DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Maksin Management Corp	DOIID	395230	NAIC NPN	661796

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	6/8/2005	6/19/2013
Inactive	Non Resident	Agent	Life	7/11/2002	7/25/2008
Inactive	Non Resident	Agent	Property	2/19/2004	2/1/2015
Inactive	Non Resident	Agent	Health	7/11/2002	3/31/2015
Inactive	Non Resident	Agent	Casualty	2/19/2004	2/1/2015
* 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	AGCS Marine Insurance Company	300403	Agent - Casualty	3/4/2004	8/10/2007
Inactive	AGCS Marine Insurance Company	300403	Agent - Property	3/4/2004	8/10/2007
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	6/25/2004	2/4/2005
Inactive	Chicago Insurance Company	300295	Agent - Casualty	3/4/2004	8/10/2007
Inactive	Chicago Insurance Company	300295	Agent - Property	3/4/2004	8/10/2007
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Health	8/11/2004	10/17/2005
Inactive	Guarantee Trust Life Insurance Company	301043	Agent - Life	8/11/2004	10/17/2005
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Casualty	10/9/2013	2/1/2015
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Health	4/24/2008	3/31/2015
Inactive	National Union Fire Insurance Company of Pittsburgh, Pennsylvania	300959	Agent - Property	10/9/2013	2/1/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	7/11/2002	3/31/2015
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	7/11/2002	7/25/2008
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/6/2006	3/31/2015
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/6/2006	7/25/2008

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bauman, Thelma Marie	581674	Agent - Health	3/12/2007	10/31/2014
Inactive	Bauman, Thelma Marie	581674	Agent - Life	3/22/2007	6/9/2008
Inactive	Heimerl, Phyllis Ann	580551	Agent - Casualty	2/19/2004	8/10/2007
Inactive	Heimerl, Phyllis Ann	580551	Agent - Property	2/19/2004	8/10/2007
Inactive	Maksin, Joseph John	394209	Administrator - Not Applicable	2/2/1987	4/15/2003
Inactive	Maksin, Steven Joseph	346497	Administrator - Not Applicable	2/2/1987	3/31/1997
Inactive	Smith, Sean	607352	Agent - Casualty	2/13/2006	11/30/2014
Inactive	Smith, Sean	607352	Agent - Health	2/13/2006	11/30/2014
Inactive	Smith, Sean	607352	Agent - Life	3/20/2007	7/25/2008
Inactive	Smith, Sean	607352	Agent - Property	2/13/2006	11/30/2014
Inactive	Smith, Thomas Francis	578532	Administrator - Not Applicable	6/8/2005	2/28/2015
Inactive	Smith, Thomas Francis	578532	Agent - Health	2/2/2007	2/28/2015
Inactive	Smith, Thomas Francis	578532	Agent - Life	3/23/2007	6/13/2008
Inactive	Sweeney, Michael Joseph	324793	Agent - Health	7/11/2002	5/31/2004
Inactive	Sweeney, Michael Joseph	324793	Agent - Life	7/11/2002	5/31/2004