DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Preferred Club Program, L.L.C. [The]	DOIID	400530	NAIC NPN	1682572

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Casualty	8/15/2000	2/14/2006
Inactive	Non Resident	Agent	Property	8/15/2000	2/14/2006
Inactive	Non Resident	Agent	General Lines	12/8/1997	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	Legion Insurance Company	301490	Agent - Casualty	8/15/2000	7/1/2003
Inactive	Legion Insurance Company	301490	Agent - General Lines	12/8/1997	8/15/2000
Inactive	Legion Insurance Company	301490	Agent - Property	8/15/2000	7/1/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Glasscock, Clinton Lee	302282	Agent - Casualty	3/15/2004	2/14/2006
Inactive	Glasscock, Clinton Lee	302282	Agent - General Lines	12/8/1997	8/15/2000
Inactive	Glasscock, Clinton Lee	302282	Agent - Property	3/15/2004	2/14/2006
Inactive	Harvey, Philip J	367962	Agent - Casualty	3/15/2004	2/14/2006
Inactive	Harvey, Philip J	367962	Agent - General Lines	2/3/2000	8/15/2000
Inactive	Harvey, Philip J	367962	Agent - Property	3/15/2004	2/14/2006