DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Big Sandy Benefits	DOIID	401007	NAIC NPN	7222832

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Health	12/18/1986	12/21/1998
Inactive	Resident	Agent	Life	12/18/1986	12/21/1998
* 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 Heritage Life Insurance Company	300272	Agent - Health	12/18/1986	3/31/1997
Inactive	American Heritage Life Insurance Company	300272	Agent - Life	12/18/1986	3/31/1997
Inactive	Life Insurance Company of North America	300711	Agent - Health	1/19/1987	12/21/1998
Inactive	Life Insurance Company of North America	300711	Agent - Life	1/19/1987	12/21/1998

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Branham, Robert Allen	377583	Agent - Health	7/29/1986	12/21/1998
Inactive	Byers, Joseph Adams	385699	Agent - Health	7/29/1986	12/21/1998
Inactive	Cochran, L. Briggs	393432	Agent - Health	7/29/1986	12/21/1998