DEPARTMENT OF INSURANCE

Affiliations

Name	Asfur, Samuel J	DOIID	334959	NAIC NPN	1462471

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	7/21/1999	10/31/2003
Inactive	Resident	Agent	Health	3/28/1996	10/31/2003
* 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	AF&L Insurance Company	301582	Agent - Health	1/22/2001	10/31/2003
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	7/31/2000	4/11/2003
Inactive	American General Life Insurance Company	301585	Agent - Health	9/9/2002	10/31/2003
Inactive	American General Life Insurance Company	301585	Agent - Life	9/9/2002	10/31/2003
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	2/20/2003	4/4/2003
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	2/20/2003	4/4/2003
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	10/3/2000	1/8/2001
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	10/3/2000	1/8/2001
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	6/23/1999	12/31/2001
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	7/21/1999	12/31/2001
Inactive	Combined Insurance Company of America	301472	Agent - Health	3/28/1996	8/28/1997
Inactive	Conseco Health Insurance Company	301725	Agent - Health	9/6/2000	10/31/2003
Inactive	Conseco Health Insurance Company	301725	Agent - Life	9/6/2000	10/31/2003
Inactive	Continental Casualty Company	301019	Agent - Health	8/26/2002	10/31/2003
Inactive	Continental General Insurance Company	300691	Agent - Health	6/17/2002	11/7/2002
Inactive	Continental General Insurance Company	300691	Agent - Life	6/17/2002	11/7/2002
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Health	1/21/1998	8/11/2000
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	12/31/2001	7/25/2003
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	12/31/2001	7/25/2003
Inactive	LifeUSA Insurance Company	300386	Agent - Life	7/31/2000	8/2/2002
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	12/2/2002	4/29/2003
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	12/20/2002	4/17/2003
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Health	3/7/2000	2/5/2001
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Life	3/7/2000	2/5/2001
Inactive	New York Life Insurance Company	300431	Agent - Health	3/7/2000	2/5/2001
Inactive	New York Life Insurance Company	300431	Agent - Life	3/7/2000	2/5/2001
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	3/7/2000	2/5/2001
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	3/7/2000	2/5/2001
Denied	Old Line Life Insurance Company of America (The)	301709	Agent - Health
Denied	Old Line Life Insurance Company of America (The)	301709	Agent - Life
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	3/5/1999	11/13/2002
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	3/23/2001	11/13/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	12/31/1998	6/11/2001
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	7/21/1999	6/11/2001
Inactive	Protective Life Insurance Company	300638	Agent - Health	1/24/2000	10/31/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	1/24/2000	10/31/2003
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	2/26/2001	10/31/2003
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	2/26/2001	10/31/2003
Inactive	State Mutual Insurance Company	300359	Agent - Health	2/15/1999	4/11/2001
Inactive	Transamerica Assurance Company	300893	Agent - Health	11/10/1999	4/18/2003
Inactive	Transamerica Assurance Company	300893	Agent - Life	11/10/1999	4/18/2003
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	11/18/1999	10/31/2003
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	11/18/1999	4/18/2003
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	11/18/1999	4/18/2003
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/21/1999	10/31/2003
Inactive	Union Security Insurance Company	301844	Agent - Health	2/7/2002	10/31/2003
Inactive	Union Security Insurance Company	301844	Agent - Life	2/7/2002	10/31/2003
Inactive	Western National Life Insurance Company	300461	Agent - Life	6/10/2002	4/16/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cornerstone Senior Services LLC	399590	Agent - Health	1/12/2001	10/31/2003
Inactive	Cornerstone Senior Services LLC	399590	Agent - Life	1/12/2001	10/31/2003
Inactive	Dental Choice Agency Inc.	398085	Agent - Health	2/20/2002	10/31/2003
Inactive	Senior Benefits Inc.	398077	Agent - Health	10/28/1998	8/29/2000