DEPARTMENT OF INSURANCE

Affiliations

Name	Booth, Phillip J	DOIID	356954	NAIC NPN	1008574

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health Maintenance Organization	7/10/1991	8/4/1997
Inactive	Non Resident	Agent	Health	3/29/1994	8/8/1997
Inactive	Non Resident	Agent	Life	3/29/1994	10/27/1998
* 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	Alexander Hamilton Life Insurance Co. of America	301779	Agent - Life	11/7/1996	2/18/1997
Inactive	C.M. Life Insurance Company	301335	Agent - Health	3/29/1994	3/31/1997
Inactive	C.M. Life Insurance Company	301335	Agent - Life	3/29/1994	3/31/1997
Inactive	Canada Life Assurance Company	301192	Agent - Life	8/21/1995	10/27/1998
Inactive	Continental Casualty Company	301019	Agent - Health	11/13/1996	8/8/1997
Inactive	Delaware Life Insurance Company	301256	Agent - Life	9/17/1996	10/27/1998
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	8/29/1995	10/27/1998
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	12/2/1996	10/27/1998
Inactive	Genworth Life Insurance Company	300623	Agent - Life	8/10/1995	10/1/1997
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Life	9/1/1995	10/27/1998
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	7/10/1991	8/4/1997
Inactive	ING Insurance Company of America	301507	Agent - Life	1/28/1997	10/27/1998
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Health	3/29/1994	3/31/1997
Inactive	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	3/29/1994	3/31/1997
Inactive	Nassau Life Insurance Company	301406	Agent - Life	10/10/1995	10/27/1998
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	8/28/1995	10/27/1998
Inactive	PHL Variable Insurance Company	300525	Agent - Life	10/10/1995	10/14/1997
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	8/29/1995	3/31/1997
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	8/29/1995	3/31/1997
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	10/3/1995	10/9/1997
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	1/28/1997	10/27/1998
Inactive	Western National Life Insurance Company	300461	Agent - Life	9/5/1996	1/23/1997

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Great Financial Services Inc.	399202	Agent - Life	8/26/1996	10/27/1998