DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Henry, Roy Monroe	DOIID	334897	NAIC NPN	32358

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	12/19/1991	12/31/2003
Inactive	Non Resident	Agent	Life	12/19/1991	12/31/2003
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	8/29/1997	12/31/2003
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	8/29/1997	12/31/2003
Inactive	Equitable Life Insurance Company of Iowa	301633	Agent - Life	10/26/1994	12/31/2003
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	10/26/1993	5/16/2000
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	10/26/1993	5/16/2000
Inactive	LifeUSA Insurance Company	300386	Agent - Health	8/29/1997	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	8/29/1997	8/2/2002
Inactive	Lincoln Benefit Life Company	301110	Agent - Health	12/19/1991	12/31/2003
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	12/19/1991	3/9/2001
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	12/27/2000	3/27/2001
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	12/27/2000	3/27/2001
Inactive	Security Benefit Life Insurance Company	300583	Agent - Health	2/4/1992	7/31/2000
Inactive	Security Benefit Life Insurance Company	300583	Agent - Life	2/4/1992	7/31/2000
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	12/20/1993	6/19/2000
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	12/20/1993	6/19/2000
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	12/20/1993	6/19/2000
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	12/20/1993	6/19/2000
Inactive	USG Annuity & Life Company	300457	Agent - Life	11/10/1993	12/31/2003
Inactive	Western National Life Insurance Company	300461	Agent - Life	11/9/1993	4/11/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	FFP Securities Inc.	398147	Agent - Life	8/8/1994	12/31/2003
Inactive	FFP Securities Inc.	398147	Agent - Health	8/8/1994	12/31/2003