DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Stephens, Jason Carter	DOIID	328413	NAIC NPN	7175479

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	5/31/2001	4/9/2003
Inactive	Resident	Agent	Health	6/11/2002	4/9/2003
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	1/16/2002
Inactive	Resident	Agent	Credit Life & Health	11/9/1999	8/7/2000
* 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	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	3/20/2002	9/23/2002
Inactive	First Alliance Insurance Company	301000	Agent - Health	6/11/2002	9/23/2002
Inactive	First Alliance Insurance Company	301000	Agent - Life	3/27/2001	9/23/2002
Inactive	Kentucky Home Life Insurance Company	300477	Agent - Limited Line Credit	8/17/2000	8/24/2001
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	6/3/2002	9/23/2002
Inactive	National Western Life Insurance Company	301515	Agent - Life	3/14/2002	9/23/2002
Inactive	Protective Life Insurance Company	300638	Agent - Health	7/18/2002	4/9/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	7/18/2002	4/9/2003
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	11/9/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	8/17/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ellerslie Corporation	398570	Agent - Limited Line Credit	9/18/2000	1/16/2002