DEPARTMENT OF INSURANCE

Affiliations

Name	Richard, Wallace E	DOIID	355554	NAIC NPN	7193909

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	3/15/1994	3/31/2005
Inactive	Resident	Agent	Life	3/15/1994	3/31/2005
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	2/23/1995	12/23/1996
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	2/23/1995	12/23/1996
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	11/9/1994	3/31/1997
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	11/9/1994	3/31/1997
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	5/6/1999	3/31/2005
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	5/6/1999	3/31/2005
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	3/31/1994	12/17/1996
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	3/31/1994	12/17/1996
Inactive	Celtic Insurance Company	300877	Agent - Health	5/16/1994	3/31/1997
Inactive	Celtic Insurance Company	300877	Agent - Life	5/16/1994	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	8/28/1995	3/31/2005
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	8/28/1995	3/31/2005
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	12/19/1995	3/31/1997
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	12/19/1995	3/31/1997
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Health	3/15/1994	4/24/1998
Inactive	Illinois Mutual Life Insurance Company	301479	Agent - Life	3/15/1994	4/24/1998
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	1/26/1995	3/31/2005
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	1/26/1995	3/31/2005
Inactive	National Guardian Life Insurance Company	300596	Agent - Health	10/27/1994	3/31/1999
Inactive	National Guardian Life Insurance Company	300596	Agent - Life	10/27/1994	3/31/1999
Inactive	Union Security Insurance Company	301844	Agent - Health	11/23/1994	3/1/2004
Inactive	Union Security Insurance Company	301844	Agent - Life	11/23/1994	3/1/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cornerstone Financial Corporation	399864	Agent - Life	12/14/1995	2/29/1996
Inactive	Cornerstone Financial Corporation	399864	Agent - Health	12/14/1995	2/29/1996
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997