DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Black, Robert Neil	DOIID	325960	NAIC NPN	7171816

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	11/27/1979	8/7/2000
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	12/31/2003
* 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	Franklin Life Insurance Company (The)	300779	Agent - Credit Life & Health	8/31/1994	2/21/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	11/27/1979	8/7/2000
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Limited Line Credit	8/7/2000	12/31/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Clinton Bank	399388	Agent - Credit Life & Health	2/6/1981	8/7/2000
Inactive	Clinton Bank	399388	Agent - Limited Line Credit	8/7/2000	12/31/2003