DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mazol, Gregory F	DOIID	501092	NAIC NPN	2347230

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	1/12/2000	2/28/2005
Inactive	Non Resident	Agent	Life	1/12/2000	2/28/2005
* 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	Prudential Health Care Plan Inc.	301342	Agent - Health	2/11/2000	5/21/2003
Inactive	Prudential Insurance Company of America	300784	Agent - Health	1/12/2000	12/17/2004
Inactive	Prudential Insurance Company of America	300784	Agent - Life	1/12/2000	12/17/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Towers Watson Pennsylvania Inc	502884	Agent - Life	2/24/2000	12/22/2000
Inactive	Towers Watson Pennsylvania Inc	502884	Agent - Health	2/24/2000	12/22/2000