DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Rowland, Randolph	DOIID	343403	NAIC NPN	256016

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	10/27/1993	3/31/2001
Inactive	Non Resident	Agent	Life	10/28/1992	12/31/1998
Inactive	Non Resident	Agent	Health	10/28/1992	12/31/1998
* 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	New York Life Insurance Company	300431	Agent - Health	6/10/1996	10/26/1998
Inactive	New York Life Insurance Company	300431	Agent - Life	6/10/1996	10/26/1998
Inactive	Union Security Insurance Company	301844	Agent - Health	10/28/1992	12/31/1998
Inactive	Union Security Insurance Company	301844	Agent - Life	10/28/1992	12/31/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bertholon-Rowland Corp	394872	Administrator - Not Applicable	10/27/1993	3/31/2001