DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Phelps II, Brian Ray	DOIID	501961	NAIC NPN	3312881

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	2/7/2000	10/31/2005
Inactive	Non Resident	Agent	Life	2/7/2000	10/31/2005
Inactive	Non Resident	Agent	General Lines	2/7/2000	8/15/2000
Inactive	Non Resident	Agent	Property	8/15/2000	10/31/2005
Inactive	Non Resident	Agent	Casualty	8/15/2000	10/31/2005
* 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	Beazley Insurance Company, Inc.	300899	Agent - Casualty	7/27/2001	6/17/2005
Inactive	Beazley Insurance Company, Inc.	300899	Agent - Property	7/27/2001	6/17/2005
Inactive	Dairyland Insurance Company	301370	Agent - Casualty	8/15/2000	5/18/2001
Inactive	Dairyland Insurance Company	301370	Agent - General Lines	4/10/2000	8/15/2000
Inactive	Dairyland Insurance Company	301370	Agent - Property	8/15/2000	5/18/2001
Inactive	Sentry Insurance Company	300222	Agent - Casualty	8/15/2000	5/18/2001
Inactive	Sentry Insurance Company	300222	Agent - General Lines	2/7/2000	8/15/2000
Inactive	Sentry Insurance Company	300222	Agent - Property	8/15/2000	5/18/2001
Inactive	Sentry Life Insurance Company	301461	Agent - Health	2/7/2000	5/18/2001
Inactive	Sentry Life Insurance Company	301461	Agent - Life	2/7/2000	5/18/2001
Inactive	Shelter General Insurance Company	301109	Agent - Casualty	6/7/2001	5/16/2003
Inactive	Shelter General Insurance Company	301109	Agent - Property	6/7/2001	5/16/2003
Inactive	Shelter Life Insurance Company	300391	Agent - Health	6/7/2001	5/16/2003
Inactive	Shelter Life Insurance Company	300391	Agent - Life	6/7/2001	5/16/2003
Inactive	Shelter Mutual Insurance Company	301870	Agent - Casualty	6/7/2001	5/16/2003
Inactive	Shelter Mutual Insurance Company	301870	Agent - Property	6/7/2001	5/16/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Life	2/27/2003	5/16/2003
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Health	2/27/2003	5/16/2003
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Property	2/27/2003	1/5/2004
Inactive	Daniel Boone Agency, LLC.	515760	Agent - Casualty	2/27/2003	1/5/2004