DEPARTMENT OF INSURANCE

Affiliations

Name	Diversified Marketing Group Inc.	DOIID	400541	NAIC NPN	7222485

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	3/21/1997	1/31/2005
Inactive	Resident	Agent	Health	3/21/1997	1/31/2005
Inactive	Resident	Agent	Prepaid Dental Plan	5/27/1997	10/2/2001
Inactive	Resident	Agent	Health Maintenance Organization	11/10/1997	3/1/2001
* 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	Humana Health Plan, Inc.	300142	Agent - Health	3/1/2001	1/31/2005
Inactive	Humana Health Plan, Inc.	300142	Agent - Health Maintenance Organization	11/10/1997	3/1/2001
Inactive	Humana Insurance Company	301104	Agent - Health	6/11/1997	1/31/2005
Inactive	Humana Insurance Company	301104	Agent - Life	6/11/1997	1/31/2005
Inactive	LifeSecure Insurance Company	301629	Agent - Health	2/17/1999	3/31/2003
Inactive	LifeSecure Insurance Company	301629	Agent - Life	2/17/1999	3/31/2003
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	2/6/2001	1/13/2005
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	2/6/2001	1/31/2005
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Health	7/23/1997	1/31/2005
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	7/23/1997	1/31/2005
Inactive	Premier Dental Network Inc.	300661	Agent - Prepaid Dental Plan	5/27/1997	2/2/2001
Inactive	Principal Life Insurance Company	300129	Agent - Health	9/20/2002	1/31/2005
Inactive	Principal Life Insurance Company	300129	Agent - Life	9/20/2002	1/31/2005
Inactive	Security Life Insurance Company of America	300936	Agent - Health	4/3/2000	12/6/2002
Inactive	Security Life Insurance Company of America	300936	Agent - Life	4/3/2000	12/6/2002
Inactive	Southwestern Life Insurance Company	301343	Agent - Health	5/22/1997	5/2/2003
Inactive	Southwestern Life Insurance Company	301343	Agent - Life	5/22/1997	5/2/2003
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	5/21/1997	1/31/2005
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	5/21/1997	1/31/2005
Inactive	Time Insurance Company	300683	Agent - Health	3/21/1997	1/31/2005
Inactive	Time Insurance Company	300683	Agent - Life	3/21/1997	1/31/2005
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	3/26/1999	1/31/2005
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	3/26/1999	1/31/2005
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Health	9/18/2000	3/1/2004
Inactive	UnitedHealthcare Insurance Company	300946	Agent - Life	9/18/2000	3/1/2004

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	8/24/1999	12/31/2001
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	8/24/1999	12/31/2001
Inactive	Barnett, M Bryan	335246	Agent - Health	3/21/1997	1/31/2005
Inactive	Barnett, M Bryan	335246	Agent - Life	3/21/1997	1/31/2005