DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Myers, Douglas E	DOIID	379615	NAIC NPN	1422054

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/21/1998	12/31/2004
Inactive	Non Resident	Agent	Life	1/21/1998	12/31/2004
* 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	Anthem Life Insurance Company	301209	Agent - Health	2/23/1999	12/31/2004
Inactive	Anthem Life Insurance Company	301209	Agent - Life	2/23/1999	12/31/2004
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Health	1/21/1998	10/26/1999
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	1/21/1998	10/26/1999
Inactive	Minnesota Life Insurance Company	300488	Agent - Health	12/13/1999	4/6/2000
Inactive	Minnesota Life Insurance Company	300488	Agent - Life	12/13/1999	4/6/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	12/21/1998	12/31/2004
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	12/21/1998	12/31/2004