DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	American Insurance Corporation	DOIID	398974	NAIC NPN	7221316

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	10/7/1996	3/31/1997
Inactive	Resident	Agent	Life	10/7/1996	3/31/1997
* 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	UnitedHealthcare Life Insurance Company	301517	Agent - Health	10/7/1996	3/31/1997
Inactive	UnitedHealthcare Life Insurance Company	301517	Agent - Life	10/7/1996	3/31/1997

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Kirby, Richard Scott	356092	Agent - Health	10/7/1996	3/31/1997
Inactive	Kirby, Richard Scott	356092	Agent - Life	10/7/1996	3/31/1997