DEPARTMENT OF INSURANCE

Affiliations

Name	Basham, Gwenda Lou	DOIID	333200	NAIC NPN	243540

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Property	4/25/2003	7/31/2012
Inactive	Non Resident	Agent	Casualty	4/25/2003	7/31/2012
Inactive	Non Resident	Agent	Health	7/5/1994	7/31/2012
Inactive	Non Resident	Agent	Life	7/5/1994	7/31/2012
* 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	ACE American Insurance Company	300625	Agent - Casualty	11/8/2008	2/2/2010
Inactive	ACE American Insurance Company	300625	Agent - Property	11/8/2008	2/2/2010
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	9/20/2004	10/19/2006
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	9/20/2004	10/19/2006
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	3/24/2006	9/20/2006
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	3/24/2006	9/20/2006
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Health	5/20/2003	3/17/2005
Inactive	Central States Health and Life Company of Omaha	301874	Agent - Life	5/20/2003	3/17/2005
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Casualty	5/20/2003	3/17/2005
Inactive	Central States Indemnity Company of Omaha	300285	Agent - Property	5/20/2003	3/17/2005
Inactive	Liberty Life Insurance Company	301542	Agent - Health	9/28/2005	6/30/2006
Inactive	Liberty Life Insurance Company	301542	Agent - Life	9/28/2005	6/30/2006
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	11/20/2008	3/8/2010
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	11/20/2008	3/8/2010
Inactive	National General Insurance Company	300152	Agent - Casualty	2/1/2007	8/19/2008
Inactive	National General Insurance Company	300152	Agent - Property	2/1/2007	8/19/2008
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	9/1/2005	1/31/2007
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	9/1/2005	1/31/2007
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	2/17/2005	12/13/2010
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	3/3/2010	7/31/2012
Inactive	Stonebridge Life Insurance Company	301614	Agent - Health	7/5/1994	9/28/2004
Inactive	Stonebridge Life Insurance Company	301614	Agent - Life	7/5/1994	9/28/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Financial Insurance Services, Inc.	514710	Agent - Life		9/23/2008
Inactive	Financial Insurance Services, Inc.	514710	Agent - Health	7/20/2007	9/23/2008
Inactive	Financial Insurance Services, Inc.	514710	Agent - Casualty	7/20/2007	8/19/2008
Inactive	Financial Insurance Services, Inc.	514710	Agent - Property	7/20/2007	8/19/2008