DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	GHA National Agency, Inc.	DOIID	505434	NAIC NPN	964549

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Property	8/15/2000	2/27/2004
Inactive	Non Resident	Agent	Health	3/28/2000	2/27/2004
Inactive	Non Resident	Agent	Casualty	8/15/2000	2/27/2004
Inactive	Non Resident	Agent	Life	3/28/2000	2/27/2004
Inactive	Non Resident	Agent	General Lines	3/31/2000	8/15/2000
* 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	Insurance Company of North America	300226	Agent - Casualty	8/15/2000	2/10/2004
Inactive	Insurance Company of North America	300226	Agent - General Lines	3/31/2000	8/15/2000
Inactive	Insurance Company of North America	300226	Agent - Property	8/15/2000	2/10/2004
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	3/28/2000	1/2/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	3/28/2000	1/2/2003

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	McLaughlin, John Pattison	317081	Agent - Health	3/28/2000	1/2/2003
Inactive	McLaughlin, John Pattison	317081	Agent - Life	3/28/2000	1/2/2003
Inactive	Smith, Michael James	303025	Agent - Casualty	8/15/2000	2/10/2004
Inactive	Smith, Michael James	303025	Agent - General Lines	3/31/2000	8/15/2000
Inactive	Smith, Michael James	303025	Agent - Property	8/15/2000	2/10/2004