DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Skinner, Roger W	DOIID	356727	NAIC NPN	321590

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	7/26/2002	5/31/2011
Inactive	Non Resident	Agent	Life	10/28/2004	5/31/2011
Inactive	Non Resident	Agent	Health	10/28/2004	5/31/2011
* 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 Life Insurance Company of Texas	300912	Agent - Health	12/21/2004	5/31/2011
Inactive	American National Life Insurance Company of Texas	300912	Agent - Life	12/21/2004	5/31/2011
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	5/22/2006	5/31/2011
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	5/22/2006	5/31/2011
Inactive	Security Life Insurance Company of America	300936	Agent - Health	9/22/2009	12/7/2010
Inactive	Security Life Insurance Company of America	300936	Agent - Life	9/22/2009	12/7/2010
Inactive	Union Security Insurance Company	301844	Agent - Health	10/1/1991	8/1/1996
Inactive	Union Security Insurance Company	301844	Agent - Life	10/1/1991	8/1/1996
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	8/4/1994	8/1/1996
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	8/4/1994	8/1/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ebix Health Administration Exchange, Inc.	396086	Administrator - Not Applicable	7/26/2002	5/31/2011
Inactive	Ebix Health Administration Exchange, Inc.	396086	Agent - Life	6/16/2005	5/31/2011
Inactive	Ebix Health Administration Exchange, Inc.	396086	Agent - Health	6/16/2005	5/31/2011
Inactive	Specialized Benefit Plans	596682	Agent - Life	1/4/2005	3/23/2007
Inactive	Specialized Benefit Plans	596682	Agent - Health	1/4/2005	3/23/2007