DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Lane, Donald Keith	DOIID	383359	NAIC NPN	1464312

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	4/12/1999	5/28/2002
Inactive	Resident	Agent	Life	4/12/1999	5/27/2002
* 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	AF&L Insurance Company	301582	Agent - Health	11/16/2000	12/14/2001
Inactive	American Income Life Insurance Company	300256	Agent - Health	3/29/2000	10/19/2000
Inactive	American Income Life Insurance Company	300256	Agent - Life	3/29/2000	10/19/2000
Inactive	Bankers Life and Casualty Company	300701	Agent - Health	10/3/2000	10/19/2000
Inactive	Bankers Life and Casualty Company	300701	Agent - Life	10/3/2000	10/19/2000
Inactive	Bankers United Life Assurance Company	300296	Agent - Health	6/15/1999	8/28/2000
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	6/15/1999	8/28/2000
Inactive	Combined Insurance Company of America	301472	Agent - Health	3/24/2000	8/3/2000
Inactive	Combined Insurance Company of America	301472	Agent - Life	3/24/2000	8/4/2000
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Health	4/12/1999	8/11/2000
Inactive	Family Heritage Life Insurance Company of America	301037	Agent - Life	4/12/1999	8/11/2000
Inactive	First Alliance Insurance Company	301000	Agent - Life	3/10/2000	7/20/2000
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	11/21/2000	12/14/2001
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	11/21/2000	12/14/2001
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	11/16/2000	5/28/2002
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	11/16/2000	5/28/2002
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	6/15/1999	8/28/2000
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	6/15/1999	8/28/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	CCIT Insurance Services, LLC	541200	Agent - Life	11/13/2001	5/27/2002
Inactive	CCIT Insurance Services, LLC	541200	Agent - Health	11/13/2001	5/27/2002
Inactive	Cornerstone Senior Services LLC	399590	Agent - Life	12/11/2000	9/19/2001
Inactive	Cornerstone Senior Services LLC	399590	Agent - Health	12/11/2000	9/19/2001
Inactive	Senior American Benefits, LLC	502287	Agent - Life	5/11/2001	5/27/2002
Inactive	Senior American Benefits, LLC	502287	Agent - Health	5/11/2001	5/27/2002