DEPARTMENT OF INSURANCE

Affiliations

Name	Alpha Insurance Services Inc.	DOIID	399457	NAIC NPN	2110445

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	8/14/1987	3/31/2009
Inactive	Resident	Agent	Life	8/14/1987	3/31/2009
* 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	All American Life Insurance Company	300702	Agent - Health	7/6/1993	1/10/2002
Inactive	All American Life Insurance Company	300702	Agent - Life	7/6/1993	1/10/2002
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Health	5/15/1996	2/9/2006
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	5/15/1996	2/9/2006
Inactive	American General Life Insurance Company	301585	Agent - Life	1/30/1999	3/31/2009
Inactive	American National Insurance Company	301861	Agent - Health	6/19/1998	11/3/2005
Inactive	American National Insurance Company	301861	Agent - Life	6/19/1998	11/3/2005
Inactive	Americo Financial Life and Annuity Insurance Company	300869	Agent - Life	3/4/2002	3/31/2009
Inactive	Anthem Life Insurance Company	301209	Agent - Health	3/15/1994	1/6/2003
Inactive	Anthem Life Insurance Company	301209	Agent - Life	3/15/1994	1/6/2003
Inactive	Banner Life Insurance Company	301696	Agent - Health	12/4/1996	3/31/2009
Inactive	Banner Life Insurance Company	301696	Agent - Life	12/4/1996	3/31/2009
Inactive	Berkley Life and Health Insurance Company	301421	Agent - Health	3/20/1992	1/12/1999
Inactive	Berkley Life and Health Insurance Company	301421	Agent - Life	3/20/1992	1/12/1999
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Health	10/22/1998	9/27/2001
Inactive	Boston Mutual Life Insurance Company	300143	Agent - Life	10/22/1998	9/27/2001
Inactive	Cigna National Health Insurance Company	300235	Agent - Health	8/14/1987	3/31/1997
Inactive	Cigna National Health Insurance Company	300235	Agent - Life	8/14/1987	3/31/1997
Inactive	Continental Casualty Company	301019	Agent - Health	11/16/1998	11/29/2004
Inactive	Emphesys Insurance Company	300598	Agent - Health	7/25/1994	3/31/1999
Inactive	Emphesys Insurance Company	300598	Agent - Life	7/25/1994	3/31/1999
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	4/9/1999	2/26/2003
Inactive	Golden Rule Insurance Company	301943	Agent - Health	6/23/1999	11/22/2000
Inactive	Golden Rule Insurance Company	301943	Agent - Life	6/23/1999	11/22/2000
Inactive	HM Life Insurance Company	301408	Agent - Health	11/26/1991	1/1/1999
Inactive	HM Life Insurance Company	301408	Agent - Life	11/26/1991	1/1/1999
Inactive	Humana Insurance Company	301104	Agent - Health	2/27/1997	9/12/2003
Inactive	Humana Insurance Company	301104	Agent - Life	2/27/1997	9/12/2003
Inactive	Jackson National Life Insurance Company	300486	Agent - Health	12/30/1997	4/7/1999
Inactive	Jackson National Life Insurance Company	300486	Agent - Life	12/30/1997	4/7/1999
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	6/9/1999	7/2/2007
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	6/9/1999	7/2/2007
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	10/8/1993	3/16/2001
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	10/8/1993	3/16/2001
Inactive	LifeUSA Insurance Company	300386	Agent - Health	5/15/1996	12/18/1998
Inactive	LifeUSA Insurance Company	300386	Agent - Life	5/15/1996	12/18/1998
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	7/2/2007	3/12/2009
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	7/2/2007	3/12/2009
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	11/5/1998	3/12/2002
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	11/5/1998	3/12/2002
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	2/10/1998	10/17/2006
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	2/10/1998	10/17/2006
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	3/14/1998	10/17/2006
Inactive	Ohio State Life Insurance Company (The)	300865	Agent - Health	3/20/1992	6/24/2002
Inactive	Ohio State Life Insurance Company (The)	300865	Agent - Life	3/20/1992	6/24/2002
Denied	Old Line Life Insurance Company of America (The)	301709	Agent - Health
Denied	Old Line Life Insurance Company of America (The)	301709	Agent - Life
Inactive	Pacific Life Insurance Company	301848	Agent - Health	5/9/2000	3/31/2009
Inactive	Pacific Life Insurance Company	301848	Agent - Life	5/9/2000	5/28/2003
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	5/19/1999	12/12/2002
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	5/19/1999	12/12/2002
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	12/20/1988	3/31/1997
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	12/20/1988	3/31/1997
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	12/30/1996	1/2/2003
Inactive	Reassure America Life Insurance Company	300678	Agent - Health	3/12/2002	4/28/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	12/30/1996	1/2/2003
Inactive	Reassure America Life Insurance Company	300678	Agent - Life	3/12/2002	4/28/2003
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	10/1/2003	10/31/2004
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/1/2003	10/31/2004
Inactive	Security Life of Denver Insurance Company	300648	Agent - Health	12/28/1999	3/31/2009
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	12/28/1999	3/31/2009
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	6/12/1995	10/1/2003
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	6/12/1995	10/1/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	10/18/1996	11/19/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	10/18/1996	11/19/2003
Inactive	Surety Life Insurance Company	301689	Agent - Health	2/26/1999	10/9/2000
Inactive	Surety Life Insurance Company	301689	Agent - Life	2/26/1999	10/9/2000
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	3/30/1991	3/31/2009
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	3/30/1991	3/31/2009
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	5/19/2000	3/31/2009
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	5/19/2000	3/31/2009
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	12/27/1999	10/8/2001
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	12/27/1999	10/8/2001
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	4/29/1999	7/25/2003
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	4/29/1999	7/25/2003
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Health	3/19/2001	5/24/2005
Inactive	Transamerica Premier Life Insurance Company	300558	Agent - Life	3/19/2001	5/6/2005
Inactive	Western National Life Insurance Company	300461	Agent - Life	6/5/2000	8/13/2001
Inactive	Wilcac Life Insurance Company	301573	Agent - Health	12/30/1996	11/13/2000
Inactive	Wilcac Life Insurance Company	301573	Agent - Life	12/30/1996	11/13/2000

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Acordia of Louisville Inc.	401252	Agent - Health	3/22/1994	12/31/2001
Inactive	Acordia of Louisville Inc.	401252	Agent - Life	3/22/1994	12/31/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/25/1999	12/31/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/25/1999	12/31/2001
Inactive	Smith, Chester Duane	332374	Agent - Health	10/20/1983	3/31/2009
Inactive	Smith, Chester Duane	332374	Agent - Life	10/20/1983	3/31/2009