Company (The)	300339	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Netherlands Insurance Company (The)	300339	Agent - Property	10/7/2008	10/20/2011
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	5/1/2000	10/18/2005
Inactive	Ohio Casualty Insurance Company	301492	Agent - Casualty	10/7/2008	6/1/2012
Inactive	Ohio Casualty Insurance Company	301492	Agent - Property	10/7/2008	6/1/2012
Inactive	Ohio Security Insurance Company	300622	Agent - Casualty	10/7/2008	6/1/2012
Inactive	Ohio Security Insurance Company	300622	Agent - Property	10/7/2008	6/1/2012
Inactive	Old Republic Life Insurance Company	301214	Agent - Health	3/6/2000	9/28/2004
Inactive	Old Republic Life Insurance Company	301214	Agent - Life	3/6/2000	9/28/2004
Inactive	Omni Indemnity Company	301456	Agent - Casualty	4/29/2002	10/8/2009
Inactive	Omni Indemnity Company	301456	Agent - Property	4/29/2002	10/8/2009
Inactive	Pacific Employers Insurance Company	301753	Agent - General Lines	11/10/1992	3/31/1998
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Peerless Indemnity Insurance Company	571682	Agent - Property	10/7/2008	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Casualty	10/7/2008	10/20/2011
Inactive	Peerless Insurance Company	301910	Agent - Property	10/7/2008	10/20/2011
Inactive	Pinnacle National Insurance Company	300698	Agent - Casualty	8/15/2000	6/26/2001
Inactive	Pinnacle National Insurance Company	300698	Agent - General Lines	5/30/2000	8/15/2000
Inactive	Pinnacle National Insurance Company	300698	Agent - Property	8/15/2000	6/26/2001
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Casualty	9/11/2007	3/3/2010
Inactive	Plymouth Rock Assurance Preferred Corporation	301834	Agent - Property	9/11/2007	3/3/2010
Inactive	Principal Life Insurance Company	300129	Agent - Health	8/10/2004	6/1/2012
Inactive	Principal Life Insurance Company	300129	Agent - Life	8/10/2004	6/1/2012
Inactive	Progressive Casualty Insurance Company	300696	Agent - Casualty	10/2/2006	6/1/2012
Inactive	Progressive Casualty Insurance Company	300696	Agent - Property	10/2/2006	6/1/2012
Inactive	Progressive Max Insurance Company	301034	Agent - Casualty	8/15/2000	11/26/2007
Inactive	Progressive Max Insurance Company	301034	Agent - General Lines	3/29/2000	8/15/2000
Inactive	Progressive Max Insurance Company	301034	Agent - Property	8/15/2000	11/26/2007
Inactive	Progressive Northern Insurance Company	301378	Agent - Casualty	8/15/2000	6/1/2012
Inactive	Progressive Northern Insurance Company	301378	Agent - General Lines	3/29/2000	8/15/2000
Inactive	Progressive Northern Insurance Company	301378	Agent - Property	8/15/2000	6/1/2012
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Casualty	8/15/2000	12/28/2005
Inactive	Progressive Northwestern Insurance Company	300441	Agent - General Lines	3/29/2000	8/15/2000
Inactive	Progressive Northwestern Insurance Company	300441	Agent - Property	8/15/2000	12/28/2005
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/17/2000	10/20/2009
Inactive	Pruco Life Insurance Company	300954	Agent - Health	4/17/2009	6/1/2012
Inactive	Pruco Life Insurance Company	300954	Agent - Life	4/17/2009	6/1/2012
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	4/8/2003	9/16/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	4/8/2003	9/16/2004
Inactive	SAFECO Insurance Company of America	300159	Agent - Casualty	5/27/2003	6/1/2012
Inactive	SAFECO Insurance Company of America	300159	Agent - Property	5/27/2003	6/1/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Casualty	5/27/2003	6/1/2012
Inactive	SAFECO Insurance Company of Illinois	301350	Agent - Property	5/27/2003	6/1/2012
Inactive	Security National Insurance Company	301151	Agent - Casualty	6/10/2002	10/14/2009
