DEPARTMENT OF INSURANCE

Affiliations

Name	Siebel, Stephen A	DOIID	354688	NAIC NPN	1490891

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	9/15/1995	12/31/2000
Inactive	Resident	Agent	Health	9/15/1995	12/31/2000
* 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	American National Insurance Company	301861	Agent - Life	4/8/1996	12/1/2000
Inactive	American United Life Insurance Company	300498	Agent - Health	11/14/1995	12/1/2000
Inactive	American United Life Insurance Company	300498	Agent - Life	11/14/1995	12/1/2000
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	1/22/1996	4/13/1998
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	1/22/1996	4/13/1998
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	4/11/1996	12/1/2000
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	4/11/1996	12/1/2000
Inactive	Continental Casualty Company	301019	Agent - Health	4/12/1996	12/1/2000
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	10/25/1995	12/1/2000
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	3/6/1997	12/1/2000
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	3/6/1997	12/1/2000
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	2/21/1996	12/1/2000
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	2/21/1996	12/1/2000
Inactive	Pacific Life Insurance Company	301848	Agent - Life	4/12/1996	12/1/2000
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Health	12/31/1997	12/1/2000
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Life	12/31/1997	12/1/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	2/5/1996	8/24/2000
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	2/5/1996	8/24/2000
Inactive	Union Security Insurance Company	301844	Agent - Health	10/3/1995	12/1/2000
Inactive	Union Security Insurance Company	301844	Agent - Life	10/3/1995	12/1/2000
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Health	9/12/1996	12/1/2000
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	9/12/1996	12/1/2000
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	9/15/1995	12/31/2000
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	9/15/1995	12/31/2000
Inactive	Zurich American Life Insurance Company	300216	Agent - Life	4/11/1996	12/1/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	World Marketing Alliance Inc.	398156	Agent - Health	5/22/1997	12/1/2000