DEPARTMENT OF INSURANCE

Affiliations

Name	Hayden, Blakely C	DOIID	505419	NAIC NPN	4801074

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	5/11/2000	8/15/2002
Inactive	Resident	Agent	Health	5/11/2000	8/15/2002
* 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 General Life Insurance Company	301585	Agent - Health	7/15/2002	8/15/2002
Inactive	American General Life Insurance Company	301585	Agent - Life	7/15/2002	8/15/2002
Inactive	Fidelity & Guaranty Life Insurance Company	301359	Agent - Life	11/8/2000	8/15/2002
Inactive	Life Insurance Company of the Southwest	301867	Agent - Health	8/1/2001	8/15/2002
Inactive	Life Insurance Company of the Southwest	301867	Agent - Life	8/1/2001	8/15/2002
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Health	5/11/2000	3/1/2001
Inactive	NYLIFE Insurance Company of Arizona	301642	Agent - Life	5/11/2000	3/1/2001
Inactive	National Life Insurance Company	301852	Agent - Health	8/1/2001	8/15/2002
Inactive	National Life Insurance Company	301852	Agent - Life	8/1/2001	8/15/2002
Inactive	New York Life Insurance Company	300431	Agent - Health	5/11/2000	3/1/2001
Inactive	New York Life Insurance Company	300431	Agent - Life	5/11/2000	3/1/2001
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Health	5/11/2000	3/1/2001
Inactive	New York Life Insurance and Annuity Corporation	300726	Agent - Life	5/11/2000	3/1/2001
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Health	7/26/2001	8/15/2002
Inactive	Old Line Life Insurance Company of America (The)	301709	Agent - Life	7/26/2001	8/15/2002
Inactive	ReliaStar Life Insurance Company	301712	Agent - Health	8/1/2002	8/15/2002
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	8/1/2002	8/15/2002
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Health	8/1/2002	8/15/2002
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	8/1/2002	8/15/2002
Inactive	Southland Life Insurance Company	301175	Agent - Health	8/1/2002	8/15/2002
Inactive	Southland Life Insurance Company	301175	Agent - Life	8/1/2002	8/15/2002
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	6/27/2002	8/15/2002
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	6/27/2002	8/15/2002

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	InsBanc, Inc.	520697	Agent - Life	5/24/2001	8/14/2002
Inactive	InsBanc, Inc.	520697	Agent - Health	5/24/2001	8/14/2002
Inactive	Senior Benefits Inc.	398077	Agent - Life	8/29/2000	8/14/2002
Inactive	Senior Benefits Inc.	398077	Agent - Health	8/29/2000	8/14/2002