DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mignon, Joseph S	DOIID	389593	NAIC NPN	1980366

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	7/19/1999	5/2/2005
Inactive	Non Resident	Agent	Health	7/19/1999	5/2/2005
* 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	Life Investors Insurance Company of America	301793	Agent - Health	8/9/1999	10/26/2004
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	8/9/1999	10/26/2004
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	7/19/1999	5/2/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	7/19/1999	5/2/2005

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bollinger Inc.	401156	Agent - Life	12/31/1999	5/2/2005
Inactive	Bollinger Inc.	401156	Agent - Health	12/31/1999	5/2/2005