DEPARTMENT OF INSURANCE

Affiliations

Name	Courtney, Carl R	DOIID	356757	NAIC NPN	138042

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	9/20/1989	8/1/2014
Inactive	Resident	Agent	Health	9/20/1989	8/1/2014
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	12/8/2000	5/14/2013
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	12/8/2000	5/14/2013
Inactive	American Investors Life Insurance Company, Inc.	301358	Agent - Life	12/11/2000	5/20/2004
Inactive	Athene Annuity and Life Company	301893	Agent - Life	12/27/2000	6/8/2001
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Health	7/12/2000	6/29/2011
Inactive	Bankers Fidelity Life Insurance Company	300193	Agent - Life	7/12/2000	6/29/2011
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/9/1995	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/9/1995	3/31/1997
Inactive	LifeUSA Insurance Company	300386	Agent - Health	12/8/2000	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	12/8/2000	8/2/2002
Inactive	Medico Insurance Company	301559	Agent - Health	1/10/1991	6/7/2002
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Health	2/16/1995	4/7/1997
Inactive	Penn Mutual Life Insurance Company	301394	Agent - Life	2/16/1995	4/7/1997
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	3/22/1990	12/31/1998
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	3/22/1990	12/31/1998
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	10/10/1994	10/23/2002
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	10/10/1994	10/23/2002
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	9/20/1989	3/31/1997
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	9/20/1989	3/31/1997
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	2/8/2003	6/25/2003
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	11/6/1995	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	11/6/1995	3/31/1997
Inactive	Wilco Life Insurance Company	300122	Agent - Health	3/23/1994	3/31/1997
Inactive	Wilco Life Insurance Company	300122	Agent - Life	3/23/1994	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	Carl Ray Courtney Inc.	398962	Agent - Life	11/27/1995	8/1/2014
Inactive	Carl Ray Courtney Inc.	398962	Agent - Health	11/27/1995	8/1/2014
Inactive	Frank Bradshaw Co	399179	Agent - Life	3/5/1992	11/7/2000
Inactive	Frank Bradshaw Co	399179	Agent - Health	3/5/1992	11/7/2000