DEPARTMENT OF INSURANCE

Affiliations

Name	F T Agency Inc.	DOIID	398699	NAIC NPN	2769505

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Life	10/2/1995	6/2/2004
Inactive	Non Resident	Agent	Health	10/2/1995	6/2/2004
* 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	Chase Insurance Life and Annuity Company	300518	Agent - Health	6/5/1998	6/2/2004
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	6/5/1998	6/2/2004
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Life	4/7/1997	6/2/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Health	4/24/1998	6/2/2004
Inactive	John Hancock Life Insurance Company	300821	Agent - Life	4/24/1998	6/2/2004
Inactive	John Hancock Variable Life Insurance Company	301914	Agent - Life	4/24/1998	6/2/2004
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	12/21/1995	6/2/2004
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	12/21/1995	6/2/2004
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	12/17/1996	6/2/2004
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Health	10/2/1995	6/2/2004
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	10/2/1995	6/2/2004
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Health	12/29/1997	6/2/2004
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Life	12/29/1997	6/2/2004
Inactive	SunAmerica Life Insurance Company	300096	Agent - Health	12/29/1997	6/2/2004
Inactive	SunAmerica Life Insurance Company	300096	Agent - Life	12/29/1997	6/2/2004
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	4/10/1996	6/2/2004
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	4/10/1996	6/2/2004
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	6/19/1996	6/2/2004
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	6/19/1996	6/2/2004
Inactive	Western-Southern Life Assurance Company	301590	Agent - Health	1/30/1999	6/2/2004
Inactive	Western-Southern Life Assurance Company	301590	Agent - Life	1/30/1999	6/2/2004
Inactive	Zurich American Life Insurance Company	300216	Agent - Life	6/11/1999	6/2/2004

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Balfe, Catherine M	363600	Agent - Health	11/6/1995	7/1/2002
Inactive	Balfe, Catherine M	363600	Agent - Life	11/6/1995	7/1/2002
Inactive	Brooks, David Craig	352509	Agent - Health	10/16/1998	6/2/2004
Inactive	Brooks, David Craig	352509	Agent - Life	10/16/1998	6/2/2004
Inactive	Choi, Kuk Chong	375735	Agent - Life	11/6/1995	7/1/1998
Inactive	Groth, Alissa Pulsfort	373274	Agent - Health	10/16/1998	2/11/2004
Inactive	Groth, Alissa Pulsfort	373274	Agent - Life	10/16/1998	2/11/2004
Inactive	Johnson, Shannon	346263	Agent - Life	10/16/1998	9/30/1999
Inactive	Mercer, Brian King	373379	Agent - Health	10/16/1998	7/1/2002
Inactive	Mercer, Brian King	373379	Agent - Life	10/16/1998	7/1/2002
Inactive	Mercer, Charles T	339620	Agent - Health	10/16/1998	2/11/2004
Inactive	Mercer, Charles T	339620	Agent - Life	10/16/1998	2/11/2004
Inactive	Newton, Kevin L	310045	Agent - Health	10/16/1998	6/2/2004
Inactive	Newton, Kevin L	310045	Agent - Life	10/16/1998	6/2/2004
Inactive	Seidl, Steve Patrick	343185	Agent - Health	11/6/1995	6/2/2004
Inactive	Seidl, Steve Patrick	343185	Agent - Life	11/6/1995	6/2/2004
Inactive	Strenk, Joseph Dennis	313448	Agent - Health	10/2/1995	10/4/1998
Inactive	Strenk, Joseph Dennis	313448	Agent - Life	10/2/1995	10/4/1998
Inactive	Sumner, Brian Cooke	331493	Agent - Health	10/16/1998	2/11/2004
Inactive	Sumner, Brian Cooke	331493	Agent - Life	10/16/1998	2/11/2004