DEPARTMENT OF INSURANCE

Affiliations

Name	Allegiant TPA Services LLC	DOIID	397895	NAIC NPN	7220592

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	2/25/1999	3/31/2001
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Barrer, David W.	350182	Administrator - Not Applicable	2/25/1999	3/31/2001
Inactive	Sampson, Ernest Aubrey	337373	Administrator - Not Applicable	2/25/1999	9/27/2000