DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Dolph, Beverly A	DOIID	379361	NAIC NPN	7204318

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	6/11/1993	7/1/2006
Inactive	Resident	Agent	Health	6/11/1993	7/1/2006
* 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	Golden Rule Insurance Company	301943	Agent - Health	9/28/1993	7/1/2006
Inactive	Golden Rule Insurance Company	301943	Agent - Life	9/28/1993	7/1/2006
Inactive	John Alden Life Insurance Company	300573	Agent - Health	6/11/1993	10/31/1996
Inactive	John Alden Life Insurance Company	300573	Agent - Life	6/11/1993	10/31/1996
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	2/15/1994	12/26/1996
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	2/15/1994	12/26/1996
Inactive	Southern Financial Life Insurance Company	300664	Agent - Health	10/8/1998	2/15/1999
Inactive	Southern Financial Life Insurance Company	300664	Agent - Life	10/8/1998	2/15/1999
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	10/21/1993	9/25/1998
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	10/21/1993	9/25/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Denied	Republic Capital Corporation	398822	Agent - Life
Denied	Republic Capital Corporation	398822	Agent - Health