DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	CBCA Insurance Services, Inc.	DOIID	399921	NAIC NPN	1652114

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	12/13/2004	11/3/2006
Inactive	Non Resident	Agent	Health	12/13/2004	5/1/2011
Inactive	Non Resident	Agent	Life	12/13/2004	5/1/2011
Inactive	Non Resident	Agent	Property	12/13/2004	11/3/2006
* 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	American General Life Insurance Company of Delaware	301057	Agent - Health	4/28/2006	5/1/2011
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	4/28/2006	5/1/2011
Inactive	Brighthouse Life Insurance Company	301829	Agent - Health	10/28/1994	5/31/2004
Inactive	Brighthouse Life Insurance Company	301829	Agent - Life	10/28/1994	5/31/2004
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Health	5/1/2006	5/1/2011
Inactive	United States Life Insurance Company in the City of New York	301126	Agent - Life	5/1/2006	5/1/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Batterson, Robert Ellis	322651	Agent - Health	10/28/1994	3/29/2003
Inactive	Batterson, Robert Ellis	322651	Agent - Life	10/28/1994	3/29/2003
Inactive	Heim, Jesse	517387	Agent - Health	11/27/2006	2/28/2011
Inactive	Heim, Jesse	517387	Agent - Life	11/27/2006	2/28/2011
Inactive	Pacino, Thomas Lester	501561	Agent - Casualty	12/13/2004	10/27/2006
Inactive	Pacino, Thomas Lester	501561	Agent - Property	12/13/2004	10/27/2006
Inactive	Winkleblack, Bob Lee	336672	Agent - Health	12/13/2004	10/27/2006
Inactive	Winkleblack, Bob Lee	336672	Agent - Life	12/13/2004	10/27/2006