DEPARTMENT OF INSURANCE

Affiliations

Name	First Choice Health Systems	DOIID	401248	NAIC NPN	7116154

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Administrator	Not Applicable	12/14/1989	7/11/1997
Inactive	Resident	Agent	Life	1/25/1985	4/8/2002
Inactive	Resident	Agent	Health	1/25/1985	3/23/2002
* 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 United Life Insurance Company	300498	Agent - Health	2/28/1991	3/31/1997
Inactive	American United Life Insurance Company	300498	Agent - Life	2/28/1991	3/31/1997
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Health	5/18/1992	3/8/2001
Inactive	Athene Annuity & Life Assurance Company	301798	Agent - Life	5/18/1992	3/8/2001
Denied	Avemco Insurance Company	300669	Agent - Health
Inactive	Aviva Life Insurance Company	301615	Agent - Health	4/27/1993	12/1/2000
Inactive	Aviva Life Insurance Company	301615	Agent - Life	4/27/1993	12/1/2000
Inactive	Continental Casualty Company	301019	Agent - Health	8/2/1996	3/31/1998
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Health	8/19/1992	3/31/1997
Inactive	Fidelity Security Life Insurance Company	300466	Agent - Life	8/19/1992	3/31/1997
Inactive	First Allmerica Financial Life Insurance Company	301853	Agent - Health	5/5/1995	12/1/2000
Inactive	First Allmerica Financial Life Insurance Company	301853	Agent - Life	5/5/1995	12/1/2000
Inactive	Gerber Life Insurance Company	300529	Agent - Health	10/12/1993	3/31/1997
Inactive	Gerber Life Insurance Company	300529	Agent - Life	10/12/1993	3/31/1997
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Health	1/25/1985	12/1/2000
Inactive	Jefferson Pilot Financial Insurance Company	300756	Agent - Life	1/25/1985	12/1/2000
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Health	8/14/1989	8/22/1996
Inactive	Jefferson-Pilot Life Insurance Company	300379	Agent - Life	8/14/1989	8/22/1996
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Health	9/21/1993	12/1/2000
Inactive	Lafayette Life Insurance Company (The)	301039	Agent - Life	9/21/1993	12/1/2000
Inactive	Principal Life Insurance Company	300129	Agent - Health	6/10/1986	5/20/1999
Inactive	Principal Life Insurance Company	300129	Agent - Life	6/10/1986	5/20/1999
Inactive	Protective Life Insurance Company	300638	Agent - Health	7/2/1985	12/1/2000
Inactive	Protective Life Insurance Company	300638	Agent - Life	7/2/1985	12/1/2000
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Health	7/9/1987	12/1/2000
Inactive	Reliance Standard Life Insurance Company	300584	Agent - Life	7/9/1987	12/1/2000
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Health	8/22/1990	8/31/1999
Inactive	Standard Security Life Insurance Company of NY	301487	Agent - Life	8/22/1990	8/31/1999
Inactive	Time Insurance Company	300683	Agent - Health	10/15/1985	3/31/1997
Inactive	Time Insurance Company	300683	Agent - Life	10/15/1985	3/31/1997
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	12/22/1992	12/1/2000
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	12/22/1992	12/1/2000
Denied	Union Security Insurance Company	301844	Agent - Health
Denied	Union Security Insurance Company	301844	Agent - Life
Inactive	United of Omaha Life Insurance Company	300156	Agent - Health	12/15/1994	12/1/2000
Inactive	United of Omaha Life Insurance Company	300156	Agent - Life	12/15/1994	12/1/2000

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bell, Edward	345486	Agent - Health	11/26/1984	12/1/2000
Inactive	Bell, Edward	345486	Agent - Life	11/26/1984	12/1/2000