DEPARTMENT OF INSURANCE

Affiliations

Name	Private Ledger Insurance Services Inc.	DOIID	401143	NAIC NPN	7222947

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health		2/27/2004
Inactive	Non Resident	Agent	Life	11/27/1989	2/27/2004
* 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	Allianz Life Insurance Company of North America	301791	Agent - Health	8/15/1996	3/14/2003
Inactive	Allianz Life Insurance Company of North America	301791	Agent - Life	8/15/1996	3/14/2003
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	7/26/1995	3/14/2003
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	7/26/1995	3/14/2003
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Health	3/14/2003	3/14/2003
Inactive	Ameritas Life Insurance Corporation	300126	Agent - Life	3/14/2003	3/14/2003
Inactive	Ameritas Variable Life Insurance Company	300665	Agent - Health	7/11/1991	3/14/2003
Inactive	Ameritas Variable Life Insurance Company	300665	Agent - Life	7/11/1991	3/14/2003
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Health	10/28/1991	4/14/1999
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	10/28/1991	4/14/1999
Inactive	Connecticut General Life Insurance Company	301333	Agent - Health	8/23/1993	3/14/2003
Inactive	Connecticut General Life Insurance Company	301333	Agent - Life	8/23/1993	3/14/2003
Denied	Delaware Life Insurance Company	301256	Agent - Health
Denied	Delaware Life Insurance Company	301256	Agent - Life
Inactive	First Colony Life Insurance Company	301179	Agent - Life	7/11/1991	3/14/2003
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	8/20/1993	8/8/2003
Inactive	Glenbrook Life and Annuity Company	301384	Agent - Life	7/11/1991	3/14/2003
Inactive	ING Insurance Company of America	301507	Agent - Life	3/14/2003	3/14/2003
Inactive	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	1/22/2002	3/14/2003
Inactive	Keyport Life Insurance Company	300319	Agent - Health	4/4/1990	12/31/2003
Inactive	Keyport Life Insurance Company	300319	Agent - Life	4/4/1990	12/31/2003
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	3/16/1993	4/9/1999
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	3/16/1993	4/9/1999
Inactive	MML Bay State Life Insurance Company	301198	Agent - Health	12/17/1996	3/14/2003
Inactive	MML Bay State Life Insurance Company	301198	Agent - Life	12/17/1996	3/14/2003
Inactive	Manufacturers Life Insurance Company of North America	301899	Agent - Life	8/12/1993	1/22/2002
Inactive	MetLife Investors Insurance Company	301872	Agent - Health	11/1/1996	5/2/1997
Inactive	MetLife Investors Insurance Company	301872	Agent - Life	11/1/1996	5/2/1997
Inactive	Nassau Life Insurance Company	301406	Agent - Health	8/26/1996	3/14/2003
Inactive	Nassau Life Insurance Company	301406	Agent - Life	8/26/1996	3/14/2003
Inactive	Nationwide Life Insurance Company	300495	Agent - Health	11/27/1989	3/14/2003
Inactive	Nationwide Life Insurance Company	300495	Agent - Life	11/27/1989	3/14/2003
Inactive	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	7/11/1991	3/14/2003
Inactive	PHL Variable Insurance Company	300525	Agent - Health	2/10/1995	3/14/2003
Inactive	PHL Variable Insurance Company	300525	Agent - Life	2/10/1995	3/14/2003
Inactive	Pacific Life Insurance Company	301848	Agent - Health	11/9/1993	3/14/2003
Inactive	Pacific Life Insurance Company	301848	Agent - Life	11/9/1993	3/14/2003
Inactive	Peoples Benefit Life Insurance Company	301895	Agent - Life	7/11/1991	3/14/2003
Inactive	Security Life of Denver Insurance Company	300648	Agent - Health	4/6/1995	3/14/2003
Inactive	Security Life of Denver Insurance Company	300648	Agent - Life	7/11/1991	3/14/2003
Inactive	SunAmerica Annuity and Life Assurance Company	301930	Agent - Life	7/11/1991	3/14/2003
Inactive	SunAmerica Life Insurance Company	300096	Agent - Health	2/3/1993	3/31/2003
Inactive	SunAmerica Life Insurance Company	300096	Agent - Life	2/3/1993	3/31/2003
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	6/27/1994	5/15/1997
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	6/27/1994	5/15/1997
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	8/9/1993	3/14/2003
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	7/11/1991	3/14/2003
Inactive	USG Annuity & Life Company	300457	Agent - Life	8/20/1993	8/7/2003
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Health	5/23/1995	3/14/2003
Inactive	Voya Retirement Insurance and Annuity Company	300643	Agent - Life	3/14/2003	3/14/2003
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Health	2/16/1993	2/17/1998
Inactive	Western Reserve Life Assurance Company of Ohio	300760	Agent - Life	2/16/1993	2/17/1998

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Hall, Billy Joe	325438	Agent - Health	11/16/1989	7/1/2002
Inactive	Hall, Billy Joe	325438	Agent - Life	11/16/1989	7/1/2002
Inactive	Lindsay, Bruce W	373072	Agent - Health	11/16/1989	3/14/2003
Inactive	Lindsay, Bruce W	373072	Agent - Life	11/16/1989	3/14/2003
Inactive	York, Lawrence St John	327894	Agent - Health	11/16/1989	3/14/2003
Inactive	York, Lawrence St John	327894	Agent - Life	11/16/1989	3/14/2003