DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	NEA Valuebuilder Investor Services Inc.	DOIID	400539	NAIC NPN	654294

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	2/4/1993	5/31/2003
Inactive	Non Resident	Agent	Health	2/4/1993	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	Nationwide Life Insurance Company	300495	Agent - Health	2/4/1993	5/31/2003
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	2/4/1993	5/31/2003
Inactive	Washington National Insurance Company	300587	Agent - Health	7/21/1997	5/31/2003
Inactive	Washington National Insurance Company	300587	Agent - Life	7/21/1997	5/31/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Benedick, Ronald William	328310	Agent - Health	2/4/1993	5/31/2003
Inactive	Benedick, Ronald William	328310	Agent - Life	2/4/1993	5/31/2003