DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Scobee Funeral Home	DOIID	399779	NAIC NPN	7221925

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	7/10/2009	3/31/2013
* 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	Columbian Life Insurance Company	300810	Agent - Life	3/12/1996	2/20/2001
Inactive	Forethought Life Insurance Company	301407	Agent - Life	10/12/1987	12/1/2000
Inactive	Lumico Life Insurance Company	300354	Agent - Life	1/16/1996	3/31/1997

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Benton, Mark Eldredge	505802	Agent - Life	7/10/2009	3/31/2013
Inactive	Durbin, William Scott	354206	Agent - Life	10/12/1987	12/1/2000
Inactive	Pace, Fred Wayne	343195	Agent - Life	10/12/1987	12/1/2000
Inactive	Snapp, Cecil Randolph	337505	Agent - Life	10/12/1987	12/1/2000