DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Coverdell, Paul Douglas	DOIID	378112	NAIC NPN	233186

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	12/30/1987	8/17/2000
Inactive	Non Resident	Agent	Health	3/19/1997	8/17/2000
Inactive	Non Resident	Agent	Life	3/19/1997	8/17/2000
* 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	First Colony Life Insurance Company	301179	Agent - Life	12/22/1997	8/17/2000
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	1/20/1998	8/17/2000
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	1/20/1998	8/17/2000
Inactive	Jackson National Life Insurance Company	300486	Agent - Health	1/16/1998	8/17/2000
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	1/16/1998	8/17/2000
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	1/28/1998	11/29/1998
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	3/19/1997	8/17/2000
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	3/19/1997	8/17/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gallagher Affinity Insurance Services, Inc.	397758	Administrator - Not Applicable	12/30/1987	8/17/2000