DEPARTMENT OF INSURANCE

Affiliations

Name	Senior American Benefits, LLC	DOIID	502287	NAIC NPN	7223071

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Health	1/24/2000	3/28/2003
Inactive	Resident	Agent	Life	1/24/2000	3/28/2003
* 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	Bankers United Life Assurance Company	300296	Agent - Health	3/20/2000	12/31/2001
Inactive	Bankers United Life Assurance Company	300296	Agent - Life	3/20/2000	12/31/2001
Inactive	Conseco Health Insurance Company	301725	Agent - Health	11/26/2001	3/28/2003
Inactive	Conseco Health Insurance Company	301725	Agent - Life	11/26/2001	3/28/2003
Inactive	Continental General Insurance Company	300691	Agent - Health	1/24/2000	1/28/2003
Inactive	Continental General Insurance Company	300691	Agent - Life	1/24/2000	1/28/2003
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	10/15/2001	3/28/2003
Inactive	Life Investors Insurance Company of America	301793	Agent - Health	12/31/2001	3/28/2003
Inactive	Life Investors Insurance Company of America	301793	Agent - Life	12/31/2001	3/28/2003
Inactive	Lincoln Heritage Life Insurance Company	500016	Agent - Health	3/25/2002	3/28/2003
Inactive	New York Life Insurance Company	300431	Agent - Health	4/17/2000	3/28/2003
Inactive	New York Life Insurance Company	300431	Agent - Life	4/17/2000	3/28/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Health	11/26/2001	3/28/2003
Inactive	Senior Health Insurance Company of Pennsylvania	300251	Agent - Life	11/26/2001	3/28/2003
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Health	11/19/2001	3/28/2003
Inactive	Standard Life and Accident Insurance Company	301534	Agent - Life	11/19/2001	3/28/2003
Denied	United American Insurance Company	300910	Agent - Health
Denied	United American Insurance Company	300910	Agent - Life

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bain, Mark Alan	340808	Agent - Health	12/20/2001	7/1/2002
Inactive	Bain, Mark Alan	340808	Agent - Life	12/20/2001	7/1/2002
Inactive	Beech, Michael Linn	309566	Agent - Health	3/15/2001	3/19/2003
Inactive	Beech, Michael Linn	309566	Agent - Life	3/15/2001	3/19/2003
Inactive	Bratcher, Donald Wayne	385869	Agent - Health	6/22/2000	3/5/2001
Inactive	Bratcher, Donald Wayne	385869	Agent - Life	6/22/2000	3/5/2001
Inactive	Bryant, Gary Lee	325073	Agent - Health	5/11/2001	3/19/2003
Inactive	Bryant, Gary Lee	325073	Agent - Life	5/11/2001	3/19/2003
Inactive	Bunch, James Ray	359848	Agent - Health	7/24/2000	3/5/2001
Inactive	Bunch, James Ray	359848	Agent - Life	7/24/2000	3/5/2001
Inactive	Cahill, William Dale	304031	Agent - Health	5/11/2001	3/19/2003
Inactive	Cahill, William Dale	304031	Agent - Life	5/11/2001	3/19/2003
Inactive	Childress, Anthony Wade	389448	Agent - Health	2/25/2000	3/5/2001
Inactive	Childress, Anthony Wade	389448	Agent - Life	2/25/2000	3/5/2001
