DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Mize, Robert A	DOIID	506614	NAIC NPN	1499015

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Life	6/26/2000	4/30/2004
Inactive	Non Resident	Agent	Health	6/26/2000	4/30/2004
* 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	Pacific Life Insurance Company	301848	Agent - Life	3/12/2001	5/8/2003
Inactive	Principal Life Insurance Company	300129	Agent - Health	6/26/2000	4/30/2004
Inactive	Principal Life Insurance Company	300129	Agent - Life	6/26/2000	4/30/2004
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	4/9/2001	4/30/2004
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	4/9/2001	4/30/2004
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	3/16/2001	4/30/2004
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	3/16/2001	4/30/2004

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Richard B Vance & Company	399961	Agent - Life	9/11/2001	4/30/2004