DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Hemberger, Jack Austin	DOIID	339136	NAIC NPN	547992

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	9/21/1987	12/1/2000
Inactive	Resident	Agent	Health	9/21/1987	12/1/2000
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	7/20/1994	12/1/2000
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	7/20/1994	12/1/2000
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	11/1/1994	3/31/1997
Inactive	American National Insurance Company	301861	Agent - Life	9/2/1994	12/1/2000
Inactive	First Colony Life Insurance Company	301179	Agent - Health	9/21/1987	3/31/1997
Inactive	First Colony Life Insurance Company	301179	Agent - Life	9/21/1987	3/31/1997
Inactive	National Life Insurance Company	301852	Agent - Health	11/11/1991	8/2/1996
Inactive	National Life Insurance Company	301852	Agent - Life	11/11/1991	8/2/1996
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	7/17/1995	3/31/1997
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	7/17/1995	3/31/1997
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	5/2/1994	1/9/1997
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	5/2/1994	1/9/1997
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	1/5/1994	12/1/2000
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	1/5/1994	12/1/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Senior Healthcare Insurance Associates Inc.	399807	Agent - Life	6/10/1994	12/1/2000
Inactive	Senior Healthcare Insurance Associates Inc.	399807	Agent - Health	6/10/1994	12/1/2000