DEPARTMENT OF INSURANCE

Affiliations

Name	Pack, Glenn Darrell	DOIID	339818	NAIC NPN	3242997

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Casualty	11/12/2002	4/1/2009
Inactive	Resident	Agent	Health	1/11/1990	4/1/2009
Inactive	Resident	Agent	Property	3/26/2002	4/1/2009
Inactive	Resident	Agent	Life	1/11/1990	4/1/2009
* 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	Centennial Life Insurance Company (The)	301561	Agent - Health	3/14/1996	3/31/1997
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	3/14/1996	3/31/1997
Inactive	Continental General Insurance Company	300691	Agent - Health	8/10/1990	8/31/1998
Inactive	Continental General Insurance Company	300691	Agent - Life	8/10/1990	8/31/1998
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	3/21/2003	12/26/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	3/21/2003	12/26/2008
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Casualty	11/12/2002	12/16/2005
Inactive	Independent Mutual Fire Insurance Company	300851	Agent - Property	3/26/2002	12/16/2005
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	9/27/2002	5/2/2005
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	9/27/2002	5/2/2005
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	9/27/2002	5/2/2005
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	9/27/2002	5/2/2005
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	12/4/1998	3/23/2001
Inactive	Midland National Life Insurance Company	300923	Agent - Health	7/28/1998	10/2/2000
Inactive	Midland National Life Insurance Company	300923	Agent - Life	7/28/1998	10/2/2000
Inactive	Time Insurance Company	300683	Agent - Health	11/9/1998	11/20/2002
Inactive	Time Insurance Company	300683	Agent - Life	11/9/1998	11/20/2002
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/4/1999	12/16/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/4/1999	12/16/2005
Inactive	Western and Southern Life Insurance Company	301744	Agent - Health	1/11/1990	8/7/1998
Inactive	Western and Southern Life Insurance Company	301744	Agent - Life	1/11/1990	8/7/1998
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	1/11/1990	8/7/1998
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	1/11/1990	8/7/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997