DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Grogan, Douglas Hulon	DOIID	368617	NAIC NPN	7199583

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Credit Life & Health	1/16/1989	9/9/1996
Inactive	Resident	Agent	Health	5/5/1994	7/1/1996
Inactive	Resident	Agent	Life	5/5/1994	7/1/1996
* 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	10/3/1995	7/1/1996
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	10/3/1995	7/1/1996
Inactive	American Franklin Life Insurance Company (The)	301025	Agent - Health	5/5/1994	7/1/1996
Inactive	American Franklin Life Insurance Company (The)	301025	Agent - Life	5/5/1994	7/1/1996
Inactive	Conseco Insurance Company	301202	Agent - Life	5/6/1994	7/1/1996
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Health	5/5/1994	7/1/1996
Inactive	Franklin Life Insurance Company (The)	300779	Agent - Life	5/5/1994	7/1/1996
Inactive	LifeUSA Insurance Company	300386	Agent - Health	10/3/1995	7/1/1996
Inactive	LifeUSA Insurance Company	300386	Agent - Life	10/3/1995	7/1/1996
Inactive	Paul Revere Life Insurance Company	300971	Agent - Health	11/29/1994	7/1/1996
Inactive	Paul Revere Life Insurance Company	300971	Agent - Life	11/29/1994	7/1/1996
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Credit Life & Health	1/16/1989	9/9/1996
Inactive	USG Annuity & Life Company	300457	Agent - Life	5/5/1994	7/1/1996
Inactive	United Presidential Life Insurance Company	300422	Agent - Life	5/25/1994	7/1/1996
Inactive	Wilco Life Insurance Company	300122	Agent - Health	5/24/1994	7/1/1996
Inactive	Wilco Life Insurance Company	300122	Agent - Life	5/24/1994	7/1/1996

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Capital Funding Corporation	400870	Agent - Life	10/5/1994	7/1/1996
Inactive	Capital Funding Corporation	400870	Agent - Health	10/5/1994	7/1/1996
Inactive	Capital Select Investments Corporation	400246	Agent - Life	2/7/1996	7/1/1996
Inactive	Capital Select Investments Corporation	400246	Agent - Health	2/7/1996	7/1/1996