Inactive	Clemons, Daniel Thomas	533177	Agent - Health	10/1/2001	3/19/2003
Inactive	Clemons, Daniel Thomas	533177	Agent - Life	10/1/2001	3/19/2003
Inactive	Costellow, Wayburn Allen	347664	Agent - Health	1/24/2000	3/19/2003
Inactive	Costellow, Wayburn Allen	347664	Agent - Life	1/24/2000	3/19/2003
Inactive	Daniel, Paul Edward	334330	Agent - Health	8/1/2000	1/29/2001
Inactive	Daniel, Paul Edward	334330	Agent - Life	8/1/2000	1/29/2001
Inactive	Devore, Dennis Joe	337392	Agent - Health	12/11/2000	3/19/2003
Inactive	Devore, Dennis Joe	337392	Agent - Life	12/11/2000	3/19/2003
Inactive	Doerr, Dennis Lee	382524	Agent - Health	5/24/2001	3/19/2003
Inactive	Doerr, Dennis Lee	382524	Agent - Life	5/24/2001	3/19/2003
Inactive	Franklin, Gregory Len	386372	Agent - Health	3/1/2001	3/19/2003
Inactive	Franklin, Gregory Len	386372	Agent - Life	3/1/2001	3/19/2003
Inactive	Gossom, Richard Durand	391184	Agent - Health	3/8/2000	3/5/2001
Inactive	Gossom, Richard Durand	391184	Agent - Life	3/8/2000	3/5/2001
Inactive	Hall, Steve Scott	388954	Agent - Health	3/8/2000	3/5/2001
Inactive	Hall, Steve Scott	388954	Agent - Life	3/8/2000	3/5/2001
Inactive	Haynes, Robert	378812	Agent - Health	2/7/2000	3/19/2003
Inactive	Haynes, Robert	378812	Agent - Life	2/7/2000	3/19/2003
Inactive	Holderfield, Thomas C	331596	Agent - Health	6/12/2000	3/19/2003
Inactive	Holderfield, Thomas C	331596	Agent - Life	6/12/2000	3/19/2003
Inactive	Hornsby, Juanita M	366948	Agent - Health	10/13/2000	3/19/2003
Inactive	Hornsby, Juanita M	366948	Agent - Life	10/16/2000	3/19/2003
Inactive	James, Betty Lois	329744	Agent - Health	10/6/2000	3/19/2003
Inactive	James, Betty Lois	329744	Agent - Life	10/6/2000	3/19/2003
Inactive	Kilburne, Jerry Wayne	344981	Agent - Health	7/26/2001	3/19/2003
Inactive	Kilburne, Jerry Wayne	344981	Agent - Life	7/26/2001	1/28/2003
Inactive	Lane, Donald Keith	383359	Agent - Health	5/11/2001	5/27/2002
Inactive	Lane, Donald Keith	383359	Agent - Life	5/11/2001	5/27/2002
Inactive	Langford, Gary Steven	359526	Agent - Health	2/7/2000	3/19/2003
Inactive	Langford, Gary Steven	359526	Agent - Life	2/7/2000	3/19/2003
Inactive	Lawrence, Clarence Edward	388999	Agent - Health	3/1/2001	3/19/2003
Inactive	Lawrence, Clarence Edward	388999	Agent - Life	3/1/2001	3/19/2003
Inactive	Lawrence, Lowell B	506400	Agent - Health	3/1/2001	3/19/2003
Inactive	Lawrence, Lowell B	506400	Agent - Life	3/1/2001	3/19/2003
Inactive	Lemily, Bernard Reynolds	361182	Agent - Health	3/24/2000	3/19/2003
Inactive	Lemily, Bernard Reynolds	361182	Agent - Life	3/24/2000	3/19/2003
Inactive	Lyons, James L	319360	Agent - Health	2/12/2001	7/1/2002
Inactive	Lyons, James L	319360	Agent - Life	2/12/2001	7/1/2002
Inactive	McCoy, Bonita Faye	319743	Agent - Health	2/7/2000	3/19/2003
Inactive	McCoy, Bonita Faye	319743	Agent - Life	2/7/2000	3/19/2003
