DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Botiller, Bernard Theodore	DOIID	376280	NAIC NPN	7202978

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	6/5/1996	7/1/1998
Inactive	Resident	Agent	Life	6/5/1996	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	10/9/1997	7/1/1998
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	10/9/1997	7/1/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Health	6/5/1996	7/1/1998
Inactive	Anthem Life Insurance Company	301209	Agent - Life	6/5/1996	7/1/1998
Inactive	Security Life of Denver Insurance Company	300648	Agent - Health	8/20/1996	7/1/1998
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	8/20/1996	7/1/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Benefit Ins Marketing Inc	398449	Agent - Life	7/5/1996	7/1/1998
Inactive	Benefit Ins Marketing Inc	398449	Agent - Health	7/5/1996	7/1/1998