DEPARTMENT OF INSURANCE

Affiliations

Name	Sklar, Malcolm M	DOIID	328303	NAIC NPN	369427

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	3/8/1996	1/13/2015
Inactive	Non Resident	Agent	Health	3/8/1996	1/13/2015
* 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	Athene Annuity & Life Assurance Company	301798	Agent - Health	4/6/2006	9/18/2013
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	4/6/2006	9/18/2013
Inactive	Banner Life Insurance Company	301696	Agent - Health	8/21/1997	1/13/2015
Inactive	Banner Life Insurance Company	301696	Agent - Life	8/21/1997	1/13/2015
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	11/7/2002	4/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Health	8/16/2002	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	8/16/2002	1/1/2007
Inactive	General American Life Insurance Company	300280	Agent - Health	4/21/2005	11/13/2009
Inactive	General American Life Insurance Company	300280	Agent - Life	4/21/2005	11/13/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	1/13/2015
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	1/13/2015
Inactive	Lincoln Life Assurance Company of Boston	301915	Agent - Life	4/7/2014	1/13/2015
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	4/21/2005	11/13/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	4/21/2005	11/13/2009
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	3/8/1996	12/12/2014
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	3/8/1996	12/12/2014
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	12/30/2009
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	5/1/1997	9/20/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	5/1/1997	9/20/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	11/18/2002	10/12/2012
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	11/18/2002	10/12/2012
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	11/27/2002	10/1/2003
Inactive	Standard Insurance Company	300185	Agent - Health	7/16/2013	1/13/2015
Inactive	Standard Insurance Company	300185	Agent - Life	7/16/2013	1/13/2015
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	5/29/2003	10/2/2007

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gallagher Benefit Services Inc	525782	Agent - Life	1/9/2004	8/31/2010
Inactive	Gallagher Benefit Services Inc	525782	Agent - Health	1/9/2004	8/31/2010
Inactive	Gbs Insurance And Financial Services, Inc	571372	Agent - Life	1/29/2004	1/13/2015
Inactive	Gbs Insurance And Financial Services, Inc	571372	Agent - Health	1/29/2004	1/13/2015