DEPARTMENT OF INSURANCE

Affiliations

Name	Baldwin, Douglas G	DOIID	513720	NAIC NPN	5963217

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Resident	Agent	Life	6/13/2003	5/31/2006
Inactive	Resident	Agent	Health	7/22/2002	5/31/2006
* 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	8/2/2004	5/31/2006
Inactive	American General Life Insurance Company	301585	Agent - Life	8/2/2004	5/31/2006
Inactive	American General Life and Accident Insurance Company	301362	Agent - Health	1/23/2004	8/13/2004
Inactive	American General Life and Accident Insurance Company	301362	Agent - Life	1/23/2004	8/13/2004
Inactive	American Republic Insurance Company	300861	Agent - Health	11/10/2004	12/28/2005
Inactive	American Republic Insurance Company	300861	Agent - Life	11/10/2004	12/28/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Health	11/10/2004	5/25/2005
Inactive	Anthem Life Insurance Company	301209	Agent - Life	11/10/2004	5/25/2005
Denied	Columbian Life Insurance Company	300810	Agent - Health
Denied	Columbian Life Insurance Company	300810	Agent - Life
Inactive	Conseco Health Insurance Company	301725	Agent - Health	12/8/2004	5/31/2006
Inactive	Conseco Health Insurance Company	301725	Agent - Life	12/8/2004	5/31/2006
Inactive	Conseco Insurance Company	301202	Agent - Health	12/8/2004	5/31/2006
Inactive	Conseco Insurance Company	301202	Agent - Life	12/8/2004	5/31/2006
Inactive	Golden Rule Insurance Company	301943	Agent - Health	11/18/2005	5/31/2006
Inactive	Golden Rule Insurance Company	301943	Agent - Life	11/18/2005	5/31/2006
Inactive	Pan-American Assurance Company	301533	Agent - Health	10/22/2004	1/24/2006
Inactive	Pan-American Assurance Company	301533	Agent - Life	10/22/2004	1/24/2006
Inactive	Pan-American Life Insurance Company	301530	Agent - Health	10/22/2004	1/24/2006
Inactive	Pan-American Life Insurance Company	301530	Agent - Life	10/22/2004	1/24/2006
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Health	12/21/2004	12/28/2005
Inactive	Penn Treaty Network America Insurance Company	301297	Agent - Life	12/21/2004	12/28/2005
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	5/18/2005	3/17/2006
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	5/18/2005	3/17/2006
Inactive	Wilco Life Insurance Company	300122	Agent - Health	12/8/2004	5/31/2006
Inactive	Wilco Life Insurance Company	300122	Agent - Life	12/8/2004	5/31/2006

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Arison Insurance Services, Inc.	401001	Agent - Health	10/12/2004	5/31/2006
Inactive	Arison Insurance Services, Inc.	401001	Agent - Life	10/12/2004	5/31/2006