DEPARTMENT OF INSURANCE

Affiliations

Name	M.P.M. Financial Group Inc.	DOIID	398639	NAIC NPN	7221072

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	4/1/1997	4/6/2007
Inactive	Resident	Agent	Casualty	5/28/2002	4/6/2007
Inactive	Resident	Agent	Property	5/28/2002	4/6/2007
Inactive	Resident	Agent	Prepaid Dental Plan	4/16/2001	3/1/2001
Inactive	Resident	Agent	Health	4/1/1997	4/6/2007
* 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	Aetna Life Insurance Company	301140	Agent - Health	8/23/1997	4/6/2007
Inactive	Aetna Life Insurance Company	301140	Agent - Life	8/23/1997	4/6/2007
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Health	6/23/1998	11/13/2002
Inactive	American Bankers Life Assurance Company of Florida	300171	Agent - Life	6/23/1998	11/13/2002
Inactive	American Heritage Life Insurance Company	300272	Agent - Health	3/4/1998	4/6/2007
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	3/4/1998	4/6/2007
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Health	9/7/1999	11/30/2000
Inactive	Colonial Life and Accident Insurance Company	300846	Agent - Life	9/7/1999	11/30/2000
Inactive	DentiCare, Inc.	300655	Agent - Health	3/1/2001	11/1/2005
Inactive	DentiCare, Inc.	300655	Agent - Prepaid Dental Plan	4/16/2001	3/1/2001
Inactive	Farmers Casualty Insurance Company	301616	Agent - Casualty	5/28/2002	4/6/2007
Inactive	Farmers Casualty Insurance Company	301616	Agent - Property	5/28/2002	4/6/2007
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Casualty	5/28/2002	4/6/2007
Inactive	Farmers Direct Property and Casualty Insurance Company	300957	Agent - Property	5/28/2002	4/6/2007
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Casualty	5/28/2002	4/6/2007
Inactive	Farmers Property and Casualty Insurance Company	301237	Agent - Property	5/28/2002	4/6/2007
Inactive	Metropolitan General Insurance Company	300709	Agent - Casualty	5/28/2002	4/6/2007
Inactive	Metropolitan General Insurance Company	300709	Agent - Property	5/28/2002	4/6/2007
Inactive	Protective Life Insurance Company	300638	Agent - Health	3/14/1998	12/15/2003
Inactive	Protective Life Insurance Company	300638	Agent - Life	3/14/1998	12/15/2003
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	11/8/2000	4/6/2007
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	11/8/2000	4/6/2007
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	4/1/1997	9/16/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	4/1/1997	9/16/2004
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	5/28/1997	10/8/2001
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	5/28/1997	10/8/2001
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	11/17/2000	5/24/2005
Inactive	Union Security Insurance Company	301844	Agent - Health	2/7/2002	4/6/2007
Inactive	Union Security Insurance Company	301844	Agent - Life	2/7/2002	4/6/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Baldwin, Dale Eugene	337792	Agent - Casualty	5/28/2002	4/6/2007
Inactive	Baldwin, Dale Eugene	337792	Agent - Health	8/25/2006	4/6/2007
Inactive	Baldwin, Dale Eugene	337792	Agent - Life	8/25/2006	4/6/2007
Inactive	Baldwin, Dale Eugene	337792	Agent - Property	5/28/2002	4/6/2007
Inactive	Moloney, Willial Edward	315505	Agent - Health	2/21/2003	1/9/2004
Inactive	Moloney, Willial Edward	315505	Agent - Life	2/21/2003	1/9/2004
Inactive	Morton, Michael Paul	343636	Agent - Health	4/1/1997	7/1/2002
Inactive	Morton, Michael Paul	343636	Agent - Life	4/1/1997	7/1/2002
Inactive	Prewitt, Albert A	391759	Agent - Health	4/1/1997	5/31/2006
Inactive	Prewitt, Albert A	391759	Agent - Life	4/1/1997	5/31/2006
Inactive	Prewitt, Albert A	391759	Agent - Prepaid Dental Plan	4/16/2001	3/1/2001