DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Spencer, William G	DOIID	377554	NAIC NPN	548844

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	8/21/1991	1/31/2005
Inactive	Resident	Agent	Life	7/25/1989	1/31/2005
Inactive	Resident	Agent	General Lines	1/24/1994	3/31/1996
* 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	Conseco Medical Insurance Company	300719	Agent - Health	12/30/1996	12/31/1998
Inactive	Conseco Medical Insurance Company	300719	Agent - Life	12/30/1996	12/31/1998
Inactive	Delaware Life Insurance Company	301256	Agent - Life	12/7/1989	3/31/1997
Inactive	MBL Life Assurance Corporation	301299	Agent - Life	7/25/1989	7/12/1999
Inactive	Mutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company	300585	Agent - Health	9/24/1991	4/19/2004
Inactive	Mutual Trust Life Insurance Company, A Pan-American Life Insurance Group Stock Company	300585	Agent - Life	9/24/1991	4/19/2004
Inactive	United States Fidelity and Guaranty Company	301449	Agent - General Lines	1/24/1994	3/31/1996
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	8/10/1993	1/31/2005
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	8/10/1993	1/31/2005
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Health	4/20/1993	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	4/20/1993	3/31/1997
Inactive	Washington National Insurance Company	300587	Agent - Health	8/21/1991	6/21/1999
Inactive	Washington National Insurance Company	300587	Agent - Life	8/21/1991	6/21/1999

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mutual Benefit Marketing Group Inc.	398685	Agent - Life	1/29/1996	2/14/2003
Inactive	Mutual Benefit Marketing Group Inc.	398685	Agent - Health	1/29/1996	2/14/2003