DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Brain Jr, Donald C	DOIID	391443	NAIC NPN	57698

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	11/9/1992	3/29/2004
Inactive	Non Resident	Agent	Health	11/9/1992	3/29/2004
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	4/30/2003	3/29/2004
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	4/30/2003	3/29/2004
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Health	11/9/1992	3/29/2004
Inactive	CIGNA Health & Life Insurance Company	301783	Agent - Life	11/9/1992	3/29/2004
Inactive	Humana Insurance Company	301104	Agent - Health	6/6/1995	3/29/2004
Inactive	Humana Insurance Company	301104	Agent - Life	6/6/1995	3/29/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Lockton Companies Inc.	398333	Agent - Life	3/29/2002	3/29/2004
Inactive	Lockton Companies Inc.	398333	Agent - Health	7/6/2001	3/29/2004