DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Ebix Health Administration Exchange, Inc.	DOIID	396086	NAIC NPN	2014649

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Administrator	Not Applicable	6/5/2014	12/1/2024
Inactive	Non Resident	Agent	Life	6/16/2005	8/1/2011
Inactive	Non Resident	Agent	Health	6/16/2005	8/1/2011
* 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	American National Life Insurance Company of Texas	300912	Agent - Health	7/19/2005	8/1/2011
Inactive	American National Life Insurance Company of Texas	300912	Agent - Life	7/19/2005	8/1/2011
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Health	5/23/2006	8/1/2011
Inactive	Madison National Life Insurance Company Inc.	301458	Agent - Life	5/23/2006	8/1/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	Dow, Brian R	820277	Administrator - Not Applicable	4/21/2015
Inactive	Frankum, Demrie D	354847	Administrator - Not Applicable	10/18/1991	3/31/1997
Inactive	McCarl, Carol	388715	Administrator - Not Applicable	10/18/1991	3/31/1997
Inactive	Skinner, Roger W	356727	Administrator - Not Applicable	7/26/2002	5/31/2011
Inactive	Skinner, Roger W	356727	Agent - Health	6/16/2005	5/31/2011
Inactive	Skinner, Roger W	356727	Agent - Life	6/16/2005	5/31/2011