DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Pioneer Ford-Mercury Inc.	DOIID	398486	NAIC NPN	7220933

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Credit Life & Health	10/6/1992	6/24/1998
* 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	Bankers Life Insurance Company	301784	Agent - Credit Life & Health	3/27/1996	3/31/1997
Inactive	Federal Home Life Insurance Company	301302	Agent - Credit Life & Health	10/6/1992	3/27/1996
Inactive	Investors Heritage Life Insurance Company	300363	Agent - Credit Life & Health	4/16/1997	6/24/1998

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bertram, Tracy Joe	387210	Agent - Credit Life & Health	1/15/1997	3/31/1997
Inactive	Cassidy, William Edward	350801	Agent - Credit Life & Health	4/16/1997	6/24/1998
Inactive	Gosselin, Steven M	367185	Agent - Credit Life & Health	4/16/1997	6/24/1998
Inactive	Kraner, Michael Stanley	369657	Agent - Credit Life & Health	4/16/1997	6/24/1998
Inactive	Shaw, Henry M	308235	Agent - Credit Life & Health	8/1/1995	2/26/1996