DEPARTMENT OF INSURANCE

Affiliations

Name	Hall, Fern G	DOIID	359063	NAIC NPN	7195460

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	5/24/1995	1/1/2011
Inactive	Resident	Agent	Limited Line Credit	8/7/2000	12/31/2010
Inactive	Resident	Agent	Credit Life & Health	12/29/1994	8/7/2000
* 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 Modern Life Insurance Company	301606	Agent - Life	10/14/2003	9/8/2010
Inactive	Augustar Life Insurance Company	301816	Agent - Life	7/21/2000	3/10/2007
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	6/25/2001	9/17/2010
Inactive	Everlake Life Insurance Company	300873	Agent - Life	9/22/2003	9/3/2010
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	6/10/1997	12/31/1998
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Life	9/22/2003	1/1/2005
Inactive	Individual Assurance Company Life Health & Accident	300580	Agent - Life	1/25/1999	8/30/2000
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	12/16/1996	12/15/2003
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	10/14/2003	9/3/2010
Inactive	National Guardian Life Insurance Company	300596	Agent - Credit Life & Health	12/29/1994	4/6/1998
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	5/24/1995	12/16/2004
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	12/16/2005	9/8/2010
Inactive	Southern Financial Life Insurance Company	300664	Agent - Credit Life & Health	6/7/1999	8/7/2000
Inactive	Southern Financial Life Insurance Company	300664	Agent - Life	11/10/1998	12/23/1998
Inactive	Southern Financial Life Insurance Company	300664	Agent - Limited Line Credit	8/7/2000	12/31/2010
Inactive	Symetra Life Insurance Company	301691	Agent - Life	4/11/2003	10/12/2006
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	5/14/2001	10/5/2010
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	1/28/1998	9/22/1998
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/14/1995	10/17/2005
Inactive	Western National Life Insurance Company	300461	Agent - Life	9/12/1995	1/1/2011
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	3/4/2010	1/1/2011

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Star Bank-N.A.	399936	Agent - Credit Life & Health	6/18/1996	8/7/2000
Inactive	Star Bank-N.A.	399936	Agent - Limited Line Credit	8/7/2000	5/31/2004
Inactive	U S Bancorp Ins Services L L C	400253	Agent - Life	3/10/2005	8/31/2010
Inactive	US Bancorp Investments, Inc.	572662	Agent - Life	12/18/2003	8/31/2010