DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	MBI Inc.	DOIID	399547	NAIC NPN	7221747

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	9/24/1991	5/31/2003
Inactive	Resident	Agent	Health	9/24/1991	5/31/2003
* 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	Centennial Life Insurance Company (The)	301561	Agent - Health	7/30/1993	6/19/1998
Inactive	Centennial Life Insurance Company (The)	301561	Agent - Life	7/30/1993	6/19/1998
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	4/1/1992	3/31/1997
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	4/1/1992	3/31/1997
Inactive	Companion Life Insurance Company	300191	Agent - Health	1/22/1992	5/31/2003
Inactive	Companion Life Insurance Company	300191	Agent - Life	1/22/1992	5/31/2003
Inactive	Guarantee Life Insurance Company	301560	Agent - Health	12/3/1993	3/31/1997
Inactive	Guarantee Life Insurance Company	301560	Agent - Life	12/3/1993	3/31/1997
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	8/31/1993	3/31/1997
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	8/31/1993	3/31/1997
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Health	10/13/1992	3/31/1997
Inactive	Philadelphia American Life Insurance Company	300178	Agent - Life	10/13/1992	3/31/1997
Inactive	Professional Insurance Company	301281	Agent - Health	10/15/1991	2/15/2001
Inactive	Professional Insurance Company	301281	Agent - Life	10/15/1991	2/15/2001
Inactive	Trustmark Insurance Company	300317	Agent - Health	9/24/1991	5/31/2003
Inactive	Trustmark Insurance Company	300317	Agent - Life	9/24/1991	5/31/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Smith, Marvin	366231	Agent - Health	9/24/1991	5/31/2003
Inactive	Smith, Marvin	366231	Agent - Life	9/24/1991	5/31/2003