DEPARTMENT OF INSURANCE

Affiliations

Name	Brokerage Concepts, Inc.	DOIID	516489	NAIC NPN	957387

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date
Inactive	Non Resident	Administrator	Not Applicable	7/19/2004	1/5/2007
Inactive	Non Resident	Agent	Health	12/27/2000	2/15/2007
Inactive	Non Resident	Agent	Life	11/27/2000	2/15/2007
* 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 Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Health	4/29/2003	2/15/2007
Inactive	American Family Life Assurance Company of Columbus (AFLAC)	301781	Agent - Life	4/29/2003	2/15/2007
Inactive	American Fidelity Assurance Company	301004	Agent - Health	3/1/2004	12/22/2005
Inactive	American Fidelity Assurance Company	301004	Agent - Life	3/1/2004	12/22/2005
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Health	2/10/2005	2/15/2007
Inactive	American General Life Insurance Company of Delaware	301057	Agent - Life	2/10/2005	2/15/2007
Inactive	Anthem Health Plans of Kentucky, Inc.	300999	Agent - Health	7/29/2002	2/15/2007
Inactive	Anthem Insurance Companies, Inc.	300941	Agent - Health	7/29/2002	2/15/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Health	7/29/2002	2/15/2007
Inactive	Anthem Life Insurance Company	301209	Agent - Life	7/29/2002	2/15/2007
Inactive	Equitable Financial Life Insurance Company	300808	Agent - Life	7/1/2004	2/15/2007
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Health	9/23/2002	2/15/2007
Inactive	Equitable Financial Life Insurance Company of America	301772	Agent - Life	9/23/2002	2/15/2007
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Health	4/26/2004	2/15/2007
Inactive	Hartford Life and Accident Insurance Company	300878	Agent - Life	4/26/2004	2/15/2007
Inactive	Humana Health Plan, Inc.	300142	Agent - Health	12/13/2000	8/9/2003
Inactive	MONY Life Insurance Company	301141	Agent - Health	9/23/2002	2/15/2007
Inactive	MONY Life Insurance Company	301141	Agent - Life	9/23/2002	8/27/2003
Inactive	Metropolitan Life Insurance Company	301948	Agent - Health	5/11/2004	2/15/2007
Inactive	Metropolitan Life Insurance Company	301948	Agent - Life	5/11/2004	2/15/2007
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Health	1/6/2004	2/15/2007
Inactive	Provident Life and Accident Insurance Company	301525	Agent - Life	1/6/2004	2/15/2007
Inactive	Shenandoah Life Insurance Company	300130	Agent - Health	12/27/2000	9/30/2005
Inactive	Shenandoah Life Insurance Company	300130	Agent - Life	11/27/2000	9/30/2005
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Health	4/26/2004	2/15/2007
Inactive	Talcott Resolution Life Insurance Company	301759	Agent - Life	4/26/2004	2/15/2007
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Health	4/26/2004	2/15/2007
Inactive	Talcott Resolution Life and Annuity Insurance Company	300932	Agent - Life	4/26/2004	2/15/2007
Inactive	Time Insurance Company	300683	Agent - Health	2/16/2006	2/15/2007
Inactive	Time Insurance Company	300683	Agent - Life	2/16/2006	2/15/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Health	1/6/2004	2/15/2007
Inactive	UNUM Life Insurance Company of America	300817	Agent - Life	1/6/2004	2/15/2007
Inactive	West Coast Life Insurance Company	301607	Agent - Health	12/19/2001	2/15/2007
Inactive	West Coast Life Insurance Company	301607	Agent - Life	12/19/2001	2/15/2007

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Katz, Arnold M.	516775	Administrator - Not Applicable	7/19/2004	2/5/2007
Inactive	Katz, Arnold M.	516775	Agent - Health	11/27/2000	2/15/2007
Inactive	Katz, Arnold M.	516775	Agent - Life	11/27/2000	2/15/2007
Inactive	Olafson, Harold J	391232	Agent - Health	3/17/2003	2/15/2007