DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Duckworth, Bruce D	DOIID	345302	NAIC NPN	1462641

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/18/2011	3/31/2014
Inactive	Non Resident	Agent	Health	11/18/2011	3/31/2014
* 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 Continental Insurance Company	643130	Agent - Health	1/7/2014	3/31/2014
Inactive	American Continental Insurance Company	643130	Agent - Life	1/7/2014	3/31/2014
Inactive	Combined Insurance Company of America	301472	Agent - Health	1/8/2014	3/31/2014
Inactive	Continental Life Insurance Company of Brentwood Tennessee	301526	Agent - Health	1/7/2014	3/31/2014
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Life	1/10/2000	8/28/2000
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	6/5/1997	5/12/2003
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	4/11/1997	8/14/2003
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	4/11/1997	8/14/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	9/29/1995	1/31/1996
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	9/29/1995	1/31/1996
Inactive	Reserve National Insurance Company	301073	Agent - Health	5/2/2013	3/31/2014
Inactive	Reserve National Insurance Company	301073	Agent - Life	5/2/2013	3/31/2014
Inactive	Trustmark Insurance Company	300317	Agent - Health	11/26/1996	6/27/1997
Inactive	Trustmark Insurance Company	300317	Agent - Life	11/26/1996	6/27/1997
Inactive	United American Insurance Company	300910	Agent - Health	9/21/1988	2/3/1998
Inactive	United American Insurance Company	300910	Agent - Life	9/21/1988	2/3/1998

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	7/22/1996	12/11/1996
Inactive	Cornerstone Senior Services LLC	399590	Agent - Health	7/22/1996	12/11/1996