Inactive	Milburn, Larry Dewayne	371745	Agent - Health	5/24/2001	3/19/2003
Inactive	Milburn, Larry Dewayne	371745	Agent - Life	5/24/2001	3/19/2003
Inactive	Myatt, Davy Ray	379309	Agent - Health	3/16/2000	3/19/2003
Inactive	Myatt, Davy Ray	379309	Agent - Life	3/16/2000	3/19/2003
Inactive	Myatt, Garry Lee	342376	Agent - Health	3/16/2000	3/5/2001
Inactive	Myatt, Garry Lee	342376	Agent - Life	3/16/2000	3/5/2001
Inactive	Myatt, Jason K	323436	Agent - Health	3/16/2000	3/5/2001
Inactive	Myatt, Jason K	323436	Agent - Life	3/16/2000	3/5/2001
Inactive	Myatt, Jennifer Ann	328668	Agent - Health	4/13/2000	3/5/2001
Inactive	Myatt, Jennifer Ann	328668	Agent - Life	4/13/2000	3/5/2001
Inactive	Myatt, Jimmy	358714	Agent - Health	3/16/2000	3/5/2001
Inactive	Myatt, Jimmy	358714	Agent - Life	3/16/2000	3/5/2001
Inactive	Myatt, Julius Larry	323752	Agent - Health	3/16/2000	3/5/2001
Inactive	Myatt, Julius Larry	323752	Agent - Life	3/16/2000	3/5/2001
Inactive	Myatt, Sandra L	338715	Agent - Health	3/16/2000	3/5/2001
Inactive	Myatt, Sandra L	338715	Agent - Life	3/16/2000	3/5/2001
Inactive	Owens, Ronald Carter	378423	Agent - Health	3/16/2000	3/5/2001
Inactive	Quire, Robert L	362625	Agent - Health	2/12/2001	3/19/2003
Inactive	Quire, Robert L	362625	Agent - Life	2/12/2001	3/19/2003
Inactive	Raymer, Jacqueline Sue	349558	Agent - Health	8/16/2000	7/1/2002
Inactive	Raymer, Jacqueline Sue	349558	Agent - Life	8/16/2000	7/1/2002
Inactive	Riddle, Benita Sue	389792	Agent - Health	10/26/2000	7/1/2002
Inactive	Riddle, Benita Sue	389792	Agent - Life	10/26/2000	7/1/2002
Inactive	Sadler, James Garner	347658	Agent - Health	5/30/2000	3/19/2003
Inactive	Sadler, James Garner	347658	Agent - Life	5/30/2000	3/19/2003
Inactive	Schroder, Janet L	327503	Agent - Health	8/16/2001	3/19/2003
Inactive	Schroder, Janet L	327503	Agent - Life	8/16/2001	3/19/2003
Inactive	Shelton, George Mitchell	389911	Agent - Health	11/15/2001	7/1/2002
Inactive	Shelton, George Mitchell	389911	Agent - Life	11/15/2001	7/1/2002
Inactive	Singleton, Michael E	309539	Agent - Health	5/22/2000	3/5/2001
Inactive	Singleton, Michael E	309539	Agent - Life	5/22/2000	3/5/2001
Inactive	Slayden, Charles Franklin	315380	Agent - Health	7/11/2001	5/17/2002
Inactive	Slayden, Charles Franklin	315380	Agent - Life	7/11/2001	5/17/2002
Inactive	Smith, Dennis Earl	308748	Agent - Health	3/8/2000	3/5/2001
Inactive	Smith, Dennis Earl	308748	Agent - Life	3/8/2000	3/5/2001
Inactive	Wear, Lynn Robert	326078	Agent - Health	10/23/2000	3/5/2001
Inactive	Wear, Lynn Robert	326078	Agent - Life	10/23/2000	3/5/2001
Inactive	Weed, Nelson Daniel	367599	Agent - Health	3/30/2000	3/19/2003
Inactive	Weed, Nelson Daniel	367599	Agent - Life	3/30/2000	3/19/2003
Inactive	Williams, Gary K	312293	Agent - Health	10/6/2000	3/19/2003
Inactive	Williams, Gary K	312293	Agent - Life	10/6/2000	3/19/2003