DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Klein, John Russell	DOIID	344597	NAIC NPN	7189087

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	4/2/1992	12/1/2000
Inactive	Resident	Agent	General Lines	5/11/1995	8/15/2000
Inactive	Resident	Agent	Life	4/2/1992	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	Chase Insurance Life Company	301287	Agent - Life	2/10/1994	3/31/1997
Inactive	Grange Indemnity Insurance Company	300793	Agent - General Lines	7/22/1999	8/15/2000
Inactive	Grange Insurance Company	300234	Agent - General Lines	7/6/1999	8/15/2000
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	4/2/1992	12/1/2000
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	4/2/1992	12/1/2000
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	10/27/1992	1/22/1997
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	10/27/1992	1/22/1997
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Health	6/2/1992	8/11/1997
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Life	6/2/1992	8/11/1997
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	1/7/1997	3/11/1997
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	1/7/1997	3/11/1997
Inactive	United American Insurance Company	300910	Agent - Health	12/23/1997	4/7/1998
Inactive	United American Insurance Company	300910	Agent - Life	12/23/1997	4/7/1998
Inactive	United Investors Life Insurance Company	301873	Agent - Life	1/16/1998	4/7/1998
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	6/9/1994	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	6/9/1994	3/31/1997
Inactive	Western Surety Company	300283	Agent - General Lines	5/11/1995	5/4/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	12/21/1994	12/1/2000
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	12/21/1994	12/1/2000
Inactive	Culver Ins Agency Inc	398892	Agent - General Lines	1/2/1997	5/4/1998