DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Zahn, Gregg Earl	DOIID	326935	NAIC NPN	4722935

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	9/15/1997	7/31/2011
Inactive	Resident	Agent	Health	5/14/2002	5/15/2010
AFFIDAVIT ON FILE
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Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	11/21/2002	11/21/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	11/21/2002	11/21/2007
Inactive	Banner Life Insurance Company	301696	Agent - Life	12/27/2000	8/9/2008
Inactive	CICA Life Insurance Company of America	600487	Agent - Health	1/1/2005	3/31/2007
Inactive	CICA Life Insurance Company of America	600487	Agent - Life	1/1/2005	3/31/2007
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	10/24/2001	4/1/2007
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	12/26/2001	3/5/2009
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	10/24/2001	10/28/2008
Inactive	First Alliance Insurance Company	301000	Agent - Health	5/14/2002	1/1/2005
Inactive	First Alliance Insurance Company	301000	Agent - Life	9/15/1997	1/1/2005
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	6/5/2002	6/13/2005
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	6/5/2002	6/13/2005
Inactive	Midland National Life Insurance Company	300923	Agent - Life	8/12/2002	10/5/2004
Inactive	National Western Life Insurance Company	301515	Agent - Life	10/17/2001	9/13/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	11/8/2000	7/31/2011
Inactive	State Life Insurance Company	301497	Agent - Health	8/21/2002	1/31/2007
Inactive	State Life Insurance Company	301497	Agent - Life	8/21/2002	1/31/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Alliance Insurance Managements Inc.	536763	Agent - Life	9/11/2001	2/10/2004