DEPARTMENT OF INSURANCE

Affiliations

Name	Beckman, Jon Michael	DOIID	354544	NAIC NPN	1841696

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	6/9/1989	7/1/1998
Inactive	Resident	Agent	Life	11/4/1982	7/1/1998
* 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	Chase Insurance Life and Annuity Company	300518	Agent - Health	6/9/1989	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	6/9/1989	3/31/1997
Inactive	Conseco Medical Insurance Company	300719	Agent - Health	1/23/1997	7/1/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	1/23/1997	7/1/1998
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Health	12/20/1993	3/31/1997
Inactive	Fidelity Life Association, A Legal Reserve Life Insurance Company	300774	Agent - Life	12/20/1993	3/31/1997
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	3/27/1996	11/21/1996
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	3/27/1996	11/21/1996
Inactive	Guardian Life Insurance Company of America	301316	Agent - Health	12/31/1991	3/31/1997
Inactive	Guardian Life Insurance Company of America	301316	Agent - Life	12/31/1991	3/31/1997
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	6/28/1990	9/12/1997
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	6/28/1990	9/12/1997
Inactive	Independent Order of Foresters	300743	Agent - Life	11/4/1982	12/2/1996
Inactive	John Alden Life Insurance Company	300573	Agent - Health	5/19/1994	10/31/1996
Inactive	John Alden Life Insurance Company	300573	Agent - Life	5/19/1994	10/31/1996
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Health	3/30/1998	7/1/1998
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Life	3/30/1998	7/1/1998
Inactive	New York Life Insurance Company	300431	Agent - Health	3/30/1998	7/1/1998
Inactive	New York Life Insurance Company	300431	Agent - Life	3/30/1998	7/1/1998
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	3/30/1998	7/1/1998
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	3/30/1998	7/1/1998
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	5/23/1994	3/31/1997
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	5/23/1994	3/31/1997
Inactive	Trustmark Life Insurance Company	301286	Agent - Health	6/6/1994	3/31/1997
Inactive	Trustmark Life Insurance Company	301286	Agent - Life	6/6/1994	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Health	3/25/1994	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Life	3/25/1994	3/31/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Sylvan Agency Inc	400521	Agent - Life	9/21/1992	3/7/1997
Inactive	Sylvan Agency Inc	400521	Agent - Health	9/21/1992	3/7/1997