DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Host Insurance Agency Inc.	DOIID	398553	NAIC NPN	7220993

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	7/11/1994	3/15/2001
Inactive	Resident	Agent	Health	7/11/1994	3/15/2001
* 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	Connecticut General Life Insurance Company	301333	Agent - Health	7/11/1994	3/15/2001
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	7/11/1994	3/15/2001

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Host, Wilford James	315879	Agent - Health	7/11/1994	1/16/2002
Inactive	Host, Wilford James	315879	Agent - Life	7/11/1994	1/16/2002
Inactive	Roberts, Olen A	343322	Agent - Health	7/11/1994	4/5/2005
Inactive	Roberts, Olen A	343322	Agent - Life	7/11/1994	2/28/2003