DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Watkins, James O.	DOIID	514124	NAIC NPN	6908429

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Agent	Health	10/9/2000	9/30/2005
Inactive	Non Resident	Agent	Life	10/9/2000	9/30/2005
* 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	Ameritas Variable Life Insurance Company	300665	Agent - Health	10/9/2000	9/30/2005
Inactive	Ameritas Variable Life Insurance Company	300665	Agent - Life	10/9/2000	9/30/2005
Inactive	Fortitude Life Insurance & Annuity Company	301503	Agent - Life	3/21/2001	9/30/2005
Inactive	Pacific Life Insurance Company	301848	Agent - Life	12/14/2000	5/12/2003

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	VSR Financial Services Inc.	398329	Agent - Life	3/12/2003	9/30/2005
Inactive	VSR Financial Services Inc.	398329	Agent - Health	3/12/2003	9/30/2005