DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Family Direct Ins Services Inc	DOIID	502273	NAIC NPN	686256

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	5/17/2000	6/5/2009
Inactive	Non Resident	Agent	Health	6/7/2007	6/5/2009
* 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 General Life Insurance Company	301585	Agent - Health	5/8/2008	6/5/2009
Inactive	American General Life Insurance Company	301585	Agent - Life	5/29/2003	6/5/2009
Inactive	Chase Insurance Life and Annuity Company	300518	Agent - Life	9/24/2003	4/1/2007
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	4/4/2001	6/5/2009
Inactive	First Colony Life Insurance Company	301179	Agent - Life	1/12/2005	1/1/2007
Inactive	Genworth Life Insurance Company	300623	Agent - Life	12/16/2004	6/5/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	4/6/2009	6/5/2009
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	6/5/2009
Inactive	Globe Life and Accident Insurance Company	300639	Agent - Life	10/30/2003	6/5/2009
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	5/17/2000	12/1/2008
Inactive	Old Republic Life Insurance Company	301214	Agent - Life	9/25/2000	6/5/2009
Inactive	Protective Life Insurance Company	300638	Agent - Life	4/1/2007	6/5/2009
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	10/1/2008	6/5/2009
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	7/1/2008	10/1/2008
Inactive	West Coast Life Insurance Company	301607	Agent - Health	6/20/2007	6/5/2009

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Ekern, Patricia Louise	502894	Agent - Life	3/1/2004	6/5/2009
Inactive	Harris, James Richard	502982	Agent - Life	5/17/2000	6/5/2009
Inactive	Quirk, Gail Laura	503290	Agent - Health	6/7/2007	6/5/2009
Inactive	Quirk, Gail Laura	503290	Agent - Life	3/1/2004	6/5/2009
Inactive	Sahm, Shelley Lynn	558418	Agent - Life	3/1/2004	6/5/2009
Inactive	Starks, Nicole Campbell	592646	Agent - Life	1/31/2005	6/5/2009