DEPARTMENT OF INSURANCE

Affiliations

Name	Bridgers Jr, Samson Kilby	DOIID	391544	NAIC NPN	7209463

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	3/15/1988	12/23/2000
Inactive	Resident	Agent	Health	3/31/1988	12/23/2000
* 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	12/29/1998	12/23/2000
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	12/29/1998	12/23/2000
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	2/23/1995	3/31/1997
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	2/23/1995	3/31/1997
Inactive	Conseco Insurance Company	301202	Agent - Health	6/4/1998	12/23/2000
Inactive	Conseco Insurance Company	301202	Agent - Life	6/4/1998	2/18/2000
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	1/21/1999	12/23/2000
Inactive	First Colony Life Insurance Company	301179	Agent - Life	5/24/1995	3/28/1997
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	12/2/1991	3/28/1997
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	2/18/1994	4/5/1996
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	2/18/1994	4/5/1996
Inactive	LifeUSA Insurance Company	300386	Agent - Health	12/29/1998	12/1/2000
Inactive	LifeUSA Insurance Company	300386	Agent - Life	12/29/1998	12/1/2000
Inactive	Lincoln Benefit Life Company	301110	Agent - Life	3/15/1988	3/31/1997
Inactive	Mid-West National Life Insurance Company of Tennessee	300097	Agent - Health	10/21/1996	12/13/1996
Inactive	Mid-West National Life Insurance Company of Tennessee	300097	Agent - Life	10/21/1996	12/13/1996
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	6/16/1989	3/31/1997
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	6/16/1989	3/31/1997
Inactive	Physicians Life Insurance Company	300924	Agent - Health	1/21/1998	12/1/2000
Inactive	Physicians Life Insurance Company	300924	Agent - Life	1/21/1998	12/1/2000
Inactive	Pioneer Life Insurance Company	300110	Agent - Health	3/31/1988	12/23/1996
Inactive	Pioneer Life Insurance Company	300110	Agent - Life	3/31/1988	12/23/1996
Inactive	SunAmerica Life Insurance Company	300096	Agent - Health	5/26/1993	3/31/1997
Inactive	SunAmerica Life Insurance Company	300096	Agent - Life	5/26/1993	3/31/1997
Inactive	USG Annuity & Life Company	300457	Agent - Life	4/23/1998	12/23/2000

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Senior Healthcare Insurance Associates Inc.	399807	Agent - Life	6/4/1992	3/28/1997
Inactive	Senior Healthcare Insurance Associates Inc.	399807	Agent - Health	6/4/1992	3/28/1997