DEPARTMENT OF INSURANCE

Affiliations

Name	Price, Mitchel Neil	DOIID	371618	NAIC NPN	1493599

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Administrator	Not Applicable	10/28/1993	10/9/1998
Inactive	Resident	Agent	Life	6/20/1990	7/1/1998
Inactive	Resident	Agent	Health	6/20/1990	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	American Heritage Life Insurance Company	300272	Agent - Health	1/21/1992	7/1/1998
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	1/21/1992	7/1/1998
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	7/6/1994	7/1/1998
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	7/6/1994	7/1/1998
Inactive	Citizens Security Life Insurance Company	301257	Agent - Health	7/17/1995	3/31/1997
Inactive	Citizens Security Life Insurance Company	301257	Agent - Life	7/17/1995	3/31/1997
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Health	6/26/1996	3/31/1997
Inactive	Clarica Life Insurance Company - U.S.	300207	Agent - Life	6/26/1996	3/31/1997
Inactive	Commonwealth National Life Insurance Company	300829	Agent - Health	4/8/1993	8/25/1997
Inactive	Commonwealth National Life Insurance Company	300829	Agent - Life	4/8/1993	8/25/1997
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Health	6/20/1990	6/23/1998
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Life	6/20/1990	6/23/1998
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Health	4/15/1997	5/20/1998
Inactive	Occidental Life Insurance Company of North Carolina	301185	Agent - Life	4/15/1997	5/20/1998
Inactive	Trustmark Insurance Company	300317	Agent - Health	8/13/1990	3/31/1997
Inactive	Trustmark Insurance Company	300317	Agent - Life	8/13/1990	3/31/1997
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Health	12/8/1992	3/31/1997
Inactive	U.S. Financial Life Insurance Company	301812	Agent - Life	12/8/1992	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	5/11/1994	7/1/1998
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	5/11/1994	7/1/1998

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Price, Mitchel Neil	371618	Administrator - Not Applicable	10/28/1993	10/9/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Healthplan Services, Inc.	401230	Agent - Health	8/31/1995	3/31/1997
Inactive	Price, Mitchel Neil	371618	Administrator - Not Applicable	10/28/1993	10/9/1998