DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Hart, Richard W	DOIID	363439	NAIC NPN	7197385

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	General Lines	7/17/1985	8/8/2000
Inactive	Resident	Agent	Life	12/31/1986	8/8/2000
Inactive	Resident	Agent	Health	12/31/1986	8/8/2000
* 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	Anthem Life Insurance Company	301209	Agent - Health	10/1/1996	8/8/2000
Inactive	Anthem Life Insurance Company	301209	Agent - Life	10/1/1996	8/8/2000
Inactive	Golden Rule Insurance Company	301943	Agent - Health	12/31/1986	3/31/1997
Inactive	Golden Rule Insurance Company	301943	Agent - Life	12/31/1986	3/31/1997
Inactive	Infinity Casualty Insurance Company	301280	Agent - General Lines	9/18/1990	8/8/2000
Inactive	Infinity Insurance Company	300416	Agent - General Lines	8/31/1994	8/8/2000
Inactive	Shelby Casualty Insurance Company	301806	Agent - General Lines	7/17/1985	3/31/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	6/25/1996	8/8/2000
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	6/25/1996	8/8/2000