DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Bridgewaters, Beulah A	DOIID	350342	NAIC NPN	7191619

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	5/19/1995	12/1/2000
Inactive	Resident	Agent	Life	5/19/1995	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	Family Service Life Insurance Company	300553	Agent - Health	5/19/1995	3/31/1997
Inactive	Family Service Life Insurance Company	300553	Agent - Life	5/19/1995	3/31/1997
Inactive	Forethought Life Insurance Company	301407	Agent - Health	5/26/1995	12/1/2000
Inactive	Forethought Life Insurance Company	301407	Agent - Life	5/26/1995	7/18/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sentinel Security Plans Inc.	398097	Agent - Life	6/1/1995	12/1/2000