DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ellis, Roger L.	DOIID	339503	NAIC NPN	749499

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/13/2000	7/31/2007
Inactive	Non Resident	Agent	Life	5/31/2001	7/31/2007
* 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	American General Life and Accident Insurance Company	301362	Agent - Health	7/22/2003	2/1/2005
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	7/22/2003	2/1/2005
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	10/13/2000	1/31/2006
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	5/31/2001	1/31/2006
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	11/7/1997	12/31/1998
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	11/7/1997	12/31/1998
Inactive	John Alden Life Insurance Company	300573	Agent - Health	12/16/2002	6/21/2004
Inactive	John Alden Life Insurance Company	300573	Agent - Life	12/16/2002	6/21/2004
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	9/3/2002	7/11/2003
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	9/3/2002	7/11/2003
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	9/3/2002	7/11/2003
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	9/3/2002	7/11/2003

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 - Life	11/24/1997	5/4/1998
Inactive	Cornerstone Senior Services LLC	399590	Agent - Health	11/24/1997	5/4/1998