DEPARTMENT OF INSURANCE

Affiliations

Name	Insurance Central	DOIID	509437	NAIC NPN	1904585

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Agent	Health	5/25/2000	10/1/2012
Inactive	Non Resident	Agent	Life	5/25/2000	10/1/2012
* 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	2/24/2005	8/2/2012
Inactive	American General Life Insurance Company	301585	Agent - Life	2/24/2005	8/2/2012
Inactive	Empower Annuity Insurance Company of America	300259	Agent - Life	3/15/2011	10/1/2012
Inactive	First Colony Life Insurance Company	301179	Agent - Health	10/23/2000	1/1/2007
Inactive	First Colony Life Insurance Company	301179	Agent - Life	10/23/2000	1/1/2007
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Health	11/9/2000	12/12/2008
Inactive	First Penn-Pacific Life Insurance Company	301581	Agent - Life	11/9/2000	12/12/2008
Inactive	Genworth Life Insurance Company	300623	Agent - Health	3/28/2001	10/1/2012
Inactive	Genworth Life Insurance Company	300623	Agent - Life	3/28/2001	10/1/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Health	1/1/2007	10/1/2012
Inactive	Genworth Life and Annuity Insurance Company	301276	Agent - Life	1/1/2007	10/1/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/5/2004	10/1/2012
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	4/5/2004	10/1/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Health	12/16/2005	10/1/2012
Inactive	Lincoln National Life Insurance Company (The)	301382	Agent - Life	12/16/2005	10/1/2012
Inactive	Midland Life Insurance Company (The)	300310	Agent - Health	10/30/2000	3/12/2002
Inactive	Midland Life Insurance Company (The)	300310	Agent - Life	10/30/2000	3/12/2002
Inactive	North American Company for Life and Health Insurance	300291	Agent - Life	1/18/2003	12/1/2008
Inactive	Reassure America Life Insurance Company	301902	Agent - Health	11/2/2000	9/16/2004
Inactive	Reassure America Life Insurance Company	300678	Agent - Health	3/12/2002	5/5/2003
Inactive	Reassure America Life Insurance Company	301902	Agent - Life	11/2/2000	9/16/2004
Inactive	Reassure America Life Insurance Company	300678	Agent - Life	3/12/2002	5/5/2003
Inactive	ReliaStar Life Insurance Company	301712	Agent - Life	10/1/2003	10/1/2012
Inactive	Security-Connecticut Life Insurance Company	300316	Agent - Life	12/18/2000	10/1/2003
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Health	11/8/2006	10/1/2012
Inactive	Sun Life Assurance Company of Canada	301811	Agent - Life	3/14/2003	10/1/2012
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	4/5/2004	10/1/2012
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	4/5/2004	10/1/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Health	10/1/2008	10/1/2012
Inactive	Transamerica Life Insurance Company	300571	Agent - Life	9/11/2008	10/1/2012
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Health	5/25/2000	10/1/2008
Inactive	Transamerica Occidental Life Insurance Company	300966	Agent - Life	5/25/2000	10/1/2008
Inactive	West Coast Life Insurance Company	301607	Agent - Life	8/3/2006	11/16/2011

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Gerety, Matthew Martin	339742	Agent - Health	11/29/2005	10/1/2012
Inactive	Gerety, Matthew Martin	339742	Agent - Life	11/29/2005	10/1/2012
Inactive	Wigle, John Byron	356567	Agent - Health	5/25/2000	10/1/2012
Inactive	Wigle, John Byron	356567	Agent - Life	5/25/2000	10/1/2012