DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Zahrobsky, Edward A	DOIID	379112	NAIC NPN	354565

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	8/12/1994	8/31/2014
Inactive	Non Resident	Agent	Health	8/12/1994	8/31/2014
* 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	Pan-American Life Insurance Company	301530	Agent - Health	8/12/1994	3/31/1997
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	8/12/1994	3/31/1997
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	2/26/1997	8/31/2014
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	2/26/1997	8/31/2014

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Life	7/24/2003	9/25/2013
Inactive	Mcgriff Insurance Services, LLC	400877	Agent - Health	7/24/2003	9/25/2013