DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Ciccarello Jr, Vincent	DOIID	393403	NAIC NPN	1495428

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	11/25/1996	11/16/1999
Inactive	Resident	Agent	Life	10/27/1995	11/16/1999
* 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	Fidelity & Guaranty Life Insurance Company	301359	Agent - Health	11/25/1996	11/16/1999
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	11/25/1996	11/16/1999
Inactive	Genworth Life Insurance Company	300623	Agent - Health	3/24/1997	11/16/1999
Inactive	Time Insurance Company	300683	Agent - Health	2/19/1997	11/16/1999
Inactive	Time Insurance Company	300683	Agent - Life	2/19/1997	11/16/1999
Inactive	Union Security Insurance Company	301844	Agent - Health	6/1/1998	12/31/1998

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Liberty Insurance Agency Inc.	398620	Agent - Life	10/27/1995	7/1/1996