DEPARTMENT OF INSURANCE

Affiliations

Name	Chambers, James A	DOIID	326311	NAIC NPN	1497020

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	8/22/2001	6/30/2004
Inactive	Resident	Agent	Variable Life and Variable Annuities	4/30/2002	6/30/2004
Inactive	Resident	Agent	Life	8/22/2001	6/30/2004
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Notice: The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Health	8/22/2001	2/13/2002
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	8/22/2001	2/13/2002
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Variable Life and Variable Annuities	9/13/2001	2/13/2002
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Health	4/30/2002	5/31/2002
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	4/30/2002	5/31/2002
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Variable Life and Variable Annuities	4/30/2002	5/31/2002
Inactive	Genworth Life Insurance Company	300623	Agent - Health	3/3/1997	7/1/1997
Inactive	Genworth Life Insurance Company	300623	Agent - Life	3/3/1997	7/1/1997
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	9/28/2001	6/30/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	9/28/2001	6/30/2004
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Health	9/28/2001	6/30/2004
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	9/28/2001	6/30/2004
Inactive	MONY Life Insurance Company	301141	Agent - Health	4/30/2002	5/31/2002
Inactive	MONY Life Insurance Company	301141	Agent - Life	4/30/2002	5/31/2002
Inactive	MONY Life Insurance Company	301141	Agent - Variable Life and Variable Annuities	4/30/2002	5/31/2002
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	12/28/2001	6/30/2004
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	12/28/2001	6/30/2004
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	5/16/1997	9/29/1997
Inactive	Principal Life Insurance Company	300129	Agent - Health	1/7/2002	6/30/2004
Inactive	Principal Life Insurance Company	300129	Agent - Life	1/7/2002	6/30/2004
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	5/16/1997	9/29/1997
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	5/16/1997	9/29/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Medlink Inc	400721	Agent - Life	6/18/2002	6/30/2004
Inactive	Medlink Inc	400721	Agent - Health	6/18/2002	6/30/2004