DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Monarch Management Corporation	DOIID	398150	NAIC NPN	660740

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/1/1992	2/23/2007
Inactive	Non Resident	Agent	Life	10/1/1992	2/23/2007
* 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 Bankers Life Assurance Company of Florida	300171	Agent - Health	10/1/1992	7/31/2003
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	10/1/1992	7/31/2003
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	3/23/2001	2/4/2003
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	3/23/2001	2/4/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Nordstrom, Mark E	359221	Agent - Health	2/25/2004	2/23/2007
Inactive	Nordstrom, Mark E	359221	Agent - Life	2/25/2004	2/23/2007