Inactive	Security National Insurance Company	301151	Agent - Property	6/10/2002	10/14/2009
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Casualty	10/28/2008	5/20/2011
Inactive	Sentinel Insurance Company, Limited	501696	Agent - Property	10/28/2008	5/20/2011
Inactive	Shield Insurance Company	300992	Agent - Casualty	8/15/2000	3/31/2004
Inactive	Shield Insurance Company	300992	Agent - General Lines	2/25/2000	8/15/2000
Inactive	Shield Insurance Company	300992	Agent - Property	8/15/2000	3/31/2004
Inactive	State Automobile Mutual Insurance Company	301824	Agent - General Lines	5/4/1993	8/15/2000
Inactive	Stillwater Insurance Company	567181	Agent - Casualty	8/31/2005	6/1/2012
Inactive	Stillwater Insurance Company	567181	Agent - Property	8/31/2005	6/1/2012
Inactive	Time Insurance Company	300683	Agent - Health	2/15/2001	5/24/2002
Inactive	Time Insurance Company	300683	Agent - Life	2/15/2001	5/24/2002
Inactive	Trexis Insurance Corporation	599902	Agent - Casualty	1/10/2005	1/14/2010
Inactive	Trexis One Insurance Corporation	684197	Agent - Casualty	10/23/2008	1/14/2010
Inactive	Trinity Universal Insurance Company	300911	Agent - Casualty	12/16/2003	6/9/2009
Inactive	Trinity Universal Insurance Company	300911	Agent - Property	12/16/2003	6/9/2009
Inactive	Truck Insurance Exchange	300335	Agent - Casualty	5/30/2007	6/1/2012
Inactive	Truck Insurance Exchange	300335	Agent - Property	5/30/2007	6/1/2012
Inactive	Trumbull Insurance Company	300242	Agent - Casualty	4/29/2002	11/5/2008
Inactive	Trumbull Insurance Company	300242	Agent - Property	4/29/2002	11/5/2008
Inactive	Twin City Fire Insurance Company	300721	Agent - Casualty	5/13/2002	11/6/2009
Inactive	Twin City Fire Insurance Company	300721	Agent - Property	5/13/2002	11/6/2009
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	11/19/2001	12/29/2004
Inactive	United Financial Casualty Company	301886	Agent - Casualty	11/10/2006	6/1/2012
Inactive	United Financial Casualty Company	301886	Agent - Property	11/10/2006	6/1/2012
Inactive	United Investors Life Insurance Company	301873	Agent - Life	3/10/2003	12/21/2006
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	7/23/2004	12/15/2006
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	7/23/2004	12/15/2006
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	7/14/2004	5/31/2007
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	7/14/2004	5/31/2007
Inactive	Universal Insurance Company	686754	Agent - Casualty	10/22/2008	11/17/2011
Inactive	Universal Insurance Company	686754	Agent - Property	10/22/2008	11/17/2011
Inactive	West American Insurance Company	301112	Agent - Casualty	10/7/2008	6/1/2012
Inactive	West American Insurance Company	301112	Agent - Property	10/7/2008	6/1/2012
Inactive	West Coast Life Insurance Company	301607	Agent - Life	12/23/2004	12/27/2005
Inactive	Western Surety Company	300283	Agent - Casualty	8/15/2000	3/4/2002
Inactive	Western Surety Company	300283	Agent - General Lines	3/9/2000	8/15/2000
Inactive	Windhaven National Insurance Company	300094	Agent - Casualty	8/15/2000	12/15/2003
Inactive	Windhaven National Insurance Company	300094	Agent - General Lines	5/1/2000	8/15/2000
Inactive		301729	Agent - Casualty	7/26/2002	5/31/2003
Inactive		301729	Agent - Property	7/26/2002	5/31/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cole Insurance Agency,Inc.	546669	Agent - Life	1/4/2010	6/1/2012
Inactive	Cole Insurance Agency,Inc.	546669	Agent - Health	1/4/2010	6/1/2012
Inactive	Cole Insurance Agency,Inc.	546669	Agent - Property	1/4/2010	6/1/2012
Inactive	Cole Insurance Agency,Inc.	546669	Agent - Casualty	1/4/2010	6/1/2012
Inactive	Medlink Inc	400721	Agent - Life	9/14/2006	6/1/2012
Inactive	Medlink Inc	400721	Agent - Health	9/14/2006	6/1/2012