DEPARTMENT OF INSURANCE

Affiliations

Name	National Senior Associates Company, LLC	DOIID	399022	NAIC NPN	2228961

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	7/13/1999	10/1/2012
Inactive	Non Resident	Agent	Life	7/13/1999	10/1/2012
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	2/19/2001	11/22/2007
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	2/19/2001	11/22/2007
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	2/27/2003	10/1/2012
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	12/17/2004	9/26/2011
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	12/17/2004	9/26/2011
Inactive	EquiTrust Life Insurance Company	502870	Agent - Life	11/30/2005	1/22/2009
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	8/23/2004	12/12/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	8/23/2004	12/12/2008
Inactive	General American Life Insurance Company	300280	Agent - Health	10/20/2004	11/19/2009
Inactive	General American Life Insurance Company	300280	Agent - Life	10/20/2004	11/19/2009
Inactive	Golden Rule Insurance Company	301943	Agent - Health	10/31/2005	10/1/2012
Inactive	Golden Rule Insurance Company	301943	Agent - Life	10/31/2005	10/1/2012
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	3/7/2002	1/12/2006
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	11/16/2001	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	11/16/2001	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	11/16/2001	4/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	11/16/2001	4/2/2007
Inactive	LifeUSA Insurance Company	300386	Agent - Health	7/13/1999	8/2/2002
Inactive	LifeUSA Insurance Company	300386	Agent - Life	7/13/1999	8/2/2002
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/22/2007	10/1/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/22/2007	10/1/2012
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Health	8/3/2004	3/21/2011
Inactive	MassMutual Ascend Life Insurance Company	300320	Agent - Life	8/3/2004	5/8/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Health	10/20/2004	11/19/2009
Inactive	MetLife Investors USA Insurance Company	300845	Agent - Life	10/20/2004	11/19/2009
Inactive	Mutual of Omaha Insurance Company	301012	Agent - Health	2/18/2002	6/10/2005
Inactive	National Western Life Insurance Company	301515	Agent - Health	9/26/2003	11/21/2008
Inactive	National Western Life Insurance Company	301515	Agent - Life	9/26/2003	11/21/2008
Inactive	North American Company for Life and Health Insurance	300291	Agent - Health	8/2/2004	2/10/2009
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	8/2/2004	2/10/2009
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	9/30/2004	10/6/2012
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	9/30/2004	9/29/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2005	11/10/2008
Inactive	Transamerica Life Insurance and Annuity Company	300148	Agent - Life	5/8/2003	10/1/2005
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	5/8/2003	2/14/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	5/8/2003	2/14/2008
Inactive	Western National Life Insurance Company	300461	Agent - Life	8/21/2003	7/22/2008

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Barlow, Charles Taylor	370333	Agent - Health	11/15/2002	1/18/2005
Inactive	Barlow, Charles Taylor	370333	Agent - Life	11/15/2002	1/18/2005
Inactive	Booth, Robert G	522102	Agent - Health	3/15/2002	1/18/2005
Inactive	Booth, Robert G	522102	Agent - Life	3/15/2002	1/18/2005
Inactive	Mott, Alan Edward	360160	Agent - Health	7/13/1999	7/31/2012
Inactive	Mott, Alan Edward	360160	Agent - Life	7/13/1999	7/31/2012