DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Consumer Insurance Services of America, Inc.	DOIID	399636	NAIC NPN	964439

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	8/30/1999	5/31/2003
Inactive	Non Resident	Agent	Life	8/30/1999	5/31/2003
Inactive	Non Resident	Agent	General Lines	2/23/2000	8/15/2000
* 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	Clarendon National Insurance Company	300843	Agent - General Lines	2/23/2000	8/15/2000
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	9/29/1999	5/31/2003
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	9/29/1999	5/31/2003
Inactive	Pacific Life Insurance Company	301848	Agent - Health	11/18/1999	5/31/2003
Inactive	Pacific Life Insurance Company	301848	Agent - Life	11/18/1999	5/31/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	12/2/1999	5/31/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	12/2/1999	5/31/2003
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	8/30/1999	5/31/2003
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	8/30/1999	5/31/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	McCarthy, Brian K	325658	Agent - Health	2/23/2000	5/17/2000
Inactive	McCarthy, Brian K	325658	Agent - Life	2/23/2000	5/17/2000
Inactive	Mccarthy, John F	390422	Agent - General Lines	2/23/2000	8/15/2000
Inactive	Mccarthy, John F	390422	Agent - Health	8/30/1999	5/31/2003
Inactive	Mccarthy, John F	390422	Agent - Life	8/30/1999	5/31/2003