DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Carwell, John W	DOIID	363238	NAIC NPN	7197291

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health Maintenance Organization	12/6/1996	7/1/1998
Inactive	Resident	Agent	Life	5/15/1995	7/1/1998
Inactive	Resident	Agent	Health	5/15/1995	7/1/1998
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	4/16/1998	7/1/1998
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/16/1998	7/1/1998
Inactive	CHA HMO, Inc.	300662	Agent - Health Maintenance Organization	12/13/1996	3/31/1997
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	11/22/1996	7/1/1998
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	11/22/1996	7/1/1998
Inactive	LifeUSA Insurance Company	300386	Agent - Health	4/16/1998	7/1/1998
Inactive	LifeUSA Insurance Company	300386	Agent - Life	4/16/1998	7/1/1998
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	12/12/1996	7/1/1998
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Health	5/15/1995	2/26/1996
Inactive	Northwestern Mutual Life Insurance Company	300931	Agent - Life	5/15/1995	2/26/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Baughman Ins Agy Inc.	399504	Agent - Health Maintenance Organization	12/6/1996	7/1/1998